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Gynaecology & Obstetrics Medical Illness Complicating Pregnancy aea12c13

In cases of intrahepatic cholestasis of pregnancy, ideal time for termination of pregnancy is:

A
34 weeks
B
36 weeks
C
38 weeks
D
40 weeks
High-Yield Explanation
Delivery should be induced at 37-38 weeks due to increased risk of fetal moality at later gestation ICP includes pruritus with a characteristic pattern of distribution, with palms and soles of the feet especially affected, together with elevation of total serum bile acids (SBA) and/or transaminases, and absence of other liver disease to which these manifestations can be attributed. Time of presentation:Late second or early third trimester of pregnancy. UDCA is the DOC for this condition.

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