How serious is cholestasis of pregnancy?
Cholestasis may increase the risks for fetal distress, preterm birth, or stillbirth. A developing baby relies on the mother’s liver to remove bile acids from the blood; therefore, the elevated levels of maternal bile cause stress on the baby’s liver.
How is cholestasis treated in pregnancy?
Doctors use a medication called ursodeoxycholic acid (UDCA, Actigall®) to treat cholestasis of pregnancy. This medicine can improve the liver’s ability to function and reduce the levels of bile in the blood.
Will I be induced if I have cholestasis?
Induction of labor between 36-38 weeks is a viable clinical option for patients diagnosed with cholestasis of pregnancy.
How common is stillbirth if you have cholestasis?
Small research studies many years ago suggested that stillbirths may be more common among women with obstetric cholestasis and as a result labour was induced early. Recent research has shown that the risk of stillbirth is the same as in women without obstetric cholestasis (1 in 200).
Is delivery by 37 weeks necessary for cholestasis of pregnancy?
Currently, many doctors are recommending that women who have ICP are induced at around 37–38 weeks. However, the most recent research from Ovadia et al 2019 shows that many women can now wait until 38–39 weeks of pregnancy before they need to be induced.
What happens if cholestasis goes untreated?
Babies who get cholestasis may show signs of jaundice 3 to 6 weeks after they’re born. If your cholestasis goes untreated, you may have trouble absorbing nutrients. You may not get enough calcium and vitamin D. This can weaken your bones.
What should I eat if I have cholestasis?
Choose certified organic meat and avoid fried fish and raw seafood. Dried beans and legumes, such as lentils and chickpeas, are a good source of protein. Focus on whole foods, such as whole-grain bread.
Can cholestasis cause birth defects?
ICP is a liver condition that can increase your risk for problems, including premature birth, stillbirth and heavy bleeding after birth. If you have any signs or symptoms of ICP, like feeling itchy on the palms of your hands or soles of your feet, tell your health care provider.
What does cholestasis itch feel like?
Intense itching is the main symptom of cholestasis of pregnancy. There is no rash. Most women feel itchy on the palms of their hands or the soles of their feet, but some women feel itchy everywhere. The itching is often worse at night and may be so bothersome that you can’t sleep.
How do you treat cholestasis naturally during pregnancy?
Lifestyle and home remedies
- Cool baths, which may make the itching feel less intense for some women.
- Oatmeal baths, creams or lotions, which may soothe the skin.
- Icing a particularly itchy patch of skin, which may temporarily reduce the itch.
Is cholestasis an emergency?
A bile concentration result above 10 μmol/L (micro-moles per liter of blood) is considered cholestasis. But if you have serious itching and you haven’t felt the baby move in several hours, it’s time to go to the emergency room.