&lt;h1 data-section-id=&quot;1yjz5s5&quot; data-start=&quot;153&quot; data-end=&quot;198&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What Is It and What Are the Signs?&lt;/strong&gt;&lt;/span&gt;&lt;/h1&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;200&quot; data-end=&quot;312&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Pregnancy comes with all kinds of changes&amp;mdash;but this one can feel especially frustrating (and important to catch).&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;314&quot; data-end=&quot;527&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;314&quot; data-end=&quot;342&quot;&gt;Cholestasis of pregnancy&lt;/strong&gt; is a &lt;strong data-start=&quot;348&quot; data-end=&quot;367&quot;&gt;liver condition&lt;/strong&gt; that usually shows up in the later stages of pregnancy. Its signature symptom?&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;452&quot; data-end=&quot;487&quot;&gt;Intense itching&amp;mdash;without a rash.&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;314&quot; data-end=&quot;527&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;de5yz1&quot; data-start=&quot;529&quot; data-end=&quot;566&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What&amp;rsquo;s going on inside your body?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;568&quot; data-end=&quot;682&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Your liver produces &lt;strong data-start=&quot;588&quot; data-end=&quot;596&quot;&gt;bile&lt;/strong&gt;, a fluid that helps digest fats. Normally, bile flows smoothly through your system.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;684&quot; data-end=&quot;873&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;But in cholestasis of pregnancy, that flow &lt;strong data-start=&quot;727&quot; data-end=&quot;759&quot;&gt;slows down or gets disrupted&lt;/strong&gt;, causing bile to &lt;strong data-start=&quot;777&quot; data-end=&quot;832&quot;&gt;build up in the liver and leak into the bloodstream&lt;/strong&gt;.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;875&quot; data-end=&quot;912&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;And that&amp;rsquo;s what triggers the itching.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;875&quot; data-end=&quot;912&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;1n5e9g6&quot; data-start=&quot;919&quot; data-end=&quot;946&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;The most common symptom&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;948&quot; data-end=&quot;969&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;The standout sign is:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;973&quot; data-end=&quot;1028&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;973&quot; data-end=&quot;1026&quot;&gt;Severe itching (especially on the hands and feet)&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;1031&quot; data-end=&quot;1057&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Often &lt;strong data-start=&quot;1037&quot; data-end=&quot;1055&quot;&gt;worse at night&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;1060&quot; data-end=&quot;1077&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;No visible rash&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;1079&quot; data-end=&quot;1228&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Some people describe it as a deep, persistent itch that just won&amp;rsquo;t go away&amp;mdash;and can even interfere with sleep.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;1079&quot; data-end=&quot;1228&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;9jj1fa&quot; data-start=&quot;1235&quot; data-end=&quot;1270&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Other symptoms you might notice&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;1272&quot; data-end=&quot;1328&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;While itching is the main clue, other signs can include:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;1332&quot; data-end=&quot;1378&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;1332&quot; data-end=&quot;1376&quot;&gt;Yellowing of the skin or eyes (jaundice)&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;1381&quot; data-end=&quot;1397&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;1381&quot; data-end=&quot;1395&quot;&gt;Dark urine&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;1400&quot; data-end=&quot;1434&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;1400&quot; data-end=&quot;1432&quot;&gt;Pale or light-colored stools&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;1437&quot; data-end=&quot;1449&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;1437&quot; data-end=&quot;1447&quot;&gt;Nausea&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;1452&quot; data-end=&quot;1474&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;1452&quot; data-end=&quot;1472&quot;&gt;Loss of appetite&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;1477&quot; data-end=&quot;1528&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;1477&quot; data-end=&quot;1488&quot;&gt;Fatigue&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;1530&quot; data-end=&quot;1605&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;These symptoms are linked to how bile affects digestion and liver function.&lt;/span&gt;&lt;/p&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;6r0c06&quot; data-start=&quot;1612&quot; data-end=&quot;1643&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;When does it usually start?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;1645&quot; data-end=&quot;1821&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Cholestasis most often appears in the &lt;strong data-start=&quot;1683&quot; data-end=&quot;1702&quot;&gt;third trimester&lt;/strong&gt; (around week 28 or later), when pregnancy hormone levels are at their highest.