Rarely, when pregnancy proceeds absolutely smoothly, in most cases there is an exacerbation of various diseases, including those that were in a chronic stage. One of these is dermatitis. Often, it begins to develop from an early period and lasts throughout the period of bearing the child. What is characteristic, this disease disappears on its own after the birth of the baby. If you do not treat dermatitis during pregnancy, then this can lead to serious consequences.
In fact, dermatitis is an inflammatory process that affects the surface of the skin. The integrity of the tissues is violated, the shade changes, and in addition, itching is felt. And, as statistics show, approximately 50% of women have skin problems during pregnancy.
What could be the reason?
What triggers the occurrence of this disease? Among the most common factors include the following reasons:
- Disruption of the hormonal background, which is due to changes in the body of a pregnant woman.
- Weakened immune system.
- Exposure to allergens from the environment.
- Some temporary “misunderstandings” between mother and baby cells.
- The use of ointments and creams based on hormones.
- Disruption of the digestive system.
- Genetic heredity.
- Exposure to sunlight, cold, wind and other weather conditions.
It is important to timely monitor the appearance of atypical reactions from the body and take appropriate measures. When using permethrin, instructions for use are recommended not to be ignored. However, this applies to any prescribed drug. In the future, this will prevent relapse.
Varieties of ailment
To combat this disease, various creams are provided, but first we will get acquainted with the classification of dermatitis. It includes several types, which we will discuss below. What is characteristic, this disease disappears on its own after the birth of the baby. But at this crucial moment in the life of every woman, it can cause many problems.
The main manifestations of the disease are rashes on the surface of the skin, and dermatitis on the abdomen during pregnancy or on the legs is a common phenomenon.
Atopic or allergic dermatitis
This is the most common form of the disease, which has the ability to inherit from parents. In this case, it can proceed in several stages:
Stage 1 - it all starts with the appearance of a slight peeling in the elbow joints and under the knees, as well as small rashes that can be on the face. In the evening, the itching intensifies, and at the site of the rash, you can notice a slight swelling of the tissues, which is typical of a classic allergic reaction. In some cases, these areas change color and become scarlet. The general condition of women is favorable, and therefore most of them do not pay attention to these signs. This leads to the fact that treatment begins a bit late.
Stage 2 - if you do not use the cream for atopic dermatitis, itching becomes almost constant against the background of increased anxiety and irritation. All this leaves its mark on the general emotional background of the expectant mother. In this case, rashes spread to different zones: arms, legs, back, stomach. The skin around the eyes darkens. In this case, these signs should not be ignored and you should immediately seek medical help.
Stage 3 - is a serious threat to a pregnant woman. And if you do not take any action during the first two stages, the disease goes into a more aggressive state. Due to constant anxiety and itching (it is already becoming intolerable), not only sleep is disturbed, but also the woman’s behavior undergoes changes.
The allergic form of dermatitis, as a rule, begins to worsen with the advent of I and III trimester.
Perioral form of the disease
Unlike atopic dermatitis during pregnancy in the last stage, this ailment does not pose a threat to either a pregnant woman or a fetus. In most cases, for patients, the inconvenience is aesthetic.
Rashes are localized in different places:
- under the nose;
- along the edges of the lips;
- on the chin;
- around eyes;
- in the field of temples.
At the same time, based on the color scheme, they can be from pale pink to red. The skin surface is rough to the touch, and after some time, pigmented spots appear on the rashes.
The rash can be represented in the form of almost imperceptible elements, which are usually localized in separate groups or arranged in random order. And given that the rashes are mainly located on sensitive areas of the skin, burning and itching are felt more strongly.
Polymorphic Dermatitis
Polymorphic dermatitis during pregnancy on the legs or any other place occurs, as a rule, in the III trimester, and in most cases it appears in those women who first bear a child. It is believed that this is due to the intensive development of the fetus, but there is no exact evidence for this theory.
The appearance of a rash resembles hives, and usually the process affects already damaged areas of the skin. Initially, these are elements of a red hue with a white rim around the edges. But after a while, the rash turns into plaque. As for localization, this is the abdomen, the inner surface of the thighs, in rare cases, rashes are observed on the chest. The area around the navel remains untouched.
The question of how to smear dermatitis during pregnancy is of interest to every woman, because the itching is felt constantly, because of which the night regime of a pregnant woman is disturbed. As practice shows, rashes occur two weeks before the birth of the baby and pass independently within 7 days. However, there are no consequences for the mother and the child.
Establishing diagnosis
In many ways, diagnosing dermatitis in pregnant women is the prerogative of doctors, especially when it comes to an allergic manifestation. In this case, only a specialist will be able to identify the allergen and draw up a treatment plan in each case.
But even if the first characteristic signs are detected by the woman herself, then she still will not be able to determine what type of disease the disease belongs to. And what can we say about the appointment of a drug to itself, even if you follow the instructions for use, "Permethrin", for example?
And again, only a doctor can do it. He will examine the patient in order to examine the damaged areas on the skin, make an anamnesis according to the woman, and take samples if necessary. As a result of these actions, the doctor will be able to identify the cause of the rashes.
Actions for dermatitis during pregnancy
Many expectant mothers try to take good care of their health, because under the heart they carry a new life, and it is priceless. Moreover, they are well aware that self-medication in this case is unacceptable, otherwise you can harm not only yourself but also the child.
