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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.

Obstetric Medicine
|September 12, 2024
PubMed
Summary
This summary is machine-generated.

Intrahepatic cholestasis of pregnancy (ICP) is a liver condition affecting pregnant women. Midwives are crucial in managing ICP symptoms and supporting affected families.

Keywords:
Intrahepatic cholestasis of pregnancy (ICP)midwivespeak total serum bile acids (TBSA)

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Area of Science:

  • Obstetrics and Gynecology
  • Hepatology
  • Maternal-Fetal Medicine

Background:

  • Intrahepatic cholestasis of pregnancy (ICP) is a pregnancy-specific liver condition.
  • Affects 0.5-0.6% of pregnancies in Australia.

Purpose of the Study:

  • To review the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ) guidelines.
  • To provide information relevant to midwives caring for women with ICP.

Main Methods:

  • Guideline review and information extrapolation.
  • Focus on multidisciplinary care and midwife roles.

Main Results:

  • Non-fasting total serum bile acid (TSBA) samples ≥19 µmol/L are diagnostic for ICP with pruritus.
  • Peak TSBA levels indicate disease severity.
  • The risk of stillbirth is low when peak TSBA is <100 µmol/L.

Conclusions:

  • Multidisciplinary input is vital for managing ICP in pregnant women and their families.
  • Midwives play an essential role in supporting women with ICP.
  • Midwives assist with appointments and management of pruritus and related issues.