Over the last week/ week and a half I’ve been itching every single day. Obstetric Cholestasis (OC) diagnosis and management guideline Page 2 of 10 See the Intranet for the latest version. It’s all over. What causes obstetric cholestasis? It is characterised by 32 weeks 4 days pregnant. CG239. Version Number: 5 1. The cause is a combination of hormonal, genetic, and environmental factors. Download: Obstetric Cholestasis, Management of_CTM Guideline 2020.pdf: Resource type: Policy Document: Language: English: April 2020 Clinical Guideline ID: CG0429 . Some helpful info about cholestasis from a mum who’s had it a few times 1) the itch doesn’t always start on palms or soles of feet. Obstetric cholestasis is more common among women of Indian- Asian or Pakistani-Asian origin, with 15 in 1000 women (1.5%) affected. Clinical guideline, Obstetric Cholestasis. Obstetric Cholestasis, Management of_CTM Guideline 2020. SA Health. The cause of obstetric cholestasis is not yet understood, but it is thought that hormones and genetic and environmental factors (for example diet) may be involved. Intrahepatic cholestasis of pregnancy (ICP) is a pruritic condition during pregnancy caused by impaired bile flow allowing bile salts to be deposited in the skin and the placenta. Chappell LC, Bell JL, Smith A, Linsell L, Juszczak E, Dixon PH, Chambers J, Hunter R, Dorling J, Williamson C, Thornton JG; PITCHES study group. It seems to get worse as the day goes by and into the night. Scope This guideline summarises the management of intrahepatic cholestasis of pregnancy in order to reduce fetal risks associated with the condition. Just wanted to state that first. Obstetric and Audit Guideline Group 21.01.2020 10.08.2020 01.01.2023 Brief Summary of Document: To provide safe care and management of women with intrahepatic cholestasis of pregnancy. Home > Obstetric Cholestasis, Management of_CTM Guideline 2020. Obstetric Cholestasis Management Aim To improve the quality of care for the women presenting with pruritus in pregnancy and to provide guidance on the different management choices and ... Obstetric Cholestasis: 1:135; 0.7% of pregnancies in multiethnic populations 12. My scalp, ears, legs, arms, wrists etc. Introduction Obstetric Cholestasis (OC), also referred to as intrahepatic cholestasis of pregnancy, is a multifactorial condition of pregnancy. Other evidence of cholestasis should be sought, including pale stool, dark urine and jaundice, and other risk factors identified such as a personal or family history of obstetric cholestasis, multiple pregnancy, carriage of hepatitis C and presence of gallstones. 2016 13. I’ve always had my fingers and tops of hands and feet start itching first, or my arms and legs. I’m going to call my OB on Monday AM. 2–2% of pregnancies,1 causing pruritis and increased serum bile acids, liver transaminases, and, occasionally, bilirubin. 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