This becomes very important in women with known oesophageal varices. The diet might require alteration in advanced cirrhosis and following surgery. Pregnancy, the birth and postpartum care should involve a center experienced in dealing with patients with liver diseases, especially oesophageal varices and bleeding complications. Most women with cirrhosis who remain well can anticipate a normal pregnancy and vaginal delivery. Caesarian section sometimes is necessary to avoid a lengthy labor and unnecessary straining.
Extra monitoring can reduce postpartum uterine hemorrhage.
This is the most common cause of jaundice in pregnancy, but jaundice may not be obvious. In the United States, the common causes are hepatitis A, hepatitis B and hepatitis C. Overall, the severity of the illness and outcome are the same as for nonpregnant women. There are no obvious clues that tell someone that he or she has viral hepatitis. Specific blood tests are required for each of the viruses. Most studies show the baby and mother fare well and there is no additional risk of congenital malformations.