A 24 year old primipara in her 34th week of gestation presents with jaundice for 1 day, and nausea, vomiting and malaise for 4 days.
She developed hypertension at 28 weeks, for which methyldopa was commenced. Her pregnancy was otherwise uneventful.
The CTG shows a FHR of 158 bpm with reduced variability, one acceleration and no decelerations. An ultrasound abdomen shows a viable fetus, and a grade I fatty liver. Her urine tests negative for protein.