Experiencing itchy skin during pregnancy is a frequent discomfort, but in some cases, it may indicate a more serious condition. Pregnancy triggers hormonal fluctuations and skin stretching, both of which can lead to itching. However, certain conditions, such as PUPPS, Pemphigoid, and Cholestasis, may require medical attention. Read on to learn about the causes and ways to find relief.
Common Causes of Itchy Skin During Pregnancy
1. PUPPS (Pruritic Urticarial Papules and Plaques of Pregnancy)
PUPPS, also known as the polymorphic eruption of pregnancy, is a harmless yet irritating rash that often appears during the second or third trimester.
Symptoms of PUPPS:
- Starts in stretch marks on the abdomen and may spread to the arms, legs, chest, back, or buttocks
- Resembles hives with red, raised lumps and blisters
- Does not typically affect the belly button
- Severe itching that can disrupt sleep
- Sometimes accompanied by a yellowish discharge from blisters
Possible Causes:
Though the exact cause remains unknown, theories suggest:
- Rapid skin stretching damages tissues, triggering an immune response
- Fetal cells entering the mother's bloodstream may lead to an immune reaction
- Increased testosterone levels in pregnancy may contribute
Remedies for PUPPS:
- Dandelion tea or tincture: Supports liver function, which may help reduce itching
- Cool showers: Helps calm inflammation
- Oatmeal baths: Soothes irritated skin
- Moisturizers: Petroleum jelly or beef tallow-based creams can provide relief
- Loose-fitting clothing: Reduces skin irritation
- Medications: In severe cases, a doctor may prescribe antihistamines or topical steroids
PUPPS typically resolves within 3-4 weeks after delivery.
2. Pemphigus and Pemphigoid
These are autoimmune blistering disorders, with Pemphigoid Gestationis affecting pregnant individuals.
Symptoms of Pemphigoid Gestationis:
- Begins on the abdomen and spreads outward
- Starts as red bumps, later developing into blisters
- Risk of open wounds leading to infections
Treatment Options:
- Corticosteroids to reduce inflammation
- Immunosuppressive medications for severe cases
- Biologic drugs may be recommended by a specialist
3. Cholestasis of Pregnancy
Cholestasis is a serious liver condition that occurs in pregnancy, often in the third trimester. It results from impaired bile flow, leading to a buildup of bile acids in the bloodstream.
Symptoms of Cholestasis:
- Intense itching primarily on the palms and soles
- Yellowing of the skin or eyes (jaundice)
- Nausea and loss of appetite
- Dark urine and pale, oily stools
Potential Risks to the Baby:
- Preterm birth
- Respiratory complications
- In rare cases, stillbirth
Managing Cholestasis:
- Immediate medical attention is necessary
- Liver-supporting supplements like dandelion root may help
- Medications like ursodeoxycholic acid (UDCA)can lower bile acid levels
When to See a Doctor
While mild itching is common, it’s crucial to contact your healthcare provider if:
- Itching is severe or persistent
- It spreads across large areas of the body
- Itching is accompanied by blisters, sores, or yellowing of the skin
Final Thoughts
Pregnancy-related itching can range from minor irritation due to skin stretching to serious medical conditions requiring urgent care. If you experience persistent or severe itching, consulting your doctor ensures you and your baby stay safe.
About This Article
This article is brought to you by Momcozy in partnership with YourBabyClub, offering helpful tips and resources for expectant mothers navigating the challenges of pregnancy. For more practical solutions and expert advice, visit Momcozy.
