A Case Report of Recurrent Intrahepatic Cholestasis of Pregnancy

Intrahepatic cholestasis of pregnancy (ICP) also known as Obstetric cholestasis, usually presents after 28 weeks of gestation. A 25 year old, Mrs. X, G2P1L1 who is 32 weeks of gestation with complaints of itching all over the body most commonly in abdomen, palms and soles since 2 weeks which was intense during night time. At 36 weeks + 4 days , NST suggested fetal distress hence the patient was taken up for emergency cesarean section and delivered an alive late preterm female baby . The aim of management is to reduce maternal symptoms and fetal complications. Intrahepatic cholestatsis of pregnancy usually present in third trimester with pruritus and with elevated serum bile acid levels. It is associated with perinatal morbidity and mortality hence the baby should be delivered at 37 weeks of gestation. Recurrence is common in subsequent pregnancy therefore timely diagnosis and treatment is necessary to prevent perinatal morbidity and mortality.