What is the primary goal of supportive care in acute fatty liver of pregnancy?

The primary goal of supportive care in acute fatty liver of pregnancy is to ensure the safety and well-being of both the mother and the fetus, which is best achieved through timely delivery of the baby and the replacement of clotting factors. Acute fatty liver of pregnancy is a serious condition that can lead to liver failure and other complications if not managed appropriately. The most effective treatment involves delivering the fetus to alleviate the stress on the mother's liver and to minimize risks of severe maternal and fetal morbidity.

In cases of acute fatty liver, there is a significant risk of coagulopathy due to liver dysfunction, as the liver is responsible for producing various clotting factors. Addressing this through clotting factor replacement may be necessary if there are concerns about bleeding complications following delivery. Therefore, the focus is on the immediate and safe delivery of the baby, as it directly impacts maternal and fetal health.

While hydration therapy and medication for liver function can play supportive roles, they do not address the underlying problem as effectively as delivery does. Immediate surgical intervention may be warranted in certain complications, but the first-line treatment remains supportive care through delivery and stabilization after childbirth.