A 32-year-old mother of 2 came into our facility during her 31st week of pregnancy and told us that she couldn’t stop itching. She said that her whole body was itchy and it got worse at night. She was unable to get a good night’s sleep. Up until this point, her pregnancy had been uncomplicated and she had no past history of medical problems.
An examination revealed excoriations—but no blistering—on her abdomen, chest, arms, and legs (FIGURES 1 AND 2). She had no jaundice or scleral icterus. The fundal height was 31 mm and the fetal heart tones were 150 bpm.
FIGURE 1 & 2
Excoriations on the abdomen and chest
What is your diagnosis?
How would you manage this condition?