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Pregnancy and Cirrhosis of the Liver
Author(s) -
Aggarwal Neelam,
Sawnhey Harjeet,
Suril Vanita,
Vasishta Kala,
Jha Mamta,
Dhiman R. K.
Publication year - 1999
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1999.tb03145.x
Subject(s) - medicine , pregnancy , jaundice , cirrhosis , ascites , gastroenterology , fulminant , sclerotherapy , incidence (geometry) , portal hypertension , obstetrics , surgery , genetics , physics , optics , biology
Summary: Pregnancy in patients with cirrhosis of the liver is uncommon. We reviewed 9 pregnancies in 7 patients with cirrhosis. One patient conceived within 1 month of diagnosis and in another the disease was diagnosed during the index pregnancy. Four patients has associated portal hypertension and 1 of them concieved after lienorenal shunt. Complications associated with these pregnancies were jaundice (1) jaundice plus ascites (2) and gastrointestinal bleeding (1). In 2 patients endoscopic sclerotherapy was done during the index pregnancy. The incidence of preterm delivery was 50% (4 of 8) and the majority (75%) occurred in pregnancies where associated complications were present. There was 1 maternal death in the postpartum period due to fulminant hepatic failure.