Elevated Liver Enzymes During Pregnancy: Causes, Symptoms, And Treatment

Pregnancy, pruritus and pain, oh my! A casebased approach to abnormal

Introduction:

During pregnancy, women undergo various physiological changes that can affect their overall health. One of the common complications that pregnant women face is elevated liver enzymes. This condition is also referred to as liver function test abnormalities or abnormal liver function tests. It can be a cause of concern for both the mother and the fetus. In this article, we will explore the causes, symptoms, and treatment of elevated liver enzymes during pregnancy.

What are Liver Enzymes?

The liver is one of the vital organs in the body that plays a crucial role in metabolism, detoxification, and digestion. Liver enzymes are chemicals produced by the liver that help in breaking down and processing the food we eat. These enzymes are released into the bloodstream, where they can be measured through blood tests.

Causes of Elevated Liver Enzymes During Pregnancy:

Elevated liver enzymes during pregnancy can be caused by various factors, including:

Preeclampsia:

Preeclampsia is a condition that occurs during pregnancy, characterized by high blood pressure and protein in the urine. It can lead to liver damage and elevated liver enzymes.

Gestational Diabetes:

Gestational diabetes is a type of diabetes that develops during pregnancy. High blood sugar levels can cause liver inflammation and elevated liver enzymes.

Cholestasis:

Cholestasis is a liver disease that occurs during pregnancy, characterized by the reduced flow of bile. It can cause itching, jaundice, and elevated liver enzymes.

Hepatitis:

Hepatitis is a viral infection that can cause liver inflammation and elevated liver enzymes. Pregnant women with hepatitis B or C may experience liver damage, which can lead to elevated liver enzymes.

Symptoms of Elevated Liver Enzymes During Pregnancy:

Elevated liver enzymes during pregnancy may not always show symptoms. However, some common symptoms include:

Jaundice:

Jaundice is a condition characterized by yellowing of the skin and eyes. It can be a sign of liver damage and elevated liver enzymes.

Fatigue:

Fatigue is a common symptom of elevated liver enzymes during pregnancy. It can be caused by liver inflammation and damage.

Nausea and Vomiting:

Nausea and vomiting are common symptoms of elevated liver enzymes during pregnancy. It can be caused by liver inflammation and damage.

Treatment of Elevated Liver Enzymes During Pregnancy:

The treatment of elevated liver enzymes during pregnancy depends on the underlying cause. In some cases, the condition may improve on its own without any treatment. However, in severe cases, hospitalization may be required.

Dietary Changes:

Dietary changes can help in managing elevated liver enzymes during pregnancy. A diet rich in fruits, vegetables, and whole grains can help in reducing inflammation and promoting liver health.

Medication:

In some cases, medication may be required to manage elevated liver enzymes during pregnancy. However, pregnant women should consult with their healthcare provider before taking any medication.

Delivery:

In severe cases, delivery may be recommended to manage elevated liver enzymes during pregnancy. Early delivery may be required to prevent further complications.

Conclusion:

Elevated liver enzymes during pregnancy can be a cause of concern for both the mother and the fetus. It is essential to identify the underlying cause and manage it promptly. Pregnant women should consult with their healthcare providers and follow a healthy lifestyle to promote liver health. With appropriate treatment, most women with elevated liver enzymes during pregnancy can have a safe and healthy pregnancy.