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What to do if pregnant women have abnormal liver function

2025-11-09 22:59:37 Mother and baby

What to do if pregnant women have abnormal liver function

Abnormal liver function in pregnant women is one of the common health problems during pregnancy, which may be caused by a variety of factors, such as intrahepatic cholestasis of pregnancy (ICP), fatty liver, viral infection, etc. To address this issue, this article will focus onCause analysis, symptom identification, examination methods, treatment plans and preventive measuresThe five aspects are explained in a structured manner, and hot health topic data in the past 10 days are attached for reference.

1. Common causes of abnormal liver function in pregnant women

What to do if pregnant women have abnormal liver function

Reason typeSpecific instructionsincidence
Intrahepatic cholestasis of pregnancy (ICP)Hormonal changes lead to cholestasisAbout 1%-2% of pregnant women
acute fatty liver of pregnancyRare but serious metabolic abnormality0.005%-0.01%
viral hepatitisHepatitis B, Hepatitis C and other infectionsLarge regional differences
Drug or dietary factorsExcessive supplementation of vitamin A, etc.Individual differences are obvious

2. Identification of typical symptoms

Pregnant women should be alert to abnormal liver function if they experience the following symptoms:

  • Itchy skin(especially palms and soles of feet)
  • Jaundice(Skin and whites of eyes turn yellow)
  • Darker urine color
  • Persistent fatigue and loss of appetite
  • Dull or distended pain in the right upper quadrant

3. Interpretation of inspection methods and indicators

Check itemsnormal reference valueAbnormal risk warning
Alanine aminotransferase (ALT)7-40U/L＞2 times need to be vigilant
Aspartate aminotransferase (AST)13-35U/L2 times requires intervention
Total bile acids (TBA)0-10 μmol/L40 needs urgent treatment
Total bilirubin (TBIL)3.4-17.1 μmol/L34 indicates obstruction

4. Treatment plan

Take targeted measures according to different causes:

  1. ICP patients: Ursodeoxycholic acid (UDCA) is the drug of choice, and bile acids need to be monitored weekly
  2. acute fatty liver: Immediate hospitalization, often requiring early termination of pregnancy
  3. viral hepatitis: Antiviral treatment needs to weigh the safety of mother and baby (such as tenofovir for hepatitis B)
  4. diet modification: Low-fat, high-protein diet, avoid animal offal

5. Preventive measures

  • Check liver function and hepatitis virus markers before pregnancy
  • Avoid abusing health products (especially vitamin A preparations) during pregnancy
  • Regular prenatal check-ups (liver function test every 2 weeks after 28 weeks of pregnancy)
  • Maintain moderate exercise (such as pregnancy yoga)

Attached: Hot topics in the health field in the past 10 days (data source: hot search list on the entire network)

RankingTopic contentSearch popularity
1Guide to DHA Supplementation During Pregnancy4,580,000
2Gestational diabetes dietary management3,920,000
3Controversy over the safety of painless childbirth3,750,000
4New standards for postpartum depression screening2,860,000
5Impact of COVID-19 vaccine on lactation2,450,000

Special reminder:When pregnant women find abnormal liver function, they should avoid taking medication on their own and should seek medical advice promptly.Joint Obstetrics and Hepatology ClinicSee a doctor. Most mild to moderate abnormalities can be controlled through standardized management, but severe cases may require early termination of pregnancy to ensure the safety of the mother.

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