Skin change is a change of skin
color and appearance. Skin change in pregnancy is very common as a
result of hormonal change such as new glow on your face or
pinkish, reddish streaks on your stomach, etc., and not be mistaken as
skin diseases, but they can cause some discomfort if you are worry about
the appearance of skin change in your face. Most of skin change will
disappear after childbirth but some of them will be less noticeable but
not completely disappear.
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Why skin change in pregnancy
Approximate
90% of women experience some kinds of skin change in pregnancy, it is
caused by the elevation of the estrogen levels effecting the change in
veins and the melanocyte-stimulating hormone (MSH) effecting on
melanocytes, the skin cells that contain the black pigment.
Types of skin changeMost common types of skin change in pregnancy include
1. Stretch Marks
Stretch marks are a form of scarring on the skin with pinkish or
reddish streaks running down your abdomen and/or breasts as
a result of tearing of the dermis due to the enlarged abdomen and
breast overtime in pregnancy. Stretch marks may fade in color after
childbirth but not completely disappear. In a study of
Prophylaxis of Striae gravidarum with a topical formulation. A double
blind trial. by Mallol J, Belda MA, Costa D, Noval A, Sola M., researchers found that a daily application of a cream (Trofolastin) containing Gotu Kola extract, vitamin E, and collagen hydrolysates was associated with fewer stretch marks during pregnancy.
2. Darkening of Freckles, Moles
It
is the result of increased hormones cause changes in the
skin pigmentation. The darken area will only lighten and not disappear
after childbirth.
3. Melasma
Also known as Mask
of pregnancy when appears in pregnant women, it is a tan or dark skin
discoloration as a result of the stimulation of melanocytes in melanin
pigments production by elevating of estrogen and progesterone. Usually,
the mark of pregnancy will disappear over a period of several months
after giving birth. Hydroquinone (HQ), the over-the-counter medicine of
topical pigmentation agents inhibits tyrosinase, an enzyme involved in
the production of melanin.
4. Skin Itchy
Dryness and itching abdomen and breast is a result of the growth of the fetus, making the skin
of your belly and breast stretches and tightens in the later stage of
pregnancy. It may cause discomfort as a result of hormonal change
during pregnancy. They will go away a few months after childbirth. In
this case, experts recommend not to hot showers and baths but shower
and bath with mild soap and and rinse it off well and towel off
lightly.
Some women,1 in 100% may develop intrahepatic cholestasis of pregnancy in the third trimester.
If
you are experience severe itching, accompanied with the symptoms of
darker urine, lighter stools, fatigue, increased nausea, decrease in
appetite, itching that increases in the evening, Itching to the palms of
the hands and soles of the feet, without presence of a rash,
etc., please check with your doctor immediately, intrahepatic
cholestasis if left untreated, it can increase the risk of fetal
distress, meconium ingestion, meconium aspiration syndrome, stillbirth,
etc. In this case, prescribed ursodeoxycholic acid can be helpful.
If the itching is intense and spreads to your arms and legs with the presence of hives-like rash and bumps on your abdomen,
you may develop pruritic urticarial papules and plagues (PUPP) that
affects about one in two hundred pregnancies and mostly to the mother
who are carrying large babies, twins, and triplets, PUPP will go away
after a few months after giving birth. (Some studies reveal that this
condition is more frequent in women carrying boys). We will discuss the
subject of PUPP more in next article.
5. Pimple and Acne
Pimple and Acne may be elevated as a result of oil
glands secreting more oil as we mentioned above. Some women may be
experience the pimple and acne breakouts but it is normal in pregnancy,
especially for women already have the problems before pregnancy.
Experts do not recommend any oral medication in pregnancy but only
mild soap or cleanser twice a day. In case of breakouts, topical
prescription antibiotic creams containing erythromycin or clindamycin,
may be used with the permission of your doctor.
6. Skin Tags
Skin
tags are very small, rapid growth of skin due to hormonal change in
pregnancy. It is mostly occurred in the skin rubbing against clothing
such as under a bra, or skin rubbing together. The symptom usually
disappears after childbirth.
7. Pregnancy Glow
Pregnancy Glow a common occurrence of women in the pregnancy as a result the increased blood volume circulating in the body, leading to oily ski, including to your face as a result of
hormonal change. Experts do not recommend the use of any medication in pregnancy but only oil free cleanser
8. Varicose Veins
Varicose
veins are swollen veins that may bulge near the surface of the skin and
usually appear on the legs during pregnancy, as a result of increasing
blood flow to the fetus in pregnancy that affects the function of
leaflet valves in preventing the blood from flowing backwards, causing
varicose veins. Women who are overweight and/or have a family history of
the diseases are at risk to develop varicose veins in pregnancy.
Since
it will gone away a few months after giving birth, most experts do not
recommend any treatments, unless there is blood clot infection or it has
become unbearable pain. If you have developed blood clot in the leg in
pregnancy, check with your doctor. Clot that do go away in a few months
few months should be treated, otherwise, it may affect the lung, causing
unnecessary consequences.
9. Spider Veins
Spider veins appear most in the Caucasian women in pregnancy. They are small dilated blood vessels near
the surface of the skin, including face, neck, upper chest and arms, as
a result of increasing blood flow due to hormonal change in pregnancy.
Since they will be diminished a few months after giving birth, most
experts do not recommend any treatment, unless they are absolutely
necessary. On the other hand, in nutritional perspective, intake of Vitamin C
can help to manufacture collagen, the protein and main component of
connective tissue which can enhance the functions of the cartilage,
bone, blood vessels, the gut, and intervertebral disc, etc.
10. Etc.
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