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High Risk Pregnancy

Anemia in Pregnancy
Diabetes in Pregnancy
Hypertension in pregnancy
Cardiac disease in pregnancy
Liver disease in pregnancy
Malaria in Pregnancy
HIV infection in pregnancy
Recurrent Abortion
Pregnancy and Renal Disease
Hematological Problems in Pregnancy
Hemoglobinopathies in Pregnancy
Thrombophilia in Pregnancy
 
 

Liver Disease in Pregnancy

 
Knowledge of liver function and its role in various disease processes is essential for the practicing obstetrician. Though severe liver disease is only an occasional complication during pregnancy, it has disproportionately high mortality rates. This chapter focuses on conditions which are specific to pregnancy (acute fatty liver, cholestasis, HELLP syndrome) and those which are commonly seen in pregnant women (viral hepatitis, gallstones).
 

Management

Jaundice is usually managed supportively and conservatively in pregnancy as in the nonpregnant state. The mainstay of therapy is hydration, avoidance of fatty and high protein diets, maintaining normoglycemia and vitamin supplementation. When there is hepatic failure, measures to minimize the mortality from encephalopathy are initiated such as low protein diet, high bowel enemas and lactobacillus supplementation. The management points of special interest in pregnancy are discussed with the specific condition.

 
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