Itching on the tummy in the eighth month of pregnancy

As the abdomen expands, stretching and dryness can make the skin tight and itchy. Irritation from new products, heat or clothing may create a visible rash. A raised rash that begins in stretch marks can be pregnancy-related, but it still needs a clinician to distinguish it from other conditions. Itching that is widespread, strongest at night, or present without a primary rash can signal a pregnancy-related liver problem and should not be dismissed. It does not mean that a serious condition is present, but the pattern guides testing.

Use a fragrance-free moisturiser after bathing, keep showers lukewarm, wear loose breathable clothing and keep the room comfortably cool. Avoid new essential oils, perfumed washes and vigorous scratching. Before using an antihistamine, steroid cream or herbal product, check with your maternity clinician because pregnancy changes what is appropriate. If the rash resembles eczema, [Atopic Dermatitis](/conditions/atopic-dermatitis/) may help you recognise features, but do not self-diagnose from a picture.

Contact your maternity team promptly for intense or worsening itch, itch without a rash, itch on the palms or soles, dark urine, pale stools, yellowing of the eyes or skin, or unusual nausea or upper abdominal pain. Seek urgent help for breathing difficulty, facial swelling, a rapidly spreading blistering rash, fever, or reduced fetal movement according to your maternity service instructions. Keep note of when the itch began, where it occurs and whether it disturbs sleep.

Does my pattern need liver blood tests? Which treatments are compatible with my pregnancy? How should I monitor fetal movement, and when should I call the maternity unit?