Background: The goal of the current study was to evaluate the range of liver illness in pregnancy as well as its progression and impact on mother and fetal outcomes. Methods: In the Obstetrics and Gynaecology department of the Govt Medical College Jammu, the current study was carried out as a prospective follow-up study overone year. Women who were pregnant and had symptoms that might point to an underlying liver condition between the ages of 18 and 35 were chosen. All participants gave their sociodemographic information, clinical history, and underwent a liver function test (LFT). Until two weeks after delivery, every patient was monitored. Results regarding the mother and the fetus were recorded. Results: The incidence of abnormal liver function tests was 6.7%. The mean value of bilirubin was more in infective hepatitis. There were 4 cases of intra uterine deaths. Pregnancy-induced hypertension (PIH) was the most common cause of abnormal LFT (46.66%); approximately 57.5% of patients delivered at term among which 96% had live birth; 59% of patients delivered vaginally. Conclusions: Although liver disease is rare in pregnant Indian women, our study demonstrates that it is strongly correlated with significant maternal and perinatal morbidity. In pregnant women with liver illness, a high index of suspicion for liver disease, early diagnosis, rapid referral to a higher center when necessary, adequate supportive care, and a proactive policy of early delivery where warranted may enhance maternal and fetal outcomes. Therefore, LFT should be performed routinely as a test in all pregnant women during the first and second trimesters.