We report the case of a 21 year old primipara presenting with primary postpartum haemorrhage with features of hepatocellular jaundice, later diagnosed to be due to leptospirosis on serology. AFLP and HELLP syndrome being the most common differential diagnosis in case of hepatorenal involvement, were ruled out. There was intrauterine fetal death with PPH occurring post expulsion of the fetus. She was treated with IV ceftriaxone and oral doxycycline along with supportive management. She was discharged well after 20 days of admission. Herein we discuss the patient’s clinical progression and management of hepatorenal involvement in leptospirosis and review the recent literature.