Physiological pregnancy leads to a number of changes, primarily in laboratory indicators, which should be considered when developing liver pathologies. Liver diseases in pregnant women are characterized by a variety of causes, clinical manifestations, and prognoses. Liver diseases are among the most common and prognostically significant forms of gestational pathology, occurring in 3-5% of pregnant women. Liver pathologies during pregnancy have various etiological forms, clinical courses, and prognoses. They can generally be divided into two main groups: the first group includes liver damage caused by pregnancy itself (intrahepatic cholestasis, acute fatty liver disease, liver damage in preeclampsia, eclampsia, and HELLP syndrome). The second group consists of chronic diseases that existed before pregnancy (chronic hepatitis, cirrhosis of the liver, etc.). Key questions that a hepatologist must answer in liver diseases during pregnancy include whether the liver disease existed before pregnancy, determining the tactics of pregnancy planning, the need for pre-gravidar preparation, and the strategy for managing pregnancy and childbirth.

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