Itching can start any time during pregnancy, but usually begins after 28 weeks. Although it often starts on the palms of your hands and the soles of your feet, it may spread over your arms and legs and, less commonly, may occur on your face, back and breasts.

How early can you develop obstetric cholestasis?

Symptoms of ICP typically start from around 30 weeks of pregnancy. But it is possible to develop it as early as 8 weeks.

How do you know if you have cholestasis while pregnant?

Intense itching is the main symptom of cholestasis of pregnancy. There is no rash. Most women feel itchy on the palms of their hands or the soles of their feet, but some women feel itchy everywhere. The itching is often worse at night and may be so bothersome that you can't sleep.