gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Intrahepatic Cholestasis of Pregnancy


Abstract

Author(s): BEATA MARCINIAK, ANNA MICHAŁOWSKA, DARIUSZ SZYMULA, JOLANTA PATRO-MAŁYSZA, JAN OLESZCZUK, BOŻENA LESZCZYŃSKA-GORZELAK

Intrahepatic Cholestasis of Pregnancy (ICP) is the most common liver disorder in pregnancy; it occurs mainly in the third trimester of pregnancy and characterized by pruritus and abnormal liver function. This disease usually poses no threat to the pregnant woman, however, because of the risk to the fetus (preterm delivery, asphyxial events and even intrauterine death), it becomes a serious clinical problem marred by adverse antenatal outcomes. Etiology and pathogenesis of the disease is not fully explained. Current researches focus on genetic and hormonal dysfunctions. Treatment is primarily symptomatic. It seems that ursodeoxycholic acid (UDCA) is now the most promising and effective method of treatment, but so far the perfect way of fetal surveillance has not been found.

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