| Category A Local Expertise | Category B Consider discussion with Maternal Medicine Centre (MMC) | Category C Care led by Maternal Medicine Centre |
|---|---|---|
| Uncomplicated inflammatory bowel disease in remission or inflammatory bowel disease managed in a specialist IBD-obstetric service at a local centre | Complex inflammatory bowel disease without access to specialist IBD-obstetric service at a local centre: • Active disease despite treatment • Biologics • Corticosteroids • Peri-anal disease • Pouch/stoma | |
| Liver haemangioma or isolated liver cysts | Liver adenoma Treated GI/liver malignancy | Active G//liver malignancy |
| Coeliac disease | Previous bariatric surgery | |
| Hyperemesis gravidarum | ||
| HELLP syndrome | Liver infarction/haematoma | Cirrhosis |
| Gilbert's | Unexplained jaundice | Decompensated liver disease |
| Acute fatty liver of pregnancy | Liver failure* | |
| Gastro-oesophageal reflux disease | Achalasia | |
| Intrahepatic cholestasis of pregnancy (peak bile acids <100umol/l) | Intrahepatic cholestasis of pregnancy (bile acids ≥100umol/l) | |
| Cholecystitis | Autoimmune hepatitis | Portal hypertension |
| Viral hepatitis | Wilson's disease | Liver or pancreas transplant |
| Metabolic-associated fatty liver disease** with normal fibroscan and no metabolic complications | Metabolic-associated fatty liver disease** with abnormal fibroscan or metabolic complications | |
| Gallstones | Primary sclerosing cholangitis | Crigler Najjar syndrome |
| Primary biliary cholangitis*** | ||
| Haemochromatosis |
