A 29-year-old woman at 36 weeks of gestation presents to the GP with generalised itch. She has no rash. Her bile acids return at 42 µmol/L and ALT is ...

Question

A 29-year-old woman at 36 weeks of gestation presents to the GP with generalised itch. She has no rash. Her bile acids return at 42 µmol/L and ALT is 95 U/L. According to RCOG GTG No. 43, how does this bile acid level influence the timing of delivery?

Accepted Answer

Bile acids ≥100 µmol/L warrant consideration of earlier delivery (at 35-36 weeks); bile acids 40-99 µmol/L warrant delivery planning from 37 weeks

Answer

Delivery should be deferred until 40 weeks regardless of bile acid levels

Answer

Delivery should occur immediately regardless of gestation

Answer

Bile acid levels do not influence delivery timing

Answer

Delivery should be at 34 weeks for any bile acid elevation

uk-drcog MCQ (SBA): OC Delivery Timing by Bile Acid Level

A 29-year-old woman at 36 weeks of gestation presents to the GP with generalised itch. She has no rash. Her bile acids return at 42 µmol/L and ALT is 95 U/L. According to RCOG GTG No. 43, how does this bile acid level influence the timing of delivery?