Pregnancy
Itching in Pregnancy: When to Ask About Cholestasis
Itching is common in pregnancy, but severe itching, itching of the palms or soles, or itching that is worse at night needs urgent maternity advice. It can be a sign of intrahepatic cholestasis of pregnancy.
Itching is common in pregnancy, but severe itching, itching of the palms or soles, or itching that is worse at night needs urgent maternity advice. It can be a sign of intrahepatic cholestasis of pregnancy.
Do not rely on whether there is a rash
Cholestasis is a liver condition, and a visible skin rash is not required for concern. Tell the maternity team where the itching occurs, when it started and whether it interrupts sleep.
Assessment may include blood tests. If symptoms persist after an initially normal result, ask whether repeat testing is needed rather than assuming the issue is settled.
Understand the monitoring plan
If cholestasis is diagnosed, ask what the results mean, how often they will be checked and whether medicine is recommended. The plan for monitoring and birth depends on the individual findings.
Do not use someone else’s test value or delivery date as a template for your care.
Keep symptom relief and safety separate
Ask about suitable ways to ease itching, but do not let temporary relief replace investigation when warning features are present. Tell the team about any medicines or herbal remedies you are considering.
Reduced baby movements should be reported immediately, regardless of whether the itching is better. Before leaving a consultation, confirm the next blood test or review and who will communicate the result. A written plan helps when several appointments and laboratory reports are involved.
Further reading and care
For an individual assessment with Dr. Aishwarya Parulekar Pai, contact the clinic and confirm the appointment location before travelling.