Intrahepatic cholestatis liver disease of pregnancy, plan delivery at
Management of Intrahepatic cholestatis of Pregnancy: 1. Ursodeoxycholic acid - increases excretion of bile acis. Also reduces neontal complications 2. Strict maternal and fetal surveillance 3. Termination of pregnancy - Definitive management. Done at 37 weeks after which fetal risk of morbidity and moality keeps on increasing
34 wks
36 weeks
38 weeks
40 weeks
Labour - normal, abnormal, malposition, malpresentation and their management