Table 1:
Sign, symptom, laboratory abnormality | Normal pregnancy | Liver dysfunction | Parturient with liver dysfunction |
---|---|---|---|
Glucose | − | −, then ↓ | −, then ↓ |
Lactate | − | ↑ | ↑ |
AST | − to ↓ | ↑ | ↑ |
ALT | − to ↓ | ↑ | ↑ |
ALP | − to ↓ | ↑ | ↑ |
GGT | − | ↑ | ↑ |
Bilirubin and jaundice | − | ↑ | ↑ |
Estrogen | ↑ | ↑ | ↑↑ |
Progesterone | ↑ | ↑ | ↑↑ |
Albumin | ↓ | ↓ | ↓↓ |
Coagulation factors | − to ↑ | ↓/↑ | ↑/↓ |
CO2 | ↓ | ↓ | ↓ |
ALP: alkaline phosphatase; ALT: alanine aminotransferase; AST: aspartate aminotransferase; CO2: carbon dioxide; GGT: gamma glutamyl transferase; − normal; ↓ decreased; ↑ increased; ↑/↓ mixed.