Background: Jaundice complicating pregnancy continues to be an important cause of maternal and perinatal morbidity and mortality, particularly in developing countries. The spectrum of liver disease in pregnancy encompasses both pregnancy-specific disorders and pre-existing hepatic conditions, which often assume a graver prognosis in the obstetric setting. Objective: The present study was conducted to evaluate the aetiology, maternal complications, and foetal outcomes associated with jaundice during pregnancy at a tertiary care teaching hospital in Purbi Medinipur, West Bengal. Methods: A cross-sectional observational study was conducted over a period of twelve months. A total of 68 pregnant women presenting with jaundice were enrolled using systematic random sampling. Detailed clinical, biochemical, and obstetric parameters were recorded and analysed. Results: Acute Viral Hepatitis (AVH) was the most common aetiology (41.2%), followed by Intrahepatic Cholestasis of Pregnancy (23.5%). Maternal complications included preterm labour (30.9%), postpartum haemorrhage (11.8%), and maternal mortality (5.9%). Perinatal mortality rate was 14.7%. Conclusion: Jaundice in pregnancy is associated with significant adverse maternal-fetal outcomes. Early diagnosis, timely referral, and multidisciplinary management in a tertiary care setting are essential to reducing the burden of this condition.

Jaundice in Pregnancy, Maternal Outcomes, Foetal Outcomes, Acute Viral Hepatitis, Intrahepatic Cholestasis, West Bengal