question-icon

What causes pruritus of pregnancy?

default
Posted on Thu, 13 Mar 2014
Question: My wife is 37 weeks pregnant with twins and is experiencing severe itching on her stomach, which is also covered with rashes. Her gynaec prescribed dermocalm, but without examining anything. This itching is however still severe and aggravates at night. Attached is a photo of the rashes
doctor
Answered by Dr. Rahul Kumar (35 minutes later)
Brief Answer: get liver function test done Detailed Answer: Hello I saw the photograph. She has developed pruritus of pregnancy. It is an itchy condition associated with pregnancy and disappears with delivery. Although the cause is unknown but sometimes it is associated with obstruction in bile flow. Please get her liver function test done. Let me know the result so I can guide you further. For now continue with dermocalm and if itch is severe give her avil tablet. Thank you
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Rahul Kumar (35 hours later)
Dear Dr XXXXXXX Thanks for the response. Attached is LFT results. The itching has now spread to the hand, thigh and legs and is quite severe. Avil was unfortunately of not much help. Is there any other alternative that can be tried? Also can you confirm if this can cause any fetal distress. The C-Section is planned for Feb 20th - 37th week as it is twins. Should we talk to the gynaec about getting it preponed? Thanks
doctor
Answered by Dr. Rahul Kumar (36 hours later)
Brief Answer: urodeoxycholic acid tablet Detailed Answer: Hello, There is bit derangement in LFT although not significant. You can ask your gynecologist to start urodeoxycholic tablets. This are quiet helpful in pruritus of pregnancy. Don't worry this itch will subside as soon as she delivers and avil doesn't have any side effect on developing fetus. Let the delivery be planned as schedule. Let me know if you have any other doubts. Thank you
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6319 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

133 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What causes pruritus of pregnancy?

Brief Answer: get liver function test done Detailed Answer: Hello I saw the photograph. She has developed pruritus of pregnancy. It is an itchy condition associated with pregnancy and disappears with delivery. Although the cause is unknown but sometimes it is associated with obstruction in bile flow. Please get her liver function test done. Let me know the result so I can guide you further. For now continue with dermocalm and if itch is severe give her avil tablet. Thank you