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Doctor insights on: Stillbirth History Of Intrahepatic Cholestatis Of Pregnancy

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Is intrahepatic cholestasis of pregnancy painful?

Is intrahepatic cholestasis of pregnancy painful?

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

Dr. Al Hegab
4 doctors shared insights

Pregnancy (Definition)

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


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What are the tests for intrahepatic cholestasis of pregnancy?

What are the tests for intrahepatic cholestasis of pregnancy?

LFTs, bile acids.: Liver function tests (alt/ast/alkaline phosphatase) and bile acids can clinch the clinical diagnosis of intrahepatic cholestasis of pregnancy - in the absence of cholelithiasis. ...Read more

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Are some people more prone to getting intrahepatic cholestasis of pregnancy?

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

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Are there things I can do for intrahepatic cholestasis of pregnancy at home?

Are there things I can do for intrahepatic cholestasis of pregnancy at home?

Uncertain: Cause and treatment of intra-hepatic cholestasis are uncertain. Since it is often associated with itching, you need to protect your skin with emollients and refrain from scratching your skin. ...Read more

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Could I have icp (intrahepatic cholestasis of pregnancy)? What are the risks?

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

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How long does pruritus associated with intrahepatic cholestasis of pregnancy last?

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

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Which treatment works the best and fastest for intrahepatic cholestasis of pregnancy?

Which treatment works the best and fastest for intrahepatic cholestasis of pregnancy?

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

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What is the result of liver function tests in intrahepatic cholestasis of pregnancy?

Cholestasis: You could elevated bilirrubin and alkaline phosphatase predominantly. Others sucn as transaminases can be elevated too. They will all normalize upon delivery. ...Read more

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What can be done for intraheptic cholestasis of pregnancy?

What can be done for intraheptic cholestasis of pregnancy?

Ursodiol/hydroxyzine: Delivery is the ultimate therapy for cholestasis gravidarum, by 36-38 weeks with 1-2/week fetal surveillance to avoid fetal demise. Oral ursodiol and Hydroxyzine cab help control the bile acid level in the mother's blood stream and decrease her pruritus. ...Read more

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How long does abdominal pain associated with intrahepatic cholestasis of pregnancy last?

How long does abdominal pain associated with intrahepatic cholestasis of pregnancy last?

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

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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?

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 more

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I had an stillbirth at 20th week of pregnancy on oct 13th, will i have difficulty in conceiving again? Wat i need to do?

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

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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.

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.

Late period : Sorry for your loss. Your period could be late due to changes to your body/hormones after a delivery. But if you think you could be pregnant, you should take a pregnancy test and present early for prenatal care. ...Read more

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How common is a stillbirth in a healthy pregnancy?

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

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What to do during early pregnancy to prevent stillbirth?

What to do during early pregnancy to prevent stillbirth?

Ultrasound, Testing: Testing and ultrasound are needed to evaluate you for risk factors. Also cvs or amniocentesis (testing the fluid around the fetus) may be needed as well. Your OB doctor will give you a good diet and vitamins to further reduce your risk. ...Read more

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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

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I just had a stillbirth delivery at 38 weeks, first pregnancy , no know cause. How long should I wait to get pregnant again?

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

Dr. Oscar Novick
77 doctors shared insights

Cholestasis (Definition)

When the flow of bile (chole) is held back (stasis). It can be from the liver cells not moving it (often from medications), or from the biliary tree being plugged by ...Read more


Dr. Gary Stephens
120 doctors shared insights

Stillbirth (Definition)

Stillbirth =death of fetus e after ...Read more