Doctor insights on:
Stillbirth History Of Intrahepatic Cholestatis Of Pregnancy
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
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
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
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 dont have one. ...Read more
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?
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
I had intrahepatic cholestasis due to alcohol 8 months ago.I didn't drink 6 months.Now i drink.My GGT is 67, indirect bilirubin is1.2 is it ok to drink?
Probably not: If you have already had liver problems associated with drinking alcohol, it is likely that you are at risk of recurrance and you likely have some permanent liver damage as well. The safest thing that you can do to optimize your health would be to abstain from drinking alcohol at all. I would discuss this with your GI physician. ...Read moreSee 1 more doctor answer
I had an stillbirth at 20th week of pregnancy on oct 13th, will i have difficulty in conceiving again? Wat i need to do?
Not necessarily: If you haven't had trouble conceiving in the past there is no reason this would increase the risk in the future but your doctor does need to look into the reason for the still birth to try to keep it from recurring. Best wishes for a healthy pregnancy next time. ...Read more
I delivered stillbirth 3 month ago.Now period is not come there is no symptom of pregnancy.Bt in 1st pregnant there is lot symptom.What will do.Pls help.
If the preg is: Healthy very uncommon, if someone has that happen, hopefully not then an evaluation can be done to try to determine the cause. ...Read more
I delivered stillbirth during 24 week due to pressure..What are the preventive measure to take before next pregnancy?
Exercise: If by "pressure" you mean elevated blood pressure or preeclampsia, the best you can do is to get fit and exercise. Make sure you're at a healthy weight as well. You can check your bmi to see what that weight would be. Exercise, though, is the best way to bring blood pressure down. You may need medication? Talk with your md about that. Exercise is free and effects are long lasting! ...Read more
I just had a stillbirth delivery at 38 weeks, first pregnancy , no know cause. How long should I wait to get pregnant again?
Give it some time: Speak to your obstetrician and make sure that all aspects have been evaluated for the stillbirth. If there was a compromise in the umbilical cord that may potentially give an answer. Also chromosomal evaluation may be helpful along with familial thrombophilia clotting studies. Allow yourself and your partner to grieve the death of the child before jumping into the next pregnancy. Make sure that all potential causes have been evaluated before attempting another pregnancy. I personally would have my patient waited at least 4 to 6 months before trying again. ...Read more
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