Maternal and fetal outcome in liver disorders in pregnancy

Ruksana Farooq, Mehbooba Beigh, Rahat Abbas, Y. Amin
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Abstract

Background: Liver disorders comprise 3% of all pregnancy complications. All liver disorders, pregnancy specific, pregnancy related and pregnancy unrelated disorders have both maternal and fetal effects. The aim of the study was to determine the effect of liver disorders in pregnancy. The objective of this study was to determine the effect of liver disorders on pregnancy outcome.Methods: All pregnant patients with clinical and biochemical evidence of liver dysfunction were taken as cases. Pregnant women with normal liver function tests were taken as controls. All patients were followed during pregnancy and postpartum. Maternal and fetal outcome was studied.Results: A total of 140 patients were included- 70 cases and 70 controls. Maternal and fetal outcome was studied in both the groups. PPH and oligohydroamnios were most frequent among cases with p value of 0.034 and 0.035 respectively. Similarly, pre-term birth, RDS and perinatal asphyxia was more common in cases with a p value of 0.011, 0.001 and 0.005 respectively.Conclusions: Study concludes that liver disorders in pregnancy have adverse maternal and fetal complications. 
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妊娠期肝脏疾病的母胎结局
背景:肝脏疾病占所有妊娠并发症的3%。所有肝脏疾病,妊娠特异性疾病,妊娠相关疾病和妊娠无关疾病都对母体和胎儿有影响。这项研究的目的是确定妊娠期间肝脏疾病的影响。本研究的目的是确定肝脏疾病对妊娠结局的影响。方法:以临床及生化指标均有肝功能障碍的孕妇为例。以肝功能检查正常的孕妇为对照。所有患者在怀孕期间和产后均进行随访。研究母胎结局。结果:共纳入140例患者,其中70例为病例,70例为对照组。研究了两组的母胎结局。以PPH和羊水过少最为常见,p值分别为0.034和0.035。同样,早产、RDS和围产期窒息也更为常见,p值分别为0.011、0.001和0.005。结论:研究表明,妊娠期肝脏疾病有不良的母胎并发症。
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