#asktheexpert I am 36 weeks and 2 days pregnant..my stomach is itchy and have wounds on it

Question

Accepted Answer

Itching and wounds on the stomach during pregnancy, especially around the 36-week mark, are common due to the stretching of the skin as your baby grows. However, it's important to ensure that the itching and wounds are not related to any underlying condition. Here are some common reasons and recommendations:

Common Causes for Itching and Wounds:

1. Stretch Marks: As your belly grows, the skin stretches, which can lead to dryness and itching. This often results in stretch marks, which appear as reddish or purple streaks, and can cause discomfort.

2. PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy): This is a condition that causes itchy, red bumps and hives on the skin, usually starting on the belly and spreading to other parts of the body. It's more common in first pregnancies but generally resolves after delivery.

3. Dry Skin: Pregnancy hormones can make your skin drier, especially in the later stages of pregnancy, leading to itching.

4. Cholestasis of Pregnancy: This is a rare but serious condition that causes itching, usually on the palms of the hands and soles of the feet, but it can also affect the stomach. It occurs due to liver dysfunction and requires medical attention to ensure both your health and your baby’s health are not at risk.

5. Allergic Reaction: Sometimes, skin products like lotions, soaps, or laundry detergents can trigger an allergic reaction, leading to itching and sometimes wounds or rashes.

What to Do:

1. Moisturize Your Skin: Use a fragrance-free, gentle moisturizer to help keep your skin hydrated and reduce itching. Look for creams or oils specifically designed for stretch marks or dry skin during pregnancy.

2. Avoid Scratching: Scratching can cause further irritation and potentially lead to wounds or infections. Try gently patting or applying cool compresses to soothe the itch.

3. Warm (Not Hot) Bath: Taking a lukewarm bath with oatmeal-based products can help soothe itchy skin. Avoid hot water, as it can dry out the skin further.

4. Wear Loose, Comfortable Clothing: Tight clothing can irritate your skin and make itching worse. Opt for loose, cotton fabrics that allow your skin to breathe.

5. Consult Your Doctor: If the itching is severe or you notice other symptoms like yellowing of the skin or eyes (jaundice), dark urine, or abdominal pain, it's important to consult your doctor. This could indicate a condition like cholestasis, which requires immediate attention.

For Wounds:

Clean and Protect: If you have any wounds on your stomach, keep them clean with mild soap and water. Apply a soothing ointment like petroleum jelly or a healing balm to prevent infection and promote healing.

When to Seek Medical Help:

If the itching is unbearable and there is no relief with over-the-counter remedies.

If you have any signs of PUPPP or cholestasis, including severe itching, yellowing of the skin, or dark urine.

If the wounds on your stomach do not heal or show signs of infection (redness, swelling, warmth, pus).

It’s always best to check in with your doctor or obstetrician to rule out any serious conditions and get personalized advice on managing the discomfort.