# Itchy Skin in Pregnancy at 33 Weeks Pregnant

Source: https://www.pregnancypowerhour.com/pregnancy/symptoms/itchy-skin-week-33
Last updated: 2026-07-01

> At 33 weeks pregnant, mild itchy skin is common, but intense itching, especially on palms and soles, warrants checking for Intrahepatic Cholestasis of Pregnancy (ICP).

At 33 weeks pregnant, experiencing itchy skin is a common sensation as your body continues its remarkable changes, and understanding its various forms can bring a sense of clarity. While often mild and manageable, it's important to distinguish between general pregnancy itching and more specific concerns, particularly as you move further into your third trimester.

Many pregnant individuals find that mild itching becomes more noticeable in the second and third trimesters. This can be attributed to several factors. Your skin is stretching considerably to accommodate your growing baby, which can lead to dryness and irritation. Additionally, shifts in hormones can increase histamine levels in your body, contributing to that itchy feeling. Sometimes, specific skin conditions like PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy) or prurigo of pregnancy can also emerge, presenting with distinct rashes alongside the itching. Understanding these common causes can help you approach the sensation with a sense of calm, knowing that many experience similar changes. Just as you might notice new sensations like [Pregnancy Hip Pain at 22 Weeks Pregnant](/pregnancy/symptoms/hip-pain-week-22) or [Pregnancy Hip Pain at 24 Weeks Pregnant](/pregnancy/symptoms/hip-pain-week-24) as your body adjusts, your skin is also undergoing significant shifts.

However, it's crucial to be aware of a specific type of itching that requires attention from your care provider. If you experience intense itching without a visible rash, particularly on the palms of your hands and the soles of your feet, and especially if it seems to worsen at night, this warrants a conversation with your doctor or midwife. This pattern of itching can be a sign of Intrahepatic Cholestasis of Pregnancy (ICP), a liver condition that needs to be evaluated through bile acid testing. Evidence from organizations like the RCOG and Cochrane highlights the importance of ruling out ICP when these specific symptoms are present. This isn't meant to create alarm, but rather to empower you with the knowledge to make informed decisions about your well-being and to ensure you receive the appropriate care if needed. Taking a proactive approach to understanding your body's signals is a key part of feeling confident and in control during your pregnancy, much like understanding the nuances of discomforts such as [Pregnancy Hip Pain at 26 Weeks Pregnant](/pregnancy/symptoms/hip-pain-week-26).

For most mild itching not related to ICP, there are practical, gentle approaches that many find helpful. Focusing on soothing your skin and supporting your comfort can make a significant difference. Remember, my role as a birth doula is to offer you evidence-based education and support, helping you navigate these experiences with clarity and autonomy. Your care provider is always your best resource for specific medical guidance, and I encourage you to maintain open communication with them about any symptoms you're experiencing.