Maternity Skincare: Dealing with Pregnancy Glow and Acne

Pregnancy is a time of incredible hormonal shifts, and nowhere are these changes more visible than on your skin. For some, this hormonal surge results in the fabled “pregnancy glow”—a radiant, dewy complexion that seems to defy the laws of exhaustion.¹ For others, it can lead to a less glamorous reality: a sudden onset of acne, hyperpigmentation, and increased sensitivity. Navigating these changes requires a mindful approach to skincare, as many popular products contain ingredients that are not considered safe for a developing baby.²

This comprehensive guide will demystify maternity skincare, explaining the science behind the “glow” and the acne, providing a clear list of ingredients to avoid, and offering a practical, safe, and effective routine to help you achieve a healthy, happy complexion throughout your pregnancy.

The Hormonal Highs and Lows: The Science of Pregnancy Skin

The famous “pregnancy glow” is not a myth. It’s largely the result of two key factors:

1. Increased Blood Flow: During pregnancy, your blood volume increases by up to 50% to support the growing baby.³ This increased circulation brings a rush of blood to the skin’s surface, giving you that flushed, vibrant look.
2. Hormonal Changes: The surge in hormones like estrogen and progesterone can stimulate oil glands, leading to more moisture and a softer, plumper look to the skin.

However, these same hormonal changes can also be the cause of new or worsening skin issues. The increase in androgens (male hormones) can lead to overactive oil glands, clogged pores, and a sudden breakout of pregnancy acne, which can feel like a return to your teenage years.

The Non-Negotiables: Ingredients to AVOID

When pregnant, it’s not just about what you put into your body, but what you put onto it. Some common skincare ingredients can be absorbed through the skin and may pose a risk to your baby.

• Retinoids: This is the number one ingredient to avoid. Retinoids, including Retin-A, tretinoin, and retinol, are powerful forms of Vitamin A that have been linked to birth defects.⁴ You must stop using all retinoid-based products immediately.
• High-Dose Salicylic Acid: While low concentrations of salicylic acid (e.g., in a face wash) are generally considered safe, doctors recommend avoiding stronger concentrations found in peels, toners, and leave-on treatments, as they can be absorbed into the bloodstream.⁵
• Hydroquinone: This is a potent skin-lightening agent often used to treat melasma and hyperpigmentation. It is not recommended during pregnancy due to the high rate of absorption into the skin.
• Phthalates and Formaldehyde: These are often found in fragrances and nail polish. Look for products that are “phthalate-free” and “formaldehyde-free.”

Your Safe Skincare Toolkit: Ingredients to Embrace

The good news is that there are many safe and effective alternatives to help you manage your skin during pregnancy.

• Alpha-Hydroxy Acids (AHAs): Ingredients like glycolic acid and lactic acid are considered safe for treating acne and hyperpigmentation.⁶ They gently exfoliate the skin’s surface, improving texture and tone without posing a systemic risk.⁷
• Benzoyl Peroxide: In concentrations of 5% or less, benzoyl peroxide is a go-to for fighting acne and is considered safe for use during pregnancy.⁸
• Azelaic Acid: This is a fantastic, multi-tasking ingredient that is safe for pregnancy. It helps to fight acne, reduce redness, and lighten hyperpigmentation like melasma.⁹
• Vitamin C: An excellent antioxidant that protects the skin from environmental damage, brightens the complexion, and can help with dark spots.¹⁰
• Zinc Oxide and Titanium Dioxide: These are the active ingredients in mineral sunscreens, which are a must-have for pregnancy. They sit on top of the skin and are not absorbed, making them a safe and effective choice.

Dealing with Common Pregnancy Skin Issues

Pregnancy Acne:

The key is to keep your skincare routine simple and consistent. Cleanse with a gentle face wash containing a small amount of salicylic acid or a simple cream cleanser.11 Follow with a toner containing witch hazel or a gentle AHA. Spot treat with benzoyl peroxide, and always moisturize.

Melasma (The “Mask of Pregnancy”):

This is a form of hyperpigmentation that appears as brown patches on the face.12 It is triggered by hormonal changes and sun exposure. The single most effective way to prevent and treat melasma is to use a broad-spectrum, mineral-based sunscreen with an SPF of 30 or higher every single day, rain or shine.

Stretch Marks:

Genetics play the biggest role in whether you get stretch marks, but keeping your skin well-moisturized can help with the itching and improve elasticity. Use a rich body butter or oil with ingredients like shea butter, coconut oil, and vitamin E to keep the skin on your belly, hips, and breasts supple.13

Your Perfect Pregnancy Skincare Routine

Morning Routine:

1. Cleanse: Use a gentle, pregnancy-safe face wash.
2. Serum: Apply a Vitamin C serum to protect and brighten the skin.¹⁴
3. Moisturize: Use a light, hydrating moisturizer.
4. Sunscreen: This is the most crucial step. Use a mineral-based sunscreen with SPF 30 or higher.

Evening Routine:

1. Cleanse: Use the same gentle cleanser to remove makeup and impurities.
2. Treat: Apply a serum with a pregnancy-safe ingredient like azelaic acid or glycolic acid to address acne or hyperpigmentation.¹⁵
3. Moisturize: Use a richer moisturizer to hydrate your skin overnight.

In conclusion, a safe and effective maternity skincare routine is all about smart substitutions and a simplified approach. By avoiding a few key ingredients and embracing a consistent routine with pregnancy-safe alternatives, you can confidently navigate the hormonal roller coaster and emerge with a healthy, glowing complexion that truly celebrates the beauty of this special time.