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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffered Cholestasis At 36 Weeks During First Pregnancy. Precautions To Be Taken During Second Pregnancy?

Hi I recently found out that I am pregnant on my second child. YAY! My question is, I suffered from Cholestasis at 36 weeks and was induced, 37 weeks. I am aware that i ve a 90% chance of it returning earlier on my second baby. Do you know of anything ie diet , herbal medicines that I could try to help keep it at bay?
Wed, 27 Feb 2013
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OBGYN,  's  Response
Hello
thank you for your query.
Firstly the rate of recurrence of cholestasis of pregnancy ranges from 60 - 70 % , so yes, technically you are at a risk again.
Scientifically speaking, there is no method of primary prevention of the disease.
Logic dictates that you have regular liver function tests right from the onset of the pregnancy.
You can take hepato protective drugs like Syrup Liv 52.
Avoid hepatotoxic medication.
Keep away from oily, greasy , fried foodstuff.
Stay in regular touch with your regular obstetrician who is aware of your propensity to cholestasis.
Have regular fetal monitoring and growth surveillance.
Take care.
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Suffered Cholestasis At 36 Weeks During First Pregnancy. Precautions To Be Taken During Second Pregnancy?

Hello thank you for your query. Firstly the rate of recurrence of cholestasis of pregnancy ranges from 60 - 70 % , so yes, technically you are at a risk again. Scientifically speaking, there is no method of primary prevention of the disease. Logic dictates that you have regular liver function tests right from the onset of the pregnancy. You can take hepato protective drugs like Syrup Liv 52. Avoid hepatotoxic medication. Keep away from oily, greasy , fried foodstuff. Stay in regular touch with your regular obstetrician who is aware of your propensity to cholestasis. Have regular fetal monitoring and growth surveillance. Take care.