A lot changes in 4 days – cholestatis

Well last post was all about making it to 38 weeks, there has been no indication that I couldn’t. Cervix has been strong, babies have been great. And what about the lull I mentioned?!

Last week I was feeling mildly itchy… thought it was due to the heat. I live in New England and we haven’t had that much hot weather. So when the humidity set in (with no AC installed yet) I thought it was the heat. Saturday it got worse, my feet were crazy itchy (but not abnormal, I have had excema on my toes before). Sunday it was worse but Sunday night it was unbearable. Everything I touched (including the sheets brought on an intense urge to itch. I ended up getting up at 2am and coming downstairs to drink gatorade. After 45 min I figured i try to sleep again, thankfully I did.

I was worried, I have a friend that had cholestatis just this past winter. Babies were fine but I figured I should call the doctor and get some blood work done. Just two hours later, the bloodwork came back and the doctor herself (not her nurse) called to discuss the next moves.

Cholestasis (source Mayo clinic)

Cholestasis of pregnancy can make you intensely uncomfortable but poses no long-term risk to an expectant mother. For a developing baby, however, cholestasis of pregnancy can be dangerous. Doctors usually recommend early delivery.

The term “cholestasis” refers to any condition that impairs the flow of bile — a digestive fluid — from the liver. Pregnancy is one of many possible causes of cholestasis. Other names for cholestasis of pregnancy include obstetric cholestasis and intrahepatic cholestasis of pregnancy.

For mothers, cholestasis of pregnancy may temporarily affect the way the body absorbs fat-soluble vitamins, but this rarely impacts overall nutrition. Itching usually resolves within a few days of delivery, and subsequent liver problems are uncommon — although cholestasis is likely to recur with other pregnancies.

For babies, the complications of cholestasis of pregnancy can be more severe. For reasons not well-understood, cholestasis of pregnancy increases the risk of the baby being born too early (preterm birth). It also increases the risk of meconium — the substance that accumulates in the baby’s intestines — getting into the amniotic fluid that surrounds the baby. If a baby inhales meconium during delivery, he or she may have trouble breathing. There’s also a risk of fetal death late in pregnancy.

So – good news is my liver is still working great and levels are not elevated in there. But my bile levels in the body are elevated so I am diagnosed with cholestatis. I start twice weekly NST and ultrasounds. I also start a new medication to help with the itch. Otherwise not much changes except the biggie – csection has been moved up two weeks. We are now looking at a csection of 36 weeks… yea… three weeks from now! The most important part is getting this noddles here safetly! The scariest part is the “fetal death” that keeps getting mentioned on doctor google. But thankfully I have a VERY mild case for now, we caught it early and we are monitoring it very closely.

So baby planning just went into overdrive! Family of 5 here we come!

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3 thoughts on “A lot changes in 4 days – cholestatis

  1. OMG!! How awful but also exciting that you’ll meet your babies soon. You’re going to have yours even a week before me! Maybe it will be a good thing as you won’t have to get gigantic if they come a little earlier. xx

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