Treatment of cholestasis of pregnancy

Treatment of cholestasis of pregnancy

I believe that many female friends during pregnancy will experience jaundice and itching all over the body, which are mostly more severe at night. Most of them are caused by cholestasis. Most of them will also develop rashes. So how to treat it? Let us learn about it. The following article will explain to you how to treat cholestasis.

Treatment options

1. Rest, include the patient in high-risk pregnancy management, conduct systematic monitoring, actively carry out symptomatic liver protection treatment and terminate the pregnancy when appropriate.

2. Medication

(1) Treatment with Chinese medicine that soothes the liver, stabilizes the fetus, and promotes bile secretion is effective.

(2) Cholestyramine, 8-12 g/d, orally in 2-3 doses.

(3) Phenobarbital 0.03 g, orally, 3/d.

(4) Supplement vitamin C, vitamin B6 and vitamin K1 by adding them to glucose solution and dripping intravenously. Prevent intrapartum and postpartum hemorrhage.

(5) Liver-protecting drugs, such as Gan Taile, etc.

3. Obstetric management

(1) Strengthen monitoring and NST monitoring of the fetus at least once a week.

(2) Induction of labor should be done after 37 weeks of pregnancy and in principle should not exceed the expected date of delivery.

(3) If fetal heart rate abnormalities are detected or fetal distress is suspected during pregnancy or labor, cesarean section is often required to end the delivery.

(4) Estrogen is contraindicated for inducing labor during pregnancy or for postpartum lactation.

The above introduces to all friends who are pregnant how to treat cholestasis during pregnancy. Most of the itching caused by cholestasis will affect the physical condition of pregnant women, making it impossible to sleep well at night, etc. Various serious diseases must be treated in time.

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