What is the cause of high alanine aminotransferase in pregnant women?

Pregnancy is a special period for women, because at this time, the development of both the pregnant woman and the fetus needs to be paid full attention. There will be some high nutrients, one of which is high alanine aminotransferase. When this happens, the family of the pregnant woman wants to know if anything will happen to the pregnant woman when the alanine aminotransferase is high?

During pregnancy, a small number of pregnant women will have elevated transaminase levels, which is common in pregnant women with severe early pregnancy reactions (but some pregnant women do not have any early pregnancy reactions and their transaminase levels will also be elevated). Generally, only the transaminase level is elevated, and other parameters are within the normal range. In this case, the doctor will ask the pregnant woman whether she has nausea, vomiting, upper abdominal discomfort, etc., and will also perform liver palpation and percussion. At the same time, he will understand the results of routine tests during pregnancy, namely the hepatitis A, hepatitis B, and hepatitis C antibody tests. If the pregnant woman does not feel uncomfortable, the liver is not large, and there is no percussion pain, and the hepatitis A, hepatitis B, and hepatitis C antibodies are all (-), then the doctor will prescribe some liver-protecting drugs for treatment or no medication. When the liver function is re-examined, the transaminase levels of many pregnant women are normal.

However, if the transaminase level continues to not decrease, or instead increases, or other liver function tests show abnormalities, further examinations should be conducted, including viral hepatitis markers, such as hepatitis A, B, C, D, E, and G antibodies or virus tests, liver and gallbladder B-ultrasound, etc., to understand the cause of the abnormal transaminase level. If necessary, other tests should be performed, such as blood ammonia and bile, coagulation function tests, etc.

Comments and suggestions: Common liver diseases during pregnancy include acute and chronic viral hepatitis, acute fatty liver of pregnancy, intrahepatic cholestasis of pregnancy, liver damage caused by pregnancy-induced hypertension or infection, HEUP syndrome, biliary tract disease, rare cirrhosis, liver cancer, etc. Therefore, even if liver function is normal in early pregnancy, liver function tests should be performed at any time if symptoms such as vomiting, nausea, upper abdominal discomfort, or other diseases that damage the liver occur.

During pregnancy, there are many things that require family members to know and understand in order to ensure the development of the child and the health of the pregnant woman. At the same time, if a pregnant woman's alanine aminotransferase level is high, don't panic. Go to the hospital for examination and treatment in time. I believe there will be no problem.