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Intrahepatic Cholestasis of Pregnancy : An Overview & Update
Intrahepatic cholestasis of pregnancy (ICP) is a liver disorder that occurs during pregnancy, characterized by impaired bile flow and elevated levels of bile acids in the bloodstream. The exact cause of ICP is not fully understood, but hormonal changes, genetic predisposition, and environmental factors are believed to play a role. Symptoms typically manifest in the third trimester and include intense itching, especially on the palms of the hands and soles of the feet. It is associated with an increased risk of adverse pregnancy outcomes, such as preterm birth, fetal distress, and stillbirth. Increased levels of bile acids can cause complications for the fetus, including respiratory distress syndrome and meconium staining. Regular monitoring of maternal and fetal well-being is crucial in managing ICP. This may involve frequent liver function tests, bile acid measurements, and fetal movement assessments. Women with ICP may require additional antenatal visits and closer surveillance during pregnancy. It usually resolves spontaneously after delivery, and symptoms improve within a few days or weeks postpartum.
About the Speaker
Dr. Krishi Gowdra
Specialist in Obstrectics & Gynecology, Zulekha Hospital Dubai
Basics of endoscopy for Gynecology Treatment
Endoscopy is a minimally invasive medical procedure used in gynecology for diagnostic and treatment purposes. It involves the insertion of a thin, flexible tube with a camera (hysteroscope or laparoscope) into the vaginal or abdominal cavity to visualize and examine the reproductive organs, such as the uterus, fallopian tubes, and ovaries. Gynecological endoscopy allows for the diagnosis of conditions like fibroids, polyps, and endometriosis, as well as the performance of surgical procedures like hysterectomy, myomectomy, and tubal ligation with smaller incisions and quicker recovery times compared to traditional open surgery, making it a valuable tool in women's healthcare.