Challenges in Managing a Pregnant Patient for Cervical Cerclage with a History of Liver Disease: The Use of Ultra Low-dose Spinal Anaesthesia

Pregnancy-induced liver disease is an infrequent occurrence, though a number of liver diseases may appear in pregnancy. Hyperemesis Gravidarum, affecting 0.3-2% of women in the first trimester of pregnancy, is one such disorder. The less common (<1%) but identified liver-related disorders include Haemolysis, Elevated Liver Enzymes and Low Platelet (HELLP) syndrome, acute fatty liver disease of pregnancy, and intrahepatic cholestasis of pregnancy, which are seen in the second and third trimesters, respectively [1].