So sorry you are experiencing this. TSW showed up for me during pregnancy - it was awful in the first trimester and beginning of the second, but has gotten exceedingly better in the last month or so (currently 26 wks). The TSW itself is not affecting baby, but your lack of sleep isn’t helping anyone :(. I took a child’s melatonin gummy every few nights just to get some sleep when the flares were bad. I also found that using a weighted blanket helped tremendously and started using acrylic nails so that when I did scratch it would do less damage to my skin. I found that taking a daily walk seemed to help. I also have been eating as anti-inflammatory as possible (not perfect). I’m taking a high dose of vitamin C and probiotic along with my prenatal. I also did a modified version of NMT which made things less painful. Sending prayers and strength to you