Indian National Association for the Study of the Liver-Federation of Obstetric and Gynaecological Societies of India Position Statement on Management of Liver Diseases in Pregnancy.
ABCB4, ATP-binding cassette subfamily B member 4
AFLP, Acute fatty liver of pregnancy
ALF, Acute liver failure
ALP, Alkaline phosphatase
ALT, Alanine transferase
ART, Antiretroviral therapy
AST, Aspartate aminotransferase
BCS, Budd-Chiari syndrome
CT, Computerized tomography
DIC, Disseminated intravascular coagulation
DNA, Deoxyribonucleic acid
DPTA, Diethylenetriamine pentaacetic acid
ERCP, Endoscopic retrograde cholangiopancreatography
FDA, Food and Drug Administration
FOGSI, Federation of Obstetric and Gynaecological Societies of India
GGT, Gamma-glutamyl transpeptidase
GI, Gastrointestinal
GRADE, Grading of Recommendations Assessment Development and Evaluation
HBIG, Hepatitis B immune globulin
HBV, Hepatitis B virus
HBeAg, Hepatitis B envelope antigen
HBsAg, Hepatitis B surface antigen
HCV, Hepatitis C virus
HELLP syndrome
HELLP, Hemolysis, elevated liver enzymes, low platelet count
HG, Hyperemesis gravidarum
HIV, Human immunodeficiency virus
HV, Hepatic vein
ICP, Intrahepatic cholestasis of pregnancy
INASL, Indian National Association for the Study of Liver
IVF, In vitro fertilization
LFT, Liver function test
MDR, Multidrug resistance
MRI, Magnetic resonance imaging
MTCT, Mother-to-child transmission
NA, Nucleos(t)ide analog
PIH, Pregnancy-induced hypertension
PT, Prothrombin time
PUQE, Pregnancy-Unique Quantification of Emesis
PegIFN, Pegylated interferon
RNA, Ribonucleic acid
TAF, Tenofovir alafenamide
TDF, Tenofovir disoproxil fumarate
TIPS, Transjugular intrahepatic portosystemic shunt
UDCA, Ursodeoxycholic acid
UGI, Upper gastrointestinal
ULN, Upper limit of normal
acute fatty liver of pregnancy
hyperemesis gravidarum
intrahepatic cholestasis of pregnancy
liver diseases in pregnancy
Journal
Journal of clinical and experimental hepatology
ISSN: 0973-6883
Titre abrégé: J Clin Exp Hepatol
Pays: India
ID NLM: 101574137
Informations de publication
Date de publication:
Historique:
received:
18
12
2018
accepted:
25
02
2019
entrez:
31
7
2019
pubmed:
31
7
2019
medline:
31
7
2019
Statut:
ppublish
Résumé
Liver diseases occurring during pregnancy can be serious and can progress rapidly, affecting outcomes for both the mother and fetus. They are a common cause of concern to an obstetrician and an important reason for referral to a hepatologist, gastroenterologist, or physician. Liver diseases during pregnancy can be divided into disorders unique to pregnancy, those coincidental with pregnancy, and preexisting liver diseases exacerbated by pregnancy. A rapid differential diagnosis between liver diseases related or unrelated to pregnancy is required so that specialist and urgent management of these conditions can be carried out. Specific Indian guidelines for the management of these patients are lacking. The Indian National Association for the Study of the Liver (INASL) in association with the Federation of Obstetric and Gynaecological Societies of India (FOGSI) had set up a taskforce for development of consensus guidelines for management of patients with liver diseases during pregnancy, relevant to India. For development of these guidelines, a two-day roundtable meeting was held on 26-27 May 2018 in New Delhi, to discuss, debate, and finalize the consensus statements. Only those statements that were unanimously approved by most members of the taskforce were accepted. The primary objective of this review is to present the consensus statements approved jointly by the INASL and FOGSI for diagnosing and managing pregnant women with liver diseases. This article provides an overview of liver diseases occurring in pregnancy, an update on the key mechanisms involved in its pathogenesis, and the recommended treatment options.
Identifiants
pubmed: 31360030
doi: 10.1016/j.jceh.2019.02.007
pii: S0973-6883(19)30044-1
pmc: PMC6637074
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
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