This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical Illness Complicating Pregnancy, Subject name: Gynaecology & Obstetrics
[{'content': 'Acute fatty liver of pregnancy is seen usually in? \nSelect and explain. \nA. 3rd trimester, B. 1st trimester, C. Immediate postpaum, D. Intrapaum', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Acute fatty liver almost always manifests late in pregnancy with a mean gestational age of 37 weeks-- Mostly primigravida and also more in multifetal gestation Clinical features Persistent nausea and vomiting malaise, anorexia epigastric pain progressive jaundice Pre ecclampsia hypofibrinogenemia hypoalbuminemia hypocholesterolemia prolonged clotting times.', 'role': 'assistant'}]