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| healthy, ozuakee, young fat girls , pleasingly plump , nys department of health, engineering, plump tgp , hey fatty boom boom , fatresistance diet, thermogenics, | Isolated hepatic disease rarely occurs during pregnancy. A wadsworthcenter number of associations between hepatic dysfunction and pregnancy exist. This review discusses wadsworthcenter these relationships in the context of obstetric management. The liver serves multiple functions: the biotransformation of insoluble compounds (e.g., drugs, toxins, bilirubin), the metabolism and excretion of cholesterol and bilirubin, the production of plasma proteins (e.g., albumin, coagulation factors, alpha- and beta-globulins, transferrin, haptoglobin), and the metabolism of amino acids, carbohydrates and lipids. Cholestasis During Pregnancy FIGURE 1. Evaluation of cholestasis during pregnancy. (RUQ=right upper quadrant) No single liver function test wadsworthcenter is available to quantify liver disease. The designation "liver function tests" describes a panel of laboratory tests profiling discrete aspects of liver function.1 |
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| Chronic hepatitis B or C infections may be transmitted to nys department of health neonates; however, hepatitis B virus transmission is effectively prevented with perinatal hepatitis B vaccination and prophylaxis with hepatitis B immune globulin. Cholelithiasis occurs in 6 percent of pregnancies; complications can safely be treated with surgery. Women with chronic liver disease or cirrhosis exhibit a higher risk of fetal loss during pregnancy. Preeclampsia is associated with HELLP (hemolysis, elevated nys department of health liver enzymes and low platelet count) syndrome, acute fatty liver of pregnancy, and hepatic infarction and rupture. nys department of health These rare diseases result in increased maternal and fetal mortality. Treatment involves prompt delivery, whereupon the liver disease quickly reverses. Therapy with penicillamine, trientine, prednisone or azathioprine can be safely continued during pregnancy. |
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