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,