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Best Pract Res Clin Gastroenterol. 2013 Aug;27(4):565-75. doi: 10.1016/j.bpg.2013.06.015.

Liver abnormalities in pregnancy.

Author information

  • 1Liver Unit, Queen Elizabeth Hospital, Birmingham B15 2TH, UK.

Abstract

Abnormalities of liver function (notably rise in alkaline phosphatase and fall in serum albumin) are common in normal pregnancy, whereas rise in serum bilirubin and aminotransferase suggest either exacerbation of underlying pre-existing liver disease, liver disease related to pregnancy or liver disease unrelated to pregnancy. Pregnant women appear to have a worse outcome when infected with Hepatitis E virus. Liver diseases associated with pregnancy include abnormalities associated hyperemesis gravidarum, acute fatty liver disease, pre-eclampsia, cholestasis of pregnancy and HELLP syndrome. Prompt investigation and diagnosis is important in ensuring a successful maternal and foetal outcome. In general, prompt delivery is the treatment of choice for acute fatty liver, pre-eclampsia and HELLP syndrome and ursodeoxycholic acid is used for cholestasis of pregnancy although it is not licenced for this indication.

Copyright © 2013 Elsevier Ltd. All rights reserved.

KEYWORDS:

Acute fatty liver; Cholestasis of pregnancy; HELLP syndrome; Liver disease; Pre-eclampsia; Pregnancy

PMID:
24090943
[PubMed - indexed for MEDLINE]
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