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

Hello,

Welcome to icliniq.com.

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.

Hello,

Welcome back to icliniq.com.

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.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Arpit Varshney

Experience: 6 + Yrs

General Medicine

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