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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Extremely Itching Breast During 38 Weeks Of Pregnancy. Solution?

my daughter is 38weeks pregnant with her first child, and she is experiencing very extremely itchy breast. I started to laugh at first but its bothering her so bad, she began to cry almost and say she wanted to cut em off because it was so bad....her hubby got her to rub chalamine lotion on em and she said that helped very little but then she bathed and began crying again.............i have had 6 babies & never had the problem she is having and hate not having an answer for her. please tell me you have advice...
Wed, 14 Aug 2013
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OBGYN 's  Response
Hi,
Thanks for writing in.
Itching in pregnancy is a bad sign. There could be many causes for that but the most feared for cause is IHCP which has a strong relationship with adverse pregnancy outcome. Although the site of pain is quite rare for IHCP, but still I recommend you to check her liver functions & report this to her treating Obstetricians. As she may need an early delivery to save her baby.
Wish you best of luck
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General & Family Physician Dr. Vasudha's  Response
Hi,
* Usually, scratching breast n pregnancy s due to increased size of breast,which leads to stretching ,& cracking of skin the scars thus formed give rise to itch.
As a rule, more you scratch, more is scratching.The patient being not satisfied,goes on scratching & the vicious circle goes on.
The first thing to control is to understand the cause & determine not to scratch.Application of prickly heat talcum powder helps a bit.
The ointments like-Scratchnil or Pregnacream help by healing the scars,relieving itch ,making the skin healthy.
* *The itching is unbearable& without a rash,it is better to exclude certain complications affecting pregnancy out come.y ou have to rush to doctor for investigations to exclude/diagnose pregnancy cholestasis & start treatment earliest..
Though , breast is an unusual site for the pregnancy cholestasis scratch,
it is always better to exclude.
Thank you.
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Extremely Itching Breast During 38 Weeks Of Pregnancy. Solution?

Hi, Thanks for writing in. Itching in pregnancy is a bad sign. There could be many causes for that but the most feared for cause is IHCP which has a strong relationship with adverse pregnancy outcome. Although the site of pain is quite rare for IHCP, but still I recommend you to check her liver functions & report this to her treating Obstetricians. As she may need an early delivery to save her baby. Wish you best of luck