Intrahepatic Cholestasis of Pregnancy : Obstetrics & Gynecology

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Contents: Clinical Expert Series

Intrahepatic Cholestasis of Pregnancy

Williamson, Catherine MD; Geenes, Victoria MBBS, PhD

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Obstetrics & Gynecology 124(1):p 120-133, July 2014. | DOI: 10.1097/AOG.0000000000000346

Intrahepatic cholestasis of pregnancy is the most common pregnancy-specific liver disease that typically presents in the third trimester. The clinical features are maternal pruritus in the absence of a rash and deranged liver function tests, including raised serum bile acids. Intrahepatic cholestasis of pregnancy is associated with an increased risk of adverse perinatal outcomes, including spontaneous preterm delivery, meconium staining of the amniotic fluid, and stillbirth. It is commonly treated with ursodeoxycholic acid. There is accumulating evidence to suggest that intrahepatic cholestasis of pregnancy has a lasting influence on both maternal and fetal health. We review the etiology, diagnosis, and management of this intriguing condition.

© 2014 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

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