Correlation of Serum Bile Acids with Liver Enzymes and Perinatal and Maternal Outcome in Cholestasis in Pregnancy

Kaur, Satinder; Huria, Anju; Kaur, Jasbinder; Kumar, Pradip

doi:10.3126/njog.v5i1.5058

Cited by 1 publication

(7 citation statements)

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“…the mean age at presentation was 27.5 years (M. Rook et al 2009) 20 25.4 years (S. Kaur et al 2010). 19 In our study, most of the cases were primigravida (72.9%) correlates well with the following studies, i.e. the incidence of primigravida were 52% in a study by Dang Arbinder et al (2010) 21 and 62% by S. Kaur et al (2010).…”

Section: Discussionsupporting

confidence: 91%

“…the incidence of primigravida were 52% in a study by Dang Arbinder et al (2010) 21 and 62% by S. Kaur et al (2010). 19 Gallstones were associated as an risk factor in 2.8% of cases, which correlates well with the studies of M Rook et al (2009), 20 i.e. 5%.…”

Section: Discussionsupporting

confidence: 90%

“…It showed similar results with the studies by Dang Arbinder et al (2010), 21 i.e. 64% and S. Kaur et al (2010), 19 i.e. 71.9%.…”

Section: Discussionsupporting

confidence: 89%

“…Incidence of obstetric cholestasis was found to be 0.6% in our study. Similar incidence was seen in the studies by Ropponen A et al 2006 18 and S. Kaur et al 2010, 19 1.3% and 1.24%, respectively.…”

Section: Discussionsupporting

confidence: 86%

“…Out of the caesarean section, maximum number of cases were done on an emergency basis (87.5%). The incidence of caesarean section were similar in studies by M. Rook et al (2009), 20 Dang Arbinder et al (2010) 21 and S. Kaur et al (2010), 19 i.e. 14.9%, 14.9% and 28.1%, respectively.…”

Section: Discussionsupporting

confidence: 80%

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Foetomaternal Outcome of Obstetric Cholestasis

Mishra¹,

Panigrahy²,

Behera³

2017

jebmh

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BACKGROUND Obstetric cholestasis is a disorder of liver function commonly occurring in the third trimester of pregnancy. Clinical characters of this disorder include unexplained maternal pruritus, most common site being palms and soles, altered liver functions (elevated serum transaminases) and increased fasting serum bile acids (>10 micro mol/L) in previously healthy pregnant women. The incidence is variable geographically from 0.1% to 15.6% all over the world. The aetiology of this condition is not fully understood. Its pathogenesis is related to increased sex hormone synthesis, environmental factors and genetic predisposition. Obstetric cholestasis can lead to increased foetal morbidity and mortality with regards to preterm delivery, neonatal respiratory distress syndrome, foetal distress and sudden intrauterine foetal death. Treatment of the disease focus on relieving symptoms and signs. The aim of the study is to evaluate the pregnancy and foetal outcome of pregnant women with obstetric cholestasis. MATERIALS AND METHODS A cross-sectional study was conducted in M.K.C.G. Medical College and Hospital, Berhampur from February 2015 to May 2017. Inclusion Criteria-All patients having pruritus during course of pregnancy with biochemical evidence of raised liver function tests attending antenatal clinic or labour room. Exclusion Criteria-1) Pregnant women without pruritus; 2) Pregnant women having other liver diseases. RESULTS The incidence of obstetric cholestasis was 0.6%. Majority of cases were primigravida (72.9%). Positive family history was present in 11.4% of cases. Majority of cases (77.1%) had normal vaginal delivery. 22.9% of cases had caesarean section. Primary postpartum haemorrhage occurred in only 2.9% of cases. CONCLUSION Obstetric cholestasis can be managed by improving the circulating bile acid level, targeting the cause of pruritus and optimising the time of delivery as a result of which we can reduce adverse pregnancy outcomes.

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Section: Discussionsupporting

confidence: 91%