Bile salt/itchy skin?

I am 24 weeks pregnant and had my first antenatal appointment today. The midwife was going through a check list of different symptoms and asked if I had itchy skin. I answered yes as I have been so itchy lately all over to the point that it keeps me awake. Anyway it is a symptom that has something to do with a build up of bile salt. She didn't really go into it, just said I need to make an appointment wit Dr asap and have blood test done.





Does anyone know what this is all about or have you experienced it? What happens? What was the outcome?





All information you know about this would be very helpful.

Bile salt/itchy skin?
I'm guessing it's Intrahepatic cholestasis of pregnancy. It's VERY rare and has symptoms in addition to itchy skin. I'm surprised she didn't explain exactly what it was. Anyway, here's the info:





Intrahepatic cholestasis of pregnancy is a potentially harmful pregnancy skin irritation that appears in the second or third trimester, usually on the palms of the hands and soles of the feet. No rash develops, but the intense itching may cause you to scratch and result in red, irritated skin.





This condition affects up to 2 percent of pregnant women and occurs when bile secretion in the liver is impaired. As the bile backs up, bile acids increase in the bloodstream and are eventually deposited in the skin which causes the itching. Other symptoms include darkened urine and fatigue. If you suspect you have this condition, your doctor will perform blood tests to check your liver function and an ultrasound to monitor your baby's health, as the condition is associated with an increased risk of stillbirth, premature labor, fetal distress, and maternal and fetal hemorrhaging. Depending on your and your baby's health, you may be induced earlier than your due date. The condition resolves on its own after delivery; however, it may recur with later pregnancies.





To keep you and your baby safe, alert your caregiver immediately if you develop any sort of rash during your pregnancy.
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