Hello, I have gone through your query and understood the concern. Your symptoms and the rising enzyme levels suggest that you are experiencing obstetric cholestasis. The exact cause should be detected through proper clinical evaluation and the fetal well being should be carefully monitored because with such high levels, still birth or premature birth can occur. Fatty liver or gall stones can cause such rise. Liver function should be properly assessed through other tests as well. Ursodeoxycholic acid is used to manage. Usually, delivery is advisable at 37 weeks as soon as the baby is mature. If early intervention is planned, steroid injections should be given to enhance fetal lung maturity. Hope this helps. Wish you safe motherhood.