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- W2090147676 abstract "Intrahepatic cholestasis of pregnancy (ICP) affects about 0.7% of deliveries in Britain. It is regarded as a benign condition for the mother but is associated with increased fetal mortality in late pregnancy and early delivery is advised. Ursodeoxycholic acid (UDCA) treatment is beneficial to the mother and does not appear to harm the fetus. ICP is often regarded as a disease of the maternal liver already made 'cholestatic' by high levels of circulating progesterone. We propose that ICP should be considered as a feto-maternal disease involving complex interactions between maternal and fetal bile acid metabolism across the placenta. During the late stages of gestation, when there is a rise in fetal and maternal bile acid levels, the placenta may fail to render potentially hepatotoxic bile acids water soluble and hence excretable. This might cause a vicious cycle leading to further cholestasis in the maternal liver already challenged by progesterone." @default.
- W2090147676 created "2016-06-24" @default.
- W2090147676 creator A5005446599 @default.
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- W2090147676 date "2003-03-01" @default.
- W2090147676 modified "2023-09-27" @default.
- W2090147676 title "Bile acid stress in the mother and baby unit" @default.
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- W2090147676 doi "https://doi.org/10.1097/00042737-200303000-00016" @default.
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