One of the most common skin changes during pregnancy is the “pregnancy glow”. This is often attributed to increased blood circulation and rising hormone levels, especially progesterone and oestrogen. These hormonal changes can give the skin a more radiant appearance. However, increased blood flow can also cause visible veins, especially on the legs, leading to spider veins or varicose veins that become visible under the skin.
Another significant change is hyperpigmentation, which appears as darker patches on the skin due to increased melanin production. A common manifestation of this is linea nigra, a dark line that runs vertically from the navel to the pubic area. In addition, some women may notice darkened areas on the face, commonly referred to as melasma or the “mask of pregnancy”. These skin pigmentations usually appear on the forehead, cheeks and upper lip.
Stretch marks are another well-known skin change during pregnancy. As the body grows to accommodate the developing baby, the skin stretches and the connective tissue underneath can tear, resulting in red, purple or light streaks. These marks usually appear on the abdomen, breasts, hips and thighs. Although stretch marks are harmless, they can be a cosmetic concern for many women. While their appearance often fades over time, they usually do not disappear completely.
Increased sebum production due to hormonal fluctuations can also lead to changes in skin texture. In some women, this results in acne, especially during the first trimester. Pregnant women may find their skin becomes oilier or more prone to breakouts. On the other hand, some women experience reduced oil production, leading to dry patches and skin irritation.
In addition, pregnant women may experience pruritic urticarial papules and plaques of pregnancy (PUPPP), a skin condition characterised by redness and itchy bumps, usually starting on the abdomen in the area of stretch marks. Although not harmful to the baby, PUPPP can be quite uncomfortable.
It is also very common during pregnancy for new moles to appear and existing ones to grow, and for a larger number of new fibromas and seborrhoeic keratoses to develop in individuals prone to these changes.
Although these skin changes are common, it is important to note that every pregnancy is unique and not all women will experience the same skin issues. Most changes are temporary and tend to improve or disappear after childbirth. However, if any skin condition becomes concerning or uncomfortable, it is always wise to consult a doctor for further guidance.
