Cholestasis of pregnancy

February 14, 2020 by admin0

Obstetric cholestasis(OC), also called intrahepatic cholestasis of pregnancy (ICP), is a liver disease that can happen during pregnancy and could be fatal. To help you with digestion of food, your liver sends bile salts to your intestines. In maternal cholestasis, there is a buildup of bile salts in the blood due to this condition.

Treatment: OC goes away after giving birth.

It can be passed down through families(hereditary), but it can also happen on its own. It is more prevalent in women from India and Pakistan. OC is more likely to happen again if you had it before.

Preterm or stillbirth pregnancy’s are associated with higher risk. A stillbirth after 37 weeks can be prevented by inducing labor or doing a caesarean section to save the baby and reduce the risks to the mother.

Symptoms: Extreme itching all over the body without a rash, usually in the last four months of pregnancy. Some women may even get a very bad rash that they can get rid of. Some other signs are dark coloured urine, jaundice, and passing pale coloured faeces. Liver function tests(LFTs) are used to identify OC. Your doctor will give you LFTs on a daily basis until your baby is born to check on your health. If your LFTs are normal but you still have severe itching, they may be checked every week or two.

Calamine cream can help stop pregnancy-related itching. Some bile salts and medicines for itching might be safe to use while pregnant.

If OC makes it hard for you to absorb nutrients and vitamins, you may need to take multivitamins and vitamin K tablets.

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