Readiness, Recognition, Response, and Reporting in a Case of Acute Fatty Liver of Pregnancy

Acute fatty liver of pregnancy (AFLP) occurs less frequently than similarly challenging complications in pregnancy. Early recognition is key to reduce morbidity and mortality. Women present with symptoms common to many illnesses, and AFLP typically occurs in the third trimester. Laboratory test values typical of preeclampsia and HELLP syndrome are seen with AFLP. There are distinguishing laboratory tests that help differentiate AFLP from other conditions. AFLP can cause coagulopathy, which can pose a challenge in childbirth. The case example presented here shows the readiness, recognition, and response of a team caring for a woman with AFLP. System processes developed before this event served the team well during the event. Strong team dynamics of communication, leadership, roles, and a culture of huddles and debriefs are shown.