The risk of fatty national perinatal epidemiology unit nonalcoholic fatty liver

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The risk of fatty liver recurring in subsequent pregnancies is low, and the disease is not a contraindication to further pregnancies.  Pre-eclamptic nonalcoholic fatty liver toxaemia and toxaemia of pregnancy may both be complicated by liver disease. The HELLP syndrome (Haemolysis, Elevated Liver enzymes and Low Platelets) is a manifestation of pre-eclamptic toxaemia.11, 12 This usually settles down with nonalcoholic fatty liver delivery, but it may persist for a few days. Indeed, HELLP can begin after delivery, in which case it is usually mild. The HELLP syndrome is an indication for nonalcoholic fatty liver inducing labour, but, as in this case, there may be good reasons to delay delivery.  The development of hepatic infarction indicates that the disease has passed from pre-eclamptic toxaemia to full-blown toxaemia, even if there are no other symptoms such as seizures.
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