Hi doctor,My wife is in the second trimester and she has been detected with obstetric cholestasis. We have been recommended Udiliv. Everyone here seems to have this by the end of her pregnancy, but she got it early. What can we be doing to get everything under control?
Hello. For cholestasis of pregnancy, the serum bile acid test and LFT (liver function test) are to be done once weekly or fortnightly depending on the severity. You should consult a liver specialist or gastroenterologist. This condition might affect the growth and liquor (water level) around the baby. So, ultrasound to monitor the growth and water level around the baby every three to four weeks or early if clinical exam shows decreased growth or less amount of liquor. Sometimes, these patients require delivery before term as the severity or doppler changes warrants.  Do not worry, but be in touch with your doctor regularly. For more information consult an obstetrician and gynaecologist online -->