Question

A 33 year old pregnant woman at 35 weeks gestation has pruritus of palms and soles and elevated bile acids consistent with intrahepatic cholestasis of pregnancy. Foetal growth is appropriate and monitoring is reassuring. What is the usual management regarding timing of delivery?

Accepted Answer

Planned delivery around 37-38 weeks depending on bile acid level and clinical factors

Answer

Expectant management to 42 weeks

Answer

Immediate emergency caesarean section

Answer

Termination of pregnancy

Answer

Delivery at 32 weeks for all cases

Practice question

A 33 year old pregnant woman at 35 weeks gestation has pruritus of palms and soles and elevated bile acids consistent with intrahepatic cholestasis of pregnancy. Foetal growth is appropriate and monitoring is reassuring. What is the usual management regarding timing of delivery?