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| dangerous pregnancy, plump granny , fat girls xxx , fatty fatty two by four , hepatitis c, enuresis, oncology, hysterectomy, fatty fat fat , postpartum, plump sex , alcoholic complications, calculators, plump asian , charity, stockton, | Treatment for cholestasis and pruritus, however, generally is unsatisfactory. Delivery should occur as soon as fetal lung maturity is documented, to prevent the increased risk of stillbirth. Parenteral vitamin K may be needed to correct a prothrombin deficiency. Symptoms usually plump black abate within two weeks of delivery. There is a significant risk plump black of recurrence with subsequent pregnancies and with the use of oral contraceptives or other estrogens. 17.4.3 PREGNANCY TOXEMIAS AND THE HELLP SYNDROME In severe pre-eclampsia or eclampsia, liver involvement is evident by abdominal tenderness and abnormal liver biochemistry. |
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| Ultrasound and cholangiography are normal. The plump asian evaluation of the pregnant woman with cholestasis involves excluding other causes of jaundice and pruritus including viral plump asian hepatitis, primary biliary cirrhosis and biliary tract disease by the appropriate laboratory and ultrasound investigations. Liver biopsy, which shows only cholestasis without inflammation, may be necessary in some atypical cases. Although a benign condition for the mother (other than the inexorable pruritus), intrahepatic cholestasis may decrease fetal survival and increase the risk of prematurity. Treatment is supportive with bile salt-binding agents such as cholestyramine. Ursodeoxycholic acid therapy improves bile formation, perhaps washing out plump asian "toxic" bile acids and pruritogenic agents. S-adenosylmethionine, which alters membrane fluidity, and rifampin, which increases the excretion of pruritogenic agents, also work. |
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