Wife is 11 Weeks Pregnant with AIH
Today my wife and I went to our second ultrasound appointment and the way they went about delivering the news of the risk was terrible and frightening to say the least. For context, my wife does have AIH in a form that seems "uncontrolled" as she has higher numbers than most, but overall she has been living with it for 7 years and we got pregnant on our first try. She got her labs done twice since being pregnant, with first blood reading being pretty high but then second coming down. The OBGYN was going strictly off of her last reading which was trending down but still high, and delivered the following news to us:
- My wife is higher risk than most, and material death statistics point at 11% or something of that nature if it went sideways
- liver transplant if things trended incorrectly
- asking us if we were there to terminate the pregnancy today due to the situation
- if things continue to trend in the wrong direction we will have to terminate the pregnancy
- that her levels aren't controlled in comparison to others
A lot of this we knew, but after the conversation and feeling like we were potentially facing an abortion, they didn't include any information on second and third trimester and how levels typically reduce and improve. There was nothing positive, it was all overwhelmingly negative. They did her labs immediately after the conversation and we got home and we saw that everything went down, almost to normal levels.
4 weeks ago:
ALT: 170
AST: 71
Bilirubin: normal
Protein: 8.5
Today:
ALT: 140
AST 47
Bilirubin: normal
Protein: 8.6
I don't know how to feel about the situation and if she went about it incorrectly or what, but I feel we should have had the bloodwork done prior to the conversation instead of going off of older data points and jumping into potentially losing our baby. I also have not read anywhere with these other stories it was as dire as they were acting here? She is on 7.5mg of prednisone and takes Tacro, that is all she is on + prenatals.
Posted Jun 25, 2026, 5:03 PM UTC · edited