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Third trimester itch: Obstetric Cholestatis a serious condition of pregnancy


Cronin, R, Maude, R


01/04/2008


New Zealand College of Midwives Journal


38


20-25

Obstetric cholestasis, also known as intrahepatic cholestasis of pregnancy, is a relatively uncommon liver disorder that classically presents in the third trimester (Royal College of Obstetricians and Gynecologists [RCOG], 2006). The main concern with obstetric cholestasis is a risk of prematurity and sudden intrauterine fetal death in previously healthy fetuses (RCOG, 2006). In this article we have used a fictionalized case report, with changes made to protect confidentiality, based on a scenario from practice to provide an overview of obstetric cholestasis, the investigations, diagnosis, risks and management options for this condition.

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itching, liver disease, obstetric cholestasis

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