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Induction of Labour in Intrahepatic Cholestasis of Pregnancy (ICP) has become a common procedure in management of ICP to avoid fetal complications. Surprisingly, this empirical approach has not been evaluated as to delivery complications and fetal outcome as yet. The investigators now examine weather ICP affects (i) delivery procedures chosen, in particular the incidence of caesarian section, (ii)fetal and maternal outcome in induced labor, and (iii)possible impact of bile acids and UDCA treatment in a retrospective cohort study based on approximately 5000 induced deliveries at Danderyd Hospital, Karolinska Institutet, Stockholm. The investigators analyze data on on previous deliveries, BMI, medical history and medical book data. Primary endpoint is the risk of caesarian section.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Induction of labor in ICP | Induction of laborin women with ICP | ||
| Induction of labor in women with no ICP | No ICP | ||
| ICP and spontanius delivery |
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| Measure | Description | Time Frame |
|---|---|---|
| Cesarean section | 32 to 40 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding | 32 to 40 weeks | |
| Abruptio placentae | 32 to 40 weeks | |
| APGAR |
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Inclusion Criteria:
Exclusion Criteria:
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Swedish women affected by ICP delivering at Danderyd Hospital between year 2000-2006.
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| ID | Term |
|---|---|
| D002780 | Cholestasis, Intrahepatic |
| C535932 | Intrahepatic Cholestasis of Pregnancy |
| D011537 | Pruritus |
| ID | Term |
|---|---|
| D002779 | Cholestasis |
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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| 32 to 40 weeks |
| D008107 |
| Liver Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |