Intrahepatic cholestasis of pregnancy clinical care - Case Analysis of 53 Cases.docVIP

 PAGE \* MERGEFORMAT 18 Intrahepatic cholestasis of pregnancy clinical care - Case Analysis of 53 Cases Keywords: intrahepatic cholestasis of pregnancy care Intrahepatic cholestasis of pregnancy (IntrahepaticCholestasisofPregnancy, ICP), also known as idiopathic jaundice of pregnancy could easily cause a premature birth, fetal distress, fetal death in utero and post-partum haemorrhage and other adverse outcomes. In recent years one of the factors leading to perinatal death, and the upward trend in incidence, reported in the literature the incidence of preterm birth ICP as high as 30-60% (1), the incidence of amniotic fluid turbidity of 25% -43.9% (2) (3), thus strengthening the ICP patient’s clinical care, to reduce perinatal mortality is a key area of obstetric care of his job. This article from early 1988 until now our hospital in October 1999 during the period of the ICP in patients admitted to the clinical analysis of 53 cases and nursing reported as follows: 1, clinical data and methods 1.1 General Information Since January 1988 to October 1999 the ICP patients treated 53 cases, with an average age of 27 years of age; gestational age birth an average of 37 3W, primipara 47 cases, accounting for about 88.68%; by maternal 6 cases, accounting for 11.32%; chief complaint during pregnancy skin itching, and laboratory tests consistent with 46 cases diagnosed, accounting for 86.79%; no symptoms, laboratory tests consistent with ICP diagnosed in 7 cases, accounting for 13.21%; 53 patients, half of pregnancy were two pairs of (-). Of which three cases of vaginal delivery (including forceps to help give birth 1 case), accounting for 5.66%; 50 cases of cesarean delivery, accounting for 94.34%; six cases of natural premature, premature birth rate of 11.32%; intervention in preterm (due to fetal distress) in 9 cases , accounting for 16.98%; one cases of postpartum hemorrhage (the Patients with thrombocytopenia, moderate anemia), accounting