Friday, March 27, 2009

Itchy skin during pregnancy? Normal or something else?

Honestly I really do not know got such a thing until my sister told me about her itchiness become unbearable and the gynae said it is normal. I did a research and what I found really shock me. I rather be safe than feel sorry.

It is just normal itch or it may possibly be Obstetric Cholestasis, whereby liver releasing bile salts into blood stream. This was what was causing the itching, but worse than that was that the salts would cross the placenta and could be poisoning the baby. Apparently, most women develop OC by 26 weeks and are then monitored and given drugs until they can be induced at 36 weeks - the earliest normally considered as safe.

What are the symptoms of obstetric cholestasis?
Typically, symptoms occur in the last third of pregnancy when the hormone levels are at their highest. However, it sometimes develops earlier in pregnancy.

Itch
This is the most common and typical symptom. The itch can be 'all over', but it is often worst on the hands and feet. Commonly, itch is the only symptom. It tends to get worse until you have the baby. The itch can become severe and affect sleep, concentration, mood, and can become distressing.

Note: mild itching from time to time is normal in pregnancy. However, if you develop a constant itch that gets worse, tell your doctor. A blood test can confirm if you have obstetric cholestasis.


Other less common symptoms include:

  • Tiredness.
  • Poor appetite and feeling sick.
  • Mild jaundice. You may go 'yellow' and have dark urine and pale faeces (stools). This is uncommon and due to an increased level of bilirubin (a constituent of bile) leaking from the bile ducts into the bloodstream.

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