One of our new moms died this week leaving behind a beautiful premature baby girl. It was the first maternal death I have experienced in the three years that I have been here and quite possibly the first in the 20 year existence of the the hospital. It was tragic for all of those involved. The culprit .... acute fatty liver of pregnancy. It used to be that this condition was 100% fatal but with so many incredible advances in technology it has lowered to 18% in the United States. That is still pretty high. Acute fatty liver of pregnancy is a very rare condition that can happen toward the end of pregnancy or even up to a few days after delivery. It happens when the expectant mother has a genetic disorder that causes the "cell's powerhouse, the mitochondira, are not breaking down fatty acids that help the body process proteins, carbohydrates, or lipids(fat). This causes fat molecules to build up in the essential organs such as the liver, kidneys, and even the placenta res