Pregnancy is one of the most beautiful thing that a woman can experience during her lifetime. However, being pregnant doesn’t come easy. As the body prepares to nurture the life inside, there are changes in the circulation and hormones. What is important is to know is, which changes are physiological and in which conditions we need an expert advise.
We all know that hormones have an important role in the causation of acne other than oily skin and some bacteria. So when hormones change and fluctuate during pregnancy, so do acne. Increased oil production under the influence of androgens leads to clogged pores and breakouts in a number of patients. Most of these settle post pregnancy. However, to prevent development of marks and scars, treatment is recommended.
A number of products like benzoyl peroxide and AHA’s are safe during pregnancy. What is more important is to know what is not safe.
Vitamin A analogues in oral and topical formulations are strictly contraindicated. Certain antibiotics like tetracycline’s need to be avoided.
Some lucky moms on the other hand get rid of their acne completely during pregnancy.
Some females notice that the skin is more dry and sensitive and there may be a flare of preexisting atopic dermatitis. Care should be excised while choosing skin products in this stage.
As the weight increases, pressure on veins leads to impaired venous return and in turn development of dilated tortuous vessels seen on the lower legs in a number of females. Engorged green veins may also be noted at the vulva, vagina or rectum. This eventually resolves post delivery. But these can cause discomfort and pain in some. Leg elevation and avoidance of prolonged standing is advisable. Regular exercise helps promote venous return to the heart and emphasis should be laid on increasing fluid intake and prevention of constipation.
Some ladies notice fine red lines like legs of a spider, hence the name spider angiomas, on their head and neck or chest. They are mostly due to increased blood circulation and can be easily treated with lasers.
ITCHY DERMATOSIS- Caution
A limited number of women develop unwanted itchy rashes on their bodies during pregnancy which fall into different categories.
Red itchy lesions on the extremities i.e. the arms and legs especially in the first trimester may be associated with cholestasis and increased serum bilirubin or liver enzymes. Development of red bumpy lesions later in the pregnancy mainly on the abdomen is referred to as pruritic urticarial papules and plaques of pregnancy (PUPPP). Development of any fluid fluid lesions on the body during pregnancy are again a worrisome sign. All the above mentioned dermatosis need to be immediately assessed and managed by your dermatologist.
On the flip side, majority women notice an excellent hair growth. Some end up having a flawless skin. So all isn’t ugly. Don’t panic, stay happy, stay healthy, enjoy your pregnancy and let a dermatologist handle the minor glitches.