Itching during the third trimester

As pregnancy advances, the abdomen and breasts stretch and skin can become dry or sensitive. Eczema may flare, and a reaction to soap, detergent, fabric, or a topical product may cause an itchy rash. Hives create raised welts that can move from place to place. Scabies tends to cause intense itching and may affect household contacts. Itching without a clear rash, especially on the palms or soles, needs maternity assessment because it can occur with a liver-related pregnancy condition.

Use a plain, fragrance-free moisturiser often, particularly after a lukewarm shower. Choose loose breathable clothing, avoid overheating, and pat rather than rub the skin dry. Keep fingernails short and use a cool compress when an area flares. Note the timing, locations, rash appearance, sleep disruption, and any new products. Check every medicine, cream, or supplement with your maternity clinician before using it.

Contact the maternity team promptly if itching is new, severe, widespread, mainly at night, or concentrated on the palms and soles. Seek urgent advice for yellowing of the eyes or skin, dark urine, pale stools, upper abdominal pain, or reduced fetal movement. Do not wait for a rash to appear before reporting unexplained itching.

Does my skin look like eczema, irritation, or hives? Should I have pregnancy-related liver testing? Which topical treatment is appropriate, and how should I monitor fetal movement while this is being assessed?