Gut Instincts: A Clinician's Handbook of Digestive and Liver Diseases

Eric Esrailian, MD, MPH

Chapter 41: Abnormal Liver Tests In Pregnancy (continued)

Vandana Khungar, MD, MSc; Tram T. Tran, MD

Abnormal liver tests in pregnancy lead to frequent hepatology consultations. Expedient and correct interpretation of these tests can both reassure the patient and clinician and, if needed, lead to early intervention to prevent complications. Table 41-1 summarizes the interpretation of liver tests in various clinical scenarios in pregnancy. Hyperemesis gravidarum (HG) is intractable vomiting in the first trimester of pregnancy, typically between 4 and 10 weeks of gestation that necessitates the use of intravenous hydration. Risk factors include hyperthyroidism, psychiatric illness, molar…