Modificările hepatice în timpul sarcinii şi monitorizarea gravidei în asistenţa medicală primară

During pregnancy, anatomical and functional changes occur in all organs and systems of the body. The family doctor evaluates the morphofunctional changes in the liver and bile ducts throughout the pregnancy. These mor­pho­lo­gical and functional changes have often no cli­ni­cal expression. Morphofunctional changes in the liver and bile ducts cause changes in laboratory tests results. The family doctor has an important role in assessing the preg­nant woman and in diagnosing liver and bile ducts pathology early. It is necessary to identify and monitor the risk fac­tors for liver damage: acute fatty liver during pregnancy, intra­hepatic cholestasis, cholelithiasis, he­pa­titis A, B, C, E. The active monitoring for the asses­sment of suspected hepa­to­biliary disease involves the medical his­tory and a systematic clinical exa­mi­nation, as well as diagnostic testing to exclude other causes.