ZHANG Yan, et al. The opportunity and the manner of delivery in female with intrahepatic cholestasis of pregnancy. [J]. Journal of Chongqing Medical University 34(3):349-352(2009)
ZHANG Yan, et al. The opportunity and the manner of delivery in female with intrahepatic cholestasis of pregnancy. [J]. Journal of Chongqing Medical University 34(3):349-352(2009)DOI:
The opportunity and the manner of delivery in female with intrahepatic cholestasis of pregnancy
Objective:To explore the opportunity and the manner of termination of pregnancy.Methods:The data of 200 cases of ICPfrom January 2007 to June 2008 were retrospectively analyzed.Maternal pruritis
liver function
glycocholic acid(CG)
amniotic fluid condition
the time and the way of termination of pregnancy
Apgar score were examined.Three groups were classified by the values of CG:Group A (CG<1 000 μg/dl)
GroupB(1 000 μg/dl≤CG<3 000 μg/dl)
and Group C(CG≥ 3 000 μg/dl). Results:The increased rates oftotal bilirubin alanine aminotransferase
aspartate aminotransferase
total bile aacid increased with the increase of the values of CG. There was no significant difference in the incidence of hypamnion. The incidence of meconium stained were statistically different. The gestational weeks of preterm delivery increased
with the increase of the values of CG
with the statistical different. The preterm delivery manner was statistically different.The higher CG
the higher cesarean section rate. The incidence of pruritus was statistically different
the higher CG
the mere severe pruritus. Conclusion:The guidelines for treatment of ICP introduced the assessment of serum values of CG in diagnostics as the most important indicator. When the disease is aggravate or to recur after treatment
delivery was recommended in the 32 th~34 th week when lung maturity had been established by using dexamethasone.Mostly patients of ICP labour in 37 weeks gestation delivery
when the values of CG was <3 000 μg/dl. The incidence of cesarean section was high.If the values of CG was<1 000 μg/dl
vaginal delivery was feasible under careful monitoring.