Obstretic Cholestasis

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Obstretic Cholestasis

Obstretic Cholestasis
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Hi everyone, This is my first post so I hope I'm doing all the right things and that I'll get lots of advice! One of my mums-to-be has been diagnosed with obstretic cholestasis which is a condition of the liver and it causes her skin to become terribly itchy. It seems that there is a"reduced flow of bile down the bile ducts in the liver" and some of the bile is leaked into the bloodstream. She has been told that she will need to have her baby early, around 37 weeks, as the risk of stillbirth at term is about 15%. Does anyone know much about this? Is there anything she can do to relieve some of the itchiness? At first, I thought gentle twists but would that then cause more bild to leak into the bloodstream?? I think, in terms of having an induction to bring the baby on early, she has already made up her mind that this is the only way to go. Personally, if the risk is that high, I'd probably agree. I would really appreciate any advice and recommendation. Thank you. Cheers, Wendy
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Fri, Jun 20 2008 3:04 PM In reply to
kim duran

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Joined on Wed, Feb 20 2008
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Hi Wendy, I won't talk about the condition as I don't know anything about it. Just a suggestion if the itching is localised , witch hazel relieved me of itching in the past but maybe not if it's a sensation of the whole body? then maybe it is better to work with mental relaxation. all the best kim
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Fri, Jun 20 2008 4:48 PM In reply to
emmavix

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Joined on Sat, Sep 9 2006
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Hi Wendy

One of the Mums in my class also had this & had to go to hospital severeal times. Eventually she was induced on her due date as they were still concerned about the risk. This link is quite useful & understandable for more info: http://www.patient.co.uk/showdoc/23068933/

She came to my classes until she was hospitalised but I didn't do anything particular to relieve the itching. I think Kim's suggestion of helping her to relax may be the best thing you can do.

Best wishes

Victoria

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Fri, Jun 20 2008 5:21 PM In reply to
taranga

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Hello Wendy One of my recent ladies had it diagnosed later on in her pregnancy. This lady is a doctor and so had the chance to research it very well. She said she was concerned but not overly because she said the stillbirth at term rate is now lower than generally quoted. She had reflexology but wasn't sure if it specifically helped. ( I also wondered about homeopathy but didn't suggest it to her at the time.) In the end she chose to be induced and had a lovely birth. I'm due to speak with her any day now to hear her birth story so if there is anymore info to add, I will. Best wishes, Julia
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Sat, Jun 21 2008 10:23 AM In reply to
Liz Brown

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Joined on Sat, Jan 5 2008
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Hi Wendy.

I had Obstetric Cholestasis with a recent pregnancy. From the mother's point of view its extremely distressing to be maddeningly itchy all over, especially palms of hands and soles of feet. I would scratch until I bled. Otherwise it's not dangerous for the mother. Unfortunately it is linked with a chance of the baby being born stillborn, so often women have been induced early to avoid this. I've read research and was told by my consultant that it may not be as dangerous as once thought. What they did with me was to just ask me to monitor the baby's movements day to day and I had a weekly checkup to check the baby's heartbeat and movements. Once when they were very concerned they did another scan to have a look at the baby. They also take bloods to test the level of bile in the blood. As the baby seemed to be fine, they allowed my pregnancy to go full term, so it doesn't always result in an induction nowadays. If the itching is unbearable, the GP/Consultant can prescribe a safe antihistamine which brings great relief. I also drank plenty of water to flush my system (and because water is a natural antihistamine). My aromatherapist make me some suitable, safe oils to rub into the skin which was wonderful too. Otherwise, as other people have said, yoga is a way of staying calm and using the breath to 'breathe away' discomfort, which I'm sure we all teach in our classes anyway.

I hope this helps!

Kind wishes, Liz.

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Mon, Jun 23 2008 8:56 AM In reply to
wsnongjati

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Hi Liz and everyone else who has so kindly replied to my post, Liz, I'm so pleased for you that you were able to go to term and that your little one was fine. Thank you very much everyone for your advice. I will definitely share all of what you've said with my mum-to-be. Thanks again & cheers, Wendy