Liver disease in pregnancy

•We review the presentation, diagnosis and management of liver disease in pregnancy.•We discuss the perinatal outcomes associated with common liver diseases.•New-onset vomiting, jaundice or pruritus may indicate liver pathology.•Prompt diagnosis and treatment may reduce maternal and fetal morbidity and mortality.

Liver disease in pregnancy, either pre-existing or pregnancy specific, can be associated with a significant risk of maternal and fetal morbidity and mortality. Here, we review the presentation, management and perinatal outcomes of common causes of liver disease.