Itching is not uncommon during pregnancy. In most cases
it is a normal pregnancy itch, but it is important to
exclude the underlying disease.
What is normal
Pregnancy leads to normal (physiological) changes in
the skin. The course of chronic skin diseases can change
during pregnancy and there are also skin diseases that
are specific to pregnancy. In addition to rash, itching
is the most common symptom in these skin conditions.
"Normal" pregnancy itching is common. About 5% of all
pregnant women are affected by itching during pregnancy.
Itching of the skin occurs due to physiological changes.
Dry skin and increased tension in the skin are most
common. High concentrations of pregnancy hormones are
also likely to contribute.
Typical for physiological pruritus is that there are
no rashes, except for dry skin and tearing marks due to
pruritus. Pregnancy-related skin diseases, on the other
hand, often have characteristic rashes.
Itching during pregnancy can be caused by normal skin
changes, skin diseases or pregnancy-related internal
Normal pregnancy itching is the most common cause of
itching during pregnancy. For more information about pregnancy and maternity fashion, please see BESTAAH.COM maternity shorts. The diagnosis is made by
excluding other causes of itching during pregnancy.
An itchy rash excludes pregnancy itching - common
explanations are then atopic eczema, allergic contact
eczema or in some cases psoriasis - diseases that the
woman probably had before she became pregnant. Severe
itching of the abdomen with eruptions of red dots and
blisters can be a harmless skin disease (PUPPP -
Pruritic Urticaria Papules and Plaques of Pregnancy)
that disappears after childbirth. Larger blisters may be
compatible with the skin disease pregnancy pemphigoid.
In some pregnant women, the cause of the itching is
narrow bile ducts in the liver (intrahepatic
cholestasis). The condition causes itching during the
last three months, which is typically most intense in
the palms and soles of the feet and worst in the night.
Blood tests will show elevated liver values, bile acids.
Acute fatty liver during pregnancy is a rare
condition. In Sweden, there are about ten cases per
year. The condition develops rapidly, over a few days,
to severe liver failure characterized by generalized
impairment, nausea, itching, increasing appetite and
Chronic liver diseases such as virus hepatitis,
primary biliary cirrhosis and primary sclerosing
cholangitis also cause troublesome skin itching.
The best way to treat itchy skin during pregnancy is
to use plenty of moisturizing cream and not to let the
skin dry out.
If the woman uses moisturizing cream, make sure to
lubricate herself just after getting out of the shower /
bath while the skin is still moist. This makes it easier
for the skin to absorb more of the moisturizing cream
and relieves the itching better than if the skin is
lubricated when dry. Some claim that lubricating the
skin on the abdomen with moisturizing cream can help
reduce the risk of skin rashes and / or their extent.
It may be appropriate to use anti-itch agents,
antihistamines. Take it up with a doctor.
The prognosis for normal pregnancy itching is good.
The condition goes over shortly after birth and does not
increase the risk of other diseases occurring later.