{"id":86297,"date":"2026-01-13T09:24:43","date_gmt":"2026-01-13T08:24:43","guid":{"rendered":"https:\/\/heloa.app\/?p=86297"},"modified":"2026-01-13T09:24:43","modified_gmt":"2026-01-13T08:24:43","slug":"intrahepatic-cholestasis-of-pregnancy","status":"publish","type":"post","link":"https:\/\/heloa.app\/en\/blog\/pregnancy\/health\/intrahepatic-cholestasis-of-pregnancy","title":{"rendered":"Intrahepatic cholestasis of pregnancy (icp): symptoms, risks, and care"},"content":{"rendered":"<p><strong>Intrahepatic cholestasis of pregnancy<\/strong> can start with something that feels &#8220;small&#8221; but becomes impossible to ignore: itching. Not the mild, dry-skin itching many women get in late pregnancy\u2014this one often feels deep, relentless, and worse at night, especially on the palms and soles. You may look at your skin and think, &#8220;Why is it itching so much when there&#8217;s no rash?&#8221;<\/p> <p>Because <strong>Intrahepatic cholestasis of pregnancy<\/strong> is a liver condition, not a skin condition. And it matters because the key marker\u2014raised bile acids in the blood\u2014can be associated with higher risks for the baby. So the plan is not guesswork. It is blood tests, trend-following, symptom control, and careful birth planning.<\/p> <h2 id=\"intrahepaticcholestasisofpregnancywhatitisandwhyitmatters\">Intrahepatic cholestasis of pregnancy: what it is and why it matters<\/h2> <h3 id=\"whatintrahepaticcholestasisofpregnancyicpmeans\">What intrahepatic cholestasis of pregnancy (ICP) means<\/h3> <p><strong>Intrahepatic cholestasis of pregnancy<\/strong> (ICP), also called obstetric cholestasis, is a pregnancy-related liver disorder where <strong>bile flow<\/strong> slows down. Bile is made by the liver and helps digest fats. When bile does not flow out properly, its components\u2014especially <strong>bile acids<\/strong>\u2014build up in the bloodstream.<\/p> <p>That explains the classic symptom. Circulating bile acids can irritate nerve endings in the skin, so the body &#8220;shows&#8221; a liver imbalance through intense itching.<\/p> <p>The important point: diagnosis and risk assessment depend on blood levels of bile acids, not only on how itchy you feel.<\/p> <h3 id=\"whenitusuallystartsandwhyitimprovesafterbirth\">When it usually starts and why it improves after birth<\/h3> <p><strong>Intrahepatic cholestasis of pregnancy<\/strong> usually begins in late second trimester or third trimester\u2014often after 28 weeks, though earlier onset is possible.<\/p> <p>Why late pregnancy? Oestrogen and progesterone metabolites peak and can interfere with bile transport out of liver cells in women who are genetically susceptible.<\/p> <p>After delivery, hormone levels drop quickly. Bile flow recovers, itching often eases within days, and bile acids\/liver enzymes usually return towards normal over the next days to weeks.<\/p> <h3 id=\"howitdiffersfromnormalpregnancyitch\">How it differs from &#8220;normal pregnancy itch&#8221;<\/h3> <p>Many pregnant women itch due to stretched skin, heat, sweating, or dryness. In <strong>Intrahepatic cholestasis of pregnancy<\/strong>, features that raise suspicion include:<\/p> <ul> <li>Intense, persistent itching, often worse at night<\/li> <li>Palms and soles commonly affected<\/li> <li>No primary rash at the beginning (scratch marks appear later)<\/li> <li>Blood tests showing elevated bile acids (sometimes with raised liver enzymes)<\/li> <\/ul> <h2 id=\"howcommonisintrahepaticcholestasisofpregnancy\">How common is intrahepatic cholestasis of pregnancy?<\/h2> <p><strong>Intrahepatic cholestasis of pregnancy<\/strong> is uncommon overall, but rates vary by region and population.<\/p> <p>In India, exact prevalence varies by study and setting, and may be under-reported because itching is sometimes dismissed as &#8220;normal&#8221;. Globally, figures often cited range from about 0.1\u20131% in many European settings to higher rates in specific populations.