Perinatal outcomes of intrahepatic cholestasis of pregnancy from two birth cohorts: A population-based study

Background Intrahepatic cholestasis of pregnancy (ICP) is a complex liver disease with varying incidence worldwide. We compared ICP incidence and pregnancy outcomes with outcomes for normal pregnant controls. Methods We conducted a retrospective data analysis of perinatal registry data for the years...

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Veröffentlicht in:Obstetric medicine 2022-12, Vol.15 (4), p.248-252
Hauptverfasser: Al-Obaidly, Sawsan, Salama, Husam, Olukade, Tawa, AlQubaisi, Mai, Bayo, Arabo, Al Rifai, Hilal
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container_end_page 252
container_issue 4
container_start_page 248
container_title Obstetric medicine
container_volume 15
creator Al-Obaidly, Sawsan
Salama, Husam
Olukade, Tawa
AlQubaisi, Mai
Bayo, Arabo
Al Rifai, Hilal
description Background Intrahepatic cholestasis of pregnancy (ICP) is a complex liver disease with varying incidence worldwide. We compared ICP incidence and pregnancy outcomes with outcomes for normal pregnant controls. Methods We conducted a retrospective data analysis of perinatal registry data for the years 2011 and 2017 to compare the following outcome measures: stillbirths, labour induction, gestational diabetes, pre-eclampsia, antepartum haemorrhage, postpartum haemorrhage, preterm births, low Apgar score, acute neonatal respiratory morbidity, meconium aspiration and in-hospital neonatal death. Results The incidence of ICP was 8 per 1000 births from a total 31,493 singleton births with more cases in 2017 than in 2011. Women with ICP were almost six times more likely to have labour induced including significantly more moderate preterm births (defined as between 32 weeks and 36 weeks and 6 days of gestation)) seen more in 2011 than in 2017. Conclusion Women with ICP showed higher incidence of moderate preterm birth and induced labour but favourable maternal and neonatal outcomes.
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We compared ICP incidence and pregnancy outcomes with outcomes for normal pregnant controls. Methods We conducted a retrospective data analysis of perinatal registry data for the years 2011 and 2017 to compare the following outcome measures: stillbirths, labour induction, gestational diabetes, pre-eclampsia, antepartum haemorrhage, postpartum haemorrhage, preterm births, low Apgar score, acute neonatal respiratory morbidity, meconium aspiration and in-hospital neonatal death. Results The incidence of ICP was 8 per 1000 births from a total 31,493 singleton births with more cases in 2017 than in 2011. Women with ICP were almost six times more likely to have labour induced including significantly more moderate preterm births (defined as between 32 weeks and 36 weeks and 6 days of gestation)) seen more in 2011 than in 2017. Conclusion Women with ICP showed higher incidence of moderate preterm birth and induced labour but favourable maternal and neonatal outcomes.</description><identifier>ISSN: 1753-495X</identifier><identifier>EISSN: 1753-4968</identifier><identifier>DOI: 10.1177/1753495X211058321</identifier><identifier>PMID: 36523882</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Apgar score ; Clinical outcomes ; Gallbladder diseases ; Gestational diabetes ; Original ; Population-based studies ; Preeclampsia ; Pregnancy ; Premature birth</subject><ispartof>Obstetric medicine, 2022-12, Vol.15 (4), p.248-252</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021.</rights><rights>The Author(s) 2021 2021 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-d4aca4b4d7c6361ce6f9dfbfb84aae8a9f3cf7b59aa076d78c9784734d61d5823</citedby><cites>FETCH-LOGICAL-c423t-d4aca4b4d7c6361ce6f9dfbfb84aae8a9f3cf7b59aa076d78c9784734d61d5823</cites><orcidid>0000-0001-6058-3437 ; 0000-0002-6595-5022</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9745599/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9745599/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,21800,27905,27906,43602,43603,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36523882$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Obaidly, Sawsan</creatorcontrib><creatorcontrib>Salama, Husam</creatorcontrib><creatorcontrib>Olukade, Tawa</creatorcontrib><creatorcontrib>AlQubaisi, Mai</creatorcontrib><creatorcontrib>Bayo, Arabo</creatorcontrib><creatorcontrib>Al Rifai, Hilal</creatorcontrib><title>Perinatal outcomes of intrahepatic cholestasis of pregnancy from two birth cohorts: A population-based study</title><title>Obstetric medicine</title><addtitle>Obstetric Medicine</addtitle><description>Background Intrahepatic cholestasis of pregnancy (ICP) is a complex liver disease with varying incidence worldwide. We compared ICP incidence and pregnancy outcomes with outcomes for normal pregnant controls. Methods We conducted a retrospective data analysis of perinatal registry data for the years 2011 and 2017 to compare the following outcome measures: stillbirths, labour induction, gestational diabetes, pre-eclampsia, antepartum haemorrhage, postpartum haemorrhage, preterm births, low Apgar score, acute neonatal respiratory morbidity, meconium aspiration and in-hospital neonatal death. Results The incidence of ICP was 8 per 1000 births from a total 31,493 singleton births with more cases in 2017 than in 2011. Women with ICP were almost six times more likely to have labour induced including significantly more moderate preterm births (defined as between 32 weeks and 36 weeks and 6 days of gestation)) seen more in 2011 than in 2017. Conclusion Women with ICP showed higher incidence of moderate preterm birth and induced labour but favourable maternal and neonatal outcomes.