Doctor insights on:
Medicine For Cholestasis Of Pregnancy
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. ...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 more
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. ...Read more
What meds are good for cholestasis of pregnancy? I had it once and don't want to experience it again.
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. ...Read more
How far along in pregnancy does cholestasis or pregnancy start? And what is cholestasis of pregnancy?
Cholestasis: 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 when hormones are at their peak, but it usually goes away within a few days after delivery. ...Read more
IS it uncommon for someone to develop cholestasis of pregnancy during a third pregnancy (never had it). Feeling sporadic itchines all overand 28 week?
Med, early delivery: Intrahepatic cholestasis is usually first noticed when a pregnant woman complains of itching all over the body but no rash. Testing will show abnormal bile salt levels and liver function tests. There is a medication that relieves the itching and lowers bile salt, but there is increased risk for stillbirth, so close monitoring of the pregnancy and delivery as soon as feasible is usual management. ...Read more
NO: Cholestasis of pregnancy does not generally cause pain. The most common symptoms is pruritis (itching). It almost always starts with itching on the palms of the hands and soles of the feet, and it is first noticed at night. The itching spreads to other parts of the body over time. Treatment with ursodiol (bile salts) can improve symptoms. Consultation with a high risk OB is recommended. ...Read more
Itching: And possibly jaundice and can be associated problems with baby ...Read more
Yes: There may be some familial predisposition to this disorder as it seems to apear in clusters of related women. It is also more common with multiple pregnancies (twins/triplets) and recurrence risk is as high as 50% or more in subsequent pregnancies. Resolution of symptoms is usually very prompt after delivery. ...Read more
Currently 37 w 2d and I have cholestasis of pregnancy. I had it with my previous pregnancy too and was induced at 37 weeks. Will I be induced Again?
YOU HAVE TO: CONSULT WITH YOUR OB, HE/SHE KNOWS YOU BEST ...Read more
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
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
See your doc: The one we know it works in relieving the symptoms if itching is the ursodeoxycolic acid. But in pregnancy this is a very serious condition that requires frequent fetal monitoring, maternal monitoring and potentially delivery before your due date. Please see and ob/gyn specialized in high risk pregnancy if you don't have one. ...Read more
What are the options of contraception for a woman with liver problems and after cholestasis of pregnancy?
Not hormones: You can use local methods condoms, diaphragm, if u do not want any more kids, office sterilzation, is easier and safer than laparoscopic tubal coagulation. I currently do both adiana and essure in the offcie. If you have a c-section, the tubes can be tied at that time. But as you know tubal methods are permanent, but with your condition, another pregnancy could be risky. ...Read more
Can a doctor find cholestasis of pregnancy when they take your blood the first appointment or does it have to be specific test to find it?
specific tests: Needs specific tests. Discuss your symptoms with your doctor ...Read more
How can YOU DIFFERENTIATE Cholestasis of pregnancy from other itching. Having random spots of itching that feel like prikles on my skin. 28 weeks toda?
I had cholestasis of pregnancy. I am over 2mo post delivery and the itching hasn't gone away. Liver function tests are normal. What do I do now?
Delivery: It usually goes away at or shortly after delivery. ...Read more
Are any special tests needed, or can a regular obgyn doctor see me for my intrahepatic cholestasis of pregnancy?
Cholestasis of preg: See your OB and he will get help if he needs a specialist. ...Read more
If you get cholestasis of pregnancy in the First Trimester what can be done to make sure the baby/mother will be safe?
Close follow-up: Cholestasis of pregnancy can be associated with poor pregnancy outcomes - your doctor will want to follow your pregnancy closer and may require periodic testing, monitoring, and/or ultrasounds to determine that the baby is growing and thriving inside. You may also be a candidate for delivery before your due date. Good luck. ...Read more
Cholestasis of pregnancy - are there any alternatives to inducing at 37 weeks? Can you wait till proper full term of 39 weeks by monitoring baby often?
Balance: There is always a balance to consider in these situations. Not all babies give clear indications on the monitor that something is wrong, and stillbirth, when it happens, happens mostly without warning. You can talk with doctor about your specific situation, as well as the risks of prematurity at 37 weeks. Typically, the balance at 37 weeks lays with inducing labor to prevent stillbirth. ...Read more