Cholestasis of Pregnancy: Care Instructions

Overview

Cholestasis of pregnancy is a liver problem. It makes your skin very itchy.

This condition happens when the flow of bile slows down or is blocked. Bile can then build up in the liver and enter the bloodstream. The exact cause of this is not known. Your genes, the environment, and higher hormones during pregnancy may be involved.

This problem doesn't cause any serious health problems for you. But it may cause problems for your baby.

Your doctor will want to watch you and your baby closely. To keep you both as healthy as possible, your doctor may recommend an early delivery. Doctors also usually recommend medicine. Medicine can reduce bile acids.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Be safe with medicines. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.
  • If your doctor prescribes them, use creams or pills to help with itching.
  • Use calamine lotion on itchy areas.
  • Avoid hot showers or baths. Hot water can make itching worse.
  • After bathing, pat excess water off your skin. Then apply moisturizer before your skin dries completely.
  • Try keeping your moisturizer in the refrigerator. It may feel better on your skin.

When should you call for help?

Call your doctor now or seek immediate medical care if:

  • Your itching gets worse or you get other symptoms.
  • You think that you are in labor.
  • There is a new or increasing yellow color to your skin or the whites of your eyes.
  • You notice that your baby has stopped moving or is moving less than normal.

Watch closely for changes in your health, and be sure to contact your doctor if you have any questions or concerns.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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