Key Point :
- Common skin changes during pregnancy include: hormonal rash a specific rash in pregnant women which have different symptoms and characteristics of the disease As the symptoms do not affect the baby Until it can cause a miscarriage.
- hormonal rash There will be changes in the skin, hair, nails, connective tissue, and blood vessels.
- while the particular rash is inpregnant women can be found from the first trimester until after pregnancy The symptoms vary greatly. And some diseases affect the fetus, so mothers should keep an eye on the symptoms. If itching is severe, yellow skin should see a doctor as soon as possible.
Sasima Thamruja, MD. institute of dermatology It was explained in the Dermatology Institute’s Know about skin problems program about skin diseaseIn pregnant women, noted skin changes during pregnancy include: hormonal rash a specific rash in pregnant women
hormonal rash
for hormonal rash Changes in the skin, hair, nails, connective tissue and blood vessels will be as follows:
- The skin is usually dark on the abdominal skin. Estrogen hormone can be seen to increase during pregnancy. Caused a set of spots in the front area as well
- Hair will look like hirsutism. hair loss after pregnancy which can be found up to 15 months after birth
- Nails, thickened nails, flaky nails, and nails that break easily.
- Veins can cause bruising, red palms, and vascular tumors. harmless it can be cured after giving birth
- connective tissue due to collagen abnormalities cause the skin to crack which will heal after giving birth
related news
specific rash in pregnant women
Although certain rashes in pregnant women are divided into three seasons:
Allergies will be found during pregnancy. The symptoms are a red, flaky rash, scratch marks. It affects the mother, the rash often disappears after delivery. But it does not affect the baby. The treatment is a nourishing cream, low concentration steroids, and antipruritic drugs. This disease has no complications in mothers and babies. In addition to the mother’s itching and discomfort, the diagnosis is clinical, no biopsy is required.
1. The rash in intrahepatic cholestasis of pregnancy is without obvious skin lesions. The patient will have itching on the palms, soles of the feet, spread across the body, scratch marks, yellow skin, rashes usually disappear after birth. The effect on the baby is premature birth. stress condition baby And can have an abortion while pregnant The treatment is to use Ursodeoxycholic acid to reduce the bile acids. reduce infant mortality
2. Pemphigoid blister disease is hives rash Blisters, scratch marks, and scaly rashes usually disappear after birth. The effect on the baby is premature birth. It can be underweight and 10% of babies get blisters. The treatment is steroid medication, antipruritic cream, nourishing cream Diagnosis requires a biopsy to check if there is a split layer of the skin that causes blisters to confirm’ r diagnosis
- 3rd trimester – after pregnancy
The disease that can be detected is the polymorphic eruption of pregnancy. The symptoms are hives, clear blisters, a red, flaky rash. The rash usually disappears after giving birth. And no effect on the baby The treatment is steroid medication, antipruritic and nourishing cream.
“These diseases are specific to pregnant women only. and after pregnancy Most diseases will disappear on their own, but the 3 main diseases that can return are skin allergies. pemphigoid blister disease and polymorphic eruption of pregnancy, while intrahepatic cholestasis of pregnancy where the patient is very itchy and yellow Caused the baby to die while pregnant. It needs to be diagnosed and treated urgently to reduce the fetal death rate.”
preliminary treatment behavior
Preliminary treatment, Dr Sasima recommends using a skin cream to keep it moisturised. Reduce the rate of itching. If there is a blister, it is recommended to use mild steroid medication. And if you itch, take an anti-itch medicine. It is advisable to see a doctor for a proper diagnosis. and receive appropriate treatment because pregnant women cannot use certain drugs
“For drugs that treat skin diseases that are contraindicated in pregnant women there are topical vitamin A drugs. cause side effects on the baby In the part of oral medicine, it is vitamin A acid, some types of drugs autoimmune acid. There are some groups of antibiotics, therefore, the use of drugs during pregnancy Whether it is a skin disease or a non-skin disease It should be treated under medical supervision. because it can affect children.”
genetics and skin disease
At the same time, from the question It is largely unrelated to whether genetics is involved in dermatitis during pregnancy, since most dermatitis is caused by hormonal changes. But there is one disease that can cause itching and yellowing, intrahepatic cholestasis of pregnancy, which is a hereditary disease with a dominant gene.
“Therefore, there are 2 diseases that require special attention: pemphigoid blister disease The cause of premature birth, water blister, infant and intrahepatic cholestasis of pregnancy disease must be treated promptly.
Can pregnant women do laser?
Dr Sasima said that laser treatment is not recommended during pregnancy. But after pregnancy during breastfeeding It can be done without contraindications because there is no clear medical information that laser treatment will have a concentration of energy that will transfer to breast milk or not. can But avoid injecting fillers such as fillers, wrinkle reducers and Meso to dissolve fat until you stop breastfeeding
“For the use of skin care in pregnant women It is recommended to use a skin cream. adequate moisturizer apply protective sunscreen because during pregnancy more high hormones There is a greater chance of melasma, so sunscreen is very necessary,” said Dr. Sasima.
