Join Date: Nov 2007
Location: central Illinois
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Yes, it can be dangerous, but not much seems to be known about the condition, so what type of care she receives will depend heavily on how much experience the OB/midwife has had with the condition. My OB, for example, seemed to be completely ignorant about it...in fact, I diagnosed myself and she (reluctantly) ran the blood test and found that I was right...she had diagnosed me with PUPPs (in fact, insisted that it was PUPP), which I had already looked up and I didn't really have any of the symptoms associated with that (besides the itching). And when she ordered the treatment, she prescribed a medication that was no longer recommended for cholestasis as it was found to have ill effects on the baby (my FIL is a pharmacist and argued on the phone with the OB about this). It seemed like she just looked up cholestasis in whatever (obviously outdated) medical book she had and followed the suggested course.
So anyhoo, I guess what I would suggest to your SIL is to do a lot of research on her own and don't assume the OB knows what she's talking about, especially if she seems like she's never encountered cholestasis before! itchymoms is a good site (I had forgotten about that one!), but there's also a lot of other good research out there. And do a search on here for cholestasis because I know there are a few threads on here about it that likely have a lot of good links in them, too! Good luck!
Adoring wife to my DH since 9/04, SAHM to DS(9/07) due 2/3/2011