Background: Maternal physiology undergoes a number of transient and persistent changes throughout pregnancy. Nearly all maternal tissues change in some way during pregnancy.The prevalence of IHCP varies significantly across all ethnic groups. In the world, 0.2–2% of pregnant women experience it. Increased risks of post-partum haemorrhage, LSCS, severe pruritus with dyslipidemia, altered coagulation profile, and premature prelabour rupture of membrane are some of the complications associated to IHCP, so this study was conducted with an aim to assess the incidence of intra hepatic cholestasis among pregnant women and to assess the feto-maternal outcome pregnancy complicated by intra hepatic cholestasis.