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Review
. 2020 Mar;63(1):193-210.
doi: 10.1097/GRF.0000000000000502.

Chronic Liver Disease in the Obstetric Patient

Catherine M Albright  1 , Emily E Fay
Affiliations
Review

Chronic Liver Disease in the Obstetric Patient

Catherine M Albright et al. Clin Obstet Gynecol. 2020 Mar.

Abstract

Chronic liver disease in pregnancy is rare. Historically, many chronic liver diseases were considered contraindications to pregnancy; however, with current monitoring and treatment strategies, pregnancy may be considered in many cases. Preconception and initial antepartum consultation should focus on disease activity, medication safety, risks of pregnancy, as well as the need for additional monitoring during pregnancy. In most cases, a multidisciplinary approach is necessary to ensure optimal maternal and fetal outcomes. Despite improving outcomes, pregnancy in women with the chronic liver disease remains high risk.

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