Literature DB >> 7065033

A prospective study of 18 patients with cholestasis of pregnancy.

D Shaw, J Frohlich, B A Wittmann, M Willms.   

Abstract

In this prospective study we evaluate the role of serum bile acids in the investigation and management of cholestasis of pregnancy in a detailed study of 18 patients. Bile acids were the most sensitive diagnostic test. The increased incidence of fetal distress (33.3% in this series) and meconium-stained fluid (58.3%) did not correlate with very high values of bile acids in maternal serum, umbilical cord serum, or amniotic fluid. Treatment of pruritus with cholestyramine and/or phenobarbital is ineffective in this condition, induction of labor is suggested once fetal lung maturity is established.

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Year:  1982        PMID: 7065033     DOI: 10.1016/s0002-9378(16)32430-9

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  20 in total

Review 1.  Intrahepatic cholestasis of pregnancy.

Authors:  Victoria Geenes; Catherine Williamson
Journal:  World J Gastroenterol       Date:  2009-05-07       Impact factor: 5.742

Review 2.  The molecular genetics of intrahepatic cholestasis of pregnancy.

Authors:  P H Dixon; C Williamson
Journal:  Obstet Med       Date:  2008-12-01

3.  Operative delivery rates following induction of labour for obstetric cholestasis.

Authors:  Jessica R Webster; Lucy Chappell; Floria Cheng; Andrew C G Breeze; Nuala Lucas; Felicity Plaat; Catherine Williamson
Journal:  Obstet Med       Date:  2011-05-24

4.  Intrahepatic Cholestasis of Pregnancy.

Authors:  Frank Lammert; Hanns-Ulrich Marschall; Siegfried Matern
Journal:  Curr Treat Options Gastroenterol       Date:  2003-04

5.  Bile acid patterns in meconium are influenced by cholestasis of pregnancy and not altered by ursodeoxycholic acid treatment.

Authors:  C M Rodrigues; J J Marín; D Brites
Journal:  Gut       Date:  1999-09       Impact factor: 23.059

Review 6.  Role of S-adenosyl-L-methionine in the treatment of intrahepatic cholestasis.

Authors:  P Almasio; M Bortolini; L Pagliaro; M Coltorti
Journal:  Drugs       Date:  1990       Impact factor: 9.546

Review 7.  Interventions for treating cholestasis in pregnancy.

Authors:  Vinita Gurung; Philippa Middleton; Stephen J Milan; William Hague; Jim G Thornton
Journal:  Cochrane Database Syst Rev       Date:  2013-06-24

Review 8.  Approach to a patient with elevated serum alkaline phosphatase.

Authors:  Asma Siddique; Kris V Kowdley
Journal:  Clin Liver Dis       Date:  2012-04-06       Impact factor: 6.126

Review 9.  Hepatobiliary complications of oral contraceptives.

Authors:  M C Lindberg
Journal:  J Gen Intern Med       Date:  1992 Mar-Apr       Impact factor: 5.128

10.  Intrahepatic cholestasis of pregnancy: biochemical predictors of adverse perinatal outcomes.

Authors:  Hui Chen; Yuan Zhou; Dong-Rui Deng; Hai-Yan Hao; Jing Dang; Jing Li
Journal:  J Huazhong Univ Sci Technolog Med Sci       Date:  2013-06-17
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