Cholestasis of pregnancy

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Risk factors

By Mayo Clinic staff

Estimates of how many women develop cholestasis of pregnancy vary greatly, from less than 1 percent to more than 15 percent of pregnant women worldwide. For unknown reasons, cholestasis of pregnancy seems to be more common during the colder months in Chile and Scandinavia.

Factors that increase the risk of developing cholestasis of pregnancy include:

  • A personal or family history of cholestasis of pregnancy
  • A history of liver damage
  • Being pregnant with twins
  • Having become pregnant by in vitro fertilization

In fact, the risk of cholestasis of pregnancy is highest for women who had the condition during a previous pregnancy. After you've had the condition once, the risk of developing it during a subsequent pregnancy may be as high as 70 percent.

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.

DS01033

Oct. 13, 2009

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