Even though I’m being induced, he might not arrive until Tuesday. At first it was mainly my hands and feet, but then it spread everywhere. She’s in the nicu but she is doing great! We should be going home Friday evening good luck mamas!!! I am so thrilled for you and your family. A quick biology lesson: Bile, excreted by the liver and stored in the gallbladder, helps your body break down fats into fatty acids that your intestines can absorb. Before 20 weeks. I am 36 + 3 now. I'm scared of induction as it is early and my body is showing no signs of being ready. Below is a quick overview of what Cholestasis is. Love and hugs. Went to sleep and woke up hours later maybe around 9 or 10 am complaining that I thought I had to poop. Report 0 Reply to Post. This week was CRAZY! After lots of blood tests and umming and ahhhing, yesterday I was diagnosed with obstetric cholestasis. With the first I went into labour, ended up with a c sec but it was nothing to do with the induction. Purpose: Induction of labor among pregnant women with high levels of total bile acid (TBA) is common among clinicians. We examined, if women with intrahepatic cholestasis of pregnancy (ICP) and TBA ≥ 40 μmol/l have a higher risk of maternal-fetal complications, when labor is induced at 37 weeks of gestation, compared with induction of labor at term in women with low-risk ICP. Comment, Like & Subscribe! We scheduled my induction for 37 weeks and it was a whirlwind wrapping my head around the fact that my “deadline” for getting ready for this baby just moved up 3 weeks. Delivery: While an evidence based recommendation is not available for the timing of delivery when cholestasis of pregnancy is encountered, most management strategies would advocate delivery between 37-38 weeks or sooner with documented pulmonary maturity. There's a great Facebook group called ICP Support which is well worth joining. She told me that I had cholestasis of pregnancy and no matter what, DO NOT GOOGLE IT. Without active management the risk of stillbirth during an Intrahepatic Cholestasis of Pregnancy can be as high as 15%. jrthomas14 member. (2018) recommend induction between 36 and 38 weeks for cholestasis during pregnancy. Hello. Beyond the medication I was already on, they induce women with Cholestasis early because the most danger to the baby happens in those last weeks. In comparison, in women with total bile acid concentrations of 100 μmol/L or more, delivery should probably occur by 35–36 weeks of gestation. I can’t believe I’ve managed to add more goddamn lemons to my pile. Re: Cholestasis - early induction. I felt like the inserting of the balloon was painful but doable, and contractions on pitocin are more painful as well. I will be switched from Lovenox to Heparin at 36 weeks and was told this is because Heparin is easy to reverse so i’m confused as to why I will be induced at 39 weeks? Eleven went into spontaneous labour (two before 36 weeks gestation). Cholestasis is a liver disorder that most often occurs late in pregnancy, typically during the third trimester. reviewed by our medical review board and team of experts. Baby is fairly active and flips quite often- my fear is if we do turn it, that she will flip back.... What’s the rationale behind inductions when on Lovenox/Heparin? I'm scared of induction as it is early and my body is showing no signs of being ready. With regular prenatal care and monitoring, your baby will likely not be affected during pregnancy and after delivery. You might be wondering why they’d induce after I’ve come this far. Glad you had the time to put together the latest news and post it along with all the doctor background stuff that goes with it. I had cervadil my first pregnancy and then pitosin. In a perfect world, we’d wait until 37, but BBS’s non stress tests have been a mixed bag. I really did have cholestasis before consenting to an induction or a CS. Two doses of cervadil did the trick for me. I googled it. I had cholestasis which is also known as ICP with both pregnancies, first from 36 weeks and second from 16 weeks. I really did have cholestasis before consenting to an induction or a CS. It was horrible. Induction at 37 weeks for Obstetric Cholestasis ... Baby seems perfectly fine at 36 week scan, measuring about 6 pounds, head down, and squishy as heck. I was given cytotec to start labor and then they added pitocin and the balloon catheter. Lancet 2019 Mar 2 Palmer KR et al. While it  occurs in just one to two pregnancies in 1,000, it can cause complications in your newborn — which is why it’s important to recognize the symptoms and talk to your doctor if you think it might be affecting you. But my doctors were torn on when I’d actually go into labor. Occasionally it happens in the late second trimester, but it doesn't occur before 20 weeks. Cholestasis occurs in just 1 to 2 pregnancies in 1,000. 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