Reflection on a pregnancy complicated by obstetric cholestasis.

Gemma Steele, a midwife, shares her personal reflection on her first pregnancy which was complicated by obstetric cholestasis. Gemma gives insight as to how debilitating it can be suffering from this condition and highlights that a woman can be diagnosed as early as six-eight weeks gestation. For this reflection, Gemma used Gibbs' reflective cycle (Gibbs 1988) to help explore the experience and guide the reflective process (Bulman 2008).