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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Itching In Pregnancy?

hello doctor i am 26 weeks pregnant and have severe itching..got a gct done reports are normal,routine urine is also normal..got a liver profile test done and the sgot and sgpt and alp are highly elevated ..the biliruben count is normal.sgot is 194 and sgpt 179..have no nausea or vomitting what can be the problem pleae help
Mon, 7 Dec 2015
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OBGYN 's  Response
Hi,

Itching in third trimester of pregnancy without any rash or fever points towards, Obstetric cholestasis. You should get your bile salts checked, which can be elevated in obstetric cholestasis.
Also, viral markers to rule out infective hepatitis needs to be done.
Obstetric cholestasis is unique to pregnancy and subsides after delivery.
You will need monitoring of liver enzymes weekly during pregnancy. Rarely , it can affect fetus as well, some doctors consider delivery at 37 weeks to decrease fetal morbidity.

Hope this helps.
Regards.
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What Causes Severe Itching In Pregnancy?

Hi, Itching in third trimester of pregnancy without any rash or fever points towards, Obstetric cholestasis. You should get your bile salts checked, which can be elevated in obstetric cholestasis. Also, viral markers to rule out infective hepatitis needs to be done. Obstetric cholestasis is unique to pregnancy and subsides after delivery. You will need monitoring of liver enzymes weekly during pregnancy. Rarely , it can affect fetus as well, some doctors consider delivery at 37 weeks to decrease fetal morbidity. Hope this helps. Regards.