<\/p> <h2 id=\"symptomsparentsmaynotice\">Symptoms parents may notice<\/h2> <h3 id=\"thetypicalitchingpattern\">The typical itching pattern<\/h3> <p>The classic itch in <strong>Intrahepatic cholestasis of pregnancy<\/strong> is often described as:<\/p> <ul> <li>Starting on the palms and soles, then spreading to arms, legs, trunk<\/li> <li>Becoming worse in the evening or at night (nocturnal itching)<\/li> <li>Occurring without a rash at first (skin looks normal until you scratch)<\/li> <\/ul> <p>If you are awake at 2 a.m. rubbing your hands and feet against bedsheets, you are describing a common ICP story.<\/p> <h3 id=\"whyitchingwithoutarashmatters\">Why &#8220;itching without a rash&#8221; matters<\/h3> <p>In <strong>Intrahepatic cholestasis of pregnancy<\/strong>, skin can look normal initially. Visible signs are usually <strong>excoriations<\/strong> (scratch marks) later.<\/p> <p>This detail helps clinicians separate ICP from other pregnancy skin conditions that typically do show a primary rash, such as:<\/p> <ul> <li>Atopic eruption\/eczema (dry inflamed patches)<\/li> <li>Urticaria (raised welts)<\/li> <li>PUPPP (itchy bumps starting on the abdomen, often on stretch marks)<\/li> <li>Pemphigoid gestationis (can blister, often near the belly button)<\/li> <\/ul> <p>If you develop a clear rash, the diagnosis may need re-checking.<\/p> <h3 id=\"otherpossiblesigns\">Other possible signs<\/h3> <p>Not everyone has these, but <strong>Intrahepatic cholestasis of pregnancy<\/strong> can also come with:<\/p> <ul> <li>Jaundice (yellowing of eyes\/skin, uncommon)<\/li> <li>Dark urine<\/li> <li>Pale stools<\/li> <li>Marked fatigue and irritability from sleep loss<\/li> <\/ul> <p>If stools become pale or you bruise easily, clinicians may consider fat-soluble vitamin absorption issues (especially vitamin K) and check clotting tests.<\/p> <h3 id=\"whentoseekcare\">When to seek care<\/h3> <p>During the second or third trimester, <strong>night-time itching\u2014especially on hands and feet\u2014should be reported promptly<\/strong>.<\/p> <p>Also contact your maternity unit urgently if you notice:<\/p> <ul> <li>Reduced fetal movements<\/li> <li>Yellow eyes\/skin<\/li> <li>Rapidly worsening itching<\/li> <li>Dark urine, pale stools<\/li> <li>Fever, severe abdominal pain, severe headache, visual changes<\/li> <\/ul> <h3 id=\"howtoexplainsymptomstoyourclinician\">How to explain symptoms to your clinician<\/h3> <p>Good symptom description speeds up the right testing. Share:<\/p> <ul> <li>Which week itching started and whether it is worsening<\/li> <li>Where it is strongest (palms\/soles or generalised)<\/li> <li>Night-time severity and sleep impact<\/li> <li>Whether there is a rash or only scratch marks<\/li> <li>Any jaundice, dark urine, pale stools<\/li> <li>New medicines\/supplements or recent illness<\/li> <\/ul> <h2 id=\"whybileacidsriseinintrahepaticcholestasisofpregnancy\">Why bile acids rise in intrahepatic cholestasis of pregnancy<\/h2> <h3 id=\"whatbileacidsdo\">What bile acids do<\/h3> <p>Bile acids are made in the liver from cholesterol. They help break down fats in the gut. Most are reabsorbed and recycled\u2014this is called <strong>enterohepatic circulation<\/strong>.<\/p> <h3 id=\"whytheyriseinicp\">Why they rise in ICP<\/h3> <p>In <strong>Intrahepatic cholestasis of pregnancy<\/strong>, the liver\u2019s export of bile acids into bile is reduced. Late-pregnancy hormones can disrupt transporter proteins. Genetics increases susceptibility.<\/p> <h3 id=\"whatmaydriveicp\">What may drive ICP<\/h3> <p><strong>Intrahepatic cholestasis of pregnancy<\/strong> is multifactorial:<\/p> <ul> <li><strong>Hormones:<\/strong> high oestrogen\/progesterone metabolites can impair bile transport<\/li> <li><strong>Genetic susceptibility:<\/strong> variants in transporter genes have been linked (ABCB11, ABCB4, ATP8B1, NR1H4, ABCC2)<\/li> <li><strong>Higher hormone exposure:<\/strong> multiple pregnancy and IVF\/assisted reproduction are reported more often<\/li> <li><strong>Season\/nutrition hypotheses:<\/strong> winter peaks and micronutrients (vitamin D, selenium) have been discussed, but prevention is not proven<\/li> <\/ul> <p>If you have gallstones, hepatitis, or other liver issues, your clinician will check carefully rather than assuming it is ICP.