Mangement Of Abnormal Liver Function in Pregnancy

. Liver dysfunction complicates as many as 3% of pregnancies-

.Liver disease can effect both maternal and foetal health-

.Complication of Hypertensive disease of pregnancy can cause hepatic rupture-

.HELLP syndrome may cause maternal deaths-

. Acute fatty liver of pregnancy, intrehepatic cholestasis of pregnancy may cause maternal and foetal morbidity and mortality-

Physiological Changes

.Liver Doesn't change in size during pregnancy but difficult to palpate-. Blood flow remains unaltered-

. Appearance of engorgement of esophageal veins at endoscopy in 50% of normal, pregnancy-

. Liver disease in pregnancy can be considered in three categories-

. Disease peculiar to pregnancy ( 1

. Pre-existing and co incidental disease ( 2

. Hepatobilliary disease ( 3