Eczema or Psoriasis and Pregnancy: Management Tips and Tricks
How Pregnancy Affects Skin Health
Although pregnancy gives many women that famous 'glow', some may experience adverse reactions regarding their skin health.
Pregnancy can often trigger a variety of skin conditions, including:
Heat rash- These red, itchy bumps are common in pregnant women
Melasma- Dark patches around the mouth and nose due to an increase in melanin production.
Acne- Water retention and raging hormones can cause some pregnant women to develop acne.
Stretch marks- As the skin stretches, thin white/red lines are common around the breasts, stomach, and hips.
These conditions can often be misdiagnosed as eczema or psoriasis.
Eczema and Pregnancy
Pregnancy can make existing eczema worse or even trigger the first episode. The hormones released during pregnancy and the rise in active white blood cells can cause an increase in the severity of eczema symptoms. Eczema is the most common skin condition induced by pregnancy.
For a lucky few (about 25%), eczema symptoms can improve or go away entirely during pregnancy. We are all different, and pregnancy hormones will affect each of us in different ways. Researchers speculate that the hormonal changes that occur during pregnancy may be the reason why eczema improves. Specifically, the higher levels of estrogen and progesterone in a woman's body may help to reduce inflammation, which is a key factor in eczema. In addition to hormonal changes, pregnancy may also be associated with other factors that can help to improve eczema symptoms. For example, pregnant women often have a healthier diet and are more likely to engage in healthy habits such as getting enough sleep and exercise.
Many women are concerned about using eczema treatments while breastfeeding. This is something you should share with your doctor as early on as possible. Emollients are still safe to use; just apply them at least 30 minutes before breastfeeding to ensure it is properly absorbed. Most cases of pregnancy-related eczema clear up after birth, and there are no serious health consequences for the mother or baby.
There is some research that suggests an expectant mother’s diet during pregnancy and breastfeeding is a factor in whether their child develops eczema, allergies, or asthma. The results of studies are mixed, but there is some evidence demonstrating that a diet rich in fruit and vegetables lowers your baby’s chances of developing these conditions. Vitamin E has also been shown to have the same effect. For this reason, it may be worth speaking to your doctor regarding omega-3 supplements. It’s also a good idea to eat as healthily as possible during pregnancy and breastfeeding, for your health as well as your child’s.
Psoriasis and Pregnancy
Some psoriasis sufferers claim their psoriasis clears up during pregnancy. And often, this is the case, with around 55% of women with psoriasis reporting this added bonus! Another positive is that psoriasis in pregnancy does not increase the risk of any health risks or complications for your baby. Many women who see vast improvements in their psoriasis symptoms during pregnancy also experience a flare-up shortly after giving birth. This can essentially be due to increased stress, lack of sleep, and a change in hormones. It is important to prepare yourself for this, both physically and mentally. Have a treatment plan in place in case this happens to you.
For some women, psoriasis and pregnancy can worsen symptoms. If you are one of the unfortunate few, you should discuss which treatments are safe to use with your doctor. Research suggests that approximately one-third of women who have psoriasis report an increase in symptoms during pregnancy. This increase is likely due to the hormonal changes that occur as the body prepares for childbirth. In addition to hormonal changes, pregnancy can cause other factors that can worsen psoriasis symptoms. For example, stress is a common trigger for psoriasis flare-ups, and the physical and emotional stress of pregnancy can lead to increased symptoms. Many women also experience changes in their diet or exercise routines during pregnancy, which can also affect psoriasis.
Women with psoriasis have a 10% chance of passing the condition on to their children. If the father also has psoriasis, the chances rise to 50%.
The best ways to lower your risks of psoriasis while pregnant are:
Quit smoking. Smoking in the first trimester has been linked to increased psoriasis symptoms.
Take your supplements- Stick to your supplement regime, and add a folic acid vitamin.
Maintain a healthy weight- Studies show obese women are more likely to suffer from pregnancy-related psoriasis.
How to Handle Skin Conditions & Pregnancy
Understand the Triggers of Eczema + Psoriasis
Understanding the triggers of eczema + psoriasis is crucial for managing the condition during pregnancy. Common triggers include stress, certain foods, harsh soaps and detergents, and changes in temperature or humidity. By identifying and avoiding these triggers, you can help prevent flare-ups and keep your skin healthy. It’s also important to work with your doctor to develop a treatment plan that is safe for you and your baby.
