Certainly, the normal size of a pregnant woman should not vary, the structure and boundaries of the liver, the level of blood supply, but nevertheless, it is at this time that her function can be severely impaired. The process is quite natural, as during the pregnancy the liver experiences a very heavy load: it needs to clean the fetal products, activate resources, improve metabolic processes, and from the end of the first trimester, the content of hormones that are metabolized and inactivated by the liver is greatly increased.
However, if the pregnancy is normal, the metabolic process is not violated. But with liver disease and late toxicosis pregnant women are in for trouble, because the liver resources begin to dry up quickly.
As a rule, the liver suffers from 2-3% of pregnant women: such women must necessarily be under the close attention of the obstetrician-gynecologist. But even here there is a danger: if the doctor is inexperienced and incorrectly assesses liver problems, complications such as late toxicosis, fetal hypotrophy, complications during childbirth can not be avoided.
It is possible that if there are problems with the liver, a woman can be hospitalized. Typically, recommend this in the early stages - an average of 12 weeks - in the event that the inflammation of the liver and biliary tract becomes worse or the gynecological pathology is added to the already existing liver disease. Or if they can not make an accurate diagnosis. Hospitalization can and 2-3 weeks before delivery. If a woman has a serious liver disease, then, unfortunately, the pregnancy is interrupted.
One of the most troubling and common symptoms of liver disease during pregnancy is jaundice. It can cause both normal causes and factors related to pregnancy. In half of cases, jaundice develops due to Botkin's disease (viral hepatitis), in a quarter of cases - due to late toxicosis with hepatic syndrome, and only 7% of cases - due to cholelithiasis.
Viral hepatitis A in pregnant women does not differ much from viral hepatitis A in non-pregnant women. Fetus and newborn, as a rule, do not become infected.
Viral hepatitis B is much more serious. With this disease, there is a long jaundice, and intoxication of the body, and the risk of infection of the baby is high.
With dyskinesia of the biliary tract, the course of pregnancy is complicated. There is a functional impairment of the motility of the gallbladder and ducts, but this does not affect pregnancy and its outcome.
In the second trimester, gallstone disease often develops-or, in other words, cholelithiasis, gallstones form in the liver and the biliary system. Pregnancy is not interrupted, treatment is performed to reduce the inflammatory process in the bladder and improve the outflow of bile.
Another common disease of the gallbladder is chronic cholecystitis. It is caused by microorganisms, the woman experiences pain, heaviness in the right hypochondrium. In almost all cases, chronic cholecystitis worsens in the third trimester. The big disadvantage is that a woman experiences severe discomfort, but the result does not bring harm to cholecystitis. It's just, if during an acute acute cholecystitis did not develop. Then the woman is hospitalized and, possibly, operated on.
Do not interrupt pregnancy and if a woman develops postcholecystitisectomy syndrome. It appears in the event that the gallbladder was removed and complications arose. But if a woman often suffers from exacerbation of cholelithiasis, persistent hepatic colic, she will be recommended to allow pregnancy before the onset of pregnancy, or to interrupt her in the early stages.
Pregnancy significantly exacerbates chronic irreversible liver damage - cirrhosis. Unfortunately, it adversely affects its outcome and current. Childbirth and the postpartum period are accompanied by heavy bleeding, and therefore pregnancy for women with such a disease is simply contraindicated.
Activates pregnancy and another serious disease - cholestatic hepatosis. It can occur virtually at any time, but most often in the third trimester. High risk of severe postpartum hemorrhage. Jaundice passes through one to three weeks after childbirth, but during pregnancy can manifest itself with severe itching. In extreme cases, he forces to resort to abortion, although in itself - cholestatic hepatosis is not an indication for abortion.
True, if this is not a diagnosis - acute fatty hepatosis of pregnant women. With this pathology, an urgent termination of pregnancy is indicated, because this is a severe liver pathology.