A high total bile acid of 40 or more with symptoms of itching and jaundice requires a cesarean section. High bile acids in the blood will cause itching of the skin, and the itching will be unbearable, so it is necessary to perform a surgical cesarean section. It is normal for bile acids to rise after pregnancy, and the bile ducts will be compressed in the later stages of pregnancy, which will lead to bile acids flowing into the blood, thus causing the bile acid index in the blood to be too high, so you can take medications to lower the total bile acids under the guidance of your doctor, such as dexamethasone, adenosylmethionine and other medications to treat the condition, and if your pregnancy is more than 36 weeks, you can directly choose to have a cesarean section to end the pregnancy. If the pregnancy exceeds 36 weeks, you can directly choose to end the pregnancy by caesarean section. During pregnancy, eat more foods rich in fiber, eat more fresh fruits and vegetables, pay attention to balanced nutrition, eat less spicy and stimulating foods, do not overstress, it is recommended that you can go to the hospital in time.