Dam Barna
Department of Internal Medicine, Kumudini Women's Medical College, Tangail, BGD.
Cureus. 2024 Aug 13;16(8):e66770. doi: 10.7759/cureus.66770. eCollection 2024 Aug.
Intrahepatic cholestasis of pregnancy (ICP) is a liver condition commonly occurring during pregnancy, with an unclear etiology. This condition not only causes significant discomfort for the mother due to severe itching but also poses serious risks to the fetus. Effective and timely management of ICP, including diagnosis, consistent monitoring, and treatment, is crucial to mitigate maternal discomfort and prevent fetal complications. The challenges in managing ICP include the absence of clear initial diagnostic criteria, delays in lab results, evolving treatment guidelines, and the financial burden of therapy. This case report shares the author's personal encounter with ICP, detailing the diagnosis, treatment pathway, impacts on the newborn, and the emotional journey during and after pregnancy. This report aims to enhance understanding and awareness of ICP, particularly among populations in the United States where the disease is less prevalent.
妊娠期肝内胆汁淤积症（ICP）是一种在孕期常见的肝脏疾病，病因不明。这种病症不仅会因严重瘙痒给母亲带来极大不适，还会给胎儿带来严重风险。对ICP进行有效且及时的管理，包括诊断、持续监测和治疗，对于减轻母亲不适以及预防胎儿并发症至关重要。管理ICP面临的挑战包括缺乏明确的初始诊断标准、实验室结果延迟、治疗指南不断变化以及治疗的经济负担。本病例报告分享了作者个人与ICP的遭遇，详细介绍了诊断、治疗过程、对新生儿的影响以及孕期和产后的情感历程。本报告旨在增进对ICP的理解和认识，尤其是在美国这种该疾病不太常见的人群中。
