Can a 28-weeks pregnant woman take Polaramine tablets for itchy rashes all over the body?

Hello,

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From your history, it seems symptoms of obstetrics cholestasis along with gestational diabetes. It needs strict monitoring as both can be hazardous to the fetus and you. You should have serial assessments of liver function tests along with bile salts and electronic fetal monitoring at least twice weekly till symptoms persist and in case of decreased fetal movements as urgent. Diabetes also needs strict monitoring. If you are on medications, a specialist must do proper charting. You better have treatment under a maternal medicine and diabetic antenatal clinic. Along with that, I suggest the following.

1. You can have a mild warm bath and have an oil massage (put neem leaves and curry leaves in oil).

2. Use neem soap or original neem water leaves to reduce irritation.

3. In case of aggravated symptoms, you should have a liver function test and bile acids. In case of a high reading, you might need further advanced treatment and monitoring. Elevated sugar levels or blood tests for liver and bile could affect the baby too much.

Obstetrics cholestasis could cause a growth-restricted fetus and even stillbirth. Diabetes may cause more amniotic fluid and stillbirth. I hope you understand the importance of fetal movement monitoring. Have a kick count chart, and if you feel fewer movements report immediately. Have blood test for liver function and bile and two days of blood sugars six times (fasting, 2 hours post breakfast, pre-lunch, 2 hours post lunch, pre-dinner, 2 hours post-dinner) and report here along with laboratory or treating fetal or diabetics medicine obstetrician immediately. Have one detailed scan for growth, amniotic fluid, well-being, weight, etc., and electronic fetal monitoring. These also need to be discussed here or with a local treating gynecologist.

Thank you.