Acne during pregnancy: causes of their appearance and methods of treatment. The last days before childbirth Changes in the body of a woman before childbirth

Pregnancy is the state of a woman's body, which is accompanied by a change in hormonal levels. The skin is especially susceptible and sensitive to such drastic changes, so acne during pregnancy in various parts of the body is considered quite common.

Often, a future mother has a lot of worries about such tubercles, since they not only make the appearance of a woman less attractive, but are accompanied by the development of a feeling of discomfort. Acne is a sure sign of increased progesterone activity. It is for this reason that the problem of the causes of acne and age spots and methods of their treatment is considered important while waiting for the baby.

Changes in the body during pregnancy

During pregnancy, a number of transformations are observed in a woman's body, and, above all, hormonal changes occur. When pregnancy occurs, the active production of progesterone begins - this is the hormone of the female body, which is characterized by increased activity before menstruation.

Progesterone has a negative effect on the condition of the skin:

• the first sign of increased sebum production is clogging and inflammation of the pores;
• there is an active work of the sweat glands and a sure sign of this process is increased sweating;
• skin fibers lose their elasticity;
• there is an active process of reproduction of bacteria, since the skin has reduced resistance to their effects.

The period before menstruation, as well as after its completion, is controlled by the following hormones:

• Estrogen is responsible for the first phase of the menstrual cycle. Its action is aimed at actively removing those unpleasant changes on the skin that have occurred under the influence of progesterone.
• In the second phase of the cycle before menstruation, the hormone progesterone is activated and the first sign of its activity is the appearance of acne. In case of successful conception, such small tubercles persist both during the delay and in the early stages of pregnancy. Before menstruation, there is an active release of progesterone and the result is the appearance of acne on such areas of the body as the chin and forehead.

Causes of pathology

Despite the fact that female hormones are the main reason for the development of such a cosmetic defect, there are some factors that contribute to the appearance of unpleasant points on the face, abdomen and back, both in the early stages of waiting for the baby and before childbirth. There are the following reasons for the formation of acne during pregnancy:

All these reasons lead to the fact that there is an intense process of acne during pregnancy in various parts of the body, and most of them are observed on the face, back and chest. To prevent the development of such a cosmetic defect, it is necessary to eliminate the causes and factors contributing to the manifestation of such a pathology.

Acne treatment

The appearance of a large number of acne on the skin of a pregnant woman is the first sign that it is necessary to seek advice from a dermatologist. Treating acne during pregnancy with various creams and lotions is unlikely to be a useful exercise, since the causes of this pathological skin condition lie in the change in the hormonal background of a woman and the active production of progesterone. You can treat such a cosmetic defect with the help of special herbal lotions and masks, after consulting with your doctor.

You can use the following traditional medicine recipes;

If there is an active growth of acne before menstruation and in the early stages of bearing a child, then at the beginning of the second trimester there is a significant decrease in their number. This is a sure sign that the problem is starting to recede and her attractive appearance will soon return to the woman.

When a long-awaited pregnancy comes, all thoughts are only about the future baby. Boy or girl? The main thing is to be born healthy. The woman glows with happiness, a sparkle appears in her eyes. But when, along with joy, acne appears on the face, I want to get rid of them as soon as possible. Why do acne jump during pregnancy, which overshadow all the joy?

Who are we expecting: a boy or a girl?

When a woman is expecting a baby, and acne of different levels and sizes is poured out on her face, it is believed that a girl will be born. People often say: "My daughter took the beauty." And vice versa, if acne does not increase, it even becomes less, then, in accordance with folk signs, a boy should be born.

Acne can appear on the forehead, chin, cheeks, back, abdomen. Does the sex of the baby really affect the appearance of rashes during pregnancy?

There are several opinions about this in scientific medicine. Some believe that this is complete nonsense, while others quite reasonably explain such coincidences. It's all about changing the hormonal background of a woman. The gender of the child has its influence on this aspect, however, to a small extent. Boys and girls can determine the nature of its changes, but only when their gender has been determined exactly. This can only happen at a later date. Rashes in the early period cannot be a sign of who will be born.

