A rare but serious diagnosis associated with significant maternal and neonatal morbidity and mortality
Microvesicular fatty infiltrate of the liver occurring during pregnancy
Is often ...
Prodromal symptoms of malaise followed by nausea and vomiting
Metabolic acidosis, lactic acidosis
Dehydration (dry mucous membranes, poor ...
Continuous maternal and fetal monitoring
Delivery as soon as possible
Consider cesarean section if remote from vaginal delivery.
Serial labs to trend
Monitor urine output via Fol...
Continue to follow liver panel, chemistries, renal function, coagulation panel, complete blood count postpartum. Abnormalities can peak as late as postpartum day 2...
Nelson DB, Yost NP, Cunningham FG. Acute fatty liver of pregnancy: clinical outcomes and expected duration of recovery. Am J Obstet Gynecol. 2013;209(5):456.e1–456.e7. [View A...
K76.0 Fatty (change of) liver, not elsewhere classified
O26.619 Liver and biliary tract disord in pregnancy, unsp trimester
O26.611 Liver and biliary tract disord in pregnancy, first trimeste...
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