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
Acute fatty liver of pregnancy is seen usually in? 
Select and explain. 
A. 3rd trimester, B. 1st trimester, C. Immediate postpaum, D. Intrapaum
A: 3rd trimester
Answer: A: 3rd trimester 
Explanation: 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.