Background: Liver diseases constitute a family of diseases in pregnancies that are less often studied individually. The study was conducted to assess effect of maternal liver disease on fetal outcome. Material & Methods: The present prospective study was conducted to assess effect of maternal liver disorder on fetal outcome. Thorough clinical assessment including detailed history and examination of these patients was done. The fetal outcomes were assessed. The data was collected from the medical record and statistical analysis was done using statistical software SPSS version 22. Results: The 1200 pregnancies were evaluated out of which 250 pregnant women had liver diseases. The prevalence was found to be 20.83%. Hypertensive disorders of pregnancy were the most common liver disease 124 (49.6%), followed by cholestasis 49 (19.6%). Prematurity was found in 30.8% newborn. Still birth was 12.8%. Early neonatal deaths occur in 11.6% and 20.8% newborns required NICU admission. Conclusion: The study concluded that the prevalence of liver disease was found to be 20.83%. Hypertensive disorders of pregnancy were the most common liver disease. Maximum newborns were born premature.