When you’re expecting, encountering new and unusual symptoms is quite common. However, if you experience redness and itching in your hands and feet, it’s crucial to consult your healthcare provider. This could indicate cholestasis, a rare but significant liver disorder that can occur during pregnancy.
What Is Cholestasis?
Cholestasis is a liver condition that frequently arises in the later stages of pregnancy, particularly during the third trimester. Also known as intrahepatic cholestasis (ICP) or obstetric cholestasis, this disorder occurs in approximately one to two pregnancies out of every 1,000, though its prevalence can vary by region for reasons not yet understood. It is more frequently observed in individuals of Hispanic and Scandinavian descent. This condition can lead to severe complications for your newborn, making early recognition essential.
What Causes Cholestasis in Pregnancy?
The exact cause of cholestasis in pregnancy remains unclear, but it’s believed to involve hormonal changes and genetic factors that affect liver function.
Symptoms of Cholestasis in Pregnancy
The hallmark symptoms include intense itching, particularly on the palms of the hands and soles of the feet. Other symptoms may include dark urine, pale stools, and jaundice.
Diagnosing Cholestasis During Pregnancy
If cholestasis is suspected, your healthcare provider will likely perform blood tests to measure liver function and bile acid levels.
Treatment Options for Cholestasis in Pregnancy
Treatment typically involves monitoring the mother and baby closely, with possible interventions including medication to alleviate itching and reduce bile acid levels. In some cases, early delivery may be recommended to minimize risks to the fetus.
Risks Associated with Cholestasis
If left untreated, cholestasis can lead to complications such as preterm birth, respiratory distress syndrome in the newborn, and stillbirth.
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In summary, cholestasis of pregnancy is a rare but serious liver condition that can lead to severe complications. Understanding its symptoms, causes, and treatment options is vital for the health of both the mother and the baby.