Obstetrical and gynecologic challenges in the liver transplant patient

Table 1 Causes of severe liver dysfunction during pregnancy

Provoked by pregnancy1	Pre-existing disorders	Coincidental conditions2
Acute fatty liver of pregnancy	Alcoholic liver disease	Acute viral hepatitis A and E
Eclampsia-related liver disease	Non-alcoholic steatosis hepatitis	Herpes simplex viruses
Hemolysis, elevated liver enzymes, low platelet count(HELLP) syndrome	Human immunodeficiency and hepatitis B and C viruses	Drug toxicities
Intrahepatic cholestasis of pregnancy	Coagulation disorders	Budd-Chiari syndrome

¹Mostly in last trimester.

²Impact non-pregnant patients as well, but are associated with higher mortality and morbidity when coexisting with pregnancy.