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Itching in pregnancy: when should you contact your care team?

When to seek help for itching, especially on palms or soles or at night, and what to mention when you call.

Hands resting on a pregnant person’s belly
Illustrative photograph · Matilda Wormwood / Pexels · License

At a glance

Itching is common in pregnancy, but stretching skin is not the only possible cause. Start by recognising symptoms that need assessment, then discuss ways to feel more comfortable.

Do not wait with these symptoms

Contact your maternity service promptly if your palms or soles itch, itching gets worse at night or it is severe enough to keep you awake. These symptoms can be associated with intrahepatic cholestasis of pregnancy. Having no rash does not remove the need for assessment.

Appearance alone cannot give a diagnosis

Dryness, eczema and other skin conditions may also cause itching. Your team may examine your skin and arrange liver and bile acid tests. RCOG explains that ongoing symptoms can need repeat testing even after initially normal results. Mention persistent itching rather than assuming an earlier result settles it.

Three details for the call

Explain where it itches, when it began and whether it affects sleep. You can also mention new products and whether there is a rash. A written record is optional: do not postpone the call while trying to make your notes complete.

Comfort measures do not replace assessment

Loose cotton clothes, a non-hot shower and unperfumed moisturiser may make mild symptoms more comfortable. Tell your pharmacist or clinician you are pregnant when checking a product. Do not start medicines or herbal mixtures yourself. Relief from a product does not identify the underlying cause.

This article is general information and does not replace individual medical assessment.

How was this guide prepared?

Prepared by Yuvilya for general information. Topics are explained using the sources listed below and practical examples to help you use your personal records.

You can read the original sources and report a correction to info@yuvilya.com. You do not need to send health records or passwords.

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