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Gynaecology & Obstetrics Medical Illness Complicating Pregnancy bd6d5336

A patient has a history of previous sudden full term IUFD (unknown cause), now presents with itching at 9th month of pregnancy, with bilirubin of 3 mg/dL, mildly raised AST. A diagnosis of IHCP was made. Management is ?

A
Elective LSCS at 36 weeks
B
Ursodeoxycholic acid + Induction at 38 weeks with strict intrapaum fetal monitoring
C
Symptomatic management and terminate at 40+ weeks
D
FFP transfusion
High-Yield Explanation
IHCP is a recurrent condition. The previous IUFD could have been due to IHCP in previous pregnancy. This condition presents mostly in third trimester. IHCP patients must not be allowed to continue pregnancy much beyond 37-38 weeks.

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