But the treatment of dermatitis during pregnancy in a mild form can be provided by the woman herself. To do this, she should adhere to simple recommendations:
- To forget about the time of carrying a child about makeup.
- Do not wear synthetic clothing.
- Bed linen should be made of natural hypoallergenic material (for example, cotton).
- Shampoos, gels and masks are best to buy those that are specifically designed for pregnant women. In extreme cases, funds for children are suitable.
In addition, clothes should be washed with hypoallergenic powders or phosphate-free gels.
Specialist help
But it is advisable, of course, to consult a doctor who will select the appropriate therapy. Treatment will include taking baby-friendly anti-inflammatory drugs and antihistamines. In this case, the course should be held under the scrutiny of a specialist.
Among the safe antiseptic and antifungal agents include those that contain the following active substances:
- metronidazole;
- azelaic acid;
- clindamycin;
- nystatin;
- erythromycin;
- terbinafine;
- mupirocin.
The choice of treatment depends on the severity of the manifestation and the general condition of the pregnant woman. In some cases, the doctor, after examining the patient, may prescribe chloropyramidine or suprastin.
Diet correction
In addition, you need to adjust your diet. From the menu you need to exclude spicy, fried, fatty foods, strong coffee, as well as preservatives. In addition, you should limit the use of those products that can cause an allergic food reaction from the immune system or completely abandon them.
We are talking about red vegetables, berries and fruits, whole cow's milk, seafood, cocoa beans. But zucchini, broccoli, bananas, green apples should be preferred because of their greater usefulness and the absence of potential danger on their part.
Ointment "Metronidazole"
The analogues of this drug are Metrogil, Rosex, Metroxan, in which metronidazole is the active substance. At the same time, funds are also issued in different forms:
- tablets;
- gel;
- cream;
- ointment;
- candles.
We will pay particular attention to the Metronidazole ointment, since in addition to the active active substance, its composition contains auxiliary elements that are necessary for this particular form of the drug.
There are certain advantages over gel or cream. The ointment contains a fat (hydrophobic) base, and particles of the active substance are not completely dissolved in it. Due to this, instead of drying the affected area, the product, on the contrary, moisturizes and softens the tissues.
During the treatment of dermatitis during pregnancy after application, the ointment after some time spreads over the affected area of the skin, and remains on its surface noticeably longer than a cream or gel. Therefore, the effect of the application lasts longer.
According to the instructions for use, the ointment must be applied in the morning and evening hours (interval is 12 hours) in a small amount. The treatment course is 5 days.
The remedy has side effects that you should be aware of. This is a manifestation of an allergic reaction (itching, skin rashes), loss of appetite, irritability, dizziness, convulsions. But since the drug is for external use, side effects appear in smaller quantities and are limited only by local manifestations. Nevertheless, it is necessary to know about their presence, and therefore it is advisable to prescribe this drug solely according to indications.
Losterin
"Losterin" during pregnancy can be attributed to the drugs of the latest generation, which help to eliminate skin irritation of different nature. The composition of the medication is very diverse and includes several components:
- glyceryl;
- tarred naphthalan;
- urea;
- propylene glycol;
- stearyl alcohol;
- almond oil;
- Sophora extract.
Due to such a balanced composition, the cream is highly effective with a simple method of application. A short time after applying the composition to the affected area, a relief occurs. Actually, for this reason, the drug has gained great popularity.
In addition to dermatitis, other manifestations can be found in the list of indications: lichen, eczema, psoriasis. The tool belongs to the list of non-hormonal ointments and therefore is used with effectiveness against pregnant women. Also, due to the lack of hormones, harm to the fetus is excluded, which is an invaluable advantage.
Also, the effect of addiction and negative effects on the body of the expectant mother and her child was not noticed. And if healthy tissues get into the cream's area of effect, they are not damaged.
What helps "Erythromycin"
In fact, it is a broad-spectrum antibiotic that can be produced in the form of tablets (100 mg, 250 mg and 500 mg) or ointment (ophthalmic, external). It is successfully applied in the presence of damage to the skin. Depending on the condition of the pregnant woman, the doctor prescribes the drug in tablet form or as an ointment.
In any case, it is worth noting the presence of side effects in the treatment of "Erythromycin":
- nausea;
- vomiting
- violation of the liver;
- epigastric pain;
- the occurrence of an allergic reaction.
Anaphylactic shock, as well as cholestatic jaundice, are manifested in extremely rare cases. And since the drug is an antibiotic, it is prescribed for pregnant women only in extreme cases, when the harm from the drug is minimal in comparison with the impact of the disease.
Preventive actions
The best treatment for dermatitis during pregnancy is prevention. And there is hardly a specialist who will dispute this statement. To avoid the appearance of unwanted rashes and itching, it is necessary to conduct regular wet cleaning in the house or apartment. This will exclude all contacts with allergens, which are full in household chemicals.
It is also necessary to ventilate the premises to access fresh air, which is very important for providing oxygen to the fetus. If possible, if you have pets and plants, you need to remove these sources of a possible allergy for some time.
Many women use cosmetics to look irresistible. But during pregnancy, this can also act as an allergen. And against the background of a weakened immunity of a woman (for obvious reasons), additional problems are extremely undesirable.
Medicines prescribed by a doctor can be used in conjunction with external agents (creams for atopic dermatitis, oils, ointments, talkers). And since the disease is accompanied by prolonged itching, the help of antihistamines will be very helpful.