Obstetric cholestasis
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Topic: Obstetric cholestasis
Posted By: fallen
Subject: Obstetric cholestasis
Date Posted: 13 August 2009 at 8:43am
Anyone else had it? How did you cope?
The hospital doctors think I have it. I've had the symptoms for nearly two weeks and am at my wits end. We're STILL waiting for the results of the blood test that tell us definately whether I have it. But the itching is driving me insane. My skin is starting to break down from all the scratching.
Plus we're on twice weekly monitoring at the hospital which involves sitting around up there in the heat for nearly the whole day each time. I haven't slept properly since it first started. Apparently this condition can cause problems to the baby so the doctors are planning on getting him out early.
We have an appointment with the specialist ob dude today. I am so hoping he'll give us a c/s date. I think I will probably break down if he says to do more monitoring and blood tests and see him again next week.
My liver function tests are getting steadily worse. They've tested me for diabetes three times now and dispite their best efforts to make me diabetic by feeding me that gross sugary drink, they've all been negative. At 34 weeks baby was around 3.3kg and is in the top 90 something percentile.
I know I'm rambling now.
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Replies:
Posted By: monikah
Date Posted: 13 August 2009 at 9:01am
they thought i had it but my blood tests were negaitive. the itching did my head in though. i not only had bleeding scratches from the middle of the night, but bruises as well where i was scratching so hard! i think if you do have it the standard precedure is to induce at 38 weeks becuase there is a slightly higher chance of birth complications if you go into labour without close monitoring.i cant help with more than that and may not be 100% correct but thats what my specialist told me, it may differ between doctors though
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Posted By: fallen
Date Posted: 14 August 2009 at 8:09am
Thanks Monikah, thats pretty much what they've told me too.
Were your normal liver function tests abnormal? Mine are, so thats why they think its likely I have it. That plus the itching. I've had to cut my nails as short as I can to avoid too much damage with the scratching. And I was wondering why I've had random bruises develop overnight. Probably from the scratching.
They are proceeding as if I've got the cholestasis even though the tests are taking weeks to come back. Because of my previous c/s induction isn't an option. So we've got an elective c/s date booked for 26/8. I'll be 38+2 weeks. I cried when the doctor told me that, I so wanted it to happen at 37 weeks. Now I feel guilty for being a bad mother...
What helped with the itching? I'm taking a 10mg phenergan tablet at night and plastering aqueous cream on several times a day. The doctors also prescribed me dermol cream which I found useless. It comes in tiny tubes and doesn't spread. Didn't seem to make any difference anyway.
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Posted By: fire_engine
Date Posted: 14 August 2009 at 10:55am
I had PURPP which is hellishly itchy - I used hydrocortisone religiously (don't know if that impacts on liver function) and has to be prescribed by a doc if you're pregnant. I also used Avenno moisturiser - they have one that's loaded with oats and made a huge difference. What a bugger they won't do a CS earlier (yes, I know why it's better for baby) but when you're that itchy and the only thing that will fix it is to get the baby out, I can completely understand why you were in tears
------------- Mum to two wee boys
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