Severe itching and obstetric cholestasis

Severe itching and obstetric cholestasis

Severe itching 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 is no family history.

The main symptom is severe generalised itching without a rash, most commonly in the last four months of pregnancy.

Obstetric cholestasis can lead to premature birth, stillbirth or serious health problems for your baby.

It can also increase the risk of maternal haemorrhage after the delivery.

When to get help

You should see your doctor if:

The itching becomes severe – particularly if it affects your hands and feet

You develop jaundice (yellowing of the whites of the eyes and skin) 

You get itching and a severe rash.