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Cholestasis of Pregnancy
My wife is 35 week pregnant. She done her LFT test. Her SGPT/ SGOT is 95/55. She is feeling itching in her feet and hands. Doctor prescribed Udiliv150. Should we worried for our baby?? I have attached her LFT report herewith.
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Nothing to worry, observe baby movements, repeat LFT weekly and do serum bile acid test continue udilive if symptoms are not under control then discuss with your gyanaecologist should increase the dose of udilive,if reduce baby movements immediate report to gyanaecologist
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Please do usg upper abdomen , cbc,s . Bile acids and see gastroenterologist to rule out any pathology in liver and gall bladder.
Next Steps
Gastroppinion
Health Tips
Low fat, high protein diet, avoid constipation, check foetal movement.
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Continue Udiliv 300 mg twice a day for 2 weeks
Next Steps
Do Urine bile salt and bile pigment . Measures Blood pressure every 2 weeks. Do a platelet count and liver function test after 2 weeks
Health Tips
Daily fetal movement count Continue iron and calcium supplements Mothers Horlicks two spoons with milk two times a day for a month
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the condition is intrahepatic cholestasis of pregnancy She needs to continue the tablets Complications associated with this condition are - preterm delivery, intrauterine fetal demise , meconium aspiration and fetal destress ,still birth
Next Steps
repeat LFT after a week get a scan done for fetal growth ,AFI NST
Health Tips
Strict monitoring of fetal movements - in case of reduced fetal movements report to hospital immediately termination of pregnancy in case of worsening of condition,fetal destress .
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Do repeat test after a week if detoriating then terminate pregnacy
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.