Intrahepatic cholestasis of pregnancy Clinical Nursing.docVIP

 PAGE \* MERGEFORMAT 12 Intrahepatic cholestasis of pregnancy Clinical Nursing [Keywords:] cholestasis during pregnancy, nursing Intrahepatic cholestasis of pregnancy (Intrahepatic Cholestasis of Pregnancy, ICP, also known as idiopathic jaundice of pregnancy, can lead to premature delivery, fetal distress, fetal death and adverse outcomes such as postpartum hemorrhage. Incidence rate of 0.8% to 12.0% [ 1]. in recent years one of the main causes of perinatal death, and the incidence is rising, reported the incidence of preterm birth ICP up to 30% to 60% [2], amniotic fluid turbidity rate was 25% ~ 43.9 % [3], so strengthening the ICP patient’s clinical care and reduce the perinatal mortality rate is the area of #8203;#8203;obstetric care, a priority one. This paper will now hospital from January 2008 to September 2009 ICP patients admitted during the period Clinical analysis of 28 cases and care, the report is as follows. 1 Materials and Methods 1.1 General Information January 2008 to September 2009 28 patients admitted to the ICP, the group of pregnant women were diagnosed by prenatal testing, the average age of 24 years, the average gestational age of 37 + -3 weeks primipara 26 cases, accounting for about 93% by mothers in 2 cases, 7% complained of itching and skin during pregnancy appear consistent with laboratory diagnosis of 27 cases, 96%, no symptoms, laboratory findings consistent with ICP diagnosed in 1 case, 4%, 28 patients half of pregnancy were two pairs of (-. 3 cases in which vaginal delivery (including 1 case of fetal delivery to help absorption, accounting for 11%, 25 cases of cesarean delivery, accounting for 89%, 5 cases of natural premature, preterm delivery rate of 18%, premature intervention ( because of fetal distress in 6 cases, 21%, postpartum hemorrhage in 1 case (do not peel the placenta 2 + hours, 24 hours bleedinggt; 500ml, 4%. 1.2 Laboratory tests Elevated serum bile acids is the most important specific ICP experi