### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello doctor......im 34 week pregnant nd my sgpt level is 182 nd sgot is at 165 ...others are normal.....i am taking medicine Udiliv 300 as suggested by my gyne...i just wanted to know is this increased level of enzymes will affect my baby in anyway......??what else i can do to minimise the impact??

### output:

No, increased liver enzymes in and of themselves do not harm the baby. However, I don't know why your liver enzymes are elevated. We see elevated liver enzymes with several serious conditions during pregnancy including preeclampsia, HELP syn Chat Doctor.  These conditions can harm your baby and you. With the medicine you are on, it sounds like you make have Intrahepatic homeostasis of pregnancy (ICP). Usually with this condition, you would have itching all over and elevated bilirubin in your blood. ICP can be threatening to the baby, and you may need to be delivered early. Additionally, I don't know what your blood pressure is and if you have any signs of preeclampsia. Preeclampsia is a disorder of pregnancy that is associated with elevated blood pressure, protein in your urine, elevated liver enzymes (HELP), and other bio marker abnormalities. This condition is dangerous because it could be a precursor to clamps, which is characterized by a hypertensive seizure in pregnancy. A seizure can be dangerous to your little one because he or she doesn't get enough blood flow. I'm sure your doctor knows what he or she is doing. I think you are on the medicine you are on to help bring your liver enzymes down. Please make sure you follow up regularly with your doctor and go immediately to your delivery hospital if you have abdominal pain, diffuse itching, headache, vision changes, vaginal bleeding, or decreased fetal movement. These can all be a sign that something is wrong. Good luck!