Jaundice suggests liver disease, but many people never notice jaundice. Also, other signs and symptoms of liver disease are not always obvious. Autoimmune chronic active hepatitis Prednisolone and azathioprine have improved fertility and prognosis and should be continued in conventional doses without excess risk to the baby. Women should look out for urinary infections and hypertension. A pregnant woman with suspected cirrhosis and its complications, such as portal hypertension, requires full investigation.
Upper endoscopy is safe in expert hands.
Vitamin K1 supplements should be given throughout pregnancy and before delivery because the liver produces many factors which help blood to clot, and some aspects of clotting depend on adequate amounts of this vitamin. This can happen in pregnancy and soon after delivery. Women taking drugs, such as beta blockers, should seek specialist advice regarding the benefits and risks of all medical prescriptions and other options, such as sclerotherapy. No alcohol is the best option during pregnancy Complete abstinence from alcohol throughout pregnancy is recommended commencing before conception. Many of the harmful effects of alcohol occur before the second month of pregnancy, a time when many women are not aware that they have conceived.