iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2023.v04i02.016Breaking Barriers: Managing Non-Cirrhotic Portal Hypertension during PregnancyNamikaDwivediHarshaChaudharyArundhatiSharmaPortal hypertension during pregnancy, often associated with cirrhotic liver disease, presents unique challenges when attributed to non-cirrhotic causes. We present a case of a 26-year-old pregnant woman with non-cirrhotic portal hypertension, whose history included grade 3 varices managed with band ligation. Throughout her pregnancy, careful multidisciplinary management was employed, with monthly antenatal care, liver function tests, and surveillance. At 37 weeks and 6 days, she delivered a healthy infant via vacuum assistance, and postpartum, meticulous management included the avoidance of methergine and provision of blood products. This case highlights the importance of tailored care, collaboration between obstetricians, hepatologists, and hematologists, and the need for further research in this rare area to optimize maternal and fetal outcomes in non-cirrhotic portal hypertension during pregnancy.