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Intrahepatic Cholestasis of Pregnancy

Intrahepatic Cholestasis of Pregnancy Many pregnancy-related dermatological problems are benign conditions such as melisma or pruritic urticarial papules and plaques of pregnancy and require only conservative measures before spon- taneous postpartum resolution. However, intrahepatic cholestasis of pregnancy is one potentially dangerous condition that occurs almost specifically during pregnancy and/or immediately during the postpartum period. Prompt recognition is required to reduce the incidence of fetal complica- tions such as fetal distress, premature birth, or stillbirth. Key words: cholestasis of pregnancy, intraheptaic cholestasis of pregnancy, pregnancy, pruritus of pregnancy, rash of pregnancy OME PREGNANT WOMEN may expe- condition known as intrahepatic cholestasis rience hormone-related skin conditions of pregnancy (ICP; Bruce & Watson, 2007). S such as melasma or an exacerbation of a Intrahepatic cholestasis of pregnancy is a preexisting problem such as urticaria or pso- reversible form of cholestasis that affects bile riasis. However, it is important that the nurse formation in some pregnant women. The ex- practitioner (NP) recognizes selected “der- act cause of ICP is unknown but is thought to matoses” that occur specifically during preg- have a genetic predisposition. Increased hor- nancy and/or immediately during the postpar- mone levels in late pregnancy may play a role tum period. These skin conditions of http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Intrahepatic Cholestasis of Pregnancy

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Copyright
© 2015 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0000000000000053

Abstract

Many pregnancy-related dermatological problems are benign conditions such as melisma or pruritic urticarial papules and plaques of pregnancy and require only conservative measures before spon- taneous postpartum resolution. However, intrahepatic cholestasis of pregnancy is one potentially dangerous condition that occurs almost specifically during pregnancy and/or immediately during the postpartum period. Prompt recognition is required to reduce the incidence of fetal complica- tions such as fetal distress, premature birth, or stillbirth. Key words: cholestasis of pregnancy, intraheptaic cholestasis of pregnancy, pregnancy, pruritus of pregnancy, rash of pregnancy OME PREGNANT WOMEN may expe- condition known as intrahepatic cholestasis rience hormone-related skin conditions of pregnancy (ICP; Bruce & Watson, 2007). S such as melasma or an exacerbation of a Intrahepatic cholestasis of pregnancy is a preexisting problem such as urticaria or pso- reversible form of cholestasis that affects bile riasis. However, it is important that the nurse formation in some pregnant women. The ex- practitioner (NP) recognizes selected “der- act cause of ICP is unknown but is thought to matoses” that occur specifically during preg- have a genetic predisposition. Increased hor- nancy and/or immediately during the postpar- mone levels in late pregnancy may play a role tum period. These skin conditions of

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Jan 1, 2015

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