She needs to have liver function monitored regularly once she starts
itching. It may be that she develops this earlier in this pregnancy and
induction may need to be done earlier to coincide with that.

Cholestasis has a horrendously high risk of stillbirth, and shouldn't be
taken lightly. There is plenty of literature that has come out in the last
5-10 years about this - try searching under obstetric cholestasis in
medline.


Kirsten
----- Original Message -----
From: "Larry & Megan" <[EMAIL PROTECTED]>
To: "ozmidwifery" <[EMAIL PROTECTED]>
Sent: Saturday, November 09, 2002 9:35 PM
Subject: [ozmidwifery] info on cholestasis


> Has anyone have any suggestions for a mum who is pregnant with baby number
> four, about 13 weeks, but developed cholestasis with her last baby.
> Fortunately it was very late into her pregnancy and she birthed vaginally
> after an induction, all going well. I have some info that was posted 12
> months ago from Natalie Forbes Dash, just wondering if anyone knows
anything
> new?
> thanks in advance,
> Megan.
> PS - she has had midwifery care in the past, but this may exclude her from
> using the Birth Centre, also now has health insurance and is a tad keen to
> get her return on this. She does have an idea about the different
> philosophies of midwives and Obs.
>
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