Intrahepatic cholestasis of pregnancy

Question 1

also known as

Answer 1

obstetric cholestasis

Question 2

features

Answer 2

pruritus

jaundice

raised bilirubin is seen in > 90% of cases

Question 3

mx

Answer 3

induction of labour at 37-38 weeks is common practice but may not be evidence based

ursodeoxycholic acid - again widely used but evidence base not clear

vitamin K supplementation