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Chronic Liver Disease in the Obstetric Patient
Catherine M Albright1, Emily E Fay
1Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Washington Medical Center, Seattle, Washington.
Abstract:
Chronic liver disease in pregnancy is rare. Historically, many chronic liver diseases were considered contraindications to pregnancy; however, with current monitoring and treatment strategies, pregnancy may be considered in many cases. Preconception and initial antepartum consultation should focus on disease activity, medication safety, risks of pregnancy, as well as the need for additional monitoring during pregnancy. In most cases, a multidisciplinary approach is necessary to ensure optimal maternal and fetal outcomes. Despite improving outcomes, pregnancy in women with the chronic liver disease remains high risk.
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