Pregnancy Itching at Night: Why does it feel worse?

Pregnancy is a time when the unexpected can happen! And you have a million doubts in mind - one of which is “Is this normal in pregnancy?” Itching especially at night is one such troublesome symptom that catches many moms unaware. “I feel I have more itching at night, but that can also be because I am more aware at night and trying to relax?” asked Sowmya, a pregnant mom in our Zactive mom community. Here are some reasons why nighttime itching can feel more intense:

1. Heat and Sweat: Sleeping under blankets or in a warm room can worsen itchiness, especially in a humid climate.
2. Dry Air: Air conditioning or fans can dry out your skin, leading to irritation.
3. Cholestasis of Pregnancy: A rare but serious condition that causes severe itching, especially on the hands and feet.

If itching is accompanied by yellowish skin or dark urine, consult your doctor immediately.

Nighttime itching often feels more intense because your body is no longer distracted by daily activities. During the day, movement and external stimuli keep your mind engaged, but when you lie down to relax, you become more aware of discomforts like itching. Additionally, heat retention under blankets can exacerbate itching, and dry air from air conditioning or fans can further irritate your skin.

Here’s a detailed guide to help you manage nighttime itching effectively:

1. Take a Lukewarm Shower Before Bed

A soothing lukewarm shower can do wonders to calm irritated skin and prepare your body for rest. Here’s how to make the most of it:

• Add Essential Oils: Mix a few drops of lavender oil or chamomile oil into your bathwater or apply them to a washcloth during your shower. Both oils are known for their calming and anti-inflammatory properties.
• Use a Gentle Cleanser: Opt for a mild, fragrance-free body wash to avoid stripping your skin of natural oils. Soap with oatmeal extract can also provide relief for dry, itchy skin.
• Avoid Hot Water: While tempting, hot water can dry out your skin further, worsening the itch. Stick to lukewarm water for the best results.

Pro Tip: Pat your skin dry gently with a soft towel after showering instead of rubbing, which can irritate sensitive skin.

2. Apply a Thick Layer of Moisturizer

Lock in moisture immediately after your shower to prevent dryness and relieve itching. Follow these steps:

• Choose the Right Product: Use a pregnancy-safe moisturizer rich in shea butter, cocoa butter, or ceramides. Products with oatmeal extract or aloe vera gel can also provide cooling relief.
• Focus on Problem Areas: Pay special attention to the belly, thighs, legs, and other areas where itching is more prominent due to skin stretching or dryness.
• Reapply as Needed: Keep a small container of moisturizer at your bedside to reapply during the night if needed.

Pro Tip: For extra hydration, you can layer natural oils like coconut oil or almond oil over your moisturizer to create a barrier that locks in moisture overnight.

3. Use a Humidifier

Dry air, especially from air conditioning or heaters, can sap moisture from your skin and make itching worse at night. A humidifier can maintain the room’s moisture levels, creating a more comfortable environment for your skin.

• Choose the Right Humidifier: Look for one that’s easy to clean and maintain to avoid mold or bacteria buildup.
• Set Optimal Humidity Levels: Aim for a humidity level between 40-60% in your bedroom. This range is ideal for keeping your skin hydrated without making the room feel damp.
• Position It Properly: Place the humidifier a few feet from your bed to ensure even distribution of moisture while you sleep.

Pro Tip: Add a few drops of lavender oil to the humidifier’s aroma tray (if compatible) for added relaxation benefits.

Additional Nighttime Tips for Itching Relief

• Keep Cool: Overheating can worsen itching. Use light, breathable cotton pajamas and avoid heavy blankets.
• Sleep with an Elevated Pillow: If itching is worse on your legs, elevating them slightly with a pillow can improve circulation and reduce discomfort.
• Stay Hydrated: Drink a glass of water before bed (but not too much to disrupt your sleep) to keep your skin hydrated from the inside out.

Pregnancy-Safe Home Remedies for Nighttime Itching

1. Coconut Oil Massage: Before bed, massage organic coconut oil onto itchy areas to calm your skin.
2. Cold Compress: Place a damp, cool cloth on itchy areas for immediate relief.
3. Aloe Vera Gel: Apply aloe vera gel to soothe irritated skin and reduce redness.

When to Consult a Doctor

Reach out to your doctor if:

• Itching is severe and interferes with your daily life.
• You notice rashes, swelling, or unusual symptoms.
• Itching is concentrated on your palms or soles, which could indicate cholestasis.

Your Pregnancy Care Toolkit For Itching

• Moisturizers to Try: Products with cocoa butter, shea butter, or oatmeal.
• Pregnancy-Safe Creams: Look for creams labeled safe for pregnancy and recommended by dermatologists.
• DIY Options: A mixture of aloe vera gel and Vitamin E oil can be a soothing, natural alternative.

Nighttime itching can feel overwhelming, but small changes in your routine and the right remedies can make a big difference. Don’t let discomfort keep you from enjoying your pregnancy journey.

How do you manage nighttime itching? Share your tips in the comments below and help other moms sleep better tonight!