Cholestasis jaundice in Pregnancy
Cholestasis jaundice in pregnancy
Pregnancy cholestasis: symptoms and treatment
What is pregnancy cholestasis?
Under normal circumstances, the bile flows through the ducts
until it reaches the intestines. However, when there is a problem of
cholestasis, there is a flow of bile in the intestine which causes bile acids
or salts to accumulate in the body. Increasing the concentration of these
substances causes problems, especially in the liver of a pregnant woman.
Causes of pregnancy cholestasis:-
The exact causes of cholestasis in pregnancy are still
unknown. However, recent studies have hypothesized that there is a family
situation to suffer from this problem. More tests are needed to clearly
determine the cause of this condition among pregnant women.
Risk factors for pregnancy cholestasis:-
Some experts believe that increased production of estrogen
and progesterone during pregnancy is the cause of sex hormone cholestasis.
Women with this condition will have particularly high sensitivity to high
levels of these hormones and may affect their liver function.
The main symptoms of pregnancy cholestasis:-
The main symptom is itching. However, this condition is
common during pregnancy and may have trivial reasons. When it comes to
cholestasis, itching usually focuses on the palm and soles. The itching is
usually very intense and worsens at night. Although there is no rash, some
women may scratch their skin until it bleeds.
Some of them also
have pictures of jaundice., Dark colored urine and light colored stool.
Anything that blocks the flow of bile into the intestine can occur. An
ultrasound can detect gallstones. These stones are more likely to develop in
women with cholestasis.
Results of cholestasis for the mother:
The endometrium does not harm health after cholestasis.
Mother beyond itching, which can be very unpleasant and persist until after
delivery. Cholestasis can sometimes affect blood clotting and, sometimes,
vitamin K supplementation may be necessary during pregnancy.
Cholestasis in pregnancy bothers the baby
One of the most
important consequences is the risk of premature delivery. One in 10 women who
suffer from this problem have their baby before 37 weeks of pregnancy.
Obstetricians recommend the inclusion of labor at 37 weeks because there is an
increased risk of sudden fetal death from this stage of pregnancy. In addition,
the baby is more likely to give birth. The breast (first stool) is still in the
uterus, which causes trouble breathing.
Treatment of cholestasis:-
Childbirth is the only treatment for pregnancy cholestasis.
Cream or antihistamines may be used to treat itching. Widely used in cases of
cholestasis, ursodeoxycholic acid is no scientific guarantee that it is safe
for infants. Six or eight weeks after delivery, an appointment should be made
with the doctor to ensure that the itching has disappeared and the liver is
functioning properly.
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