Clinical guideline, Obstetric Cholestasis. CG239. Chappell LC, Bell JL, Smith A, Linsell L, Juszczak E, Dixon PH, Chambers J, Hunter R, Dorling J, Williamson C, Thornton JG; PITCHES study group. Obstetric cholestasis is more common among women of Indian- Asian or Pakistani-Asian origin, with 15 in 1000 women (1.5%) affected. Download: Obstetric Cholestasis, Management of_CTM Guideline 2020.pdf: Resource type: Policy Document: Language: English: April 2020 Clinical Guideline ID: CG0429 . 12. About the JOGC The Journal of Obstetrics and Gynaecology Canada (JOGC) publishes original research, reviews, case reports, and commentaries by Canadian and international authors, pertinent to readers in Canada and around the world. It is characterised by I’m going to call my OB on Monday AM. Obstetric Cholestasis Management Aim To improve the quality of care for the women presenting with pruritus in pregnancy and to provide guidance on the different management choices and ... Obstetric Cholestasis: 1:135; 0.7% of pregnancies in multiethnic populations What causes obstetric cholestasis? Ursodeoxycholic acid versus placebo in women with intrahepatic cholestasis of pregnancy (PITCHES): a randomised controlled trial. It’s all over. Obstetric Cholestasis (OC) diagnosis and management guideline Page 2 of 10 See the Intranet for the latest version. Obstetric Cholestasis, Management of_CTM Guideline 2020. Some helpful info about cholestasis from a mum who’s had it a few times 1) the itch doesn’t always start on palms or soles of feet. 2016 13. 2–2% of pregnancies,1 causing pruritis and increased serum bile acids, liver transaminases, and, occasionally, bilirubin. Over the last week/ week and a half I’ve been itching every single day. My scalp, ears, legs, arms, wrists etc. Intrahepatic cholestasis of pregnancy (ICP) is a pruritic condition during pregnancy caused by impaired bile flow allowing bile salts to be deposited in the skin and the placenta. Just wanted to state that first. Home > Obstetric Cholestasis, Management of_CTM Guideline 2020. Version Number: 5 1. SA Health. 32 weeks 4 days pregnant. Introduction Obstetric Cholestasis (OC), also referred to as intrahepatic cholestasis of pregnancy, is a multifactorial condition of pregnancy. Obstetric and Audit Guideline Group 21.01.2020 10.08.2020 01.01.2023 Brief Summary of Document: To provide safe care and management of women with intrahepatic cholestasis of pregnancy. Scope This guideline summarises the management of intrahepatic cholestasis of pregnancy in order to reduce fetal risks associated with the condition. Other evidence of cholestasis should be sought, including pale stool, dark urine and jaundice, and other risk factors identified such as a personal or family history of obstetric cholestasis, multiple pregnancy, carriage of hepatitis C and presence of gallstones. 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