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 ?
Correct Answer: Ursodeoxycholic acid + Induction at 38 weeks with strict intrapaum fetal monitoring
Description: 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.
Category:
Gynaecology & Obstetrics
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