Pruritus and urticarial during pregnancy are a common skin disease in some women. You need to find out the cause to have appropriate treatment.
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Pregnancy is the period when pregnant women have to undergo many changes. Common skin conditions such as rash, itching and urticaria (PUPPP) or pimples make many women feel uncomfortable. In it, itchy and urticarial is considered a benign rash with small, pink nodules on the stretch marks. These nodules collect like urticarial.
Approximately one percent of women will develop an itchy, raised rash in the last part of their pregnancy called PUPPP (pruritic uticarial pupules and placques of pregnancy), also known as polymorphic eruption of pregnancy. According to the American Academy of Dermatology it is the most common skin condition of pregnancy, usually appearing during the third trimester, and, although the discomfort and itching may keep you up at night, PUPPP is harmless to both you and your baby.
These symptoms usually appear in the abdomen, especially the belly button, then spread to other areas such as the thighs, arms and legs. However, you will rarely get a rash on the face. So what is this and how to deal with PUPPP? Let’s read this article carefully!
Causes of PUPPP during pregnancy?
The cause of PUPPP is unknown and it is not associated with any other pregnancy condition, such as preeclampsia, or any abnormality of the fetus. It appears to run in families and, oddly, 70 percent of women with PUPPP give birth to boys. This correlation has given rise to the hypothesis that male fetal DNA acts as a skin irritant, but conclusive evidence is still needed.
Some typical reasons for this situation include:
- Your body produces a lot of hormones, especially estrogen
- Fetal development sometimes interferes with the Genetic body predisposition
- Family history of dermatoses such as hives and rash
The Symptoms of the PUPPP
PUPPP usually develops during a first pregnancy and appears first on the abdomen near the belly button (often in stretch marks) and then spreads to the thighs and extremities as the small, red wheals of the rash gradually merge to create larger wheals.
Symptoms of pruritus and urticarial usually appear in the late stages of pregnancy and often disappear after birth. The common symptoms are:
- Severe itching in the abdomen
- Red nodules appear on the abdomen ad limbs
- Tingling makes you scratch
- It only begins in the gut (other forms of rash can appear anywhere on your body)
There is no cure for PUPPP, but the irritation usually can be relieved with cortisone creams, high strength steroid creams, or oral steroids if the itching is severe. The rash and the itching usually resolve a couple of days to a week after delivery.
Another harmless but potentially annoying pregnancy rash is called prurigo of pregnancy, or prurigo gestationis, which appears as many tiny bumps that look like bug bites, usually on the hands, feet, arms and legs, although they can develop anywhere on the body. Prurigo of pregnancy can occur any time during your pregnancy, but it is more common during the second half and affects about 1 in 300 pregnant women. Although there is no cure for the condition, the itching can be relieved with topical cortisone or antihistamines and the rash usually resolves soon after delivery.
Rarely, pregnant women develop itchy patches that initially look like hives, but then turn into large, blistering lesions. This is called pemphigoid gestationis or herpes gestationis (however, it is has nothing to do with the herpes virus) and occurs in 1 pregnancy out of 7,000 to 50,000. The rash usually begins on the abdomen, around the belly button, and may spread to the arms and legs. This condition may be associated with a greater risk of preterm delivery and fetal growth problems, and 5 percent of newborns born to women with this condition have a noticeable rash. While this condition usually starts in the third trimester, it can appear at any time, even shortly after delivery. Pemphigoid gestationis usually develops again in subsequent pregnancies and tends to be more severe.
Intrahepatic cholestasis of pregnancy
Intrahepatic cholestasis of pregnancy is a potentially harmful pregnancy skin irritation that appears in the second or third trimester, usually on the palms of the hands and soles of the feet. No rash develops, but the intense itching may cause you to scratch and result in red, irritated skin.
This condition affects up to 2 percent of pregnant women and occurs when bile secretion in the liver is impaired. As the bile backs up, bile acids increase in the bloodstream and are eventually deposited in the skin which causes the itching. Other symptoms include darkened urine and fatigue. If you suspect you have this condition, your doctor will perform blood tests to check your liver function and an ultrasound to monitor your baby's health, as the condition is associated with an increased risk of stillbirth, premature labor, fetal distress, and maternal and fetal hemorrhaging. Depending on your and your baby's health, you may be induced earlier than your due date. The condition resolves on its own after delivery; however, it may recur with later pregnancies.
To keep you and your baby safe, alert your caregiver immediately if you develop any sort of rash during your pregnancy.
Can it affect the Fetus?
This condition does not seriously affect the life of the fetus. Also, there have been no studies showing how pruritus papules or urticaria affect the fetus.
Usually, your doctor will not give you an oral medication to treat this condition. They often give you some ointment to reduce discomfort. A few notes for you as follows:
- Topical cream or ointment prescribed by a doctor
- Some topical steroids may help relieve the itch but are applied only in small amounts
- Do not arbitrarily buy over-the-counter medicines used to the skin during pregnancy because there may be contraindications for pregnant women
What to do when itchy, urticarial?
A few simple measures will help you reduce the itchiness:
- Soak with oatmeal or baking soda or green tee juice
- Apply cold compresses
- Apply aloe vera gel after showering
- Wear soft cotton clothing
- Avoid using shower gel that smells too strong and has strong chemicals
- Do not use deodorant
- Keep personal hygiene, take a daily shower and eat nutritious meals.
Itchy rash, hives during pregnancy, will go away when the pregnant women give birth or when you follow the instructions of your doctor. Therefore, do not worry much about excellent mental health.
Being a mother is not easy. It is a very complicated and tiring process that no school teaches you. And becoming a mother is not only severely affect your physical health but also your mental health. That is why you have to study, research and learn a lot before pregnancy.
And even during pregnancy and after giving birth, you always have to get more knowledge to raise children. We also hope that the information in this article is helpful for you to have a safe and comfortable pregnancy.
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