Intrahepatic Cholestasis of Pregnancy: A Serious but Underestimated Problem

Intrahepatic cholestasis of pregnancy (IHCP) is the most common liver disorder unique to pregnancy. In spite of the substantial risk, IHCP remains widely disregarded as a serious clinical problem. We report a case of IHCP with deranged coagulation which resulted in maternal morbidity in the form of severe postpartum hemorrhage and fetal mortality. This case emphasizes the fact that IHCP should be considered a high-risk condition, and careful fetal assessment and appropriate medical intervention might—improve maternal and perinatal outcome.