Blood phosphatase in pregnancy an indication of twins

Liver Failure in Late Pregnancy: Hyperuricæmia as an Early Sign in Its Detection

“…The serum alkaline phosphatase level was regarded with some suspicion, in view of the normal elevation in late pregnancy (Ebbs et alii, 1941), and particularly as this was a multiple pregnancy (Ebbs and Scott, 1940). However, with bile and urobilinogen in the urine and clinical evidence of hepatic coma, the elevated serum alkaline phosphatase level was considered indicative of liver dysfunction.…”