Intrahepatic cholestatis liver disease of pregnancy, plan delivery at: (A) 34 wks, (B) 36 weeks, (C) 38 weeks, (D) 40 weeks
Answer is C. Management of Intrahepatic cholestatis of Pregnancy: 1. Ursodeoxycholic acid - increases excretion of bile acis. Also reduces neontal complications 2. Strict maternal and fetal surveillance 3. Termination of pregnancy - Definitive management. Done at 37 weeks after which fetal risk of morbidity and moality keeps on increasing