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;1823&quot; data-end=&quot;1915&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The itching may gradually worsen as your due date approaches&amp;mdash;but here&amp;rsquo;s the reassuring part:&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It usually &lt;strong data-start=&quot;1931&quot; data-end=&quot;1971&quot;&gt;goes away within days after delivery&lt;/strong&gt;.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;1917&quot; data-end=&quot;2012&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;wgwuyd&quot; data-start=&quot;2019&quot; data-end=&quot;2037&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Why it matters&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;2039&quot; data-end=&quot;2129&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;While the itching can be uncomfortable, the bigger concern is how it may affect your baby.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;2131&quot; data-end=&quot;2343&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Higher bile acid levels in your blood can increase the risk of complications, so doctors often monitor the condition closely and may recommend &lt;strong data-start=&quot;2274&quot; data-end=&quot;2292&quot;&gt;early delivery&lt;/strong&gt; if needed.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;2131&quot; data-end=&quot;2343&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;1lh91me&quot; data-start=&quot;2350&quot; data-end=&quot;2368&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Quick takeaway&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;ul&gt;
&lt;li data-start=&quot;2372&quot; data-end=&quot;2418&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;It&amp;rsquo;s a &lt;strong data-start=&quot;2379&quot; data-end=&quot;2416&quot;&gt;pregnancy-related liver condition&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;2421&quot; data-end=&quot;2475&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The main symptom is &lt;strong data-start=&quot;2441&quot; data-end=&quot;2473&quot;&gt;intense itching without rash&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;2478&quot; data-end=&quot;2521&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Usually starts in the &lt;strong data-start=&quot;2500&quot; data-end=&quot;2519&quot;&gt;third trimester&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;2524&quot; data-end=&quot;2568&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Symptoms typically &lt;strong data-start=&quot;2543&quot; data-end=&quot;2566&quot;&gt;resolve after birth&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;2570&quot; data-end=&quot;2673&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Think of it as your body&amp;rsquo;s way of saying:&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&amp;nbsp;&amp;ldquo;Something&amp;rsquo;s off with the bile flow&amp;mdash;let&amp;rsquo;s check it out.&amp;rdquo;&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;2570&quot; data-end=&quot;2673&quot;&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;b94f8g&quot; data-start=&quot;2709&quot; data-end=&quot;2735&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What Causes It?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;2737&quot; data-end=&quot;2780&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;So why does this happen in the first place?&amp;nbsp;&lt;/span&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;The truth is&amp;mdash;it&amp;rsquo;s not caused by just one thing. Cholestasis of pregnancy is usually the result of a &lt;strong data-start=&quot;2882&quot; data-end=&quot;2938&quot;&gt;mix of hormones, genetics, and environmental factors&lt;/strong&gt;.&lt;/span&gt;&lt;/p&gt;
&lt;h4 data-section-id=&quot;pqrrrx&quot; data-start=&quot;2946&quot; data-end=&quot;2980&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;1. Hormones (the main trigger)&lt;/strong&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;p data-start=&quot;2982&quot; data-end=&quot;3075&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;During pregnancy, hormone levels&amp;mdash;especially &lt;strong data-start=&quot;3026&quot; data-end=&quot;3055&quot;&gt;estrogen and progesterone&lt;/strong&gt;&amp;mdash;rise significantly.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;3077&quot; data-end=&quot;3262&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;These hormones can &lt;strong data-start=&quot;3096&quot; data-end=&quot;3141&quot;&gt;slow down the flow of bile from the liver&lt;/strong&gt;, causing it to build up instead of moving normally through the digestive system.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;3264&quot; data-end=&quot;3325&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Think of it like a traffic jam in your body&amp;rsquo;s &amp;ldquo;bile highway.&amp;rdquo;&lt;/span&gt;&lt;/p&gt;
&lt;h4 data-section-id=&quot;isw4j4&quot; data-start=&quot;3332&quot; data-end=&quot;3372&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;2. Genetics (it can run in families)&lt;/strong&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;p data-start=&quot;3374&quot; data-end=&quot;3458&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;If someone in your family has had cholestasis of pregnancy, your risk may be higher.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;3460&quot; data-end=&quot;3628&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Certain gene changes can affect how bile is transported in the liver, making some people more prone to developing the condition.&lt;/span&gt;&lt;/p&gt;
&lt;h4 data-section-id=&quot;1bxp29p&quot; data-start=&quot;3635&quot; data-end=&quot;3663&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;3. Environmental factors&lt;/strong&gt;&lt;/span&gt;&lt;/h4&gt;
