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pregnancy-specific liver disease that is presented by increased serum bile acids and liver transaminases and usually occurs in the second and third trimesters.1 ICP presents with pruritus beginning in the palmoplantar areas and spreads to the limbs and trunk.1 The incidence of ICP ranges from 0.2% to >27% in different geographical regions and ethnic groups of the world.2 ICP incidence in twin pregnancies is two times than that of singleton pregnancies.3 Multiple gestation, itself, has been linked to the development of ICP.4 Not only fetal complications such as meconium-stained amniotic fluid, low birth weight, fetal distress and dysrhythmia, intrauterine death, preterm birth but also obstetric complications such as gestational diabetes, preeclampsia, preterm labor and postpartum hemorrhage increase in women with ICP.1,5-8

Are Complete Blood Count Indices Different in Twins with the Diagnosis of Intrahepatic Cholestasis of Pregnancy?