Intrahepatic cholestasis of pregnancy

Patients are recommended to:

• Notify a physician if pruritus or jaundice occur in pregnancy, or if they experience steatorrhea

• Observe the normal pattern of fetal activity and notify their clinician if an altered pattern occurs.

• Maintain a healthy diet. Although dietary advice is not evidence-based, high-fat diets might precipitate prandial pain for women with cholelithiasis. Some dietary fat is necessary to support fetal development, and as such the exclusion of all dietary fat is not recommended.