Acne in pregnant women at the earliest stages appears due to toxicosis, which affects the functioning of the digestive tract and the general restructuring of the body, including the hormonal system. You can determine the sex of the child by the shape of the abdomen. If there is a boy, then the belly bulges strongly forward, when a girl, it is distributed evenly throughout the peritoneum, capturing the sides. Folk experts establish the gender of the unborn child and other signs. Of course, they are often mistaken, so it is better to determine the sex of the child by an ultrasound examination, and not guess who will be born by acne.

Causes

The occurrence is less common than on the face. Especially often acne breaks out in the first and last trimester, when the female body is either rebuilt to carry the fetus, or prepare for the end of this mission.

It is believed that if a woman had skin problems before pregnancy, then the likelihood that acne will appear during pregnancy increases. Of course, every woman's body is different. The opposite may also happen.

Here are the medical reasons for the appearance of such a disease as acne:

Delay acne

The situation when they were late is familiar to many women. Can you conclude that you are pregnant? According to a number of signs, in the first trimester of pregnancy, there is indeed a frequent rash due to the restructuring of the female body and the activation of the function of bearing a child. Some of the characteristic signs are: delay and the appearance of acne.

However, such symptoms may appear during the inflammatory process, and not only the reproductive system. They can be triggered by the common cold and flu. The retention and breakout of pimples can be a sign of hormonal changes, but this is not a guaranteed symptom of pregnancy. Often before, which need to be treated only externally. No pathology is observed in the body. Therefore, when it appears before menstruation, it should not be considered a sign of pregnancy. However, it doesn't hurt to check. In the early stages, there are many other transformations that can serve as a sign that a woman is in a position.

Another reason for delayed menstruation and acne can be nervous stress. At the same time, the woman is nervous, and the body begins to produce substances harmful to it, from which to strive. Delays can be triggered by nervousness, worries, anxiety, fear. By themselves, delays in menstruation, of course, should alert. Every girl or woman begins to suspect something when a delay occurs, but whether there are pimples or not does not play a role.

Prevention

Prevention of skin rashes includes the following:

• If nothing can be done about physiological changes and hormonal changes in the body during pregnancy, then another cause can be prevented. For this, it is important to observe the drinking regimen. In the first trimester of bearing a child, the amount of drinking water consumed should be 2 liters (if there is no tendency to edema). This is enough to maintain the optimal level of water in the body.
• Proper skin care is very important. It is desirable to wash with natural means, without artificial additives. Perfect for baby soap. Wipe the skin of the face with lotions and tonics without alcohol. It is also recommended to use fresh decoctions of medicinal herbs if there are no allergic reactions to them.
• A balanced diet is an important component for the prevention of acne. The body of a pregnant woman needs vitamins most of all. And as you know, the beauty of the skin comes from within. This is very important for the proper development of the baby.
• Fresh air is good for the skin and for the body of a pregnant woman as a whole. The lack of oxygen negatively affects the skin. It is advisable to spend more time outside, especially in the evening when the air is cleaner.

What to treat?

During childbearing, the likelihood of allergic reactions increases. Before using any means, it is better to consult a specialist. Use those that are natural and safe.

Why can't acne during pregnancy be removed with levomycetin, peroxide, zinc ointment on the forehead, nose, chin? These substances have a rather high concentration of active chemical elements, some of them are antibiotics. They will certainly help reduce acne during pregnancy, but it is better to opt for natural remedies. In case of delayed menstruation, acne should also be treated with safe, neutral medicines. will help:

It often happens that with the birth of a child, acne disappears on its own. The hormonal background is restored. But there are also cases when a woman, long after giving birth, has to deal with an ailment on her face and treat them with various means. The sex of the child here, as we see, has nothing to do with it. Be that as it may, the occurrence of acne in pregnant women is a temporary trouble and cannot overshadow the joy of motherhood.

Bearing a child is accompanied by changes in the physical condition of a woman. Acne during pregnancy is most often a variant of the physiological norm. Rashes on the surface of the epidermis are a pathology when they harm the health of the expectant mother and fetus. As a rule, the presence of acne in pregnant women is an aesthetic problem that is easy to fix. However, in some situations, purulent neoplasms threaten the life of the baby and the woman.

