ICP: A midwifery perspective

Author:

Briley Annette12ORCID,Cooper Megan1

Affiliation:

1. Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia

2. Northern Adelaide Local Health Network, Lyell McEwin Hospital, Elizabeth Vale, Australia

Abstract

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.

Publisher

SAGE Publications

Reference38 articles.

1. Intrahepatic cholestasis of pregnancy

2. Royal College of Obstetricians and Gynaecologists. Intrahepatic cholestasis of pregnancy (Green-top Guideline No. 43) RCOG 2022. London.

3. Hague WM, Briley A, Callaway L, et al. Intrahepatic Cholestasis of Pregnancy- diagnosis and management: a consensus statement of the Society of Obstetric Medicine of Australia and New Zealand (SOMANZ). SOMANZ, 2023, www.somanz.org/content/uploads/2023/08/SOMANZ-ICP-Consensus-Statement-1.6.12-Web-Version.pdf (accessed 12 January 2024).

4. UNFPA. State of the Worlds Midwifery Report 2021, UNICEF, ICM, WHO, www.unfpa.org/sites/default/files/pub-pdf/21-038-UNFPA-SoWMY2021-rEPORT-enV4302_0.pdf (accessed 24 January 2024).

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