Treatment methods for decreased total bile acid (TBA) in pregnant women

Patient's question:

Detailed medical condition and consultation purpose: I was 25 weeks pregnant when my total bile acid (TBA) value was 19, while other liver function tests were normal. The doctor prescribed anti-inflammatory and drugs for treatment, but the value remained high without improvement.
First follow-up question: During the first test, the value was 21. I didn’t take any medication and retested after four days, when the value dropped to 18. After one week, I took the medication for three days, then tested again two days later, and the value returned to 19. I haven’t experienced any itching, and it seems the medication hasn’t been effective. Do I have to be hospitalized for treatment? The doctor is still asking me to take the anti-inflammatory and drugs. How dangerous is my current value, or...

Doctor's answer:

It is estimated that you have Intrahepatic Cholestasis of Pregnancy (ICP). Currently, there are two types of drugs used to treat obstetric cholestasis. Specialized treatment centers for obstetric cholestasis tend to prefer ursodeoxycholic acid. This medication can eliminate or alleviate itchy symptoms and restore liver function and bile acid levels to normal.

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