Itching during pregnancy: What’s normal and when to seek advice

Itching is one of those pregnancy symptoms that often takes people by surprise. For some, it is mild and occasional. For others, it can become intense and uncomfortable, especially as the bump grows and the skin stretches. In fact, research suggests that around 23 to 38 percent of pregnant women experience itching at some point, most commonly due to normal hormonal changes and skin stretching. While this is usually nothing to worry about, there are times when itching can signal something more serious and should always be mentioned to your midwife or GP.

Why does itching happen in pregnancy?

During pregnancy, your body goes through significant hormonal shifts. These hormones can make your skin more sensitive and prone to dryness, which often leads to itching. As your baby grows, your tummy and breasts stretch, which can also cause discomfort and itchiness. This type of itching is very common and usually improves with simple measures such as moisturising, wearing loose cotton clothing and avoiding harsh soaps.

For many people, itching is most noticeable on the abdomen, thighs and breasts, particularly in the later stages of pregnancy. Warm weather, central heating and dehydration can all make it worse. In most cases, this is considered a normal part of pregnancy and does not pose any risk to you or your baby.

When could itching be a sign of something more?

Although itching is often harmless, persistent or intense itching, especially on the palms of the hands and soles of the feet, can sometimes be a symptom of a condition called intrahepatic cholestasis of pregnancy, also known as obstetric cholestasis. This is a liver condition that affects the flow of bile and requires medical assessment.

According to the NHS, ICP affects around 1 in 140 pregnant women in the UK and typically develops in the third trimester, although it can occasionally start earlier. The most common symptom is itching without a rash, often worse at night and particularly noticeable on the hands and feet. Other symptoms may include dark urine, pale stools or, less commonly, yellowing of the skin and eyes. You can read more about this on the NHS website here.

The Royal College of Obstetricians and Gynaecologists explains that itching can be the first sign of ICP and recommends that any persistent itching should be reported so that blood tests can be carried out to check liver function and bile acid levels. Early diagnosis allows for careful monitoring and appropriate care throughout the remainder of pregnancy. Further guidance is available here.

Why is it important to get checked?

While ICP can be very uncomfortable for the mother, the main concern is the potential impact on the baby. Research has shown that ICP is associated with an increased risk of premature birth and, in rare cases, stillbirth. This is why prompt testing and monitoring are so important. Regular blood tests allow your care team to assess bile acid levels and determine the safest timing for delivery.

It is important to remember that most itching in pregnancy is not caused by ICP, but it is always better to get checked and reassured than to ignore symptoms. If your results are normal but the itching continues, your midwife may recommend repeating the tests, as levels can change over time.

Tips to soothe mild pregnancy itching

If your itching is mild and thought to be related to normal skin changes, there are several gentle ways to manage discomfort:

• Use fragrance-free moisturisers regularly, especially after bathing
• Opt for loose, breathable cotton clothing
• Avoid hot baths and showers, which can dry out the skin
• Keep your home cool and well ventilated
• Drink plenty of water to stay hydrated

These simple steps can often make a noticeable difference and help keep your skin comfortable as your body changes.

Trust your instincts

Pregnancy brings many new sensations, and it can be difficult to know what is normal. If itching is affecting your sleep, worsening over time or concentrated on your hands and feet, it is always worth speaking to your midwife or GP. You know your body best, and no concern is too small to raise.