This is monday...last tuesday night I started to get really itchy at night, I mean really really itchy. I know this itch, it is the ICP itch. I called my OB on thursday morning and asked for a req. to get my bile acids and liver functions taken.
The next morning I get a call from my OB's office saying my liver functions are really high and to go to the OB/Mat and talk to the OB on call about it. It turns out that at 28 weeks my ALT levels were 285 (even with Michael they were at 120 which is high to begin with at 34 weeks). It takes more than a week to get the bile acid test back. The regular liver functions numbers are 0-30. The regular bile numbers are 0-8.5 (I don't remember the measurement sorry!). The OB said she wanted to induce because the risks are very high. The risks apparantly include a vitamin K deficiency (normally it can be handled but my levels are so high), which can cause lowered clotting and I could bleed to death. Also, normally with ICP they let you go to 36-37 weeks and then induce you, so you only are damaging your liver for a couple weeks and the liver will regenerate itself. With me, I'm only 28 weeks, and the numbers will only get higher and higher, causing the liver cells to die, which can potentially cause permenant liver damage, cerosis or liver failure. There were a couple other risks but those are the biggys. She said it might NOT happen, and it MIGHT happen tomorrow...liver enzymes can rise quickly as my situation proved. I told the doc. that I did not want to induce that day...I needed things, keepsakes, and I have an ultrasound appointment tuesday. I want those pics! So, she told me to come in on sunday (yesterday) to get tested again and if the levels went up drastically they would induce then, if not then I could wait until wednesday. The numbers yesterday were only up about 20, so not drastic.
I'll never catch up...
12 years ago
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