Liver Transplantation and Pregnancy

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    05-Jan-2016
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Acute fatty liver of pregnancy (AFLP) is a rare, potentially fatal complication that occurs in the third trimester or early postpartum period

Transcript of Liver Transplantation and Pregnancy

Liver transplant and pregnancy

PREGNANCY OUTCOME AFTER LIVER TRANSPLANT Gen.Dr Amgad .M.G. Moustafa , MSc,FRCOG.Head of Obstetrics and Gynecology department International Medical Center

When we have to manage a liver problem with pregnancy ?IS IT BAD NEWS ?

HELLP syndrome

HELLP syndrome was named by Dr. Louis Weinstein in 1982 after its characteristics:H(hemolysis, which is the breaking down of red blood cells)EL(elevated liver enzymes)LP(low platelet count)The global mortality rate of HELLP syndrome has been reported to be as high as 25%.

Acute fatty liver of pregnancy (AFLP) is a rare, potentially fatal complication that occurs in the third trimester or early postpartum periodThe mortality from AFLP is approximately 18% and deaths are usually secondary to sepsis, renal failure, circulatory collapse, pancreatitis or gastrointestinal bleeding

Viral hepatitis with pregnancy virus A,B,C,D,E Acute viral hepatitis ( Virus E ) during pregnancy is associated with 20-30 % mortality .Child-Pugh classification(Child-Turcotte-Pugh score)Measure1 point2 points3 pointsTotal bilirubin, mol/l (mg/dl)3)Serum albumin, g/dl>3.52.8-3.5