Pregnancy Skin Changes: What’s Normal & How to Manage Them
Pregnancy brings a beautiful glow—but it can also come with unexpected skin problems. From acne to stretch marks, many moms-to-be experience hormonal changes that affect their skin. The good news? Most pregnancy skin issues are temporary and treatable. Let’s explore the most common pregnancy skin problems, what causes them, and safe ways to treat them.1. Pregnancy Acne
Why it happens: Increased hormones (androgens) cause excess oil production, leading to breakouts. Safe Treatments:Wash your face with a gentle, pregnancy-safe cleanser (look for sulfate-free products).
Use azelaic acid or glycolic acid (safe for pregnancy).
Stay hydrated and eat skin-friendly foods (avoid excess sugar & dairy). Avoid: Retinoids (Retin-A, Tretinoin) & High-dose salicylic acid. Tip: If acne is severe, ask your doctor about pregnancy-safe prescription treatments.
2. Stretch Marks
Why it happens: As your belly and breasts grow, the skin stretches, causing reddish or purple marks. Safe Treatments:Apply moisturizers with cocoa butter, shea butter, or almond oil.
Massage vitamin E or hyaluronic acid creams onto your belly.
Stay hydrated and eat collagen-boosting foods (like eggs, berries, and bone broth). Tip: While creams can’t completely prevent stretch marks, they help keep skin elastic and reduce itching.
3. Melasma (“Pregnancy Mask”)
Why it happens: Increased melanin production causes dark patches on the face, especially on the cheeks, forehead, and upper lip. Safe Treatments:Wear broad-spectrum sunscreen (SPF 30+) daily—even indoors!
Use gentle, brightening ingredients like vitamin C or azelaic acid.
Avoid direct sun exposure and wear a wide-brimmed hat. Avoid: Hydroquinone (not safe during pregnancy). Tip: Melasma usually fades after birth, but it may take months.
4. Itchy Skin & PUPPP Rash
Why it happens: The skin stretches, causing itching or a rash (PUPPP - Pruritic Urticarial Papules and Plaques of Pregnancy), usually in the third trimester. Safe Treatments:Apply calamine lotion or oatmeal baths for relief.
Use fragrance-free moisturizers to prevent dryness.
Wear loose, breathable clothing to reduce irritation. Call your doctor if: The itching is severe, especially on palms or soles, as it may signal cholestasis of pregnancy (a liver condition that requires medical attention).
5. Spider Veins & Varicose Veins
Why it happens: Increased blood flow and pressure on veins cause visible red or purple veins in the legs. Safe Treatments:Wear compression stockings to improve circulation.
Elevate your legs when resting.
Stay active and avoid standing for long periods. Tip: These usually fade after pregnancy, but some women opt for laser treatments after childbirth if needed.
6. Dry Skin & Eczema Flare-Ups
Why it happens: Pregnancy hormones can disrupt your skin barrier, leading to dryness or eczema. Safe Treatments:Use fragrance-free, gentle moisturizers (like Cetaphil, CeraVe, or Aveeno).
Avoid hot showers and harsh soaps.
Apply coconut oil or shea butter to lock in moisture. Avoid: Steroid creams unless prescribed by your doctor. Tip: Drink plenty of water and use a humidifier if the air is dry.
When to Call Your Doctor
Most pregnancy skin issues are harmless, but seek medical advice if you experience: Severe itching, especially on palms or soles (could indicate cholestasis).Painful, pus-filled acne or skin infections.
Widespread rash, blisters, or hives.
Final Thoughts
Pregnancy skin problems are common and usually temporary. With the right care—hydration, gentle skincare, and sun protection—you can keep your skin healthy while waiting for your little one to arrive.If skin issues become severe or uncomfortable, don’t hesitate to consult your doctor for safe treatment options.

Content Reviewed by Dr V.
Learn MoreDr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.
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