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Friday, 12 February 2010

Jaundice Hepatits Complicating Pregnancy ..what it is?.What are the causes ?

When pregnant is declared as jaundice patient?

1.Her serum bilirubin level should be more than normal
2.Visible yellow staining of conjunctiva,skin of other bodyparts

Why jaundice occur in pregnant women?

Causes of jaundice in pregnant lady can be grossly divided into two groups
1.Exclusively pregnancy related causes:
 A) Hyperemesis ( Exessive vomiting during first 3 months period of pregnancy)
 B) Hypertensive disorders of pregnancy like Preeclampsia ( High BP+ Albuminuria +_ Pedal edema) , Eclampsia ( Pre eclamsia + fits) , DIC ( Uncontrollable bleeding disease -High deathRates -Endotoxic shock)
 C) Liver diseases like Acute fatty liver
 D) Most Common - Intra partum choleastasis ( Pregnancy specific hepatic ,gall bladder ,Bile duct abnormality ,function, obstruction )

Second group of causes of jaundice in pregnancy which are unrelated to pregnancy are as follows
A) Most common causes : Viral hepatitis
B) Gallstone-Obstructive jaundice
C) Drugs -Isoniazide, Phenothiazine etc
D) Hemolyticjaundice-Mismatched blood transfusion ,
                                  Malaria , Infection.

1 comment:

  1. cirrhosis
    hepatitis chronc diseases
    tumors(cancers )
    Other liver /Gallbladder diseases
    these also causes jaundice in pregnancy

    ReplyDelete