This condition can be intractable until delivery, in severe cases.  It seems
to be associated with increased risk of fetal demise as well, which
increases the motivation to induce.
The medications mother is being treated with (hydroxyzine and
diphenhydramine) would be expected to make the newborn drowsy.  A 34-weeker
is often drowsy anyway.  So mother needs to be prepared to express milk and
make friends with a good pump in the early days, until baby is able to nurse
on its own.  In my limited experience there has been nothing very remarkable
about the postpartum course for these mothers and the cholestasis resolves
very quickly once delivery has been effected.  The problems of prematurity
are the dominant ones.
Please do let us know how it turns out.
Rachel Myr
Kristiansand, Norway

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