Liver dysfunction during pregnancy is a challenging clinical scenario with a wide range of potential causes, varying in severity and urgency. It affects approximately 3% of pregnancies in developed countries, highlighting its clinical significance. Early recognition and appropriate management are critical to minimizing maternal and fetal morbidity and mortality. Management often requires a multidisciplinary approach involving hepatologists, obstetricians, and neonatologists to optimize outcomes for both mother and child [1, 2].