Prurigo of Pregnancy: Causes, Symptoms & Treatment

What exactly is pregnant prurigo?

Prurigo during pregnancy, also known as pregnancy itch, is a common condition that can affect expecting mothers. It is characterized by an intense itching sensation that can be very uncomfortable.

There are many potential causes of prurigo during pregnancy, but the most common include hormonal changes, skin irritation, and allergies.

Prurigo of pregnancy can occur at any time during the course of pregnancy however it is most common during the second and third trimesters. These itchy bug bite-like bumps during pregnancy do not cause any harm to the baby or the expecting mother. And also, they are easily treatable.

What does prurigo in pregnancy look like?

Prurigo during pregnancy can be defined as an itchy skin condition that commonly occurs during pregnancy. The most common symptoms of prurigo during pregnancy include intense itching and small, raised bumps on the skin. The bumps may be red, brown, or yellow in color. Sometimes they may also look like acne or a rash.

Where does the prurigo of pregnancy start?

Prurigo of pregnancy is generally observed at joints and in the skin folds thus it usually starts behind the elbows and knees. However, it can also show up on the arms, knees, shoulders, and stomach (belly).

Difference between prurigo & PUPPP rash during pregnancy

Pruritic urticarial papules and plaques of pregnancy (PUPPP) and prurigo of pregnancy are both a type of rash that develops during pregnancy. However, PUPPP usually occurs in areas where the skin is stretched due to the growing fetus such as the abdomen, thighs, hips, etc. Whereas, prurigo of pregnancy is observed behind the elbow and knees and in skin folds. Furthermore, PUPPP is often observed in the third trimester whereas prurigo of pregnancy can happen at any time.

Symptoms of prurigo of pregnancy

Commonly observed symptoms of prurigo of pregnancy include tiny bug bite-like bumps that may:

• Itch a lot

• Be discolored

• Be clustered together covering large areas

• Be scaley or flakey

• Look like acne or a rash

Causes of prurigo of pregnancy

There are a number of different factors that can contribute to the prurigo of pregnancy. Some of the most common include:

• Hormonal changes: The increased levels of hormones during pregnancy can cause skin irritation and dryness, which can lead to itchy bug bite-like bumps during pregnancy.

• Acne: Pregnancy can cause hormonal fluctuations that can lead to acne breakouts. This can be very irritating and can aggravate prurigo.

• Eczema: Eczema is a skin condition that can be exacerbated by pregnancy. It can cause intense itching and can be a contributing factor to prurigo.

• Diet: A poor diet can also contribute to prurigo. Foods that are high in sugar and carbohydrates can trigger inflammation and can make the itching worse.

Diagnosis of prurigo of pregnancy

Prurigo of pregnancy is often diagnosed through a physical exam that is often done during routine pregnancy checkups. The doctor may also take the patient’s history to know when the problem started. In some cases, doctors may also conduct some blood tests in order to rule out any other underlying condition such as an autoimmune disorder or cholestasis of pregnancy that presents similar symptoms.

Treatment of prurigo of pregnancy

There are a number of ways to treat and manage the prurigo of pregnancy. Some of the most common include:

• Moisturizing: Keeping the skin moisturized is important in preventing and treating prurigo. Use a hypoallergenic moisturizer to soothe and protect the skin.

• Avoiding irritants: Avoiding things that can trigger or aggravate the itching is important. This includes things like hot showers, harsh soaps, and tight clothing.

• Applying hydrocortisone (steroidal) cream or ointment and calamine lotions to soothe the skin

Preventions of prurigo of pregnancy

There are certain things that expecting mothers can do in order to prevent prurigo of pregnancy. These include:

• Avoid wearing scented perfumes and overly scented skin products such as lotions as they may irritate the skin.

• Wear loose and comfortable clothing. Avoid wearing synthetic fabrics that might irritate the skin.

• Moisturize the skin religiously with an unscented lotion or the one that is prescribed by your healthcare provider

What should I expect if I develop prurigo while pregnant?

Prurigo of pregnancy is a benign condition that many women experience during pregnancy. However, it is important to note that the condition usually subsides after the delivery. Certain skin conditions increase the chances of tiny itchy bug bite-like bumps during pregnancy. Expecting mothers can work with their doctors in order to find ways to effectively manage the symptoms of prurigo during pregnancy.