Acne during pregnancy is most often a variant of the physiological norm

If acne appears during pregnancy, it is important to distinguish ordinary rashes from boils in time. To eliminate a skin defect, special drugs are taken that do not affect the intrauterine development of the fetus. Acne during pregnancy can occur in every woman, regardless of age, skin type and gender of the unborn child. When carrying a baby, the fair sex should be prepared for such changes in their appearance.

Why do rashes occur during pregnancy?

The skin reflects the condition of the internal organs. Carrying a child is stressful for a woman. Acne on the body during pregnancy indicates that the body is adapting to new conditions. The functioning of all systems during this period is aimed at preserving the fetus. The formation of acne during pregnancy is one of the possible responses of the immune system to stress on the body. Neoplasms occur suddenly and often go away on their own.

Doctors identify the following causes of pathological changes in the skin during the period of bearing a baby:

• surge of hormones;
• lack of fluid;
• genetic predisposition;
• physiological feature;
• lack of fresh air;
• violation of mental balance;
• lack of physical activity;
• sleep disturbance;
• malnutrition;
• neglect of hygiene;
• infectious diseases;
• exacerbation of chronic skin diseases.

Rashes during pregnancy may appear due to a surge in hormones

It is impossible to give an exact answer to the question of why the condition of the epidermis worsens in pregnant women. First of all, the pathological process is associated with hormonal failure. The skin is covered with inflamed neoplasms due to the active production of progesterone. It is a hormone that is needed to secure the embryo in the uterus. The amount of progesterone in the blood rises at the beginning of pregnancy. Due to hormonal activity, the epidermis becomes oily. An excess of sebum is one of the possible causes of rashes.

Dehydration provokes changes in the skin. To remove progesterone from the body, you need to consume a lot of pure water. Excess hormone leaves the woman's body with urine. If a pregnant woman drinks little liquid, the liver uses internal water reserves. The body loses moisture, and acne becomes a consequence of this process. Violation of the drinking regime is the second most common reason that the body is covered with neoplasms.

Women who have a genetic or physiological predisposition to skin problems should be prepared for an exacerbation of a skin rash. Pimples during the period of bearing a child occur due to nervous shocks, with chronic lack of sleep, and the use of junk food. It is important for expectant mothers to engage in special gymnastics. Physical activity contributes to the enrichment of the body with oxygen. Thanks to this, emerging neoplasms pass quickly.

Where do rashes most often occur?

The skin shows the state of specific organs. First of all, acne occurs on the face during pregnancy. In this zone, the points responsible for the functioning of the reproductive, respiratory and digestive systems are concentrated. The inflammatory process is noticeable on the chin during pregnancy. This is due to the fact that the epidermis of the lower part of the face reflects the nature of the functioning and the state of the uterus and appendages. Acne on the chin during the period of gestation warns of possible inflammation of the genital organs or the development of candidiasis.

Acne during pregnancy can be on the forehead, cheeks and nose. Localization of neoplasms does not matter. The main thing is not to squeeze out pus, not to peel off dry crusts and wash your face several times a day with cool water. Cosmetic cleaning of the face is best done before pregnancy, so that during the crucial period of life the skin is not exposed to aggressive effects.

Each woman has a different intensity of sebum secretion in certain areas of the body. Acne on the back during pregnancy is not uncommon. Sometimes such rashes are associated with a decrease in immunity in the cold season. Pimples can cover the shoulders, shoulder blades, lower back. This problem is especially relevant for obese women who are carrying a child.

Acne on the chest during pregnancy is diagnosed in 70% of women. Rashes of small size. There are many of them, but inflammation is rare. The presence of acne in the area of ​​​​the mammary glands is a dangerous symptom. In this case, the rashes that appear must be properly treated so that extensive inflammation does not develop. If a purulent disease occurs, the baby will not be able to breastfeed.

Acne on the abdomen during pregnancy is rarely diagnosed. They indicate a possible allergic reaction. Sometimes the cause is problems with the liver or gallbladder. The occurrence of acne on the abdomen during pregnancy is often associated with banal prickly heat. To exclude allergies and pathology of internal organs, a pregnant woman is recommended to go to the doctor.

