Liver disease that occurs during pregnancy can present a challenge for health care providers. Certain liver diseases are uniquely associated with pregnancy, whereas others are unrelated. The liver diseases unique to pregnancy include acute fatty liver of pregnancy, intrahepatic cholestasis of pregnancy, Hemolysis and Elevated Liver enzymes and Low Platelets (HELLP) syndrome and hyperemesis gravidarum,. Liver disease such as acute viral hepatitis can occur in pregnancy, and pregnancy may occur in a patient with underlying chronic liver disease, including patients with cirrhosis.