Liver dysfunction in pregnancy can be related to one of the three categories of diseases: pregnancy-related liver diseases, chronic liver diseases during pregnancy, and liver diseases coinciding with pregnancy. Pregnancy changes a woman's physiology and can similarly alter the course and manifestations of disease. Liver pathology can negatively affect pregnancy outcomes, increasing maternal and fetal morbidity and mortality. Intrahepatic cholestasis is among common pregnancy-related liver diseases that can cause very uncomfortable itching in mothers and potentially much more serious consequences for the fetus, including meconium-stained amniotic fluid with aspiration, intrauterine death, and premature birth. Ursodeoxycholic acid and induction of labor up to 37 weeks of gestation are the gold standard of treatment. Acute fatty liver in pregnancy is the rarest disease in this category and can be complicated by liver failure if not recognised and treated in time. The only etiological treatment is induction of labor, regardless of the child's gestational age. Preeclampsia is defined by the presence of newly developed hypertension after the 20th week of gestation with proteinuria and damage to various organ systems. Preeclamptic injury can also affect the liver. Progression of preeclampsia leads to eclampsia, which is characterized by new-onset clonic-tonic seizures with no any other apparent cause. The HELLP syndrome can also be considered a complication of preeclampsia and its clinical picture usually includes hypertension and proteinuria. The main manifestations of this syndrome are hemolysis, elevated liver enzymes, and thrombocytopenia. The most effective therapeutic option for this condition is delivery. Although these diseases occur during pregnancy, all except intrahepatic cholestasis can also occur postpartum and should be considered when there is a worsening of the mother's general condition. These pregnancies are usually managed by a multidisciplinary approach in order to achieve the best outcomes in given circumstances, for both the mother and the fetus.