When the total bile acid is found to be high in pregnant women, they need to be alert to intrahepatic cholestasis during pregnancy. When the bile acid is slightly elevated, the symptoms may not be obvious and typical, but when the bile acid is elevated more, the following symptoms may occur: 1. varying degrees of skin itching, itching is often persistent, lighter during the day and worse at night, usually starting in the palms of the hands and feet. 2. a small number of patients may develop mild jaundice. 3. It may affect the fetus, and patients with severe disease may experience intrauterine distress, premature birth, amniotic fluid placenta, fetal fecal contamination, and unpredictable sudden fetal death and intracranial hemorrhage in newborns. Therefore, when a pregnant woman has elevated total bile acids, she should not take it lightly and should go to the hospital for treatment in time.