PREGNANCY-BIRTH Messages for December, 1999: Re: Obstetric cholestasis

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Re: Obstetric cholestasis

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Wed, 29 Dec 1999 10:19:05 -0600 (CST)

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In reply to: caroline: "Obstetric cholestasis"

At Tue, 28 Dec 1999, caroline wrote: >
>I am 41 years old and 34 weeks pregnant with a so-far uneventful, normal
>pregnancy. About 3 weeks ago I began experiencing allover itching with
>no rash. My doctor ordered blood tests to check on liver function but
>due to lab mess-ups (three blood tests have now been drawn) I still
>don't have the results.
>
>I'm obviously worried and did some research - and my symptoms seem to be
>consistent with obstetric cholestasis, being a problem with the liver
>that can develop during the third trimester resulting in excessive bile
>salts in the blood - thus, the itching (which is driving me CRAZY!).
>
>The research I've done indicates that (1) there's no real treatment for
>this (although there is treatment for the itching) other than delivery
>and, more importantly (2) there seems to be some connection between this
>and stillbirth. My reading recommends delivery before 38 weeks to
>reduce the chance of problems.
>
>My doctors have told me that there's no proven connection between OC and
>stillbirths - any thoughts on this? I don't want to be overreacting.
>However - I want to take every precaution possible. I'm not thrilled
>about the idea of induction or cesaerian, but the alternative is too
>horrible to even contemplate.
>
>I appreciate the insight of any doctors who have experience or knowledge
>about this - there is not much information out there and what there is
>seems to come from the UK.
>
>Thanks so much - sorry this is so long.
>
>Caroline

I'm aware of no association with stillborns and did a literature search on Medline and came up empty. A consultatio with a fetal meaternal medicine specialist may reveal lesser known studies that support one side or the other.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Early pregnancy symptoms?"
Previous message: Harvey S. Marchbein, M.D.: "Re: Two weeks late - neg. tests"
In reply to: caroline: "Obstetric cholestasis"

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