If you are 33 weeks pregnant and have had lots of blood tests that show your ALT is high what can this mean?

High levels of ALT (alanine aminotransferase) during pregnancy can be a sign of intrahepatic cholestasis of pregnancy (ICP), also known as obstetric cholestasis. ICP is a liver condition that occurs during pregnancy and is characterized by elevated levels of bile salts in the blood.

High levels of ALT can indicate liver damage or dysfunction. In the context of pregnancy, ICP can cause itching, particularly on the palms and soles, as well as dark urine, pale stools, and fatigue. It can also increase the risk of complications during pregnancy, including:

- Premature birth

- Low birth weight

- Stillbirth

If you have high levels of ALT during pregnancy, your doctor may recommend additional tests, such as a liver ultrasound, to evaluate the liver and determine the cause. They may also recommend monitoring your bile acid levels and fetal well-being.

Treatment for ICP typically involves medication to relieve itching and reduce bile acid levels. In some cases, hospitalization may be necessary to closely monitor the mother and baby. The condition usually resolves after delivery.

It's important to discuss your concerns and test results with your doctor, who can provide you with personalized advice and care based on your specific situation.