This case study is about a primigravida mother (period of gestation 29 weeks and 5 days) diagnosed with intrahepatic cholestasis of pregnancy (IHCP). She had been married since 1 year and it is her first pregnancy. The patient is having gestational diabetes mellitus and hypothyroidism. The patients was admitted to antenatal ward of St. Stephen’s Hospital , New Delhi, with chief complaints of itching in palms, soles and over umbilical area since 2 weeks. During the physical examination the rashes were seen on abdomen, legs and breast. Per abdomen examination and ultrasound revealed that vertex presentation of the fetus and FHR as 136/ min and fetal weight as 1923 gram and presence of low lying placenta. Routine blood examination revealed that patient was also a case of gestational diabetes mellitus and hypothyroidism. After all the required investigation she was diagnosed with IHCP with gestational diabetes mellitus and hypothyroidism. IHCP is a pregnancy related liver disorder characterized by pruritus, most often in the late second or early trimester of pregnancy and raised serum bile acids. The maternal outcome after treatment is fair but fetal outcomes becomes adverse in most of the conditions.
Intrahepatic cholestasis of pregnancy (IHCP) Rh-negative pregnancy, Gestational diabetes mellitus, Hypothyroidism
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