How do you know if you have cholestasis in pregnancy?
What are the symptoms of cholestasis of pregnancy?
- Dark urine.
- Light-colored stool.
- Fatigue (extreme tiredness)
- Decreased appetite.
- Pain in the upper right belly.
- Jaundice (yellowing of the skin and eyes)
How bad is cholestasis itch?
Symptoms of Cholestasis
Initially, the itch might not be that intense, but slowly, it becomes extremely uncomfortable with some women even scratching their bellies till they bled. Due to the intense itching, some women are also not able to sleep properly.
When do cholestasis symptoms start?
Symptoms of ICP typically start from around 30 weeks of pregnancy, but it’s possible to develop the condition as early as 8 weeks.
Can cholestasis cause mild itching?
As your pregnancy progresses and as your baby grows, the skin of your abdomen is stretched and this may also feel itchy. Mild itching is usually nothing to worry about, but if the itching becomes severe it can be a sign of a serious liver condition called obstetric cholestasis.
What happens if cholestasis goes untreated?
Babies who get cholestasis may show signs of jaundice 3 to 6 weeks after they’re born. If your cholestasis goes untreated, you may have trouble absorbing nutrients. You may not get enough calcium and vitamin D. This can weaken your bones.
Is delivery by 37 weeks necessary for cholestasis of pregnancy?
Given the increased risk of stillbirth in the setting of ICP, induction of labor is often recommended at 37 weeks of gestation to balance the risk of iatrogenic preterm delivery against the risk of fetal mortality.
Can cholestasis cause birth defects?
ICP is a liver condition that can increase your risk for problems, including premature birth, stillbirth and heavy bleeding after birth. If you have any signs or symptoms of ICP, like feeling itchy on the palms of your hands or soles of your feet, tell your health care provider.
Should I go to the hospital for cholestasis?
A bile concentration result above 10 μmol/L (micro-moles per liter of blood) is considered cholestasis. But if you have serious itching and you haven’t felt the baby move in several hours, it’s time to go to the emergency room.
What foods should I avoid if I have cholestasis in pregnancy?
To reduce the risk of cholestasis and other problems during pregnancy, it is important to follow a healthful, balanced diet with plenty of fresh fruit and vegetables.
Avoid the following:
- sugars and highly refined foods, such as white bread and corn syrup.
- soy products.
- processed meats.
- full-fat dairy produce.
Does cholestasis come on suddenly?
Cholestasis of pregnancy is a potentially serious liver condition that causes sudden, severe itching. It happens when bile starts building up in the liver.
How common is stillbirth with cholestasis?
Small research studies many years ago suggested that stillbirths may be more common among women with obstetric cholestasis and as a result labour was induced early. Recent research has shown that the risk of stillbirth is the same as in women without obstetric cholestasis (1 in 200).
Where do you itch when you have cholestasis?
Intense itching is the main symptom of cholestasis of pregnancy. There is no rash. Most women feel itchy on the palms of their hands or the soles of their feet, but some women feel itchy everywhere. The itching is often worse at night and may be so bothersome that you can’t sleep.
Does itching come and go with cholestasis?
Women with cholestasis may have marks from scratching themselves, but there is no actual rash. Itching goes away. Cholestasis symptoms may improve with lotions or antihistamines, but they will always come back with a vengeance. If your skin itches for a day or two and then completely resolves, that is not cholestasis.
How do you stop cholestasis itching?
To soothe intense itching, your pregnancy care provider may recommend:
- Taking a prescription drug called ursodiol (Actigall, Urso, Urso Forte), which helps to lower the level of bile in your blood. Other medications to relieve itching may also be an option.
- Soaking itchy areas in cool or lukewarm water.