When it comes to obstetric health problems, most people think about those that are directly related to the reproductive system or the fetus. For instance, issues like uterine cramping come up a lot. But some obstetric issues involve the other body systems. A good example is obstetric cholestasis, an issue that affects the liver. If you are pregnant, it is important to know the basics of this common obstetric issue.
1. What is obstetric cholestasis?
Obstetric cholestasis means that your liver does not release bile as it should. Instead, some of those bile acids remain in your liver and end up getting sent out to the rest of your body through the bloodstream. Researchers are not quite sure what causes this condition, but there does seem to be a genetic link. If your mother suffered from cholestasis, you are at an increased risk of also developing it.
2. What are the signs of obstetric cholestasis?
Obstetric cholestasis affects the body in many ways. Often, the first sign is persistent and uncomfortable itching. The palms and soles of your feet may be the worst affected. Later, the itching may spread to other areas, like your breast and abdomen. Some women also notice that their skin becomes yellow. This condition is known as jaundice, and it is often associated with loss of appetite and dark urine.
3. What are the risks to your baby?
Obstetric cholestasis is pretty common, and it's important to know that most women give birth to completely healthy babies despite having this condition during pregnancy. There is an increased risk that your baby will have a bowel movement during birth, which is a good reason to give birth in a hospital setting so your doctor can quickly clean things up and reduce the risk of infection. Women with the condition are also more likely to give birth prematurely.
4. What can your doctor do about obstetric cholestasis?
There is no treatment for the condition. Your doctor can prescribe antihistamine creams and other medicated creams to address the itching. They will also be monitoring your baby closely as your due date approaches to make sure the lungs and heart are developed enough if a premature birth looks likely.
Obstetric cholestasis can be quite annoying to deal with, but it is also common and does not pose a huge risk as long as your doctor takes the right precautions. Reach out to an obstetric physician to learn more.