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https://www.mumsnet.com/Talk/childbirth/1797144-Obstetric-cholestasis-at-38-weeks-hospital-wont-induce-Im-still-wondering-about-home-birth
I was diagnosed with Obstetric cholestasis at 38+3 (the week before last).The hospital didn't let me go home and induced the same day. My birth plan went completely out of the window (as I'm told they often do) but I was much more content to have continuous monitoring for the baby as a reassurance.
https://www.ncbi.nlm.nih.gov/pubmed/25371372
Intrahepatic cholestasis of pregnancy and timing of delivery. ... (IUFD) for women with intrahepatic cholestasis of pregnancy (ICP) to determine the optimal gestational age for delivery. METHODS: A decision-analytic model was created to compare delivery at 35 through 38 weeks gestation for different delivery strategies: (1) empiric steroids; (2 ...Author: Jamie O. Lo, Brian L. Shaffer, Allison J. Allen, Sarah E. Little, Yvonne W. Cheng, Aaron B. Caughey
https://www.contemporaryobgyn.net/modern-medicine-feature-articles/should-women-intrahepatic-cholestasis-pregnancy-be-delivered-early
The mean gestational age at delivery was 38.5 ± 1.9 weeks for the cohort, and the 2 stillbirths occurred at 36 to 37 weeks’ gestation. Both were appropriately grown with no gross abnormalities. 9. The case for early delivery. Early delivery is the only known intervention that reduces the risk of stillbirth.Author: Cassandra E Henderson, Cde
https://www.whattoexpect.com/pregnancy/cholestasis/
Apr 29, 2019 · In cases when maternal bile acids are higher, cholestasis can increase baby's risk of a low birth weight, a slightly lower Apgar score, lung immaturity and preterm delivery — which is why early diagnosis and treatment are so important. In extremely rare cases, stillbirth is a risk, though it may be prevented if labor is induced before week 38.
https://www.cedars-sinai.org/health-library/diseases-and-conditions/c/cholestasis-of-pregnancy.html
Cholestasis of pregnancy is a liver problem. It slows or stops the normal flow of bile from the gallbladder. This causes itching and yellowing of your skin, eyes, and mucous membranes (jaundice). Cholestasis sometimes starts in early pregnancy. But it is more common in the second and third trimesters. It most often goes away within a few days after delivery.
https://www.smfm.org/publications/96-understanding-intrahepatic-cholestasis-of-pregnancy
There are no evidence based recommendations for fetal testing in intrahepatic cholestasis. Delivery: While an evidence based recommendation is not available for the timing of delivery when cholestasis of pregnancy is encountered, most management strategies would advocate delivery between 37-38 weeks or sooner with documented pulmonary maturity.
https://www.nhs.uk/conditions/pregnancy-and-baby/itching-obstetric-cholestasis-pregnant/
Intrahepatic cholestasis of pregnancy. Intrahepatic cholestasis of pregnancy (ICP) is a potentially serious liver disorder that can develop in pregnancy. Normally, bile acids flow from your liver to your gut to help you digest food. In ICP, the bile acids do not flow properly and build up in your body instead.
https://www.tommys.org/pregnancy-information/pregnancy-complications/obstetric-cholestasis/cat-was-diagnosed-obstetric-cholestasis-32-weeks
Stacey was diagnosed with Obstetric Cholestasis (OC) at 37 weeks which resulted in an induced delivery of her son. The itching in pregnancy was irritating but the fear was worse The itching was really irritating but, for me, the most difficult thing about being diagnosed with OC was the fear, the terrible fear that I could lose my baby.
https://community.whattoexpect.com/forums/august-2016-babies/topic/cholestasis-at-24-weeks.html
I had cholestasis with my first but didn't find out until 38 weeks and they induced right way. You'll most like be induced at 37 weeks since the chance of still birth is very high at the end of pregnancy. I starting to get it with this pregnancy now too. There is a great Facebook page- ICP Itchy moms- where they have a lot of great info for you.
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