Intrahepatic cholestasis of pregnancy;
serum transaminases;
stillbirth;
preeclampsia;
ACTIVE MANAGEMENT;
D O I:
10.5152/eurasianjmed.2019.18447
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Objective: This study aimed to report the maternal and fetal outcomes in women with intrahepatic cholestasis of pregnancy (ICP). Materials and Methods: The maternal and fetal outcomes in 70 consecutive women who gave birth at Ataturk University Hospital between January 2012 and December 2017 were assessed. The clinical diagnosis of ICP and diagnosis confirmed post-delivery when all the symptoms regressed and laboratory parameters returned to normal was utilized. Results: Liver transaminases were elevated in 61 (87%) women. The median week of delivery was 37 (range, 26-42) and the preterm delivery rate was 40% (28 women delivered spontaneously at <= 36 weeks of gestation). Preeclampsia was noted in 8 (11%) women. There were no cases of stillbirth or neonatal death. Conclusion: The rate of stillbirth does not increase in women with ICP. However, further investigations are needed to determine if this result is related to preterm birth.
机构:
Med Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USAMed Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USA
Coney, Talia
Russell, Rachel
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Med Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USAMed Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USA
Russell, Rachel
Leuthner, Steven R.
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机构:
Med Coll Wisconsin, Dept Pediat, 8701 Watertown Plank Rd, Milwaukee, WI 53226 USAMed Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USA
Leuthner, Steven R.
Palatnik, Anna
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机构:
Med Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USA
Med Coll Wisconsin, Ctr Adv Populat Sci, Milwaukee, WI 53226 USAMed Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USA
机构:
Brown Univ, Women & Infants Hosp Rhode Isl, Dept Obstet & Gynecol, Div Maternal Fetal Med,Alpert Med Sch, 101 Dudley St, Providence, RI 02905 USABrown Univ, Women & Infants Hosp Rhode Isl, Dept Obstet & Gynecol, Div Maternal Fetal Med,Alpert Med Sch, 101 Dudley St, Providence, RI 02905 USA
Whelan, Anna R.
Esposito, Matthew
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机构:
Brown Univ, Women & Infants Hosp Rhode Isl, Dept Obstet & Gynecol, Div Maternal Fetal Med,Alpert Med Sch, 101 Dudley St, Providence, RI 02905 USABrown Univ, Women & Infants Hosp Rhode Isl, Dept Obstet & Gynecol, Div Maternal Fetal Med,Alpert Med Sch, 101 Dudley St, Providence, RI 02905 USA
Esposito, Matthew
Lord, Megan G.
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机构:
Brown Univ, Women & Infants Hosp Rhode Isl, Dept Obstet & Gynecol, Div Maternal Fetal Med,Alpert Med Sch, 101 Dudley St, Providence, RI 02905 USABrown Univ, Women & Infants Hosp Rhode Isl, Dept Obstet & Gynecol, Div Maternal Fetal Med,Alpert Med Sch, 101 Dudley St, Providence, RI 02905 USA
机构:
Univ Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, TurkeyUniv Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, Turkey
Yakistiran, Betul
Tanacan, Atakan
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Univ Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, TurkeyUniv Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, Turkey
Tanacan, Atakan
Altinboga, Orhan
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机构:
Univ Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, TurkeyUniv Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, Turkey
Altinboga, Orhan
Elbayiyev, Sarkhan
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机构:
Univ Hlth Sci Turkey, Ankara City Hosp, Div Neonatol, Pediat Clin, Ankara, TurkeyUniv Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, Turkey
Elbayiyev, Sarkhan
Canpolat, Fuat Emre
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机构:
Univ Hlth Sci Turkey, Ankara City Hosp, Div Neonatol, Pediat Clin, Ankara, TurkeyUniv Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, Turkey
Canpolat, Fuat Emre
Yucel, Aykan
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机构:
Univ Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, TurkeyUniv Hlth Sci Turkey, Ankara City Hosp, Div Perinatol, Clin Obstet & Gynecol, Ankara, Turkey
机构:
Natl Med Res Ctr Obstet Gynecol & Perinatol, Moscow, Russia
IM Sechenov First Moscow State Med Univ, Moscow, RussiaNatl Med Res Ctr Obstet Gynecol & Perinatol, Moscow, Russia
Baev, O.
Shelekhin, A.
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机构:
IM Sechenov First Moscow State Med Univ, Moscow, RussiaNatl Med Res Ctr Obstet Gynecol & Perinatol, Moscow, Russia