Hi, thanks for posting your query Your girl friend may be suffering from pregnancy induced dermatoses You may do the following: give her antihistaminic like chlorpheneramine which also has some sedative effect will help her sleep Keep the body well hydrated with moisturisers She should avoid scratching as it initiates scratch itch cycle , with increased intensity of itching since she is 24 weeks pregnant, we need to rule out intrahepatic cholestasis, which carries some risks , so consult a specialist for specific diagnosis and appropriate timely management. I Hope this helps