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Is SGPT Level Of 81 Normal During Pregnancy?
Question: Hi my wife sgpt level is 81 and she is 37 week pregnant. We are consulting two doctors.baby weight is 3.7 kg . One of the dr is telling that to admit her immediately and will induce labor pain. The second dr is telling to wait till the delivery date and told that she will not induce any pain and will operate if there is no pain.because it will effect the child if you push for labor pain at this weight.
kindly suggest
kindly suggest
Brief Answer:
No need to intervene at 37 weeks
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
SGPT levels of 81 in pregnancy indicate obstetric cholestasis, of associated with itching.
In cases of obstetric cholestasis, it is advisable to induce labour at 38-39 weeks of pregnancy, as chances of fetal distress and adverse effects increase after 39 weeks of obstetric cholestasis is there.
However, there is absolutely no need for urgent admission and delivery at 37 weeks of pregnancy even if cholestasis is there.
She should be started on tab udiliv for cholestasis,and should monitor the fetal movements strictly.
She should get her biophysical profile by ultrasound and NST test done biweekly till delivery to determine the fetal well being, and get appropriate treatment timely.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
No need to intervene at 37 weeks
Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
SGPT levels of 81 in pregnancy indicate obstetric cholestasis, of associated with itching.
In cases of obstetric cholestasis, it is advisable to induce labour at 38-39 weeks of pregnancy, as chances of fetal distress and adverse effects increase after 39 weeks of obstetric cholestasis is there.
However, there is absolutely no need for urgent admission and delivery at 37 weeks of pregnancy even if cholestasis is there.
She should be started on tab udiliv for cholestasis,and should monitor the fetal movements strictly.
She should get her biophysical profile by ultrasound and NST test done biweekly till delivery to determine the fetal well being, and get appropriate treatment timely.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your prompt repose. As per latest ultrasound her BPD-92 = 37W 4 DAYS
HC-324=36W 6D
FL-74=37W 6D
AC-371= 41W1D
MEAN AGE IS 38W 3D
EDD IS 12/1/16
EFBW-3796G
AC IS MORE THAN EXPECTED
WITH THIS WHAT IS UR ADVISE DO WE NEED TO WAIT FOR NATURAL PAIN TILL 12TH OF XXXXXXX AS PER HER EDD OR SHOULD WE HAVE THE DELIVERY NOW WITH INDUCED PAIN.AS I'M LITTLE SKEPTICAL ABOUT INDUCED PAIN WHICH MAY AFFECT THE BABY AND MOTHER AND ALSO DR WAS TELLING THE WEIGHT IS HIGH.
KINDLY SUGGEST. IF YOU NEED ANY OTHER REPORT DO LET ME KNOW
HC-324=36W 6D
FL-74=37W 6D
AC-371= 41W1D
MEAN AGE IS 38W 3D
EDD IS 12/1/16
EFBW-3796G
AC IS MORE THAN EXPECTED
WITH THIS WHAT IS UR ADVISE DO WE NEED TO WAIT FOR NATURAL PAIN TILL 12TH OF XXXXXXX AS PER HER EDD OR SHOULD WE HAVE THE DELIVERY NOW WITH INDUCED PAIN.AS I'M LITTLE SKEPTICAL ABOUT INDUCED PAIN WHICH MAY AFFECT THE BABY AND MOTHER AND ALSO DR WAS TELLING THE WEIGHT IS HIGH.
KINDLY SUGGEST. IF YOU NEED ANY OTHER REPORT DO LET ME KNOW
Brief Answer:
Gestational diabetes should be ruled out
Detailed Answer:
Hi dear,
I have reviewed the ultrasound report.
It shows the abdominal circumference of the fetus to be high.Increased fetal weight and increased AC are increased in gestational diabetes mellitus.
I will suggest to get her oral glucose tolerance test with 75 gm glucose to detect any gestational diabetes mellitus.
If present, then she should have an elective caesarean section at 39 weeks.
It is advisable to do an elective caesarean section if the fetal weight is more than 3.5 kg.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Gestational diabetes should be ruled out
Detailed Answer:
Hi dear,
I have reviewed the ultrasound report.
It shows the abdominal circumference of the fetus to be high.Increased fetal weight and increased AC are increased in gestational diabetes mellitus.
I will suggest to get her oral glucose tolerance test with 75 gm glucose to detect any gestational diabetes mellitus.
If present, then she should have an elective caesarean section at 39 weeks.
It is advisable to do an elective caesarean section if the fetal weight is more than 3.5 kg.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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