Obstetrics Simplified -
Diaa M. EI-Mowafi
Jaundice in Pregnancy
|
Disease
|
Time of Onset
|
Cause
|
Main Symptoms
|
Prognosis
|
|
Recurrent cholestatic jaundice of pregnancy
|
Usually last quarter
|
Oestrogen.
Familial.
|
Pruritus.
Mild jaundice.
|
Spontaneous resolution but recurs with pregnancy and hormonal
therapy.
|
|
Acute fatty liver
|
Last quarter
|
Protein malnutrition.
Eclampsia & pre- eclampsia.
|
Severe vomiting.
Abdominal pain.
Haematemesis. |
Poor, maternal mortality 80%.
|
|
Viral hepatitis
|
Any
|
Viral. |
Malaise.
Anorexia.
Vomiting.
Pyrexia.
Upper abdominal pain.
Hepatomegaly. |
Good, but poor in malnutrition.
|
|
Cholecystitis
|
Any
|
Biliary obstruction.
|
Pain.
Vomiting.
Malaise.
Jaundice.
|
Good, surgical treatment rarely required.
|
|
Acute pancreatitis
|
Common in late pregnancy
|
|
Severe pain.
Vomiting.
Hypotension.
Rapid pulse.
|
High mortality 20%.
|
|
Haemolytic anaemia
|
Any
|
Drugs.
Anaesthesia.
Incompatible blood transfusion.
|
Anaemia.
Jaundice.
|
Good if proper diagnosis and treatment is taken.
|

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Edited by Aldo Campana,
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