twinutero

ICP is intrahepatic cholestasis of pregnancy. It’s a condition that can develop in the mother when bile flow within the liver is blocked. It usually occurs in the third trimester and the main symptom is intense itching. ICP is not dangerous for the mother but can be very dangerous, even fatal, for the baby. Early delivery is usually recommended. ICP occurs more frequently in multiple births, and is likely to recur in subsequent pregnancies.

I was diagnosed with ICP in my first pregnancy with Thomas. At about 35 weeks gestation, I started scratching. I would scratch my palms, lower legs and feet all day – and sometimes during the night to the point of bleeding. My doctor did not think there was a problem, but I (as patients do) researched online and made my own diagnosis of ICP. That was confirmed with blood tests.

As a result, Thomas was induced at 40 weeks. It was his “due date” but he was clearly not ready to greet the world. The induction was long - long - and very painful. I don’t think it was the best for Thomas or for me (or my husband who helped us through it). Failing to induce, however, could have been much, much worse.

Because ICP is recurrent and more likely in multiple pregnancies, I expected its return when carrying Alex and Jon. Sure enough, at the beginning of the third trimester, I started to itch and was diagnosed with early ICP. I was doing all I could to prevent pre-term delivery of the twins and I did not want ICP to result in another induction.

So I started drinking fresh lemon juice every morning. This is a naturopathic treatment for the liver in general. I figured it couldn’t hurt for ICP either. Every morning before eating or drinking anything else, I’d squeeze a full lemon into a glass and add about an inch of water, and down it. I’d wait an hour before eating.

There’s no medical evidence for this treatment (that I know of) but my weekly blood tests showed that my liver function had improved. In fact, my bile acid and liver enzyme levels returned to normal. The nurse commented that she never before seen such a reversal.

With all symptoms gone, I let up on the lemon juice. ICP returned. I went back on the lemon juice and managed to keep ICP in check until 38 and a half weeks when the twins were born.

To emphasize, I have no proof that lemon juice stalls ICP, and it is definitely not a substitute for medical attention. But as my nurse said, it can’t hurt and if it helps so much the better for you and your baby.

Check these links for more information.
Itchy Moms
Mayo Clinic