Question 1

i have icsi paragnancy so what is suitable delevry for me , natural delivery or c-section delevry? every body told me that natural delivery is riski?

Accepted Answer

Whoa!: First, congratulations. Second, vaginal delivery if there are no complicating factor is much safer overall than c-section, talk with your doctor about it. Third, there is nothing about icsi that says you should or should not have a vaginal birth. Congrats again on your success, have a good talk with your obstetrician about birth options.

Question 2

what is cholestasis of pregnancy?

Accepted Answer

See below please: Cholestasis of pregnancy is a condition in which the normal flow of bile in the gallbladder is affected by the high amounts of pregnancy hormones. Cholestasis is more common in the last trimester of pregnancy. 1-2 pregnancies/1000 are affected by cholestasis. In severe cases, but not all, cholestasis may increase the risks for fetal distress, preterm birth, or stillbirth. Blood tests are key.

Question 3

can liver disease cause cholestasis?

Accepted Answer

Sure, but...: Liver disease comes in many varieties and manifestations: cholestasis (either intrahepatic or extrahepatic) with jaundice; infiltrative (like fatty liver, amyloidosis); fibrotic (trending toward cirrhosis); congestive (blood backs up into the liver); ischemic; shock injury; toxic (either metabolic or drug-related); hepatitis (infectious or otherwise, the liver cells are sick); familial; cancer...

Question 4

does cholestasis cause an itchy rectum?

Accepted Answer

No:  Cholestasis should have no particular effect  on the rectum itself.

Question 5

how is cholestasis of pregnancy diagnosed?

Accepted Answer

History/Physical/Lab: Cholestasis is diagnosed by doing a complete medical history, physical examination, and blood tests that evaluate liver function, bile acids, and bilirubin. Additionally, an ultrasound can de done to rule out gall bladder stones causing blockage. 1-2 preg/1000 is affected by cholestasis of pregnancy. It may be related to adverse pregnancy events like preterm labor, or at worse, stillbirth.

Question 6

in pregnancy, can u have cholestasis without the itching?

Accepted Answer

Yes: Bloodwork will show cholestatic changes. Pruritis (itching) is common but not always present.

Question 7

is cholestasis determined by a basic liver function panel?

Accepted Answer

History/Physical/Lab: Cholestasis is diagnosed by doing a complete medical history, physical examination, and blood tests that evaluate liver function, bile acids, and bilirubin. Additionally, an ultrasound can de done to rule out gall bladder stones causing blockage. 1-2 preg/1000 is affected by cholestasis of pregnancy. It may be related to adverse pregnancy events like preterm labor, or at worse, stillbirth.

Question 8

my 10 year old son has cholestasis liver. what should be done?

Accepted Answer

GI Consult: He should see a pediatric gastroenterologist for a full evaluation of the cause of the cholestasis and for treatment.

Question 9

what causes cholestasis of pregnancy and what are the symptoms?

Accepted Answer

Itching & Jaundice: As well as elevated blood levels of bile acids. More common in scandinavia, south america, and multiple gestation pregnancy. An increased sensitivity of some women to the estrogen hormones of pregnancy lead to a reduced ability of their bodies to eliminate bile acids, causing them to accumulate. The condition usually resolves within 2-3 weeks of delivery.

Question 10

what meds are good for cholestasis of pregnancy?i had it once and don't want to experience it again.

Accepted Answer

UCDA: Ursodeoxycholic acid (udca) is used in the treatment of intrahepatic cholestasis of pregnancy (icp).  We don't know exactly how udca works, but we think it improves bile salt loss from the liver into the bile, which reduces serum bile acid, liver enzyme, and bilirubin levels. This reduces itching, and the risk to the fetus/mother, allowing deliver closer to term. Udca is safe to use in pregnancy.

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Doctor answers about:

C section or natural delivery with cholestasis

A member asked:

I have icsi paragnancy so what is suitable delevry for me , natural delivery or c-section delevry? every body told me that natural delivery is riski?

A member asked:

What is cholestasis of pregnancy?

A member asked:

Can liver disease cause cholestasis?

A member asked:

Does cholestasis cause an itchy rectum?

A member asked:

How is cholestasis of pregnancy diagnosed?

A member asked:

In pregnancy, can u have cholestasis without the itching?

A member asked:

Is cholestasis determined by a basic liver function panel?

A member asked:

My 10 year old son has cholestasis liver. what should be done?

A member asked:

What causes cholestasis of pregnancy and what are the symptoms?

A member asked:

What meds are good for cholestasis of pregnancy?i had it once and don't want to experience it again.

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