Having Skin Allergies During Pregnancy? Doctor Tells What's Normal And When To Worry

There is a lot of interaction between pregnancy and skin changes. You may feel the best you've ever felt at one point, only to feel as though something is wrong with your skin (especially itchiness). Some types of skin rashes are easily explained and don't require anything special, while others are serious enough that they require immediate treatment, so they won't pose any risk to your baby. To assist you in terms of your skin(s), here's a list of what is normal, what is not, and what action to take.

First, what's common and mostly harmless?

The most common rash that occurs during pregnancy is PUPPP, which presents through its highly itchy bumps and patches that develop around stretch marks during the third trimester. The condition causes you distress while it poses no real danger to you or your baby because the symptoms disappear after you give birth. Another common one is the "atopic eruption of pregnancy" (basically eczema flaring up), which can be intensely itchy but doesn't generally harm the fetus. The rashes create uncomfortable nights for people because they do not require emergency medical treatment.

When the itch becomes worrisome

One skin disorder that you should never ignore is intrahepatic cholestasis of pregnancy (ICP). It typically begins with a very annoying itch (mostly on the palms and soles, and also at night) and people usually misinterpret it as just a normal rash whereas ICP is actually a liver problem that elevates bile acids and can be associated with preterm birth and, very infrequently, stillbirth. If your skin is itchy all over and very badly or if you get dark urine, light stools, or yellowing of the skin, go for a checkup and request a test for bile acids.

Doctors usually keep a very close watch on such pregnancies and, depending upon the results, may even think of early delivery.

Also Read: Think You Know Pregnancy Rules? Nutritionist Says Think Again

Red flags that need prompt care

If your rash has blisters, spreads fast, comes with fever, or you feel systemically unwell - don't wait. Rare autoimmune rashes like pemphigoid gestationis, and rare pustular conditions like impetigo herpetiformis, can be serious and need specialist care and sometimes systemic treatment. These are the ones where a dermatologist and your obstetrician must be on the same page.

Treatment - what's safe and what helps

Most of the time, gentle measures help: heavy moisturisers (emollients), cool baths, avoiding hot showers, soft fabrics and mild soap. Antihistamines can help with sleep for itching, and topical corticosteroids are commonly used for inflammatory rashes; current evidence suggests topical steroids are acceptable when needed in pregnancy but should be used under medical advice (lower-potency on larger areas is usually preferred). For severe cases, dermatologists have safe escalation plans that balance mom and baby needs. Phototherapy or short courses of systemic meds are options in specialist hands.

Also Read: Stress During Pregnancy May Cause Brain Defects In Children, Says New Study

Practical tips you can start tonight

Drop harsh soaps and fragranced lotions. Switch to bland emollients and pat dry after bathing. Try cool compresses or oatmeal baths for immediate relief. Don't start new "natural" oils or creams without checking - contact dermatitis is a sneaky cause and can make things worse. And yes, stress and sleepless nights make itch feel worse, so small sleep and stress-coping moves help more than you'd think.

Most pregnancy rashes are annoying, not dangerous. But severe widespread itching, new jaundice, blistering rashes, fever, or any sudden change - that's your cue to ring your doctor. Quick testing for bile acids and a dermatologist consult can sort out the harmless from the serious, and get you relief without risking the baby. Skin in pregnancy is tricky, but with the right checks and a few simple care moves, you'll get through it - and you don't have to just "tough it out."

(By Dr Nirmala M, Consultant, Obstetrician, Gynaecologist & Fertility Specialist, Motherhood Hospitals, Whitefield, Bengaluru)

Disclaimer: The opinions expressed within this article are the personal opinions of the author. NDTV is not responsible for the accuracy, completeness, suitability, or validity of any information on this article. All information is provided on an as-is basis. The information, facts or opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.