Abstract
This case report presents a woman with a history of adverse obstetric outcomes: two pregnancies complicated by preeclampsia, resulting in a medical termination in the first and fetal demise in the second. Prior to a subsequent pregnancy, she underwent investigations for hypertension, thrombophilia, and autoimmune diseases. These investigations led to a probable diagnosis of primary biliary cholangitis (PBC) and chronic hypertension (CH). She was medicated for both conditions and closely monitored at Unidade Local de Saúde (ULS) Coimbra. Due to severe preeclampsia, she underwent an emergency cesarean section at 33 weeks, delivering a live male infant weighing 1635 g.