</description><subject>Apgar score</subject><subject>Clinical outcomes</subject><subject>Gallbladder diseases</subject><subject>Gestational diabetes</subject><subject>Original</subject><subject>Population-based studies</subject><subject>Preeclampsia</subject><subject>Pregnancy</subject><subject>Premature birth</subject><issn>1753-495X</issn><issn>1753-4968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kU9vFSEUxYnR2Fr9AG4MiRs30w4DDODCpGn8lzTRhSbdkTvAvKGZGUZgat63l9dXn63GFYT7O4d7chB6SepTQoQ4I4JTpvhVQ0jNJW3II3S8e6uYauXjw51fHaFnKV3XdctpQ5-iI9ryhkrZHKPxq4t-hgwjDms2YXIJhx77OUcY3ALZG2yGMLqUIfnb2RLdZobZbHEfw4Tzz4A7H_OATRhCzOktPsdLWNaxiMNcdZCcxSmvdvscPelhTO7F3XmCvn94_-3iU3X55ePni_PLyrCG5soyMMA6ZoVpaUuMa3tl-67vJANwElRPTS86rgBq0VohjRKSCcpsSyyXDT1B7_a-y9pNzhq3SzPqJfoJ4lYH8PrhZPaD3oQbrQTjXKli8ObOIIYfa8muJ5-MG0eYXViTbgTnXEhS79DXf6HXYY1ziVcoJmTZh9BCkT1lYkgpuv6wDKn1rkv9T5dF8-p-ioPid3kFON0DCTbuz7f_d_wFLgSqiA</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Al-Obaidly, Sawsan</creator><creator>Salama, Husam</creator><creator>Olukade, Tawa</creator><creator>AlQubaisi, Mai</creator><creator>Bayo, Arabo</creator><creator>Al Rifai, Hilal</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6058-3437</orcidid><orcidid>https://orcid.org/0000-0002-6595-5022</orcidid></search><sort><creationdate>20221201</creationdate><title>Perinatal outcomes of intrahepatic cholestasis of pregnancy from two birth cohorts: A population-based study</title><author>Al-Obaidly, Sawsan ; Salama, Husam ; Olukade, Tawa ; AlQubaisi, Mai ; Bayo, Arabo ; Al Rifai, Hilal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-d4aca4b4d7c6361ce6f9dfbfb84aae8a9f3cf7b59aa076d78c9784734d61d5823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Apgar score</topic><topic>Clinical outcomes</topic><topic>Gallbladder diseases</topic><topic>Gestational diabetes</topic><topic>Original</topic><topic>Population-based studies</topic><topic>Preeclampsia</topic><topic>Pregnancy</topic><topic>Premature birth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al-Obaidly, Sawsan</creatorcontrib><creatorcontrib>Salama, Husam</creatorcontrib><creatorcontrib>Olukade, Tawa</creatorcontrib><creatorcontrib>AlQubaisi, Mai</creatorcontrib><creatorcontrib>Bayo, Arabo</creatorcontrib><creatorcontrib>Al Rifai, Hilal</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obstetric medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Obaidly, Sawsan</au><au>Salama, Husam</au><au>Olukade, Tawa</au><au>AlQubaisi, Mai</au><au>Bayo, Arabo</au><au>Al Rifai, Hilal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perinatal outcomes of intrahepatic cholestasis of pregnancy from two birth cohorts: A population-based study</atitle><jtitle>Obstetric medicine</jtitle><addtitle>Obstetric Medicine</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>15</volume><issue>4</issue><spage>248</spage><epage>252</epage><pages>248-252</pages><issn>1753-495X</issn><eissn>1753-4968</eissn><abstract>Background Intrahepatic cholestasis of pregnancy (ICP) is a complex liver disease with varying incidence worldwide. We compared ICP incidence and pregnancy outcomes with outcomes for normal pregnant controls. Methods We conducted a retrospective data analysis of perinatal registry data for the years 2011 and 2017 to compare the following outcome measures: stillbirths, labour induction, gestational diabetes, pre-eclampsia, antepartum haemorrhage, postpartum haemorrhage, preterm births, low Apgar score, acute neonatal respiratory morbidity, meconium aspiration and in-hospital neonatal death. Results The incidence of ICP was 8 per 1000 births from a total 31,493 singleton births with more cases in 2017 than in 2011. Women with ICP were almost six times more likely to have labour induced including significantly more moderate preterm births (defined as between 32 weeks and 36 weeks and 6 days of gestation)) seen more in 2011 than in 2017. 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subjects Apgar score
Clinical outcomes
Gallbladder diseases
Gestational diabetes
Original
Population-based studies
Preeclampsia
Pregnancy
Premature birth
title Perinatal outcomes of intrahepatic cholestasis of pregnancy from two birth cohorts: A population-based study
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