Question: Is delivery by 37 weeks necessary for cholestasis of pregnancy?

Given the increased risk of stillbirth in the setting of ICP, induction of labor is often recommended at 37 weeks of gestation to balance the risk of iatrogenic preterm delivery against the risk of fetal mortality.

When should you deliver with cholestasis?

This is the most common symptom. The goals of treating cholestasis of pregnancy are to relieve itching and prevent complications for your developing baby. Babies of women with cholestasis are often delivered early (usually around 37 weeks) because of the risks.

Can you go full term with cholestasis?

If you have intrahepatic cholestasis of pregnancy, there is a higher risk of the baby being born prematurely. About 1 in 10 women diagnosed will have their baby before full term (37 weeks).

Do you have to deliver early with ICP?

Your baby may have to be delivered early. ICP is associated with an increased risk of premature birth.

How common is stillbirth if you have cholestasis?

Small research studies many years ago suggested that stillbirths may be more common among women with obstetric cholestasis and as a result labour was induced early. Recent research has shown that the risk of stillbirth is the same as in women without obstetric cholestasis (1 in 200).

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Can cholestasis cause birth defects?

ICP is a liver condition that can increase your risk for problems, including premature birth, stillbirth and heavy bleeding after birth. If you have any signs or symptoms of ICP, like feeling itchy on the palms of your hands or soles of your feet, tell your health care provider.

What happens if cholestasis goes untreated?

Babies who get cholestasis may show signs of jaundice 3 to 6 weeks after they’re born. If your cholestasis goes untreated, you may have trouble absorbing nutrients. You may not get enough calcium and vitamin D.

What triggers cholestasis?

Causes include acute hepatitis, alcohol-related liver disease, primary biliary cholangitis with inflammation and scarring of the bile ducts, cirrhosis due to viral hepatitis B or C (also with inflammation and scarring of the bile ducts), certain drugs (for example, amoxicillin/clavulanate, chlorpromazine, azathioprine, …

What does cholestasis itch feel like?

Intense itching is the main symptom of cholestasis of pregnancy. There is no rash. Most women feel itchy on the palms of their hands or the soles of their feet, but some women feel itchy everywhere. The itching is often worse at night and may be so bothersome that you can’t sleep.

Why does cholestasis itch more at night?

It can be constant or intermittent. Although the itch typically affects the hands and feet, it may occur anywhere on your body. Many women find that the itching is worse at night and disturbs their sleep. There is research to show that the level of bile acids does not correlate with the intensity of itch.

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What foods should I avoid if I have cholestasis in pregnancy?

To reduce the risk of cholestasis and other problems during pregnancy, it is important to follow a healthful, balanced diet with plenty of fresh fruit and vegetables.

Avoid the following:

  • sugars and highly refined foods, such as white bread and corn syrup.
  • soy products.
  • processed meats.
  • full-fat dairy produce.

Can ICP hurt my baby?

ICP can have serious consequences for the baby, with increased chances of premature birth, neonatal unit admission and stillbirth. Research shows that about 1 in 10 women diagnosed with ICP will have their baby early.

Is cholestasis an emergency?

However, “if the baby is in distress, an emergency C-section may be necessary,” Dr. Wider says. Cholestasis happens in just 1 to 2 in 1,000 pregnancies, but Dr. Greves says that it’s important to tell your doctor right away if you have intense itching during pregnancy, just in case.

How do you treat cholestasis naturally during pregnancy?

Lifestyle and home remedies

  1. Cool baths, which may make the itching feel less intense for some women.
  2. Oatmeal baths, creams or lotions, which may soothe the skin.
  3. Icing a particularly itchy patch of skin, which may temporarily reduce the itch.

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How is cholestasis treated in pregnancy?

How is cholestasis of pregnancy managed or treated? Doctors use a medication called ursodeoxycholic acid (UDCA, Actigall®) to treat cholestasis of pregnancy. This medicine can improve the liver’s ability to function and reduce the levels of bile in the blood.

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