155: Itchy Palms in Pregnancy? Intrahepatic Cholestasis (ICP) Explained + When Delivery Is Recommended

Roxanne breaks down Intrahepatic Cholestasis of Pregnancy (ICP) —a pregnancy-specific liver condition (about 2–3% of pregnancies) where bile acids build up in the bloodstream, often causing intense itching on palms/soles with no rash. She reviews other possible symptoms (jaundice, dark urine, light stools, fatigue, right upper quadrant pain), how diagnosis is made with symptoms plus bile acid labs (and sometimes liver enzymes), and how treatment depends on bile acid levels. Roxanne discusses options such as meds to lower bile acids and improve itching, fetal monitoring (NSTs/BPPs), and sometimes induction as early as 36 weeks—especially if bile acids are over 100. She explains baby risks (preterm birth, respiratory distress, stillbirth), including stillbirth rates. ICP usually resolves after birth but can recur (40–60%).Links for non stress test and biophysical profile breakdowns:NST: https://youtu.be/Bl-Q-GBHGLEBPP: https://youtu.be/r-holR0V4u000:00 Welcome and Overview00:16 Meet the Hosts01:04 ICP Symptoms and Why It Matters01:29 What ICP Is in the Liver02:15 Risks for Mom and Baby03:32 Other Signs and Diagnosis04:22 Treatment and Monitoring Plan05:24 Bile Acid Levels and Induction Timing06:49 Stillbirth Risk Numbers Explained09:08 Quick ICP Recap11:20 After Birth and Future Pregnancies11:59 Questions, Course, and Wrap-Up————Get Your Copy of Training for Two on Amazon: https://amzn.to/3VOTdwH📧 Download our free birth prep circuit guide with six exercises to prepare your body for birth: https://mamastefit.com/freebies/prepare-for-birth-circuit/Prepare for your birth with MamasteFit:💻 Online Childbirth Education Courses🏋🏻‍♀️ Online Prenatal Fitness Programming🧘‍♀️ Prepare Your Pelvic Floor for Birth CourseExplore our prep for birth courses: https://mamastefit.com/prenatal-support3rd Trimester Specific Prep Courses: https://mamastefit.com/fitness-programs/third-trimester/-------Freebies to Support Your Postpartum:📩 Join our free early postpartum recovery course: https://mamastefit.com/freebies/early-postpartum-recovery/—-Recover after birth and return to fitness with MamasteFit: https://mamastefit.com/fitness-programs/postpartum/💻 Postpartum Education Courses🏋🏻‍♀️ Postpartum Fitness Programs——Follow Us on IG at https://instagram.com/mamastefit—— ****Freebies*****Early postpartum recovery course: https://mamastefit.com/freebies/early-postpartum-recovery-guide/ Postpartum sample: https://mamastefit.com/freebies/postpartum-fitness-guide/Prenatal Sample: https://mamastefit.com/freebies/prenatal-fitness-program-guide/Pelvic Floor https://mamastefit.com/freebies/prepare-your-pelvic-floor-for-labor/Birth Prep for Labor Guide https://mamastefit.com/freebies/prepare-for-labor-guide/Birth Partner Guide https://mamastefit.com/freebies/birth-partner-guide/Birth Plan https://mamastefit.com/freebies/birth-plan-guide/