I appreciate your query.
You have been diagnosed with Intrahepatic Cholestasis
of Pregnancy ( ICP ).
It is a liver disorder that occurs specifically during pregnancy, the cause of which is still not completely understood.
You should have regular consultations with your obstetrician , because it is mandatory to undergo regular liver function tests and rule out other causes of liver disorders in pregnancy including hepatitis, pre eclampsia
Morever, there is a high rish of stillbirth ( unexplained intra uterine demise ) of the baby with ICP.
You should have regular ultrasound
tests, estimation of amniotic fluid
volume, Colour Doppler examination of your baby to monitor the pregnancy.
You should pay specific attention to the movements of your baby , and report to your doctor if they are decreased or less vigorous.
Yes, ICP is complicated by preterm labour ( one in ten women with ICP go into preterm labour ) and also they tend to be induced before term, often landing up with a Cesarean section, because of the risk of stillbirth.
The contractions that you describe sound like preterm labour pains. You should visit your gynecologist at the earliest for check up and to measure your cervical length and cervical dilatation to confirm the diagnosis of preterm labour.
Also, rule out other causes of preterm labour such as infection etc.
If you are diagnosed as having preterm labour pains, you need further treatment and medication, in the form of progesterone
supplementation, acute tocolysis ( administration of agents that target premature uterine contractions), glucocorticoid therapy for the baby ( to enhance the lung maturity of preterm babies - as complete lung maturity is attained only at 37 weeks ) as well as some means of monitoring uterine contractions in future.
You should also be prepared for a premature birth
, and have your labour booking at a tertiary care centre equipped with proper neonatal facilities.
hope this helped you.