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    RE: cholestasis of pregnancy

    By: Jeffrey Wright , 5 days ago
    Posted in: Patient Safety and Quality

    We have a few different approaches to cholestasis and fetal surveillance at my institution. But, none involve hospitalization or continuos monitoring. Rarely a patient is hospitalized to facilitate liver evaluation when there is a concern that cholestasis ...

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    RE: cholestasis of pregnancy

    By: C. Andrew Combs , 6 days ago
    Posted in: Patient Safety and Quality

    The hospitals where I practice do not have a policy on management of cholestasis. Our local MFM practice does not have a policy either. Per several articles reviewed in UpToDate, risk of IUFD is about 1.5% with bile acids 40-99 micromol/L, so hospitalization ...

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    cholestasis of pregnancy

    By: Georges Sylvestre , 7 days ago
    Posted in: Patient Safety and Quality

    We have a policy on Cholestasis of Pregnancy that may be somewhat too conservative: a) hospitalization for continuous fetal monitoring  in all patients with bile acids of > 40,  or high LFT's b) outpatient monitoring only for mild cases, i.e. bile ...

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