If acne is present on the pope, this indicates prickly heat, a reaction to contact with underwear, or a possible infection. Neoplasms that do not pose a threat do not bother a woman. If acne on the pope hurts and abscesses, you need to see a doctor. The inflammatory process can adversely affect the development of the fetus.

What causes acne on the genitals?

In the intimate area, the skin is especially delicate. Any damage to the epidermis can lead to inflammation and a rash. A pimple in an intimate place brings significant inconvenience to a woman. The neoplasm hurts, itches, abscesses. The situation is complicated by constant contact with underwear. If a pimple appeared on an intimate place after shaving, you should not worry. During the period of bearing a child, the epidermis becomes too sensitive. Even if the skin did not react negatively to depilation before pregnancy, the situation often changes after fertilization.

Acne on the labia during pregnancy is a dangerous symptom that warns of a serious pathology. Rashes indicate the activity of viruses or sexually transmitted infections. In this case, the pregnant woman has additional symptoms:

• purulent discharge from the vagina;
• pain in the lower abdomen;
• weakness;
• fast fatiguability;
• discomfort in the intimate area;
• itching and burning in the labia;
• an increase in body temperature up to 37 ° C.

A pimple on an intimate place brings significant inconvenience to a pregnant woman

A pimple on an intimate spot can be a sign of type 2 herpes. The disease is dangerous and requires therapy. Infection with herpes occurs both before pregnancy and during the bearing of the baby. Pathology is introduced into the body through sexual contact with a partner who is a carrier of the virus. For a long time, herpes does not manifest itself in any way. If a woman infected with the virus did not have acne in the labia before, then during pregnancy they may occur. For the fetus, this is not dangerous, since the placenta is a reliable protection. A child can become infected with such acne during natural childbirth, so women with type 2 herpes are given a caesarean section.

If acne appears in the area of ​​the labia, this may indicate the presence of HPV (human papillomavirus). The rashes are in the form of warts. If you sprinkled the outer or inner labia, you need to contact a gynecologist.

Neoplasms of this nature are removed surgically. In some cases, papillomas and condylomas are temporary. Women often confuse these growths with ordinary acne and wait for the skin to recover on its own. This tactic is fundamentally wrong. The earlier therapy is started, the less likely it is that the fetus will become infected during natural childbirth.

Pimples in early pregnancy

Childbearing is divided into periods called trimesters. Changes in the body of a pregnant woman occur gradually. At the very beginning there is an internal restructuring. A huge amount of progesterone is released into the blood. Acne during pregnancy in the early stages is a common occurrence. A hormone that promotes the fixation and development of the fetus in the uterus, affects the functioning of internal organs. Increased load on the liver and kidneys affects the condition of the epidermis. Because of this, acne in early pregnancy occurs in almost all women.

The body of each representative of the fair sex is individual. Therefore, the localization of neoplasms is different. Rashes occur on the face, back, abdomen, chest, etc. If a woman had skin problems before conception, then during the bearing of a child they can become aggravated. The presence of pregnancy in the early stages is a direct indicator of acne or acne. The body in this way tries to adapt to new conditions. Sometimes toxins and toxins are removed through purulent neoplasms so that the load on the liver and kidneys is reduced.

Pimples at the beginning of the second trimester begin to pass. However, this is not the case for all women. In some cases, a small rash on the chest and face persists for a long time. Acne during pregnancy is a lot of trouble. In the first months of bearing a child, the psychological state of a woman is unstable. The presence of acne exacerbates the situation even more. A pregnant woman worries about the fact that acne spoils her appearance. It is important to understand that the situation will soon change. In most cases, no therapy is even needed.

What do rashes in the third trimester indicate?

When the moment of resolution of childbirth is approaching, the body is actively preparing for this process. During this period, there are specific manifestations that were absent before. For some women, rashes do not occur in the first trimester, but before childbirth. The number of acne and the condition of the skin during this period scare many women. The rash covers the face, chest, back, abdomen. Foci of inflammation are found in the scalp. Because of this, the curls quickly become dirty.

