In plain words
The PUQE score, short for Pregnancy-Unique Quantification of Emesis, is a three-question tool. It asks how much nausea you felt in the last 24 hours, how often you vomited, and how often you retched without bringing anything up. Each answer is scored from 1 to 5, so the total runs from 3 to 15. A higher score means more severe symptoms. Clinicians use it to track symptoms over time and to see whether treatment is helping. It helps tell ordinary from illness that needs closer care. A score does not diagnose anything on its own. If you cannot keep fluids down, feel dizzy when you stand, or are losing weight, that is a call to your provider today.
The deeper version
PUQE-24 is a patient-reported instrument with three items, each scored 1 to 5 over a 24-hour recall: nausea, vomiting episodes, and dry heaving or retching, for a total of 3 to 15. It was designed to be simple enough for routine clinical use and to track response over time. Published validation studies report good internal consistency and correlation with quality-of-life measures. ACOG Practice Bulletin 189 (2018) and RCOG Green-top Guideline 69 (2016) describe nausea and vomiting of pregnancy as a spectrum from mild symptoms to . Severity cut-offs vary between studies and countries, so a score is best read alongside weight trend, hydration status, and as clinicians assess them.
Where it comes up
- Nausea and vomiting in pregnancyPregnancy: Your Body
- Hyperemesis gravidarum: when sickness is severePregnancy: Your Body
- Eating when nothing sounds goodPregnancy: Eating
- Weight gain in pregnancyPregnancy: Your Body
What mothers here say about PUQE score
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Sources
- American College of Obstetricians and Gynecologists — Practice Bulletin No. 189: Nausea and Vomiting of Pregnancy (2018)
- Royal College of Obstetricians and Gynaecologists — Green-top Guideline No. 69: Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum (2016)