Elevated alanine aminotransferase (ALT) levels in pregnant women after receiving heparin injection

Elevated alanine aminotransferase (ALT) levels in pregnant women after receiving heparin may be caused by allergic reactions, liver damage, viral hepatitis during pregnancy, cholecystitis, or gallstones. Different causes require different interventions for improvement. The specific analysis is as follows:

1. Allergic Reaction

Allergy to heparin in pregnant women can lead to liver damage, resulting in increased ALT levels within the liver. This condition may affect maternal health. If this occurs, it is recommended that the pregnant woman promptly inform her doctor, who may decide to switch to an alternative medication.

2. Liver Damage

Excessive use of heparin or frequent injections may cause liver damage, leading to elevated ALT levels. Pregnant women should strictly follow medical advice when taking medications and avoid self-medicating to prevent adverse outcomes.

3. Viral Hepatitis During Pregnancy

The pregnant woman may already have underlying viral hepatitis, and heparin use could potentially exacerbate the condition, causing ALT levels to rise. Due to the pregnancy status, drug treatment is generally not recommended. Instead, it is advised that the woman maintain a light diet and engage in moderate physical activity to help control the disease progression.

4. Cholecystitis

Cholecystitis refers to inflammation of the gallbladder, often accompanied by bile stasis and concentration. Because the liver and gallbladder are adjacent, this condition may affect liver function, leading to the aforementioned symptoms. It is recommended that pregnant women consume a light diet and reduce intake of high-fat foods to prevent worsening of the condition.

5. Gallstones

Gallstones refer to the formation of stones in the gallbladder, which may lead to biliary tract inflammation and indirectly affect the liver, triggering hepatic inflammatory responses and consequently elevating ALT levels. It is recommended that pregnant women increase fluid intake, engage in appropriate physical activity, and consume more vegetables and fruits to facilitate the passage of gallstones.

Pregnant women experiencing any discomfort should seek timely medical attention and receive standardized treatment under a physician’s guidance, which will aid in recovery.