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ICP: A midwifery perspective
Annette Briley1,2, Megan Cooper1
1Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia.
Background:
ICP is a liver condition specific to pregnancy affecting 0.5-0.6% of pregnancies in Australia.
Aims:
to review the SOMANZ guidelines and extrapolate information relevant to midwives proving care for women with ICP.
Findings:
Multidisciplinary input is essential in caring for women with ICP and their families. Non-fasting TSBA samples ≥19 µmol/L are diagnostic in the presence of pruritus. Peak TSBA denotes the severity of the disease. Increased risk of stillbirth is small when peak TSBA ≥100 µmol/L.
Conclusion:
Midwives play an essential role in supporting women with ICP helping them navigate complex appointments and manage the pruritus and concomitant issues.
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