Birthing Instincts

#318 Your Cholestasis Questions Answered…Finally!


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Join us as we celebrate the arrival of Stu’s first grandchild, and finally cover a topic that has been highly requested: cholestasis. This is a lesser-known health issue that affects a significant number of pregnant women and usually results in interventions once it is discovered. You'll walk away from this episode with a deeper understanding of cholestasis - from its potential treatments, its impact on the liver, and whether or not it is as scary as it is sometimes portrayed.

We dissect the risks and benefits of various treatments for cholestasis, alongside a poignant story from a listener who was diagnosed with this condition. We don't shy away from examining the harsh realities, but also shed light on the real facts of what different bile levels mean and their corresponding risks. We further delve into the medical model of treating cholestasis, highlighting the need for an individualized approach that takes into account the woman's unique experience and not just the medical perspective.

Not only do we discuss cholestasis, but we also tackle topics like the potential risks of placental pathology and the controversy surrounding forceps usage in childbirth. We pull back the curtain on the medical world, questioning the incentives behind the non-disclosure of placental pathology by hospitals, and revisiting the debate on the induction of labor. This episode is packed with valuable insights, personal stories, and expert advice - an invaluable resource for anyone seeking a comprehensive understanding of cholestasis and its management during pregnancy. Tune in and let's grow together!

  • The Biology of Aging and Fertility
  • Sensitivity of Hands and Feet
  • Reevaluating Induction Practices in Obstetrics
  • Cholestasis in Pregnancy and Risk Factors
  • Preeclampsia Risk in ICP Patients
  • Antepartum Testing in Intrahepatic Cholestasis
  • Likelihood of ICP Recurrence
  • Obstetricians' Approach to Risk and Individuality
  • Respiratory Distress Syndrome in Cholestatic Pregnancies


Episode resources:

  • Statistics: Risk of Stillbirth with Intrahepatic Cholestasis of Pregnancy: What do Bile Acid Concentrations Tell Us?
  • Society for Maternal-Fetal Medicine Consult Series #53: Intrahepatic cholestasis of pregnancy: Replaces Consult #13, April 2011
  • Intrahepatic cholestasis of pregnancy and neonatal respiratory distress syndrome
  • Blyss' Cholestasis Protocol


This show is supported by:

  • LMNT | Go to com/birthinginstincts to get a free sample pack with every order
  • Needed | Use code BIRTHINGINSTINCTS for 20% off your first month or first 3 months of a one-month subscription at com.
  • BIRTHFIT | Go to com and use the code INSTINCTS1 for a discount on the Basics Prenatal program, or INSTINCTS2 for a discount on the Basics Postpartum program.

Connect with Dr. Stu & Blyss:

  • Instagram: @birthinginstincts / @birthingblyss
  • Website: com / birthingblyss.com
  • Email: [email protected]
  • Call-in line: 805-399-0439


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Birthing InstinctsBy Dr. Stuart Fischbein + Midwife Blyss Young

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