Mangement Of Abnormal Liver Function in Pregnancy
. Liver dysfunction complicates as many as 3% of pregnancies-
.Liver disease can effect both maternal and foetal health-
.Complication of Hypertensive disease of pregnancy can cause hepatic rupture-
.HELLP syndrome may cause maternal deaths-
. Acute fatty liver of pregnancy, intrehepatic cholestasis of pregnancy may cause maternal and foetal morbidity and mortality-
Physiological Changes
.Liver Doesn't change in size during pregnancy but difficult to palpate-. Blood flow remains unaltered-
. Appearance of engorgement of esophageal veins at endoscopy in 50% of normal, pregnancy-
. Liver disease in pregnancy can be considered in three categories-
. Disease peculiar to pregnancy ( 1
. Pre-existing and co incidental disease ( 2
. Hepatobilliary disease ( 3
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