MSFinals-3501

A 32-year-old woman who is 32 weeks pregnant visits her local antenatal unit for a midwife check-up. She has been diagnosed with intrahepatic cholestasis of pregnancy and is taking ursodeoxycholic acid. Additionally, she is being treated with lamotrigine for epilepsy. This is her first pregnancy, and she has not experienced any previous miscarriages. During her appointment, she expresses concern about her step-sister’s recent stillbirth, as her step-sister has already had two prior stillbirths. Based on her medical history, which factor puts her at the highest risk for a similar outcome?