Use Gentle, Fragrance-Free Products
During pregnancy, it’s important to use gentle, fragrance-free products on your skin to avoid triggering eczema + psoriasis flare-ups. Look for products that are specifically designed for sensitive skin and avoid those that contain harsh chemicals or fragrances. You may also want to consider using natural products, such as coconut oil or shea butter, to moisturise your skin. Be sure to talk to your doctor before using any new products during pregnancy.
Moisturise Regularly
One of the most important things you can do to manage eczema + psoriasis during pregnancy is to moisturise your skin regularly. This will help to keep your skin hydrated and prevent dryness, which can trigger flare-ups. It can also help minimise and prevent stretch marks. Look for a moisturiser that is specifically designed for sensitive skin and apply it at least twice a day, or as often as needed to keep your skin comfortable. You may also want to consider using a humidifier in your home to help keep the air moist and prevent your skin from drying out.
Avoid Scratching and Irritation
It can be tempting to scratch when you have eczema or psoriasis, but this can actually make the condition worse. Scratching can cause further irritation and inflammation, leading to more severe symptoms. To avoid scratching, try wearing gloves or covering the affected areas with bandages or clothing. You can try using a cold compress or taking a cool bath to soothe the itchiness. You should also avoid using harsh soaps or detergents that can irritate your skin and trigger flare-ups. Opt for gentle, fragrance-free products instead.
Consult with Your Doctor for Safe Treatment Options.
If you are currently taking any prescription medications or steroids, it is essential you check with your doctor that they are safe for you to continue to use. Studies have shown steroid treatments have no adverse effects on pregnant women, but they should be used sparingly and only in small areas. It's also a good idea to check if any anti-histamines you are taking still have the all-clear.
It’s also important to consult with your doctor before trying any new treatments. Some medications and topical creams may not be safe for use during pregnancy. Your doctor can recommend safe and effective treatment options, such as moisturisers, ointments, and prescription medications that are safe for use during pregnancy. They can also provide guidance on how to manage your symptoms and prevent flare-ups during this time.
Other Tips for Coping with Eczema or Psoriasis during Pregnancy
Get a professional diagnosis- Many pregnancy-related skin conditions can look similar to eczema or psoriasis. Getting an accurate diagnosis will ensure you get the most effective treatment plan possible.
Avoid hot baths and showers- Stick to lukewarm water. For an extra skin treat- see our blog post, The Benefits of Bath Salts. While hot water may feel soothing initially, it can actually worsen the symptoms of eczema and psoriasis. The heat from hot water can strip the skin of its natural oils, leaving it dry, itchy, and vulnerable to flare-ups. For pregnant women dealing with already delicate skin, this can exacerbate the discomfort caused by eczema or psoriasis.
Instead, opting for lukewarm or cool baths and showers can provide relief without further aggravating the condition. Lukewarm water helps to maintain the skin's natural moisture and is gentle on sensitive skin. By avoiding hot water, pregnant women can ensure that their skin retains its necessary oils, preventing excessive dryness and minimizing the risk of flare-ups.Keep a skin journal- This will help you make connections between your diet, habits, trimester, and symptoms. Keeping a skin journey is a valuable tool when discussing your skin condition with your doctor. Include lifestyle changes, diet, changes to your skin, and anything that makes symptoms better or worse.
Make time for yourself- Pregnancy and new motherhood can be busy times, but it is essential you take time for yourself. Schedule in some 'me time' to ensure you have a chance to relax and carry out all of your good skin practices.
Stay hydrated- Drinking enough water is always essential for good skin health, especially during pregnancy. When our bodies are adequately hydrated, the skin is more likely to be supple, soft, and retain moisture, which can help reduce the dryness and flakiness associated with psoriasis and eczema. Drinking enough water throughout the day is essential for maintaining healthy skin, as it helps to flush out toxins, maintain the skin's elasticity, and promote overall skin health. During pregnancy, the body's water needs increase to support the growing baby and the changes happening within the mother's body. Proper hydration becomes even more crucial to prevent dehydration and support optimal skin health.
Keep cool- Pregnancy can cause increased sensitivity to heat, leaving you feeling uncomfortable and irritated. Sweat can also trigger certain skin conditions. Wear loose, cotton clothing and keep a water spray handy.
Avoid stress- Pregnancy can be a stressful time, but try your best to stay calm. For stress management tips, see our post, Stress + Skin Conditions. The hormonal changes and increased stress levels associated with pregnancy can often worsen eczema or psoriasis. Therefore, it is crucial for expectant mothers to prioritise stress reduction in order to manage their psoriasis and eczema effectively during this delicate time.
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