{"title":"ICP：助产士的视角。","authors":"Annette Briley, Megan Cooper","doi":"10.1177/1753495X241257709","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>ICP is a liver condition specific to pregnancy affecting 0.5-0.6% of pregnancies in Australia.</p><p><strong>Aims: </strong>to review the SOMANZ guidelines and extrapolate information relevant to midwives proving care for women with ICP.</p><p><strong>Findings: </strong>Multidisciplinary input is essential in caring for women with ICP and their families. Non-fasting TSBA samples ≥19 µmol/L are diagnostic in the presence of pruritus. Peak TSBA denotes the severity of the disease. Increased risk of stillbirth is small when peak TSBA ≥100 µmol/L.</p><p><strong>Conclusion: </strong>Midwives play an essential role in supporting women with ICP helping them navigate complex appointments and manage the pruritus and concomitant issues.</p>","PeriodicalId":51717,"journal":{"name":"Obstetric Medicine","volume":"17 3","pages":"152-156"},"PeriodicalIF":0.8000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384816/pdf/","citationCount":"0","resultStr":"{\"title\":\"ICP: A midwifery perspective.\",\"authors\":\"Annette Briley, Megan Cooper\",\"doi\":\"10.1177/1753495X241257709\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>ICP is a liver condition specific to pregnancy affecting 0.5-0.6% of pregnancies in Australia.</p><p><strong>Aims: </strong>to review the SOMANZ guidelines and extrapolate information relevant to midwives proving care for women with ICP.</p><p><strong>Findings: </strong>Multidisciplinary input is essential in caring for women with ICP and their families. Non-fasting TSBA samples ≥19 µmol/L are diagnostic in the presence of pruritus. Peak TSBA denotes the severity of the disease. Increased risk of stillbirth is small when peak TSBA ≥100 µmol/L.</p><p><strong>Conclusion: </strong>Midwives play an essential role in supporting women with ICP helping them navigate complex appointments and manage the pruritus and concomitant issues.</p>\",\"PeriodicalId\":51717,\"journal\":{\"name\":\"Obstetric Medicine\",\"volume\":\"17 3\",\"pages\":\"152-156\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11384816/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Obstetric Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/1753495X241257709\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obstetric Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/1753495X241257709","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/28 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
Background: ICP is a liver condition specific to pregnancy affecting 0.5-0.6% of pregnancies in Australia.
Aims: to review the SOMANZ guidelines and extrapolate information relevant to midwives proving care for women with ICP.
Findings: Multidisciplinary input is essential in caring for women with ICP and their families. Non-fasting TSBA samples ≥19 µmol/L are diagnostic in the presence of pruritus. Peak TSBA denotes the severity of the disease. Increased risk of stillbirth is small when peak TSBA ≥100 µmol/L.
Conclusion: Midwives play an essential role in supporting women with ICP helping them navigate complex appointments and manage the pruritus and concomitant issues.
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