<unk>  is diagnosed by blood tests including a serum bile acid test and liver function test. While most pregnant women experience some itch from time to time, itching without a visible rash, or persistent or extensive itch symptoms should be reported to the midwife or obstetrician. It is important to note that as the level of itch does not correlate with bile acid levels (shown to be the most likely cause of stillbirth in<unk> , the itch in<unk>  can range from being mild to severe. To obtain a diagnosis of<unk> , a liver function test and a serum bile acid test should be requested. Although the ALT level may be raised, 20% of women with<unk>  will always have a normal LFT test result. This, plus pruritus of palms and soles, could be considered as potentially diagnostic of<unk>  but only with elevated bile acid levels (however LFTs are not always elevated in<unk>  patients). The serum bile acid blood test for<unk>  is a quantitative measurement of bile acids. Other problems with the liver that occur in<unk>  should be considered by the treating clinician. These include preeclampsia, the HELLP syndrome, and acute fatty liver of<unk> . Furthermore, other causes of hepatitis, like hepatitis viruses, cancer and certain medications, should also be considered.
Intrahepatic cholestasis of pregnancy
Neonatal cholestasis
Congenital hepatic fibrosis
Progressive familial intrahepatic cholestasis
Alcoholic hepatitis
Autoimmune hepatitis
Polycystic liver disease
Ischemic hepatitis