My wife is pregnant, and her triglycerides are high. What should we do?

Q. How to manage the high lipid profile of my pregnant wife?

Answered by
Dr. Arpit Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Oct 01, 2022

Hi doctor,

My wife is expecting and had her lipid profile done two days ago. And her triglycerides were found to be 781. What should we do?



Welcome to

I understand your concern.

First, I would like to know if she has had a problem with her lipid profile before her pregnancy or if this is the first time she has been diagnosed with it. If she had cholesterol before pregnancy, there is a genetic cause, and she will need to take lifelong medications. If it has been diagnosed now, then its pregnancy related. However, since she is pregnant, she cannot be given medicines to control cholesterol and triglycerides because these medicines are contraindicated in pregnancy. You need to control cholesterol and triglycerides through dietary and physical activity measures. Avoid spicy oily content in her diet and increase her physical activity. Start normal walking daily for half an hour a day.

Once her delivery is done, we will start her cholesterol and triglyceride medicines and monitor her lipid profile every month. So, continue taking Aspirin for the next six weeks (till delivery) to keep blood thin and avoid clotting complications. As soon as the delivery is over, please follow up, and we will schedule another lipid profile and start the medications. We need to ensure that these cholesterol medicines do not affect the baby.

Hi doctor,

Thank you for the reply.

No, she had no lipid-related issues before pregnancy. This is the first time that it has been discovered. Because there was an itching problem, LFT was performed, and the SGOT and SGPT were slightly higher at the time. As a result, the tablet Udiliv was prescribed, and for anemia, she takes the Orofer tablet. Before the test, the doctor stated that the tablet Aspirin would be discontinued by this month.



Welcome back to

I understand your concern.

Tablet Udiliv (Ursodeoxycholic Acid) can be discontinued once LFT (Liver function tests) has returned to normal. She can also continue to take the tablet Orofer (Folic Acid) for anemia. Because of the increased risk of clotting issues in pregnancy associated with high cholesterol, taking tablet Aspirin (acetylsalicylic acid) should be continued until the end of the pregnancy. And as I previously stated, medication for high cholesterol will be initiated following delivery.

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