TY - JOUR T1 - Liver diseases in pregnancy JF - Clinical Medicine JO - Clin Med SP - e441 LP - e445 DO - 10.7861/clinmed.2021-0497 VL - 21 IS - 5 AU - Elvyna Lim AU - Maria Mouyis AU - Lucy MacKillop Y1 - 2021/09/01 UR - http://www.rcpjournals.org/content/21/5/e441.abstract N2 - 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. ER -