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Preexisting Liver Disease and Pregnancy: Optimizing Care to Optimize Outcomes
Ilkay Ergenc1, Alexandra Frolkis2, Michael Heneghan1
1The Roger Williams Institute of Liver Studies, King's College Hospital, London, UK.
Summary
Pregnancy with preexisting liver disease, including cirrhosis and portal hypertension (PHT), requires careful management. A multidisciplinary approach ensures safer outcomes for both mother and child.
Area of Science:
- Hepatology
- Obstetrics
- Maternal-Fetal Medicine
Background:
- Preexisting liver disease, especially cirrhosis with portal hypertension (PHT), complicates pregnancy.
- Women with liver conditions have higher risks of adverse maternal and fetal outcomes.
Purpose of the Study:
- To review risks and management strategies for pregnancy in women with preexisting liver disease.
- To emphasize the importance of a multidisciplinary team approach.
Main Methods:
- Review of current evidence on pregnancy outcomes in women with various liver conditions.
- Discussion of management strategies from preconception to postpartum.
Main Results:
- Pregnancy in women with liver disease can be safe and achievable with proper management.
- Multidisciplinary care is essential for optimizing outcomes.
Conclusions:
- Proactive identification and management of risks are crucial for pregnant women with liver disease.
- A collaborative approach involving patients, partners, and healthcare teams is key to successful pregnancy outcomes.
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