What are the chances of having cholestasis of pregnancy in consecutive pregnancies?

70% recurrance risk. Recurrance risk for cholestasis of pregnancy can be as high as 70% in subsequent pregnancies. There is no current therapy to lessen the risk or prevent those recurrances.

Related Questions

What is 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...

How is cholestasis of pregnancy diagnosed?

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...
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. Read more...

What causes cholestasis of pregnancy and what are the symptoms?

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...
Cholestyramine. Urso (udca) is one medication; another is cholestyramine. To summarize, you should suspect cholestasis of pregnancy when there is intense itching and no corresponding rash on the skin. Lab tests should be ordered to confirm abnormal liver function. Consequences of cholestasis include fetal death, premature labor and postpartum hemorrhage--all requiring close monitoring. 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?

Cholestasis. Cholestasis of pregnancy is not particularly common to begin with, however, any woman can get it during any pregnancy. This is serious business, so if you are having symptoms, alert your OB pronto! Good luck. Read more...

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...

What are tests, treatment for cholestasis of pregnancy?

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...