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Acute Liver Failure in Pregnancy - How Can It Be Managed?

Dr. Usha Subrahmanyam 95% (575 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DGO
Gynaecologist, Pune  •  28 years experience
Acute Liver Failure in Pregnancy - How Can It Be Managed?

Pregnancy is a time when your body undergoes a plethora of changes, both emotionally and physically. In such a situation, an acute liver failure only triggers further complications, threatening to affect both the mother and the fetus. The ambit of liver diseases range from mild complications to those that can be life threatening. Acute liver failure or ALF, as it is commonly known as in medical parlance is a condition which is caused when then there is a sudden impairment of the ability of the blood to clot. In spite of the erratic nature of the ailment and its ability to affect anybody with a complete disregard of the individual's pre-existing history of liver problems, there are certain causes that are said to propel it.

Some of them are

  1. Eclampsia with liver infarction: This is an extremely rare condition. Generally, eclampsia refers to the occurrence of convulsions in pregnant women, mostly in those who suffer from high blood pressure. Those women who suffer from eclampsia along with liver infarction are more susceptible to have a liver failure.
  2. Hepatic rupture: Much like eclampsia, hepatic rupture is also caused in women who have high blood pressure. This heightens the risk of an impending liver failure in pregnant women.
  3. Fatty liverSometimes excess of fat develops in the liver deterring its functioning. This is not only detrimental to your health but also poses a great danger in triggering a liver failure.

In spite of these, there have been multiple treatments which have developed to manage and curb it. Some of them are-

  1. Remedial measure for coagulationThe inability of blood to clot blood is known as coagulation failure which is extremely fatal and one of the primary causes that leads to liver failure. Therefore timely and potent intervention of medicine is important to prevent that and in turn diminish the possibility of liver failure.
  2. Volume replacement: Volume replacement refers to the condition where fluids are replenished into the body, those that were lost but at the same time are mandatory for the proper functioning of the body.

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