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Related Experiment Videos

Pruritus in pregnancy.

J V Dacus1

  • 1University of Tennessee, Department of Obstetrics & Gynecology, Memphis 38103.

Clinical Obstetrics and Gynecology
|December 1, 1990
PubMed
Summary
This summary is machine-generated.

Diagnosing pruritus in pregnancy requires a systematic approach, including history, physical exam, and lab tests to exclude systemic diseases. Accurate diagnosis is crucial to prevent maternal and fetal complications.

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Area of Science:

  • Obstetrics and Gynecology
  • Dermatology
  • Internal Medicine

Background:

  • Pruritus, or itching, is a common symptom during pregnancy.
  • Identifying the underlying cause is essential for appropriate management.
  • Certain causes of pruritus can pose risks to maternal and fetal well-being.

Purpose of the Study:

  • To outline a systematic approach for diagnosing the cause of pruritus in pregnant patients.
  • To emphasize the importance of accurate diagnosis for maternal and fetal outcomes.

Main Methods:

  • Detailed patient history, focusing on drug exposure.
  • Comprehensive physical examination.
  • Exclusion of systemic diseases through laboratory investigations (e.g., liver function tests, hepatitis screen).

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  • Stool examination for ova and parasites if no skin lesions are present.
  • Skin biopsy or radioimmunoassay for specific diagnoses.
  • Dermatologic consultation when diagnosis is uncertain or skin lesions are present.

    • Main Results:

    • A systematic diagnostic process aids in identifying the cause of pruritus.
    • Excluding systemic conditions and specific dermatoses is key.
    • Timely diagnosis prevents potential maternal and fetal morbidity and mortality.

    Conclusions:

    • A systematic diagnostic strategy for pruritus in pregnancy is imperative.
    • Early and accurate diagnosis of dermatologic conditions is vital for optimal maternal and fetal health outcomes.