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

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Presentation on theme: "Jaundice In Pregnancy. DR AMEYA PURANDARE Associate Professor, Somaiya Medical college, Mumbai. Consultant, Masina Hospital, Mumbai DR AMEYA PURANDARE."— Presentation transcript:

1 Jaundice In Pregnancy

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

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

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

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

6 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

7 JAUNDICE IN PREGNANCY Other infections – Malaria – Dengue – Leptosirosis – Herpes Other infections – Malaria – Dengue – Leptosirosis – Herpes

8 JAUNDICE 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

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

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


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