<prompt> Acute fatty liver of pregnancy is seen usually in?3rd trimester1st trimesterImmediate postpaumIntrapaum  <response>: 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. 