Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Mar;63(1):152-164.
doi: 10.1097/GRF.0000000000000494.

Acute Fatty Liver of Pregnancy

Affiliations
Review

Acute Fatty Liver of Pregnancy

David B Nelson et al. Clin Obstet Gynecol. 2020 Mar.

Abstract

Acute fatty liver of pregnancy (AFLP) is a rare, but potentially fatal condition, characterized by hepatic failure typically in the third trimester of pregnancy that is associated with multiorgan involvement resulting in a number of clinical and laboratory abnormalities. The cornerstone of management of AFLP includes prompt recognition, preparation for delivery, and supportive care such as reversal of coagulopathy. Early diagnosis, prompted delivery, and supportive care have resulted in improved maternal morbidity and mortality. This review focuses on the epidemiology, etiology, clinical presentation, diagnosis, management, and resolution of AFLP.

PubMed Disclaimer

References

    1. Tarnier S. Note sur l’etat graisseux du foie dans la fievre peurperale. C R Soc Biol. 1857;3:209–214.
    1. Lomer O. Ueber die Bedeutung des Icterus gravidarum, etc. Zeitschr f Geb u Gyn. 1886;xiii:169–185.
    1. Williams JW. Obstetrics: A Textbook for Students and Practitioners. London: D Appelton and Company; 1903:444.
    1. Stander H, Cadden B. Acute yellow atrophy of the liver in pregnancy. Am J Obstet Gynecol. 1934;28:61–69.
    1. Sheehan HL. The pathology of acute yellow atrophy and delayed chloroform poisoning. J Obstet Gynecol. 1940;47:49–62.

Supplementary concepts