SUMMARYWe present one of the rarer causes of pregnancy‐associated jaundice in the immediate puerperium. A 30‐year‐old multipara with pyruvate kinase deficiency became jaundiced within a few hours of delivery, following an uneventful pregnancy and labour at term. She responded to conservative management, the jaundice clearing and the altered liver function showing a steady return to normal. Pyruvate kinase deficiency may cause pregnancy‐associated jaundice. A thorough investigation is still necessary to exclude other causes of jaundice in pregnancy and the puerperium.

SUMMARYTwin reversed arterial perfusion (TRAP) syndrome is an extremely rare manifestation of feto‐fetal transfusion syndrome. This condition is seen in monozygotic twin pregnancies, where the affected twin is perfused retrogradely by the healthy twin. The affected twin presents with bizarre malformations such as acardia and acephalus. We present such a case, which was diagnosed prenatally. The pregnancy progressed uneventfully to term.

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