Show Summary Details
Page of

Maternal hepatobiliary conditions 

Maternal hepatobiliary conditions
Chapter:
Maternal hepatobiliary conditions
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0008
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 06 June 2020

This chapter includes some conditions relatively common in pregnancy, such as obstetric cholestasis and gallstones, as well as rarer conditions including pancreatitis, Wilson’s disease, Gilbert’s syndrome, acute intermittent porphyria, autoimmune hepatitis, and haemochromatosis. Relevant pre-pregnancy counselling is highlighted as well as the epidemiology, aetiology, symptoms, differential diagnosis, diagnostic tests, imaging, potential impact on pregnancy outcomes, fetal monitoring, and management strategies. Enzymatic/genetic defects, altered pharmacokinetics, drugs or supplements to avoid, and serial monitoring of abnormal liver function tests are summarized. Multidisciplinary management, including immediate treatment, pharmacological options and dietary alterations are incorporated in the fact files and care pathways for each condition. Appropriate timing of delivery and avoidance of unnecessary interventions are highlighted. Care pathways are based on national/international guidelines and good practice recommendations. Clear management plans for antenatal care, labour, and delivery including anaesthetic aspects, postnatal surveillance and appropriate contraception are presented, along with patient information for each condition.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.