Cholestasis of pregnancy

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Preparing for your appointment

By Mayo Clinic staff

It's a good idea to be well prepared for your appointment with your obstetrician. Here's some information to help you get ready for your appointment, and what to expect from your doctor.

What you can do

  • Write down any symptoms you're experiencing, even if you think they're normal pregnancy symptoms.
  • Make a list of all medications, vitamins and supplements that you're taking.
  • Take a family member or friend along, if possible. Sometimes it can be difficult to soak up all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor. Preparing a list of questions will help you make the most of your time with your doctor. List your questions from most important to least important.

For cholestasis of pregnancy, some basic questions to ask your doctor include:

  • What is likely causing my symptoms?
  • Is my condition mild or severe?
  • Is it safe to continue the pregnancy?
  • What is the best course of action?
  • What kinds of tests do I need?
  • What are the alternatives to the primary approach that you're suggesting?
  • Are there any restrictions that I need to follow?
  • Will it be necessary to induce early labor?
  • Do you have any brochures or other printed material that I can take home with me? What Web sites do you recommend visiting?

In addition to the questions that you've prepared, don't hesitate to ask questions during your appointment at any time that you don't understand something.

References
  1. Bacq Y. Intrahepatic cholestasis of pregnancy. http://www.uptodate.com/home/index.html. Accessed Aug. 21, 2009.
  2. Geenes V, et al. Intrahepatic cholestasis of pregnancy. World Journal of Gastroenterology. 2009;15:2049.
  3. Liver disorders in pregnancy. March of Dimes. http://www.marchofdimes.com/professionals/14332_14543.asp. Accessed Aug. 24, 2009.
  4. Riely CA, et al. Intrahepatic cholestasis of pregnancy. Clinics in Liver Disease. 2004;8:167.
  5. Skin conditions during pregnancy. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp169.cfm. Accessed Aug. 24, 2009.
  6. Cappell MS. Hepatic and gastrointestinal diseases. In: Gabbe SG, et al. Obstetrics: Normal and Problem Pregnancies. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2007. http://www.mdconsult.com/das/book/body/156403804-2/0/1528/432.html?tocnode=57028110&fromURL=432.html. Accessed Aug. 24, 2009.
  7. Burrows R, et al. Interventions for treating cholestasis in pregnancy. Cochrane Database of Systematic Reviews. 2009:CD000493.
  8. SAMe. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Sept. 9, 2009.

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Oct. 13, 2009

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