<\/p> <h2 id=\"diagnosisandtests\">Diagnosis and tests<\/h2> <h3 id=\"corecriteriaitchingplusraisedbileacids\">Core criteria: itching plus raised bile acids<\/h3> <p>Diagnosis usually relies on:<\/p> <ul> <li>Pruritus (often without a primary rash)<\/li> <li>Elevated serum bile acids (often &gt;10 \u00b5mol\/L in clinical practice)<\/li> <\/ul> <p>Because ICP is a diagnosis of exclusion, other liver and pregnancy conditions may be ruled out.<\/p> <h3 id=\"serumbileacidsthekeytest\">Serum bile acids: the key test<\/h3> <p>Bile acids help confirm <strong>Intrahepatic cholestasis of pregnancy<\/strong>, assess severity, and guide monitoring and delivery timing.<\/p> <p>Common thresholds used in many protocols:<\/p> <ul> <li><strong>>10 \u00b5mol\/L:<\/strong> compatible with ICP (with typical symptoms)<\/li> <li><strong>\u226540 \u00b5mol\/L:<\/strong> higher fetal risk than mild disease<\/li> <li><strong>\u2265100 \u00b5mol\/L:<\/strong> clearly increased risk, planning often becomes more intervention-focused<\/li> <\/ul> <h3 id=\"livertestsaltastbilirubinggt\">Liver tests (ALT\/AST, bilirubin, GGT)<\/h3> <ul> <li>ALT\/AST are often raised<\/li> <li>Bilirubin is usually normal, if elevated, jaundice can occur<\/li> <li>GGT may be normal<\/li> <\/ul> <p>Normal liver enzymes do not exclude <strong>Intrahepatic cholestasis of pregnancy<\/strong>.<\/p> <h3 id=\"fastingvsnonfastingandrepeattesting\">Fasting vs non-fasting and repeat testing<\/h3> <p>Bile acids can fluctuate. Some labs prefer fasting, some accept non-fasting. The practical aim is consistency when tracking trends.<\/p> <p>If itching is typical but bile acids are initially normal, repeat testing is common\u2014often within 1\u20132 weeks, sooner if symptoms are severe.<\/p> <h3 id=\"additionalevaluation\">Additional evaluation<\/h3> <p>Your clinician may add:<\/p> <ul> <li>Hepatitis screening<\/li> <li>PT\/INR (clotting) if severe disease or bleeding concerns<\/li> <li>Abdominal ultrasound to exclude obstruction\/gallstones<\/li> <li>Blood pressure, urine protein, platelets if preeclampsia\/HELLP is a concern<\/li> <\/ul> <h3 id=\"earlieronsetsecondtrimester\">Earlier onset (second trimester)<\/h3> <p>Earlier onset does not automatically mean severe disease, but it may mean longer exposure time, so teams often monitor more closely.<\/p> <h2 id=\"riskfactors\">Risk factors<\/h2> <p>Risk is higher with:<\/p> <ul> <li>Previous <strong>Intrahepatic cholestasis of pregnancy<\/strong> (recurrence common)<\/li> <li>Family history<\/li> <li>Multiple pregnancy<\/li> <li>IVF\/assisted reproduction<\/li> <li>Pre-existing liver\/biliary disease<\/li> <li>Hepatitis C<\/li> <\/ul> <h2 id=\"risksforbabyandparent\">Risks for baby and parent<\/h2> <h3 id=\"forthemother\">For the mother<\/h3> <p>For mothers, <strong>Intrahepatic cholestasis of pregnancy<\/strong> is mainly a quality-of-life issue: itching, broken sleep, mood strain.<\/p> <p>Rarely, severe cholestasis may affect fat-soluble vitamin absorption (vitamin K), which can influence clotting.<\/p> <h3 id=\"forthebaby\">For the baby<\/h3> <p>Most babies do well with monitoring and timely birth planning. Still, <strong>Intrahepatic cholestasis of pregnancy<\/strong> is associated with:<\/p> <ul> <li>Preterm birth (spontaneous or planned)<\/li> <li>Fetal distress in labour<\/li> <li>Meconium-stained liquor (which can affect breathing after birth)<\/li> <\/ul> <h3 id=\"stillbirthrisk\">Stillbirth risk<\/h3> <p>Stillbirth is rare overall, but risk is more clearly increased at very high bile acid levels, particularly <strong>\u2265100 \u00b5mol\/L<\/strong>. This is why these results change monitoring and delivery discussions.