Intrahepatic Cholestasis
Conditions
Keywords
Intrahepatic Cholestasis of Pregnancy, Induction of labor, Pregnancy, Caesarian section, Pruritus, IUFD
Brief summary
Induction of Labour in Intrahepatic Cholestasis of Pregnancy (ICP) has become a common procedure in management of ICP to avoid fetal complications. Surprisingly, this empirical approach has not been evaluated as to delivery complications and fetal outcome as yet. The investigators now examine weather ICP affects (i) delivery procedures chosen, in particular the incidence of caesarian section, (ii)fetal and maternal outcome in induced labor, and (iii)possible impact of bile acids and UDCA treatment in a retrospective cohort study based on approximately 5000 induced deliveries at Danderyd Hospital, Karolinska Institutet, Stockholm. The investigators analyze data on on previous deliveries, BMI, medical history and medical book data. Primary endpoint is the risk of caesarian section.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* ICP during pregnancy and induction of labor ICP and spontaneous delivery No ICP but induction of labor
Exclusion criteria
* No ICP spontaneous delivery * Elective caesarian section
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cesarean section | 32 to 40 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Bleeding | 32 to 40 weeks |
| Abruptio placentae | 32 to 40 weeks |
| APGAR | 32 to 40 weeks |