Jaundice During Pregnancy: With Special Emphasis on Recurrent Jaundice During Pregnancy and Its Differential Diagnosis

7 1. THE LIVER IN NORMAL PREGNANCY 9 Liver palpation. . . . . . 9 Spider angiomas and palmar erythema 9 Histological changes in liver biopsies 10 Liver blood flow . . . . . . . . . . 10 Hemoglobin and serum iron . . . . . 11 Total leucocyte and differential count. 11 Prothrombin time 11 Urinary bile components 11 Serum bilirubin . . . 11 Bromsulfalein retention . 12 Galactose tolerance test . 12 Serum alkaline phosphatase 12 Serum transaminases and other enzymes . 13 Serum cholesterol and serum lipids . . . 14 Total serum proteins and serum electrophoresis 14 Serum turbidity and flocculation tests 15 Conclusions . . . . . . . . . . . 15 II. JAUNDICE DURING PREGNANCY . . . - . - 17 1) Incidence of jaundice durip. g pregnancy 17 2) Classification of jaundice during pregnancy 17 3) Frequency distribution of different diseases causing jaundice during pregnancy . . . . . . . . . . . . . . . . . '. 20 4) Review of literature on jaundice during pregnancy . . 23 Infectious hepatitis during pregnancy . . . . . . . 23 Susceptability of pregnant women to viral hepatitis 23 Incidence of hepatitis in relation to stage of pregnancy 25 Mortality from hepatitis during pregnancy . 26 Clinical course of hepatitis during pregnancy . . . . 27 Sequellae from hepatitis during pregnancy . . . . . 28 Child survival from mothers with hepatitis during pregnancy 29 Transplacentar infection with hepatitis virus and incidence of malformation in babies of mothers with hepatitis during pr- nancy. . . . . . . . . . . . . . . . . . . . . . . . . 30 Jaundice in liver cirrhosis during plegnancy . . . . . . . . . 31 Drug-induced intrahepatic cholestasis during pregnancy . . . . 32 Obstructive jaundice due to choledocholithiasis during pregnancy 33 Effect of pregnancy in chronic idiopathic hyperbilirubinemias (Dubin-Johnson syndrome, Rotor syndrome, Gilbert-Meul- gracht syndrome) . . . . . . . . . . .