RECURRENT idiopathic jaundice is an unusual but benign complication of pregnancy. It is characterized by intense, generalized pruritus, often associated with an obstructive form of icterus, occurring without known cause in the latter half of gestation. Recovery occurs rapidly after delivery. The condition formerly known as pruritus gravidarum with subclinical elevations of levels of both serum bilirubin1and alkaline phosphatase2,3and sulfobromophthalein (BSP) retention4is considered to be a part of the same syndrome. Recurrence of either form of the syndrome can be expected in at least 50 %2,5of cases. Although there is a tendency to premature labor,2neither mother nor child is exposed to special risks. The condition often goes undiagnosed because the icteric state is usually mild and is often late in onset or detection. Liver biopsy obtained in the presence of this complication has consistently revealed only a transient intrahepatic cholestasis.6