This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical Illness Complicating Pregnancy, Subject name: Gynaecology & Obstetrics
In cases of intrahepatic cholestasis of pregnancy, ideal time for termination of pregnancy is: 
Select and explain. 
A. 34 weeks, B. 36 weeks, C. 38 weeks, D. 40 weeks
C: 38 weeks
Answer: C: 38 weeks 
Explanation: Delivery should be induced at 37-38 weeks due to increased risk of fetal moality at later gestation ICP includes pruritus with a characteristic pattern of distribution, with palms and soles of the feet especially affected, together with elevation of total serum bile acids (SBA) and/or transaminases, and absence of other liver disease to which these manifestations can be attributed. Time of presentation:Late second or early third trimester of pregnancy. UDCA is the DOC for this condition.