Dealing with Itching During Pregnancy: What’s Normal and How to Find Relief

Pregnancy brings an array of changes to your body, and itching is one of the less glamorous but common side effects. From a stretching belly to hormonal shifts, mild itching can often be par for the course. However, sometimes it can signal something more serious. Here’s what you need to know about itching during pregnancy, how to manage it, and when to call your healthcare provider.

Is It Normal to Have Itching During Pregnancy?

In most cases, yes, mild itching is completely normal during pregnancy. About 20 percent of pregnant people experience itchy skin, particularly around their belly and breasts, as the skin stretches to accommodate growth. Dry skin, hormonal changes, and even environmental factors like dry winter air can contribute to this discomfort.

Certain pre-existing skin conditions, like eczema, may worsen during pregnancy, though some find they improve. Psoriasis, on the other hand, often becomes less severe during pregnancy, though a small number of people may notice a worsening of symptoms.

However, if you develop a new rash, or experience severe itching on your palms or the soles of your feet, reach out to your healthcare provider. These symptoms could indicate more serious conditions that need medical attention.

Ways to Prevent Itching During Pregnancy

While you may not be able to completely avoid itchy skin, these tips can help minimize discomfort:

• Take Lukewarm Showers: Hot water can dry out your skin, worsening the itch. Opt for lukewarm showers or baths and use mild, fragrance-free soap. Gently towel dry to avoid irritation.

• Stay Cool: Overheating can intensify itching. Try to stay indoors during the heat of the day and wear light, breathable fabrics.

• Wear Comfortable Clothing: Loose, cotton clothing is your best friend during pregnancy. It’s gentle on your skin and reduces irritation.

• Moisturise: Apply a fragrance-free lotion or cream after bathing to lock in moisture. Storing lotion in the fridge can also provide a refreshing, cooling sensation.

• Reduce Stress: Stress and anxiety can sometimes exacerbate itching. Take time to relax with meditation, yoga, or other calming activities.

How to Relieve Itchy Skin During Pregnancy

If itching strikes, avoid scratching, as it can irritate your skin further and increase the risk of infection. Instead, try these remedies:

• Apply Cold: Use an ice pack or a cool, damp cloth on itchy areas for 5–10 minutes.

• Moisturise Regularly: Choose fragrance-free lotions or pure aloe vera gel for quick relief.

• Take an Oatmeal Bath: Oatmeal baths, available in stores or online, can soothe itchy skin naturally.

• Use Medications: Over-the-counter anti-itch creams or calamine lotion can help, but consult your healthcare provider before use. Apply medication first, then follow with moisturiser.

When to Call Your Healthcare Provider

While itching is often harmless, it’s important to stay vigilant for symptoms that may indicate underlying conditions. Contact your provider if you:

• Develop a new rash.

• Have a pre-existing skin condition that worsens.

• Experience severe itching, particularly on your hands and feet, without a rash.

Conditions That Require Attention

Some causes of itching during pregnancy can impact your health or your baby’s well-being:

• Cholestasis of Pregnancy: Severe itching without a rash, particularly on the palms and soles, may signal this liver condition, which requires monitoring and treatment.

• Pemphigoid Gestationis: An itchy rash during pregnancy could indicate this rare autoimmune condition, which requires medical care.

• PUPPP Rash: Small, itchy, raised spots on your belly (common in the third trimester) may indicate pruritic urticarial papules and plaques of pregnancy. While uncomfortable, this condition is harmless to both you and your baby.

Itchy skin may be an expected part of pregnancy, but that doesn’t mean you have to suffer through it. With a few simple steps and a watchful eye on more serious symptoms, you can manage the itch and keep your focus on the exciting journey ahead. Always consult your healthcare provider with any concerns to ensure both you and your baby are in the best possible health.