does cholestasis of pregnancy....affects the baby?

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  • Anonymous
    9 years ago
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    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. Women with cholestasis should be monitored closely and serious consideration should be given to inducing labor once the baby’s lungs have reached maturity.

  • Anonymous
    9 years ago

    The risk of having a stillborn baby is 15 per cent greater for women who have Obstetric cholestasis than for other women. Nobody is quite sure why. The baby may die because of the bile acids, which are known to cross the placenta, or as a result of being suddenly deprived of oxygen, perhaps because of placental problems.

    Mothers with Obstetric cholestasis may be at risk of bleeding after the birth. This is because bile is needed to absorb vitamin K from food, and vitamin K helps the blood to clot. So in some hospitals the mother is given vitamin K daily by mouth until delivery to protect her from this small risk of bleeding. The baby is also protected by the vitamin K.

    As far as the baby is concerned, the principal aim of treatment is to eliminate the risk of stillbirth by delivering him as soon as his lungs are mature enough for him to survive outside the womb. Scans will be used to monitor his growth and wellbeing. At present, doctors think it best to deliver the baby at about 35 to 38 weeks. If women with Obstetric cholestasis have their labours induced at this time, their babies are very likely to survive, while if pregnancy is allowed to continue to 40 weeks, the risk of stillbirth increases.

    Your baby will need an injection of vitamin K shortly after birth, to protect him from bleeding.

    It is very important to have a follow-up liver function test 6-12 weeks after you have had your baby. This will act as a final confirmation that the diagnosis of obstetric cholestasis was correct. If the results are still abnormal, you will need to see a specialist.

    Your doctor may recommend that you have another scan to check for gallstones.

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