PT - JOURNAL ARTICLE AU - Elvyna Lim AU - Maria Mouyis AU - Lucy MacKillop TI - Liver diseases in pregnancy AID - 10.7861/clinmed.2021-0497 DP - 2021 Sep 01 TA - Clinical Medicine PG - e441--e445 VI - 21 IP - 5 4099 - http://www.rcpjournals.org/content/21/5/e441.short 4100 - http://www.rcpjournals.org/content/21/5/e441.full SO - Clin Med2021 Sep 01; 21 AB - Liver disease in pregnancy can be related to a pre-existing condition (such as autoimmune liver disease) or arise as a consequence of pregnancy. In women with pre-existing disease, pre-pregnancy counselling is important to discuss the potential complications that may occur during pregnancy and how best to manage these. Acute fatty liver of pregnancy and HELLP (haemolysis, elevated liver enzymes and low platelets) syndrome are pregnancy-related liver diseases and are considered obstetric emergencies. Women with liver dysfunction need appropriate investigations, including blood tests and imaging. They should be managed as part of a multidisciplinary team with obstetricians, obstetric anaesthetists, specialist midwives, gastroenterologists and obstetric physicians.