Jaundice In PregnancyJaundice In Pregnancy

DR AMEYA PURANDAREAssociate Professor,

Somaiya Medical college, Mumbai.

Consultant, Masina Hospital, Mumbai

DR AMEYA PURANDAREAssociate Professor,

Somaiya Medical college, Mumbai.

Consultant, Masina Hospital, Mumbai

Define jaundice ?

Hepatic changes in pregnancy

Causes related to pregnancy

– 1st trimester

– 2nd and 3rd trimester

Define jaundice ?

Hepatic changes in pregnancy

Causes related to pregnancy

– 1st trimester

– 2nd and 3rd trimester

JAUNDICE IN PREGNANCYJAUNDICE IN PREGNANCY

Causes related to pregnancy 1st trimester 2nd and 3rd trimester

Causes not related to pregnancy

Most common

Causes related to pregnancy 1st trimester 2nd and 3rd trimester

Causes not related to pregnancy

Most common

JAUNDICE IN PREGNANCYJAUNDICE IN PREGNANCY

JAUNDICE IN PREGNANCYJAUNDICE IN PREGNANCY

• Hyperemesis gravidarum– Defn– C/f– Complications– Rx

• Hyperemesis gravidarum– Defn– C/f– Complications– Rx

JAUNDICE IN PREGNANCY• Hepatitis A,B,C,E• HAV/HEV– Route– Course– Rx

• HBV/HCV– Markers– Carriers– Mx : Mother + Baby

• Hepatitis A,B,C,E• HAV/HEV– Route– Course– Rx

• HBV/HCV– Markers– Carriers– Mx : Mother + Baby

JAUNDICE IN PREGNANCYJAUNDICE IN PREGNANCY

• Other infections– Malaria– Dengue– Leptosirosis– Herpes

• Other infections– Malaria– Dengue– Leptosirosis– Herpes

JAUNDICE IN PREGNANCYJAUNDICE IN PREGNANCY• Intra Hepatic Cholestasis of Pregnancy

– Etiology– C/f– LFT– Rx

• HELLP Syndrome– Diagnostic criteria– C/f– Mx

• Intra Hepatic Cholestasis of Pregnancy– Etiology– C/f– LFT– Rx

• HELLP Syndrome– Diagnostic criteria– C/f– Mx

JAUNDICE IN PREGNANCY• Acute Fatty Liver of PregnancyAcute Fatty Liver of Pregnancy– EtioEtio– C/fC/f– LFTLFT– MxMx

• Drug induced hepatitisDrug induced hepatitis– AKTAKT– AZTAZT– ProgesteroneProgesterone

JAUNDICE IN PREGNANCY• Other causesOther causes– Portal HTNPortal HTN– Gall stonesGall stones– CholecystitisCholecystitis– PancreatitisPancreatitis– Wilsons dsWilsons ds– Gilberts syndromeGilberts syndrome– Budd Chiari syndromeBudd Chiari syndrome– Liver transplantLiver transplant