Obstetric Cholestasis or Fifth's Disease?

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I have researched both conditions, and am disturbed over the possibility of stillbirth in either case. To complicate matters, I have a 3 year old in daycare (fifth’s disease?), a history of likely gallbladder “sludge” although no actual gallstones (chorestasis?), have just completed a prescription of macrobid for a uti (darkened urine, late allergic reaction?) AND live in the south where our pollen dump has just begun. My first pregnancy was uneventful.

The rash flares up with small bumps that itch ferociously, and then become hive-like when scratched. It moves - one part will itch, and then it flares up someplace else. It is NOT worse in the evenings, in fact, I have slept reasonably well both nights (after taking an antihistimine). I last took the prescription antihistimine at 10:00 pm last night, and although my hands are still swollen the rash seems to have gone away (48 hours from onset.)

I am seeking thoughts on whether this rash sounds most like cholestasis or fifth’s, or neither. Also, if it is one of these conditions, will my baby be ok for the week it takes to get the bloodwork back? What are the chances of stillbirth? Is there anything I can do to monitor his wellbeing (besides daily fetal kick counts)? I’m on pins and needles, and this week is going to drag by so slowly.

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Thanks so much for taking the time to respond. I really appreciate your kindness. Happy Spring!

Amanda

• Next message: Brenda: "Would a doctor please be able to give me some feedback ???"
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• Reply: Richard Chudacoff, MD, FACOG: "Re: Obstetric Cholestasis or Fifth's Disease?"