thank you for your query.
Firstly the rate of recurrence of cholestasis
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.