Itching during the first trimester of pregnancy

Hormonal changes, dry skin, heat, sweat and a new soap or detergent can make skin itchy early in pregnancy. Atopic Dermatitis, Contact Dermatitis and Hives may cause visible redness, bumps or patches. A yeast infection can cause irritation in warm, moist folds, while Scabies may itch intensely at night and spread among close contacts. These possibilities cannot be sorted out from the symptom alone.

Itching without a rash is less specific. Note where it occurs and whether it is worsening, rather than assuming it identifies a particular condition. Early advice is useful if the itch is affecting sleep or daily activities.

Use a fragrance-free moisturiser on damp skin, take lukewarm rather than hot showers, and wear loose breathable clothing. Stop newly introduced fragranced products and use a cool cloth instead of scratching. Do not start tablets, herbal products or medicated creams without checking their pregnancy suitability with a clinician or pharmacist.

Arrange medical advice for severe, widespread, persistent or sleep-disrupting itching, a rapidly changing rash, signs of infection, or itching affecting the palms or soles. Seek urgent help for facial swelling with breathing difficulty, yellow skin or eyes, severe abdominal pain, fever with a spreading rash, vaginal bleeding, or feeling seriously unwell. Take photographs if a rash comes and goes.

Ask whether the skin needs examination, which moisturiser or treatment is suitable, and whether any blood tests are appropriate. Mention the date it began, body sites, rash details, new products, household itching, allergies and medicines or supplements you take.