<\/p> <h2 id=\"treatmentoptionsandsymptomrelief\">Treatment options and symptom relief<\/h2> <h3 id=\"ursodeoxycholicacidudca\">Ursodeoxycholic acid (UDCA)<\/h3> <p><strong>Ursodeoxycholic acid (UDCA)<\/strong> (ursodiol) is the most commonly used medicine for <strong>Intrahepatic cholestasis of pregnancy<\/strong>. It can:<\/p> <ul> <li>Improve bile flow and reduce bile acids<\/li> <li>Reduce itching in many women<\/li> <\/ul> <p>Even with UDCA, monitoring and delivery planning remain important.<\/p> <h3 id=\"dosingprinciples\">Dosing principles<\/h3> <p>Doses are individualised. Many protocols use around <strong>10\u201315 mg\/kg\/day<\/strong>, adjusted based on symptoms and bile acid trends. Do not change the dose yourself.<\/p> <h3 id=\"antihistamines\">Antihistamines<\/h3> <p>Some antihistamines may be used mainly at night for sedation and sleep support. They do not treat the underlying condition.<\/p> <h3 id=\"nonmedicineitchrelief\">Non-medicine itch relief<\/h3> <p>Small measures can reduce suffering:<\/p> <ul> <li>Lukewarm showers (hot water worsens itching)<\/li> <li>Fragrance-free emollients<\/li> <li>Loose cotton clothing, avoid overheating<\/li> <li>Cool bedroom, breathable bedding<\/li> <li>Cold compresses on hands\/feet at bedtime<\/li> <\/ul> <p>If you are scratching until you break the skin, inform your care team.<\/p> <h3 id=\"ifudcaisnotenough\">If UDCA is not enough<\/h3> <p>In specialist care, <strong>rifampicin<\/strong> may be discussed in selected cases with careful monitoring.<\/p> <h2 id=\"monitoringduringpregnancy\">Monitoring during pregnancy<\/h2> <h3 id=\"maternalmonitoring\">Maternal monitoring<\/h3> <p>Typically includes:<\/p> <ul> <li>Serial bile acids and liver tests every 1\u20132 weeks (more often if severe)<\/li> <li>Symptom review (especially sleep impact)<\/li> <li>PT\/INR if severe disease or bleeding concerns<\/li> <\/ul> <h3 id=\"fetalsurveillance\">Fetal surveillance<\/h3> <p>Depending on levels and gestational age, your team may recommend:<\/p> <ul> <li>NST\/CTG (fetal heart rate monitoring)<\/li> <li>Ultrasound for growth and amniotic fluid<\/li> <li>Close attention to fetal movements at home<\/li> <\/ul> <p>Reduced fetal movements should be assessed promptly.<\/p> <h3 id=\"whatmaychangetheplanquickly\">What may change the plan quickly<\/h3> <ul> <li>Sudden worsening itch<\/li> <li>Rapidly rising bile acids<\/li> <li>Jaundice, dark urine, pale stools<\/li> <li>Reduced fetal movements<\/li> <\/ul> <h2 id=\"deliverytimingandbirthplanning\">Delivery timing and birth planning<\/h2> <h3 id=\"balancingicpriskwithprematurity\">Balancing ICP risk with prematurity<\/h3> <p>The goal is to reduce fetal risk without avoidable prematurity. Planning depends on:<\/p> <ul> <li>Current bile acid level and trend<\/li> <li>Gestational age<\/li> <li>Fetal monitoring and movements<\/li> <li>Overall maternal health<\/li> <\/ul> <h3 id=\"timingbybileacidleveltypicalwindows\">Timing by bile acid level (typical windows)<\/h3> <p>Protocols vary, but many teams discuss:<\/p> <ul> <li><strong>\u2265100 \u00b5mol\/L:<\/strong> delivery often considered from around <strong>36 weeks<\/strong><\/li> <li><strong>Moderate levels:<\/strong> delivery often discussed between <strong>37 and 39 weeks<\/strong><\/li> <\/ul> <h3 id=\"modeofdelivery\">Mode of delivery<\/h3> <p><strong>Intrahepatic cholestasis of pregnancy<\/strong> alone is not an automatic indication for caesarean. Many women can have induction and vaginal birth, caesarean is for standard obstetric reasons.<\/p> <h2 id=\"afterbirthrecoveryandfollowup\">After birth: recovery and follow-up<\/h2> <h3 id=\"symptomandlabresolution\">Symptom and lab resolution<\/h3> <p>Itching often improves within days and commonly resolves within <strong>2\u20133 weeks<\/strong>. Blood tests usually normalise over days to weeks.<\/p> <h3 id=\"postpartumfollowup\">Postpartum follow-up<\/h3> <p>Follow-up blood tests confirm resolution. If abnormalities persist, further liver evaluation is needed.<\/p> <h3 id=\"breastfeeding\">Breastfeeding<\/h3> <p>Breastfeeding is usually possible. UDCA is generally considered compatible with breastfeeding. If other medicines were used, decisions should be individualised with your clinician, watching the baby for unusual sleepiness or feeding difficulty.<\/p> <h2 id=\"futurepregnancies\">Future pregnancies<\/h2> <h3 id=\"recurrencerisk\">Recurrence risk<\/h3> <p>Recurrence is common, often discussed around <strong>40\u201360%<\/strong>. In future pregnancies, tell your doctor early so testing can be arranged quickly if itching returns.<\/p> <h3 id=\"prevention\">Prevention<\/h3> <p>There is no proven universal prevention. The most effective strategy is early recognition of symptoms and early bile acid testing, followed by tailored monitoring and delivery planning.<\/p> <h2 id=\"keytakeaways\">Key takeaways<\/h2> <ul> <li><strong>Intrahepatic cholestasis of pregnancy<\/strong> is a pregnancy-related liver condition where bile acids rise in the blood.<\/li> <li>Typical symptoms are intense night-time itching, often on palms\/soles, usually without a primary rash.<\/li> <li>Diagnosis and severity depend on serum bile acids, rising levels guide monitoring and delivery timing.<\/li> <li>UDCA is commonly used to reduce itching and improve labs, but close obstetric follow-up is still needed.<\/li> <li>Reduced fetal movements, jaundice, or rapidly worsening symptoms need prompt medical attention.<\/li> <li>Support exists through your maternity team, and you can download the <a href=\"https:\/\/app.adjust.com\/1g586ft8\" target=\"_blank\" rel=\"noopener\">Heloa app<\/a> for personalised advice and free child health questionnaires.<\/li> <\/ul> <h2 id=\"questionsparentsask\">Questions Parents Ask<\/h2> <h3 id=\"canicpaffectmybabyslongtermhealth\">Can ICP affect my baby\u2019s long-term health?<\/h3> <p>It\u2019s completely understandable to worry about what happens beyond birth. The reassuring news is that most babies do well, especially when bile acids are monitored and birth timing is planned. In the newborn period, your baby may simply need routine checks (and sometimes closer observation if they were born early). If you\u2019re concerned, you can ask the maternity and pediatric teams what follow-up they recommend after delivery and what signs (like feeding difficulties or unusual sleepiness) would justify an extra check.<\/p> <h3 id=\"isthereanicpdietthatlowersbileacidsoritching\">Is there an \u201cICP diet\u201d that lowers bile acids or itching?<\/h3> <p>Many parents look for something they can do today to feel better. At the moment, there isn\u2019t one proven diet that reliably lowers bile acids in ICP. That said, some families find symptom relief by keeping meals lighter in fat (since bile helps digest fat) and avoiding personal triggers. If itching is affecting sleep, it may also help to focus on hydration and gentle, regular meals. You can also ask whether vitamin levels (especially fat-soluble vitamins like A, D, E, K) ever need monitoring in your situation.<\/p> <h3 id=\"shouldiconsidergeneticcounselingortesting\">Should I consider genetic counseling or testing?<\/h3> <p>ICP can run in families, and researchers have linked it to certain bile-transport genes. However, genetic testing is not routinely used to \u201cpredict\u201d ICP or its severity in a specific pregnancy. If you have a strong family history, very early onset, or repeated episodes, it may be worth discussing genetic counseling for clearer context and future planning.<\/p> <p><img decoding=\"async\" src=\"https:\/\/heloa.app\/wp-content\/uploads\/2025\/12\/cholestase-gravidique-in-article-image.jpg\" width=\"628\" alt=\"Pregnant woman discussing with a doctor in an office during a follow up for intrahepatic cholestasis of pregnancy\" \/><\/p> <p>Further reading:<\/p> <ul> <li>Pregnancy Intrahepatic Cholestasis &#8211; StatPearls &#8211; NCBI &#8211; NIH: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK551503\/<\/li> <li>Intrahepatic cholestasis of pregnancy: MedlinePlus Genetics: https:\/\/medlineplus.gov\/genetics\/condition\/intrahepatic-cholestasis-of-pregnancy\/<\/li> <li>Cholestasis of pregnancy &#8211; Symptoms and causes: https:\/\/www.mayoclinic.org\/diseases-conditions\/cholestasis-of-pregnancy\/symptoms-causes\/syc-20363257<\/li> <\/ul>","protected":false},"excerpt":{"rendered":"<p>Intrahepatic cholestasis of pregnancy can trigger intense night itching. Learn symptoms, bile acid tests, risks, and care options\u2014feel prepared today.<\/p>\n","protected":false},"author":4,"featured_media":84654,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","rank_math_title":"Intrahepatic cholestasis of pregnancy: symptoms, risks & care","rank_math_description":"Intrahepatic cholestasis of pregnancy can trigger intense night itching. Learn symptoms, bile acid tests, risks, and care options\u2014feel prepared today.","rank_math_focus_keyword":"Intrahepatic cholestasis of pregnancy","rank_math_primary_category":866,"ilj_linkdefinition":["intrahepatic cholestasis {-1} of pregnancy","intrahepatic cholestasis {-1} in pregnancy","cholestasis {-1} of pregnancy","obstetric cholestasis","pregnancy cholestasis","ICP {-1} in pregnancy","ICP {-1} pregnancy","cholestasis {-1} during pregnancy","cholestasis {-1} in pregnancy","intrahepatic cholestasis","cholestasis {-1} pregnancy","liver cholestasis {-1} in pregnancy","intrahepatic {-1} pregnancy cholestasis","pregnancy {-1} liver cholestasis","cholestasis {-2} while pregnant","bile acids {-1} in pregnancy","bile acid test {-1} in pregnancy","itching {-2} in pregnancy cholestasis","pregnancy itching {-1} cholestasis","ICP {-1} cholestasis"],"footnotes":""},"categories":[866,858],"tags":[],"class_list":["post-86297","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-pregnancy","category-pregnancy-en"],"acf":{"prestation_table":"","technical_table":"","nom_professionnel":"","numero_telephone":"","convention_cas":"","contrat_acces_aux_soins":"","sesam_vitale":"","coordonnees":"","adresse":"","profession":"","numero_rpps":"","profession_description":"","commune":"","departement":"","prenom":"","origine":"","date_fete":"","signification_etymologie":"","histoire_origine_prenom":"","personne_celebre":"","age_moyen":"","prenoms_derives":"","prenoms_composes":"","naissances_2024":"","genre":"","prenoms_taxonomy":"","region_stats":"","evolution_naissances":""},"taxonomy_info":{"category":[{"value":866,"label":"Health"},{"value":858,"label":"Pregnancy"}]},"featured_image_src_large":["https:\/\/heloa.app\/wp-content\/uploads\/2025\/12\/cholestase-gravidique-featured-image-1024x559.jpg",1024,559,true],"author_info":{"display_name":"Heloa","author_link":"https:\/\/heloa.app\/en\/author\/expert-heloa"},"comment_info":0,"category_info":[{"term_id":866,"name":"Health","slug":"health-pregnancy","term_group":0,"term_taxonomy_id":866,"taxonomy":"category","description":"","parent":858,"count":141,"filter":"raw","cat_ID":866,"category_count":141,"category_description":"","cat_name":"Health","category_nicename":"health-pregnancy","category_parent":858},{"term_id":858,"name":"Pregnancy","slug":"pregnancy-en","term_group":0,"term_taxonomy_id":858,"taxonomy":"category","description":"","parent":0,"count":231,"filter":"raw","cat_ID":858,"category_count":231,"category_description":"","cat_name":"Pregnancy","category_nicename":"pregnancy-en","category_parent":0}],"tag_info":false,"_links":{"self":[{"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/posts\/86297","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/comments?post=86297"}],"version-history":[{"count":1,"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/posts\/86297\/revisions"}],"predecessor-version":[{"id":86298,"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/posts\/86297\/revisions\/86298"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/media\/84654"}],"wp:attachment":[{"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/media?parent=86297"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/categories?post=86297"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/heloa.app\/en\/wp-json\/wp\/v2\/tags?post=86297"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}