What is the bile?
Is a disorder that affects the liver during pregnancy and causes the accumulation of bile acids in the body.
It causes itching in the skin without apparent skin disease. Dies by birth. Infants (less than 1% of pregnant women).
What causes it?
In general, the causes are unclear and the hormones are charged (such as estrogen, which rises during pregnancy), environmental and genetic factors (in some races and families, and in some people, incidence increases).
Symptoms:
They may be very annoying but have no serious health effects
- Itching may begin at any time during pregnancy but usually in the last three months usually begins with the rest of the palms and soles of the feet but may exist anywhere in the body. The itching is light or very rough and irritable and aggravates during the night causing insomnia and fatigue the next day the woman did not sleep during the night.
- Yellowness: It is low and causes loss of appetite, darkening of urine and some pale diarrhea.
- Bleeding is more natural because it weakens blood clotting.
- Impact on the fetus: not fully clear
- The fetus emerges inside the uterus: it causes discoloration of surrounding water in green and white.
- Increase the rate of premature birth 10% of the women.
- Do not cause fetal death more than normal (1 of 200 pregnant).
Diagnosis:
- Itching has no obvious cause. Itching during pregnancy is a very common symptom (a quarter of pregnant women), but a small percentage of them have a biliary stagnation. If the itching persists for a long time, the liver function should be repeated every 1-2 weeks.
- Elevation of liver enzymes and bile acids.
- The sonar of the liver to exclude liver disorders and gallstones.
- Measurement of blood coagulation time.
care:
- Must be supervised by an advisor.
- Liver tests once or twice a week.
- Fetal ECG.
- Sonar for the fetus to measure its growth and to measure the amount of water surrounding it.
- Unfortunately all that is said to ensure a good outcome of pregnancy.
the cure:
For the treatment of a child except a child.
Treatments relieve symptoms and do not affect the fetus such as:
- Itchy skin creams.
- Antihistamines help to sleep by night and not relieve itching.
- Euraso reduces bile acid, improves liver function and relieves itching. He writes extensively, although his effect on the fetus is unknown.
- The bathrooms are cold.
- Wide cotton clothes.
- Vitamin K daily should be discussed with the doctor and must be given to newborns immediately after birth.
What is the best time to give birth?
Usually after 37 weeks induction of labor and must discuss the situation with the doctor.
What is the method of follow-up after birth?
Usually, the disease improves after birth. Two months after birth, it must be confirmed that the itching and the return of the liver function are normal, otherwise they must be searched for another cause.
Notes:
- The frequency ratio of the next loads is high.
- Estrogen pills should be avoided.