Management of Non-Cirrhotic Portal Hypertension during Pregnancy: A Review

Authors: Pujari SG, Kantharia SC, Prabhu R and Kantharia CV*

DOI: 10.23880/ghij-16000220

Volume 9, Issue 2

Abstract

Non-Cirrhotic Portal Hypertension is a common cause of Portal Hypertension in India. Pregnancy in these patients poses a challenge to the treating physician owing to hemodynamic changes it brings about. This review discusses the challenges faced and its management strategy during pregnancy. Methods: A retrospective analysis of 7 pregnancies in 6 patients from 2013 to 2023 at a tertiary teaching hospital was done. Results: 6 pregnancies in 6 patients were studied. 5 patients were Extra-Hepatic Portal Venous Obstruction (EHPVO) and 1 patient Non-Cirrhotic Portal Fibrosis (NCPF). 5 patients were diagnosed to have Non-Cirrhotic Portal Hypertension (NCPH) at the time of pregnancy. 5 patients had normal vaginal delivery, while one required emergency caesarean section. There was one neonatal death, however no maternal mortality. Conclusion: Management of Non-Cirrhotic Portal Hypertension patients with pregnancy in a tertiary care with a multidisciplinary approach result in a good outcome of pregnancy.

Keywords: Portal Hypertension; Outcome of Pregnancy

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