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Suggest Treatment For Cholestasis During Pregnancy

Posted on Sat, 13 Jun 2015

Question: Hi,

I'm a first time mom, obese and 30 weeks pregnant now. I was itching all over and diagnosed with cholestasis of pregnancy. SGPT is 600 and bile acids are 75. Can you please let me know how can i have a safe delivery. My doctor indicated that i will be induced or have c section at 37 weeks. Please let me know how i can have a normal delivery with healthy baby. Can you please suggest how i can go full term with the baby.

Thanks

Answered by Dr. Mahesh Koregol (20 minutes later)

Brief Answer:
C section at 37 weeks advisable

Detailed Answer:
Hi,

I understand your concerns about the cholestasis.

Your liver enzymes are high because of cholestasis which is commonly seen in pregnancy. This is relieved only after delivery. Hence your doctor is trying to deliver you early at 37 weeks to prevent cholestasis complications and threat to your life.

It is difficult to induce normal delivery early at 37 weeks and operative delivery advisable.

Let me know if you need any more help.

Regards,
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (1 hour later)

Thank you. Can you please let me know how it can be avoided in the next pregnancy so that i can try for a vbac atleast?

Answered by Dr. Mahesh Koregol (3 hours later)

Brief Answer:
Weight loss helps

Detailed Answer:
Hi,

Weight loss should help. Lose weight before getting pregnant again and avoid eating food with much oil and sugar in it.

This should help in avoiding it.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar