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Your NHS guide to having a baby

Severe itching and obstetric cholestasis

Severe itching when you're pregnant can be a sign of a condition called obstetric cholestasis. This is a potentially dangerous liver disorder that seems to run in families, although it can occur even if there's no family history.

Symptoms of obstetric cholestasis

The main symptom is severe generalised itching (all over your body) without a rash, most commonly in the last four months of pregnancy. Obstetric cholestasis can lead to premature birthstillbirth or serious health problems for your baby. It can also increase the risk of you haemorrhaging (bleeding very heavily) after the birth.

When to get help

You should see your doctor if:

  • the itching becomes severe, particularly on your hands and feet
  • you develop jaundice (yellowing of the whites of the eyes and skin)
  • you get itching and a severe rash 

The Royal College of Obstetricians and Gynaecologists has more information about obstetric cholestasis, including what it means for you and your baby, and the treatment that's available. You can also get information from the British Liver Trust.

Healthtalk online has video interviews with women talking about their experiences of obstetric cholestasis, including what the itching felt like.

 

Last reviewed: 18/03/2011

Next review due: 18/03/2013

Comments are personal views. Any information they give has not been checked and may not be accurate.

sammysammysam said on 21 January 2010

My sister had a baby four years ago and had previously had pancreatitus, an ulcer and also her gall bladder removed. She developed Cholestasis, what are the chance of me having the same problem as i plan to have a baby soon and have also had my gall bladder removed? Would be great if anyone could point me in the right direction to find out as well. Thanks

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