How to care for your skin during pregnancy

Problems like acne, dark spots and stretch marks
are common during pregnancy.
Photo: Sxc.hu / ecahal

Pregnancy can bring many changes to the body, but did you know that it can affect the skin, too?

Acne, stretch marks, melasma, and varicose veins are common concerns. Luckily, many issues tend to dissipate after giving birth. Here are some safe and effective ways to tend the the skin during pregnancy.

Concern: acne
If you are prone to monthly breakouts, you are more likely to develop acne during pregnancy. This is because progesterone (a female hormone) levels are elevated, which can lead to breakouts. Since progesterone levels are highest during the first trimester, you may find this time to be the hardest on the skin.

Solution
Many of the ingredients in acne-fighting products are not recommended during pregnancy. Avoid Salicylic Acid, Vitamin A derivatives and Benzoyl Peroxide. Instead, focus on keeping skin nice and clean with a gentle, foamy cleanser. Spend at least 2 minutes each morning and night to keep pores clear. Don't look into aggressive treatments, and remember that acne is a side effect that will probably go away soon!

Concern: stretch marks
 Stretch marks are sometimes the result of skin not wanting to "bounce back" after rapid growth. More commonly, however, they form because pregnancy causes glucocorticoids (a hormone that breakouts down materials in the dermis that support the skin) to circulate at a higher concentration. The majority of pregnant women face stretch marks to some degree, and the severity is often determined by genetics.

Solution
Mederma cream is a good option, and can be found at stores like CVS, Target, Walgreens and Wal-Mart. If you still have stretch marks a few months after your pregnancy, you can look into more aggressive options like Vitamin A creams, microdermabrasion or laser treatments. Don't start any treatments until after breastfeeding, and speak with a doctor about the best option for you.

Concern: melasma (AKA "mask of pregnancy")
It is common to get dark spots on the forehead, cheeks, and upper lip during pregnancy. This "mask" is called melasma, and the precise cause is unknown. It is believed that the raised levels of progesterone and estrogen may stimulate pigment-producing cells to create more melanin. Although annoying, it is typically just a cosmetic concern and doesn't indicate any serious health problems.

Solution
Prevention is key when it comes to melasma. Even if you already have it, you must wear an SPF15 to SPF30 daily since the sun triggers melanin production. Treatment can be tricky since many products designed to lighten the skin shouldn't be used during pregnancy. Steer clear of Vitamin A, Hydroquinone, Bleaching Agents, etc., and remember that it typically goes away in time. Try visiting a spa that sells mineral makeup...they may be able to help you camoflauge melasma in the meantime. Talk to a doctor after breastfeeding if you still have concerns.

Concern: varicose veins
While caused by many different factors, varicose veins commonly show up during pregnancy. It is believed that female hormones may weaken the walls of the veins and make them lax. This causes them to swell with blood and become more apparent. Heredity and sudden weight gain also contribute.

Solution
Walking and exercising can be a big help during pregnancy. Try to avoid standing for long periods, and keep legs elevated on a pillow when lying down. A low-sodium diet is also thought to help. Laser treatments and sclerotherapy can help, but should not be performed until after breastfeeding.