Pregnant women with elevated total bile acids should first improve the relevant auxiliary examinations to further clarify the specific causes of the problem, and only by targeting the causes of the disease can better results be achieved. Patients who ate a lot of high cholesterol food in a short period of time before the examination are recommended to undergo a review at a later date. If the review is normal, it is considered to be caused by dietary factors, and this situation should be avoided. It is also recommended that during pregnancy, eat foods rich in high protein and vitamins, such as soy products, dairy products, fish, and fresh fruits and vegetables. If there are underlying liver diseases such as viral hepatitis or cirrhosis before pregnancy, it may be related to these underlying diseases, and care should be taken to give liver-protecting treatment. If there is a significant elevation of hepatitis B virus DNA, oral antiviral drugs, such as lamivudine, should also be administered promptly and relatively safely. If intrahepatic cholestasis in pregnancy is the cause, high attention should be paid to the active application of vitamin-energy combinations to reduce bile acids, and also consider oral management of related drugs, such as ursodeoxycholic acid, adenosylmethionine, dexamethasone, etc.. For more than 36 weeks of gestation, the fetal lungs have matured, and the general condition of the pregnant woman is relatively good, timely cesarean section should be carried out to end the pregnancy.