Itchy Skin in Late Pregnancy: When It’s Normal and When to Call Your Midwife
Stretching skin, hormones and dryness mean itching is a common part of pregnancy. For most people it is a nuisance, not a problem. But there is one kind of itching that should never be left until your next appointment, and it helps to know the difference.
Most itching is harmless
The NHS describes itching in pregnancy as common. It usually settles with simple care: a pharmacist can advise on moisturisers and soothing products suitable for pregnancy, and the NHS suggests pharmacist advice as the first step for ordinary itching.
The itch you should not ignore
The NHS explains that itching can be a sign of a liver condition called intrahepatic cholestasis of pregnancy (ICP). It lists the following as reasons to get urgent medical help:
- The palms of your hands or soles of your feet are itchy
- The itching is worse at night, or it keeps you awake at night
The NHS says to call your maternity unit, and if you cannot reach them, to call 111. Do not wait for your next scheduled appointment, and do not rely on creams to solve it.
Why it is taken seriously
The NHS says that with ICP there is a small risk your baby may be born early (before 37 weeks) and a small risk of stillbirth if ICP is severe. It also says that most people with ICP make a full recovery and have a healthy birth, and that the itching usually stops after you have had your baby. Getting checked means your care team can monitor and plan, which is exactly why they want to hear from you early.
Other reasons to see a GP
The NHS also lists a new rash, lump or swelling as a reason to see a GP. If you are ever unsure whether your symptoms matter, contact your midwife or maternity unit. Trust your instincts.
Everyday comfort for ordinary itching
These are general comfort tips rather than medical advice:
- Use a gentle, fragrance-free moisturiser, especially after showering.
- Choose loose, breathable clothing.
- Use lukewarm rather than hot water, which can dry skin further.
Remember that moisturisers do not prevent stretch marks, but they can ease tightness. See stretch marks in pregnancy.
The bottom line
Most pregnancy itching is harmless. But itchy palms or soles, or itching that is worse at night or keeps you awake, should prompt you to contact your maternity unit straight away, or call 111 if you cannot reach them.
Frequently Asked Questions
Is itching normal in pregnancy?
The NHS describes itching in pregnancy as common. Most itching is harmless, but some needs urgent attention.
What is intrahepatic cholestasis of pregnancy (ICP)?
The NHS describes ICP as a liver condition in pregnancy that can cause itching. It needs to be checked by your maternity team.
When should I get urgent help for itching in pregnancy?
The NHS lists itchy palms of the hands or soles of the feet, and itching that is worse at night or keeps you awake, as reasons to get urgent medical help. Call your maternity unit, or 111 if you cannot reach them.
Is ICP dangerous for my baby?
The NHS says there is a small risk the baby may be born early, before 37 weeks, and a small risk of stillbirth if ICP is severe. Most people with ICP recover fully and have a healthy birth.
Will the itching go away after birth?
The NHS says the itching usually stops after you have had your baby.
Sources
- NHS. Itching and intrahepatic cholestasis of pregnancy. Page last reviewed 24 February 2026. nhs.uk
This article is general information, not medical advice. If you have a skin or scalp condition, or you are pregnant, breastfeeding or taking medication, speak to a doctor, pharmacist or dermatologist before changing your routine.
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