Stomach itching during the third trimester: what to know

As the abdomen stretches, dryness and irritation can make the skin itchy. A rash may point toward eczema, contact dermatitis or hives; links to Atopic Dermatitis, Contact Dermatitis and Hives can help you compare patterns. Itching without an obvious rash, especially on the palms or soles or worse at night, can be linked to a pregnancy-related liver problem and should be discussed promptly with a midwife or doctor. Less common skin causes include yeast infection, scabies, psoriasis or lichen planus. A diagnosis depends on the appearance, distribution, timing and your pregnancy history.

Use a fragrance-free moisturiser several times daily, take lukewarm rather than hot showers, and wear loose cotton clothing. Avoid new soaps, perfumes and harsh detergents. Keep nails short and use a cool compress instead of vigorous scratching. Speak with your maternity team before using medicated creams, antihistamines or herbal products; they can recommend pregnancy-appropriate options and decide whether blood tests or other checks are needed.

Contact your maternity team urgently if itching is severe, keeps you awake, spreads beyond the abdomen, has no rash, or affects your palms or soles. Seek immediate help for reduced fetal movement, yellowing of the skin or eyes, dark urine, pale stools, severe abdominal pain, facial swelling or breathing difficulty. A rapidly spreading rash, fever, blisters or signs of infection also needs prompt review.

Tell your clinician when the itch began, whether a rash is present, where it spreads, whether nights are worse, and which products or medicines you have tried.