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Itching & Bile Acid in 8th mon Pregnancy
8 months pregnant with itching all over the body. Bile acid level is 28.8 µmol/L. Could this be cholestasis of pregnancy? Does this level pose any risk to the fetus, and does she need treatment, repeat tests, or additional monitoring
Answers (5)
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Yes, this pattern is very likely obstetric cholestasis of pregnancy. Whole-body itching in the third trimester, often worst on the palms and soles and worse at night, along with a bile acid level of 28.8 µmol/L, meets the diagnostic threshold in most protocols. It is very treatable and usually managed with ursodeoxycholic acid alongside close monitoring of the baby.
Next Steps
Please connect with your obstetrician urgently if this has not already been flagged. Management usually involves twice-weekly non-stress tests from around 32 weeks, weekly bile acid rechecks, and often a planned delivery between 37 and 38 weeks depending on how the levels trend.
Health Tips
Please do not delay the review or self-medicate with antihistamines just to control the itch. Cholestasis needs specific treatment, and monitoring the baby is the more important half of the plan.
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This is IHCP ,bile acids are increased
You need treatment for this condition.
LFT should be done and regular obstetrician visits required
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Pls connect for online consultation and advice
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Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
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Dr. Pushpa Gour
Gynecologist
32 yrs exp
Bhopal
This is cholestasis of pregnancy.
Treatment is required .
Consult for prescription please.
LFT test to be done periodically
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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.