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Does History Of Intrahepatic Cholestatis Of Pregnancy Cause Stillbirth
Icp causes itching: I have only had one patient with icp in 27 years of practicing obstetrics. Diagnosis is made by elevated bile salts (detectable by lab test) and the treatment is cholestyramine. Pregnancy outcome should be unaffected by the condition. So icp is rare and makes you miserable, but should not affect your baby. One case however hardly makes me an expert so second opinions welcome. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
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. ...Read moreSee 1 more doctor answer
Delivery: It usually goes away at or shortly after delivery. ...Read more
Until pregnancy ends: Cholestasis of pregnancy is a considition which generally occurs in the 3rd trimester and is characterized by intense pruritis without rash and increase serum levels of free bile acids. The condition lasts until the pregnancy ends. The pruritis sometimes can be controlled with medications, such as ursodiol. ...Read more
24-48 hrs: Usually all symptoms of intrahepatic cholestasis of pregnancy resolve within 24-48 hrs after delivery, in rare cases sx may continue to up to one week after and may signify retained placenta. But if you have this condition pregnancy needs to be monitored by obgyn very closely as poor outcomes for the baby are not uncommon if not monitored. ...Read more
Various: There are several kinds of liver problems related to pregnancy. If your skin or the whites of your eyes start looking yellow, if you are having pain in the upper right side of your abdomen, or if you are having nausea, vomiting & headaches later in pregnancy, tell your OB and be seen right away. Some liver problems in pregnancy are mild, but others can be life-threatening and/or harm your baby. ...Read more
How does early rupture of membranes increase risk of transmitting all infections including HIV to the fetus?
Protection gone: Uterine membrane is a protective barrior to featus, do not allow to get infection to baby and mother , prolonged disruption will cause infection besides lekage of aminiotic fluid. ...Read more
Same as in any...: The risk of catching something is the same as in any other medical office visit... meaning there could be another patient in the waiting room with cold or flu symptoms, and thus cough or sneeze viruses into the air that others in the same waiting room end up breathing in. Thus, wear a mask if worried. Also, avoid catching germs in restrooms. Ultrasound scans themselves don't transmit diseases. ...Read more
Varies: There is fetal alcohol syn. Fas and fetal alc. Spectrum disorder fasd. The later is more incompassing of risks to the fetus when mother drinks. Rates vary by country and ethnicity. Fas incidence is listed in us, 0.5-2/1000 live births. American indians, 9.8/1000 lb. So. Africa, as high as 38/1000 lb. ...Read moreSee 1 more doctor answer
Variable: Nausea is very common with vomiting less common during early pregnancy. If vomiting persists to the point weight loss occurs, that can become an issue during pregnancy. The easiest treatment if vitamin b6 and unisom twice daily both available otc. Unisom, of course, can make you drowsy. ...Read more
How can we prevent miscarriage in first trimester of pregnancy? Is there any related cause behind this?
No sure prevention: If you look at data from cases where pregnancy is diagnosed very early you find that 1/2 of all pregnancies end in miscarriage.Most of these are because there is something wrong with the baby which would keep it from being a normal child.It is a miracle that we have so many normal babies because so many things must go right at exactly the right time.Good health before pregnancy is the best prevent ...Read more
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