A 44-year-old member asked:
how is cholestasis of pregnancy diagnosed?
2 doctor answers
Dr. Hector Chapa answered
24 years experience Obstetrics and Gynecology
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.
Answered on Aug 4, 2012
Dr. Miguel Cano answered
29 years experience Obstetrics and Gynecology
Bile Acid levels: Cholestasis of pregnancy presents with total body itching, usually no rash, & diagnosis is usually made with an elevated level of bile acids. We also follow liver functions, treat with ursodiol (actigall) & monitor the fetus with twice weekly nsts & afi checks. Early delivery is usually warranted to avoid demise, no one really has a good explanation why this occurs. Take care.
Answered on Dec 9, 2013
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