Can abnormal liver function lead to pregnancy

Whether patients with abnormal liver function can become pregnant depends on their specific condition. Mild liver dysfunction can usually lead to pregnancy after evaluation by a doctor, while severe liver dysfunction or active liver disease are recommended to postpone pregnancy. Abnormal liver function may be caused by viral hepatitis, fatty liver, drug-induced liver injury, etc., and the cause needs to be determined through liver function tests, ultrasound, etc. Patients with mild liver dysfunction can become pregnant under close monitoring by a doctor if their transaminase levels are mildly elevated and there are no other complications. During pregnancy, it is necessary to regularly check liver function, avoid using hepatotoxic drugs, and maintain a low-fat, high protein diet. Common causes such as intrahepatic cholestasis of pregnancy can usually recover on their own after delivery, but caution should be taken to avoid worsening symptoms such as itching and jaundice. Severe liver dysfunction, such as decompensated cirrhosis and active acute hepatitis, poses a higher risk of pregnancy and may lead to complications such as liver failure and postpartum hemorrhage. Patients of this type should prioritize treatment of the primary disease and wait until liver function stabilizes before considering pregnancy. Patients with viral hepatitis also need to assess the risk of mother to child transmission and, if necessary, receive antiviral therapy to block it. Patients with liver dysfunction who plan to conceive should undergo pre pregnancy counseling, complete hepatitis virus screening, liver ultrasound, and other examinations in advance. During pregnancy, it is necessary to increase the frequency of prenatal check ups and avoid high-fat diets and excessive fatigue. If symptoms such as nausea, vomiting, worsening, and yellowing of the skin occur, seek medical attention immediately. Postpartum monitoring of liver function should continue, and medication during lactation should strictly follow medical advice.

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