GOLD Learning Speakers

Intrahepatic Cholestasis of Pregnancy (ICP) is a complex liver disease which typically presents in the third trimester of pregnancy. Symptoms generally manifest as pruritus in the palms of the hands and soles of the feet, and can be more accurately confirmed with the presence of abnormal liver function lab results and elevated serum bile acid levels. ICP in itself is generally not harmful for the mother, but poses an increased risk of complications to the fetus in severe cases. This evidence-based session reviews the clinical presentation and diagnosis of ICP and makes recommendations to the holistic preventative support of at-risk clients as well as the holistic treatment of clients with mild ICP in an out-of-hospital setting. Additionally, this session will discuss parameters of the midwifery scope related to ICP and the potential need for collaboration, referral, and transfer of care.