GPT and viral hepatitis: Abnormal liver function diseases including viral hepatitis (hepatitis A, B, C, D, E virus, EB virus, cytomegalovirus, etc.), liver and gallstones, acute fatty liver during pregnancy, preeclampsia, gestational diabetes mellitus, autoimmune liver disease, drug-induced liver injury, and other medical complications were all excluded in ICP4 group, and maternal elevated serum ALT can not be explained by any other reason.