High ALT in mid-pregnancy

Women must take good care of their bodies during pregnancy, strengthen nutrition, have regular prenatal checkups, avoid excessive fatigue, and exercise more appropriately. Some pregnant women have high alanine aminotransferase levels. Alanine aminotransferase is more sensitive to liver damage. Many pregnant women worry that they will have elevated alanine aminotransferase levels, which makes them very worried about the adverse effects on the health of the fetus. What effect does high alanine aminotransferase in mid-pregnancy have on the fetus? Let’s take a look at it next.

1. What impact does high alanine aminotransferase in mid-pregnancy have on the fetus?

Alanine aminotransferase is very sensitive to substantial liver damage, so it is also regarded as an important indicator of liver function test. Clinically, many pregnant women will have elevated alanine aminotransferase, which makes expectant mothers very worried, fearing that it will have an adverse effect on the health of the fetus. Although alanine aminotransferase is the most sensitive indicator of liver damage, high alanine aminotransferase in pregnant women is not necessarily caused by liver damage. As for the harm of high alanine aminotransferase in pregnant women to the fetus, it needs to be analyzed based on more comprehensive examination results. Generally speaking, there are two reasons why pregnant women have high alanine aminotransferase:

1. Physiological reasons: Pregnant women with severe early pregnancy reactions (nausea, vomiting, upper abdominal discomfort, etc.) will experience elevated alanine aminotransferase. Due to changes in endocrine function and increased blood flow throughout the body, the functional burden of the liver increases. In addition, the liver is compressed by the enlarged uterus and liver circulation is also affected, which may lead to elevated alanine aminotransferase. Generally speaking, the elevated alanine aminotransferase levels caused by this reason will not cause harm to the fetus.

2. Pathological reasons: If the alanine aminotransferase of a pregnant woman is persistently high and is significantly different from the normal value, and she also has symptoms such as fatigue, drowsiness, rough skin, night blindness, inflammation of the lips and tongue, and bleeding gums, then it is necessary to consider the possibility of hepatitis, especially viral hepatitis. The high alanine aminotransferase caused by this reason will affect the development of the fetus and cause harm. If effective measures are not taken in time for treatment, it will also endanger the life of the pregnant woman.

The impact of high alanine aminotransferase in pregnant women on the fetus needs to be analyzed based on the specific situation. Doctors point out that for pregnant women whose alanine aminotransferase is elevated due to physiological reasons, other indicators such as liver function are generally within the normal range. Therefore, if you want to determine the cause of high alanine aminotransferase in pregnant women, you must go to a regular liver disease hospital for a comprehensive examination. Do not blindly use enzyme-lowering drugs to avoid affecting the health of the fetus.

2. Why does high alanine aminotransferase in pregnant women occur?

1: Physiologically, pregnant women have high transaminase levels. During pregnancy, changes in endocrine function and an increase in blood flow throughout the body cause elevated transaminase levels in pregnant women and an increased burden on liver function. This is why pregnant women have high transaminase levels.

2: Failure to pay attention to medication and diet can lead to high transaminase levels in pregnant women. When pregnant women are undergoing transaminase tests, eating food or taking medications may cause an increase in transaminase levels in their serum.

3: Various diseases cause liver cell damage, resulting in high transaminase levels in pregnant women.

4: If pregnant women do not pay attention to rest during pregnancy and are too tired, it may also be the reason for high transaminase levels in pregnant women.

5: When pregnant, the endocrine function changes and the blood flow in the whole body increases, and the burden on liver function also increases.

6: High transaminase levels in pregnant women caused by liver cell damage.

7: Fatigue and strenuous exercise can also cause high transaminase levels in pregnant women.

3. The harm of high alanine aminotransferase in pregnant women

Pregnant mothers often experience elevated transaminase levels (the reason why pregnant women have high alanine aminotransferase levels). Don't be overly nervous, because transaminase levels will be slightly higher than usual during pregnancy. However, if they continue to rise, or if the transaminase levels exceed the normal value by a lot, the expectant mother must pay attention. The hazards of high alanine aminotransferase caused by physiological and pathological factors are as follows:

1. The hazards of physiological high transaminase in pregnant women:

Don't worry too much about this situation. It is usually caused by improper diet. Just pay attention to your daily diet.

2. The hazards of pathologically high transaminase in pregnant women:

This situation is mostly caused by hepatitis B, which is generally caused by liver cell damage. It is necessary to go to the hospital for examination and treatment in time. Otherwise, the condition will worsen further and may affect the health of the fetus.

Experts remind: High transaminase levels in pregnant women with hepatitis B can cause persistent hepatitis, active chronic hepatitis, compensated cirrhosis, obstructive jaundice, acute rheumatic fever, myocardial infarction and other diseases. Therefore, if a pregnant woman with hepatitis B has high alanine aminotransferase, she should pay attention, because it may be caused by physiological or pathological reasons, and she needs to go to the hospital for examination in time.