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Having first come across this condition on a student elective in Chile in 1984 when it was one of the commonest reasons for antenatal admission I was fascinated that our management has not really progressed since then and uncertainties remain. I was therefore pleased to see that a high quality randomised trial is being conducted.
For me as a GP an additional concern following a delivery complicated by ICP is the question regarding the safety of the combined oral contraceptive pill and the risk of developing cholestasis clinically or sub clinically. Currently it is considered a FSRH UKMEC 2. A useful follow on for this cohort of patients would be to identify contraceptive choices and outcomes.