&lt;p data-start=&quot;3665&quot; data-end=&quot;3812&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;While not fully understood, factors like &lt;strong data-start=&quot;3706&quot; data-end=&quot;3750&quot;&gt;geographic location or seasonal patterns&lt;/strong&gt; may also play a role.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;3665&quot; data-end=&quot;3812&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;3q829c&quot; data-start=&quot;3819&quot; data-end=&quot;3843&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Who is more at risk?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;3845&quot; data-end=&quot;3907&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;You may have a higher chance of developing cholestasis if you:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;3911&quot; data-end=&quot;3943&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Had it in a previous pregnancy&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3946&quot; data-end=&quot;3990&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Have a &lt;strong data-start=&quot;3953&quot; data-end=&quot;3971&quot;&gt;family history&lt;/strong&gt; of the condition&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;3993&quot; data-end=&quot;4048&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Have existing &lt;strong data-start=&quot;4007&quot; data-end=&quot;4024&quot;&gt;liver disease&lt;/strong&gt; or gallbladder issues&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4051&quot; data-end=&quot;4093&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Are pregnant with &lt;strong data-start=&quot;4069&quot; data-end=&quot;4091&quot;&gt;twins or multiples&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4096&quot; data-end=&quot;4157&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Are age 35 or older&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;1p4pqig&quot; data-start=&quot;4164&quot; data-end=&quot;4204&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;What are the possible complications?&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;4206&quot; data-end=&quot;4304&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;For the mother, complications are usually mild and temporary. But for the baby, risks can include:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;4308&quot; data-end=&quot;4344&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;4308&quot; data-end=&quot;4342&quot;&gt;Preterm birth (early delivery)&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4347&quot; data-end=&quot;4383&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;4347&quot; data-end=&quot;4381&quot;&gt;Breathing problems after birth&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4386&quot; data-end=&quot;4406&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;4386&quot; data-end=&quot;4404&quot;&gt;Fetal distress&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4409&quot; data-end=&quot;4484&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;&lt;strong data-start=&quot;4409&quot; data-end=&quot;4442&quot;&gt;Stillbirth (rare but serious)&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;4486&quot; data-end=&quot;4515&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;That&amp;rsquo;s why monitoring is key.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;4486&quot; data-end=&quot;4515&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;1nugzrn&quot; data-start=&quot;4522&quot; data-end=&quot;4539&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;The good news&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;p data-start=&quot;4541&quot; data-end=&quot;4558&quot;&gt;&lt;span style=&quot;color: #cc99ff;&quot;&gt;&lt;strong&gt;With proper care:&lt;/strong&gt;&lt;/span&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li data-start=&quot;4562&quot; data-end=&quot;4599&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Most pregnancies are managed safely&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4602&quot; data-end=&quot;4659&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Doctors can monitor bile levels with simple blood tests&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4662&quot; data-end=&quot;4713&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Treatment and timing of delivery can reduce risks&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;4715&quot; data-end=&quot;4781&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;And once your baby arrives, your body typically returns to normal.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;4715&quot; data-end=&quot;4781&quot;&gt;&amp;nbsp;&lt;/p&gt;
&lt;h2 data-section-id=&quot;zdqqgt&quot; data-start=&quot;4788&quot; data-end=&quot;4807&quot;&gt;&lt;span style=&quot;color: #ff99cc;&quot;&gt;&lt;strong&gt;Simple takeaway&lt;/strong&gt;&lt;/span&gt;&lt;/h2&gt;
&lt;hr /&gt;
&lt;ul&gt;
&lt;li data-start=&quot;4811&quot; data-end=&quot;4871&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Caused by &lt;strong data-start=&quot;4821&quot; data-end=&quot;4869&quot;&gt;hormones, genetics, and bile flow disruption&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4874&quot; data-end=&quot;4920&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Leads to &lt;strong data-start=&quot;4883&quot; data-end=&quot;4918&quot;&gt;bile buildup in the bloodstream&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;li data-start=&quot;4923&quot; data-end=&quot;4980&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Requires &lt;strong data-start=&quot;4932&quot; data-end=&quot;4978&quot;&gt;monitoring to protect both mother and baby&lt;/strong&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;
&lt;p data-start=&quot;4982&quot; data-end=&quot;5130&quot;&gt;&lt;span style=&quot;color: #99ccff;&quot;&gt;Think of cholestasis of pregnancy as a &lt;strong data-start=&quot;5021&quot; data-end=&quot;5065&quot;&gt;temporary traffic slowdown in your liver&lt;/strong&gt;&amp;mdash;one that needs attention, but is manageable with the right care.&lt;/span&gt;&lt;/p&gt;
&lt;p data-start=&quot;4982&quot; data-end=&quot;5130&quot;&gt;&amp;nbsp;&lt;/p&gt;

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