Be Alert to Intrahepatic Cholestasis of Pregnancy
In China, intrahepatic cholestasis of pregnancy is a common condition during pregnancy. How much do expectant mothers know about this disease? Actually, due to lack of professional knowledge, some pregnant women have misconceptions. Misconception One: Itching during pregnancy is merely a skin disease. Many pregnant women experience itching during mid-to-late pregnancy, even early pregnancy, typically starting on palms and soles, gradually spreading to lower legs, thighs, upper limbs, back, chest, and abdomen. Besides scratch marks, skin lesions may appear, with varying degrees of itching—from mild occasional itch to severe generalized itching that may even prevent sleep. Some pregnant women and their families mistakenly believe this is just a general skin disease. In reality, this could indicate intrahepatic cholestasis of pregnancy. Its primary clinical manifestation is itching, which may progress to jaundice in severe cases. A few patients report fatigue, diarrhea, or bloating. When these warning signs appear, seek medical attention promptly to prevent further progression. Misconception Two: Intrahepatic cholestasis of pregnancy has no adverse effects on mother and fetus. Some pregnant women with this condition downplay its seriousness because symptoms are mild, thinking it’s harmless and will resolve after childbirth. Indeed, symptoms like itching and jaundice usually disappear naturally postpartum, and liver function returns to normal. However, this condition significantly affects the fetus, potentially leading to preterm birth or stillbirth. Reports show many previously unexplained preterm births and stillbirths were actually caused by this condition. Therefore, once diagnosed, close monitoring of fetal status is essential—count fetal movements frequently, have family members listen to fetal heart tones, and contact the doctor immediately if abnormalities arise. Follow medical advice regarding Chinese and Western medicine to ensure the baby safely passes through this period.<Intrahepatic Cholestasis of Pregnancy>