title: Acute fatty liver of pregnancy: a retrospective study of 32 cases in South China.
abstract: OBJECTIVE
  To describe 32 cases of acute fatty liver of pregnancy (AFLP) and identify the potential clinical predictors of maternal and fetal outcomes in South China.
  
  
  METHODS
  Thirty-two cases of AFLP previously treated in the First Affiliated Hospital of Nanchang University in the past 10 years were enrolled in the current study.
  
  
  RESULTS
  Sex of fetus and delivery method was the potential clinical predictor of fetal outcome. The main manifestations of AFLP were jaundice (n = 32), nausea and vomiting (n = 28), malaise (n = 25), and ascites (n = 25), and its complications included acute renal failure (n = 26), hepatic encephalopathy (n = 17), infection (n = 10), and postpartum hemorrhage (n = 7). Evidence of fatty changes of liver was demonstrated by B ultrasound and computed tomography (CT). Eighteen patients were recovered due to rapid diagnosis, early termination of pregnancy and supportive treatments.
  
  
  CONCLUSIONS
  Male sex and vaginal delivery was the risk factor of fetal outcome. Detailed history taking and proper management of potential predictors are important in making the decision of prompt delivery and choosing the appropriate delivery method. Further studies are needed to expand our knowledge on this disease.
authors.affiliation: Department of Infectious Diseases, the First Affiliated Hospital of Nanchang University, Nanchang, China and.
authors.forename: Na
authors.initials: N
authors.lastname: Cheng
authors.forename: Tianxin
authors.initials: T
authors.lastname: Xiang
authors.forename: Xiaoping
authors.initials: X
authors.lastname: Wu
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.forename: Yao
authors.initials: Y
authors.lastname: Xie
authors.forename: Lunli
authors.initials: L
authors.lastname: Zhang
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D005234:Fatty Liver / Q000401:mortality*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000401:mortality*; D011256:Pregnancy Outcome / Q000453:epidemiology; D012189:Retrospective Studies; D055815:Young Adult
keywords: Acute fatty liver of pregnancy; clinical predictors; retrospective analysis