Cholestasis of pregnancy: A review of the evidence

Research output: Contribution to journalReview article

31 Scopus citations

Abstract

Intrahepatic cholestasis of pregnancy is a rare disorder, predominately occurring during the third trimester of pregnancy and characterized by pruritis, jaundice, and biochemical disturbances in liver enzymes. While intrahepatic cholestasis of pregnancy poses little maternal risk, there is significant risk to the fetus such as preterm delivery, nonreassuring fetal status, meconium staining, and perinatal mortality. Current evidence proposes susceptibility to derangements in the sulfation of steroid compounds, affecting the metabolism of progesterone and bile acids in the fetal/placental compartment. Treatment with ursodeoxycholic acid is suggested, coupled with close maternal-fetal surveillance and delivery as close to term as possible.

Original languageEnglish (US)
Pages (from-to)217-225
Number of pages9
JournalJournal of Perinatal and Neonatal Nursing
Volume19
Issue number3
DOIs
StatePublished - Jan 1 2005
Externally publishedYes

Keywords

  • Cholestasis
  • Fetal compromise
  • Jaundice
  • Pregnancy

ASJC Scopus subject areas

  • Pediatrics
  • Critical Care
  • Maternity and Midwifery

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