A common symptom of acute hepatitis in pregnancy is jaundice, which results from the accumulation of bilirubin due to impaired liver function. The liver’s inability to effectively process and excrete bilirubin leads to yellow discoloration of the skin and sclera. Jaundice is a hallmark clinical feature indicating hepatocellular injury and cholestasis in acute hepatitis. Other symptoms like constipation, palpitations, or leg swelling are not typical primary manifestations of acute hepatitis, making jaundice the most relevant and reliable sign for diagnosis.

Reference: Williams Obstetrics, Cunningham et al., 25th Edition.