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The classic signs and symptoms of pregnancy —
tender breasts, nausea, fatigue, weight gain —
probably come as no surprise. But what about itchy
skin? In late pregnancy, a condition known as
cholestasis of pregnancy may trigger intense
itching, particularly on the hands and feet.
By definition, cholestasis is any condition in
which the flow of bile — a digestive fluid —
from the liver is blocked. Extrahepatic cholestasis
occurs outside the liver. Intrahepatic cholestasis
occurs inside the liver. Pregnancy is one of many
possible causes of intrahepatic cholestasis. Other
names for cholestasis of pregnancy include obstetric
cholestasis and intrahepatic cholestasis of
pregnancy.
Other than intense itching, cholestasis of
pregnancy poses few problems for mothers.
Cholestasis of pregnancy can be dangerous for a
developing baby, however. Early delivery is usually
recommended.
Symptoms
Signs and symptoms of cholestasis of pregnancy
may include:
- Intense itching
- Dark-colored urine
- Light-colored bowel movements
- Yellow eyes or skin
- Abdominal pain
Often, however, intense itching — particularly
on the palms of the hands and the soles of the feet
— is the only symptom of cholestasis of pregnancy.
The itching may be worse, even intolerable, at
night. The itching is most common during the third
trimester of pregnancy, but sometimes
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