Mom to be

Mom to be


A period of excitement coupled with joy, anxiety only very few women are lucky to get the pregnancy radiance while most others experience the other way. The esteemed period gets engulfed by the bodily changes, most of these changes are only physiological (normal) & fade away after childbirth, enlisted here are pregnancy-related skin changes and dermatoses specific to pregnancy. we at Pravit help you pamper your skin safely.

STRIAE GRAVIDORUM  / STRETCH MARKS:

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LINEA NIGRA

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MASK OF PREGNANCY 

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PUPP/ POLYMORPHIC ERUPTION OF PREGNANCY

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PRURITUS GRAVIDORUM

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PEMPHIGOID GESTATIONIS

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FLARES UP – PRE EXISTING DERMATOSES (ACNE – SKIN TAGS- SPIDER ANGIOMAS- VARICOSE VEINS – ATOPIC DERMATITIS )

ACNE    

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SKIN TAGS

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ATOPIC DERMATITIS

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SPIDER VEINS

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VARICOSE VEINS

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MOM TO BE TREATMENT GUIDELINES:
– This content is only descriptional & for reference only
– Do not conclude anything by yourself
– Strictly no invasive procedures in the antenatal period
– Treatment depends on the underlying condition
– Topical medications are totally safe
– Procedures like chemical peels, microdermabrasion can be done (on demand)
– Postnatal period is ideal for invasive procedures like Dermaroller, Dermapen, PRP injection, Hollywood peel, skin tag removal.

STRIAE GRAVIDORUM /STRETCH MARKS :

  • These are seen as pink or purple linear bands & stripes  mostly over the protruding abdomen & breast also over hip & buttock
  • Excess weight gain in pregnancy can exacerbate the occurrence of stretch marks
  • Results from the pull & stretch of the skin mainly due to the changes in dermal components( elastin, fibrillin, collagen) disruption of elastic fibers is the prime reason
  • Initially red evolves into white at later stages
  • Intervention is essential from the earlier months of pregnancy
  • Post natal procedures can be undertaken

LINEA NIGRA  :

  • A line that runs from below the bellybutton to pubic region; this liner darkens with pregnancy
  • Seen around 4-5th month
  • Mainly due to hormonal influences
  • Fades after child birth
  • No effective measures to prevent its occurrence

MASK OF PREGNANCY :

  • It is melasma that occurs in pregnancy termed “ cholasma”
  • Seen as dark brown/black splotchy spots over sun exposed parts face, forehead, cheeks, nose
  • Occurs due to increased melanin deposition resulting from hormonal alterations
  • Fades after delivery persists in very few
  • chemical peels are totally safe topical medications can be prescribed

PUPP/ POLYMORPHIC ERUPTION OF PREGNANCY

  • A pregnancy specific dermatoses
  • Can occur anytime after 2nd trimester
  • Manifests as itchy, red bumps/ rashes predominantly over the abdomen can extend to thighs , arms, buttock , legs
  • Occurs due to the stretching effect the subsequent connective tissue damage triggers the immune response resulting in itchy lesions
  • Resolves after childbirth can persist for 4-weeks
  • No adverse outcomes on the fetus
  • Needs dermatologist consultation and prompt treatment

PRURITUS GRAVIDORUM

A very rare entity in india early diagnosis & prompt treatment is warranted to avoid deleterious effects on the fetus results from interruption of bile flow from liver  maternal elevated levels of maternal bile acids when gains entry into fetal circulation exerts toxicity on fetus compromising the placental circulation & poor blood supply to fetus;presents as highly itchy palms & soles, itching worsens at night then becomes generalized followed by excoriations, pa-pules needs dermatologist consultation and prompt treatment.

PEMPHIGOID GESTATIONIS

An autoimmune condition,  another rare entity occurs after 20th week of gestation intense itching precedes the skin lesion pa-pules, plaques around belly button, legs and hands evolves into tense blisters to seek dermatologist is essential. this entity can cause low birth weight or preterm delivery can recur with subsequent pregnancies maternal antibodies in fetal circulation can induce such blisters in newborn too which resolves spontaneously needs dermatologist consultation and prompt treatment.

      1 : ACNE             

  • It is a hormonally-driven condition ;
  • Hormone fluctuations during pregnancy could influence acne outbreaks; commonly on face, chest, back;
  • Androgens ( male sex hormone) acts on the oil glands resulting in sebum production; with which skin commensals (bacteria) clogs the oilgland pore resulting in comedone – the precursor of acne
  • Further changes within the oilgland determines the severity of acne;
  • Strictly no invasive procedures in the antenatal period
  • Skin peels are totally safe; highly recommended for pigment related issues, acne

2 . SKIN TAGS :

  • These benign growths can increase in numbers during pregnancy
  • Probably  the increased blood flow to the skin  makes the tissue proliferate
  • High estrogen levels in pregnancy could  be the other cause
  • Intervention can be done in the Post natal period

3 . ATOPIC DERMATITIS

  • Presents as itchy dry red scaly lesions predominantly involving the flexures
  • Worsens in pregnancy or Can manifest for the 1st time in pregnancy needs dermatologist consultation and prompt treatment

4 . SPIDER VEINS :

Pccurs due to hormonal changes and increased blood volume during pregnancy. They appear as tiny red colored curvilinear threads on the face, neck, and arms. Usually fades  after delivery.

5 . VARICOSE VEINS :

With family history, few  pregnant women are more likely to present with varicose veins most commonly on the legs seen as bulky ( swollen/dilated) bluish/greenish veins. Varicose veins could be found on the vulva, vagina, and rectum, in which case they are termed hemorrhoids. Typically, these are only of cosmetic concern  and  may clear up after delivery. This results from the enlarging uterus compressing the veins underneath decreasing the venous return from the lower half of the body.

This content is only descriptional and only for reference never conclude anything by yourself; always seek your dermatologist nearby.