Intrahepatic cholestasis of pregnancy is a relatively benign liver disease characterized by jaundice and pruritis that is often seen in sequential pregnancies. The cause of the disease is unknown, and treatment is largely symptomatic for pruritis. Acute fatty liver of pregnancy and HEELP syndrome are severe and potentially life-threatening illnesses and would not have a benign course as in the case patient. Gilberts syndrome could explain her symptoms but would likely have manifested earlier in life. Hepatitis A is not a recurring disease.