Background: Jaundice in pregnancy is responsible for 10% of maternal deaths but more importantly it carries a grave prognosis for both the fetus and the mother. Though it only affects a small proportion of pregnant women population, yet it takes a major toll on health of both mother and fetus especially in developing countries like India. The aim of the study was to assess maternal and fetal outcome of jaundice during pregnancy. Methods: 126 pregnant women with jaundice attending the Institute of obstetrics and gynaecology, IGMC, Shimla in year 2016-2017 have been studied for etiology, clinical profile and pregnancy outcome. Results: Age group of 25-29 years was most affected (35.72%). Majority (62.7%) belongs to rural locality, were multi gravidae (60.3%) and have period of gestation more than 28 weeks (89.7%). Viral hepatits and intra hepatic cholestasis were (33.3%) the most common etiologies for jaundice. Neonatal mortality was found to be 8.25% Prematurity (n-4) birth asphyxia (n-2) and sepsis (n-1) was the causes of mortality. 13 study patients died in current study i.e. four with viral hepatitis, two with PIH and one with Srcub infection resulting in maternal mortality of 7.14% Conclusions: Feto-maternal outcome in current study was relatively poor. Jaundice and pregnancy in combination, result in high morbidity and mortality, and warrant an early diagnosis and careful management.
