Symptoms of jaundice in pregnant women

summary

Pregnancy is a big family event. Pregnant women have a little abnormal, not only young couple nervous, even three families and two generations are panic. If pregnant women jaundice, a series of questions will be raised: is not blood group incompatibility, or fetal toxicity, fetal safety? Is it a freak? How should hepatoprotective drugs be taken? Tell us about the symptoms of jaundice in pregnant women.

Symptoms of jaundice in pregnant women

1、 Pre eclampsia toxemia: occurs after 20 weeks of gestation, pre eclampsia only affects the liver when the disease progresses. Preeclampsia can have elevated ALT, unless combined with DIC, jaundice is rare. Liver tissue was normal, or hemorrhagic necrosis, but no inflammation.

2、 Intrahepatic cholestasis of pregnancy: characterized by biochemical changes of pruritus and cholestasis. It occurs in the middle and late pregnancy, with pruritus, jaundice and direct bilirubin. Serum cholesterol, cholic acid, ALP and cholesterol γ GT increased, while ALT was normal or slightly increased. Pruritus and jaundice often disappear within 2 weeks after delivery and occur again in pregnancy.

3、 Acute fatty liver of pregnancy: a rare fatal disease, often occurs in late pregnancy, the improved cases can be completely recovered, rare recurrence of pregnancy again. Acute onset, often abdominal pain, amylase increased, similar to acute pancreatitis. Often severe jaundice, serum bilirubin increased, and Urine Bilirubin negative. 20% - 40% of the cases were accompanied with aural carbuncle. Laboratory examination of severe patients may show liver failure, acute renal failure or disseminated intravascular coagulation (DIC). B-mode ultrasonography showed fatty liver. If this happens to pregnant women with hepatitis B virus, it is easy to be misdiagnosed as fulminant hepatitis B because of HBsAg (+).

matters needing attention

This disease has little effect on the mother, but the safety of the fetus is uncertain, so the focus should be on monitoring the fetus. In case of the following circumstances, it is suggested that the condition is serious: jaundice and pruritus appeared before 32 weeks of pregnancy, twins, urinary tract infection of mother, abortion due to jaundice of pregnancy in the past, etc. At this time, the best hospital treatment, once the fetus problems, can consider the termination of pregnancy, including cesarean section.