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17.3 Pregnancy Occurring in Chronic Liver Disease page 553 Pregnancy is unusual in patients with chronic liver disease. Fertility becomes nearly normal when cirrhosis is well compensated or the active liver disease improves with appropriate therapy (e.g., autoimmune hepatitis on steroids). The plump wife degree of hepatic impairment determines the risk for the mother during the pregnancy. Hemorrhage from esophageal varices plump wife is the plump wife most significant complication of cirrhosis in pregnancy. The increased blood volume and flow through the azygous system that are a part of any normal pregnancy raise the pressure in the esophageal veins; in established cirrhosis this increases variceal size and the likelihood of bleeding. 17.4 Liver Diseases Unique to Pregnancy page 553 17.4.1
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