Jaundice In Pregnancy.

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Presentation transcript:

Jaundice In Pregnancy

Somaiya Medical college, Mumbai. Masina Hospital, Mumbai DR AMEYA PURANDARE Associate Professor, Somaiya Medical college, Mumbai. Consultant, Masina Hospital, Mumbai

JAUNDICE IN PREGNANCY Define jaundice ? Hepatic changes in pregnancy Causes related to pregnancy 1st trimester 2nd and 3rd trimester

JAUNDICE IN PREGNANCY Causes related to pregnancy 1st trimester 2nd and 3rd trimester Causes not related to pregnancy Most common

JAUNDICE IN PREGNANCY Hyperemesis gravidarum Defn C/f Complications Rx

JAUNDICE IN PREGNANCY Hepatitis A,B,C,E HAV/HEV HBV/HCV Route Course Rx HBV/HCV Markers Carriers Mx : Mother + Baby

JAUNDICE IN PREGNANCY Other infections Malaria Dengue Leptosirosis Herpes

JAUNDICE IN PREGNANCY Intra Hepatic Cholestasis of Pregnancy Etiology C/f LFT Rx HELLP Syndrome Diagnostic criteria Mx

JAUNDICE IN PREGNANCY Acute Fatty Liver of Pregnancy Etio C/f LFT Mx Drug induced hepatitis AKT AZT Progesterone

JAUNDICE IN PREGNANCY Other causes Portal HTN Gall stones Cholecystitis Pancreatitis Wilsons ds Gilberts syndrome Budd Chiari syndrome Liver transplant

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