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Pregnancy and childbirth in women with autoimmune hepatitis is safe, even in compensated cirrhosis
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Department of Medicine, Sections for Hepatology and Gastroenterology, Sahlgrenska University Hospital at Östra Sjukhuset, Gothenburg, Sweden .
Department of Medicine, Sections for Hepatology and Gastroenterology, Örebro University Hospital, Örebro, Sweden.
Department of Medicine, Sections for Hepatology and Gastroenterology, Karolinska University Hospital, Stockholm, Sweden.
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2016 (English)In: Scandinavian Journal of Gastroenterology, ISSN 0036-5521, E-ISSN 1502-7708, Vol. 51, no 4, 479-485 p.Article in journal (Refereed) PublishedText
Abstract [en]

Introduction: Autoimmune hepatitis (AIH) is a liver disease that primarily affects women. Many become ill during childbearing age, and medication can be lifelong. Few studies exist on pregnancy outcome in women with AIH. 

Objectives: The aim was to assess the outcome of women with AIH and their children during pregnancy and postpartum.

Materials and methods: Sixty-four women from a well-characterised cohort with AIH filled out a questionnaire with information about their disease, miscarriage/abortion, pregnancies and potential birth defects in 2012. In 2004, 106 women answered the same questionnaire and their results were analysed along with the new questionnaires. 

Results: One hundred and thirty-eight women have completed the questionnaire and 100 children have been born by 58 women. Fifty-seven women (41%) had cirrhosis. In 84% of the pregnancies, the AIH was stable or milder, 32% had an increase in activity postpartum. The proportion of preterm births (before week 38) was 22%, caesarean sections 17%, malformations 3%, and two children died. Twenty-three women with cirrhosis had children after diagnosis of cirrhosis but without more complications than for non-cirrhotic mothers. However, they did have a higher prevalence of caesarean sections. 

Conclusion: Pregnancy and childbirth in AIH appear to be safe for both child and mother, even in women with compensated liver cirrhosis.

Place, publisher, year, edition, pages
Taylor & Francis, 2016. Vol. 51, no 4, 479-485 p.
Keyword [en]
Abortion, autoimmune, hepatitis, liver cirrhosis, pregnancy, pregnancy outcome, spontaneous
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:umu:diva-116729DOI: 10.3109/00365521.2015.1115893ISI: 000368696900013OAI: oai:DiVA.org:umu-116729DiVA: diva2:904850
Available from: 2016-02-19 Created: 2016-02-11 Last updated: 2016-02-23Bibliographically approved

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Danielsson Borssén, ÅsaWerner, Mårten
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