Confirming cholestasis of pregnancy, also known as intrahepatic cholestasis of pregnancy (ICP), typically involves a combination of factors:
- Symptoms: The primary symptom is intense itching, especially on the palms of the hands and soles of the feet. It usually starts in the third trimester, but can occur earlier.
- Medical History: A thorough medical history will help rule out other causes of itching during pregnancy.
- Physical Exam: A physical exam will assess the patient's overall health and any signs of liver dysfunction.
- Blood Tests: Elevated levels of liver enzymes (AST, ALT) and bile acids in the blood are strong indicators of cholestasis of pregnancy.
It's essential to note that while these factors are indicative of cholestasis, a definitive diagnosis often requires a combination of clinical presentation and laboratory results.
Important Note: If you suspect you might have cholestasis of pregnancy, it's crucial to consult a healthcare professional for proper diagnosis and treatment.