Before childbirth, it is especially important to carefully monitor hygiene. A large amount of sebum is secreted through the epidermis. This is a consequence of preparing the body for childbirth. During this period, you can not use aggressive cosmetics or resort to professional procedures in the salon. In late pregnancy, there is a surge of hormones. In intensity, in some cases, it exceeds the changes that occur at the very beginning of gestation. Neoplasms often affect the face. It scares women, but you should not worry. After childbirth, the skin is completely regenerated.

Before childbirth, it is especially important to carefully monitor hygiene.

Women are often interested in why rashes disappear in the second trimester, and reappear at the end of pregnancy. This is explained physiologically. The first trimester is a period of body restructuring. The internal organs are under stress, and this affects the skin. The second trimester is the quiet phase. The body has already adapted to the new conditions, all resources are directed to maintaining pregnancy. The third trimester is again stressful, as preparations for childbirth begin. In some women, at the end of bearing a child, a rash on the body may again appear.

How dangerous is acne during pregnancy?

Women who are carrying children are worried about how rashes on the body affect health. Acne on the face during pregnancy does not pose a threat to the expectant mother and baby. Rashes can take the form of acne, blackheads, small white rash. If there is an increased fat content of the epidermis, then the appearance of acne is associated with hormonal activity. This does not affect the development of the fetus. With a probability of 70%, a rash will appear in every woman expecting the birth of a child.

If the rash causes discomfort, you need to see a doctor. The presence of acne on the body may indicate allergies, shingles, herpes, etc. Some pathologies, a symptom of which are rashes, are dangerous for the body of a pregnant woman and adversely affect the development of the fetus. If the face, back, chest or abdomen is covered with pimples that cause itching and burning, a comprehensive diagnosis of the body is necessary.

If the rash causes discomfort, you should consult a doctor for help.

Pregnancy is stressful for the body. Chronic pathologies often worsen during this period. The danger is rashes, which are accompanied by additional unpleasant symptoms:

• elevated body temperature;
• pain in the area of ​​​​pimples;
• itching and burning;
• deterioration in general well-being;
• indigestion.

Rashes in the genital area are dangerous for a woman and a child. Often such a rash is a sign of HPV or herpes. The baby, passing through the birth canal, can become infected from the mother with a dangerous pathology. To prevent this from happening, the doctor decides to remove the neoplasms surgically or prescribes a caesarean section.

What to do if a boil occurs?

Common skin rashes are common to many pregnant women. The situation is much more complicated with boils. This is a purulent inflammation of the hair follicle. The neoplasm hurts, abscesses and poses a threat to the health of the mother and fetus. Furuncle during pregnancy occurs due to reduced immunity. The appearance of such an abscess is also associated with hypothermia, infection, non-observance of personal hygiene rules, etc.

There are 3 stages of development of a boil during pregnancy:

1. Formation of an infiltrate. A seal forms under the epidermis. The skin becomes inflamed and painful.
2. The maturation of the abscess. The process is accompanied by a temperature of + 38 ... + 39 ° C, which is extremely dangerous for a pregnant woman. Severe intoxication of the body begins. The stage lasts up to 6 days.
3. Discharge of pus. When the boil is fully mature, the skin breaks through. The pus comes out.

Sometimes the doctor prescribes surgical excision of the abscess to prevent an abscess. Furuncle during pregnancy is dangerous because it causes severe intoxication. The accumulation of harmful substances adversely affects the development of the fetus. No need to wait for the independent discharge of pus. To avoid serious consequences, you must consult a surgeon and follow all medical prescriptions.

It is necessary to get rid of the rash during the gestation of the fetus competently. While expecting a baby, women are interested in how to treat acne during pregnancy. First of all, you need to remember what you can not do in any case. Gynecologists categorically forbid pregnant women to use cosmetics based on salicylic acid. The main substance is absorbed into the blood and can harm the fetus.

Such a method of dealing with a rash, like squeezing, is also not suitable. Hands can bring the infection and cause an extensive inflammatory process. It is necessary to carefully study the instructions for cosmetic preparations. If the product cannot be used during pregnancy, the manufacturer must indicate this.

Breakouts caused by a surge of hormones will not go away with acne creams and gels. In this case, only time contributes to the disappearance of neoplasms. You can only reduce inflammation and prevent the appearance of new pimples. It is allowed to use cosmetics, which include fruit acids.

A pregnant woman should pay attention to her diet

The treatment of acne during pregnancy must be approached comprehensively. Dermatologists together with gynecologists give the following recommendations:

1. Eat healthy food. The diet should mainly consist of fresh fruits, vegetables and cereals.
2. Observe the drinking regime. Drinking enough clean water is the key to the smooth functioning of all organ systems and healthy skin.
3. Keep the body clean. You need to choose the right cleanser. It is important to ensure that there is no excess sebum on the face and body.
4. Support bowel function. Digestive problems during pregnancy are not uncommon. This leads to the appearance of pimples. Therefore, you need to use natural yoghurts, kefir, sourdough every day.

It is important to know how to treat acne during pregnancy. Women who are expecting a baby are contraindicated in drugs that contain the following components:

• benzene peroxide;
• aromatic steroids;
• steroids;
• antibiotics.

From acne during pregnancy, the popular and effective remedy Zinerit is contraindicated. It contains antibiotics, so it adversely affects the fetus. Before purchasing a specific cosmetic or medical product, you need to carefully read the component composition.

How to get rid of acne during pregnancy?

On the shelves of pharmacies you can find many pharmaceutical remedies for acne. Ointments are selected by a gynecologist or dermatologist. Most effective drugs are prohibited during the period of bearing a child. The choice of a specific remedy is carried out taking into account the duration of pregnancy, the individual physiological characteristics of the woman and the type of rash.

Doctors often prescribe skinoren and regecin gels to patients. These drugs are applied to the face, back, chest, abdomen. If there are few acne, you can apply the funds pointwise. If the rashes are small and cover most of the skin, the gel is spread with a thin layer over the entire surface of the affected epidermis. If a burning sensation or itching occurs, the drug must be washed off. An allergic reaction is possible.

Sometimes a doctor prescribes the use of creams with anti-inflammatory and antibacterial effects. There are special products that are allowed for pregnant women. One of these drugs is Eplan cream. Also, a specialist may prescribe Kvotlan ointment. The composition of these therapeutic agents does not include aggressive or prohibited components, therefore, such therapy is completely safe for a child.

You can treat acne during pregnancy with the help of folk remedies. Lotions with a decoction of herbs help well: chamomile, calendula or succession. Pimples on the forehead during pregnancy will become less noticeable if you wipe the affected skin with ice cubes 2 times a day. A mask of honey and cinnamon has an excellent effect on the condition of the epidermis.

Women need to remember that only a doctor knows how to deal with acne during pregnancy correctly. If the rash affects the intimate area, you should immediately contact a gynecologist. If severe inflammation or even a boil occurs, you need to go to a dermatologist or surgeon. During pregnancy, the main thing is not the aesthetic side of the issue, but the health and full development of the fetus. Therefore, all problems, including acne, must be reported to the doctor and act together with him.

Acne during pregnancy- one of the most common cosmetic inconveniences that can haunt a woman during pregnancy. According to various sources, from 7 to 18% of all pregnant women suffer from skin rashes that are difficult to treat.

important In most cases, they do not require active medical therapy and can resolve after the first trimester or after the birth of a child on their own. But in some cases, ordinary acne can become a formidable sign of changes in a woman's body that require active medical intervention.

Causes

Currently, there are several main reasons that provoke the appearance of acne in a woman during pregnancy:

1. Changes in the hormonal background and sharp fluctuations in the level of a number of hormones in the blood of a woman. Of particular importance here is the female hormone progesterone, which is the main regulator of the proper bearing of the fetus and its full development. On the other hand, this hormone significantly increases the production of sebum by the sebaceous glands of the skin, while increasing its density. Often, it is from this that the duct of the sebaceous gland is "clogged", the contents remain in the lumen of the gland - and become inflamed, forming a pustule ("pimple").
   The level of progesterone increases significantly in the first trimester of pregnancy (it is at this time that the highest incidence of acne is observed in women who are in position) and normalizes in the subsequent time.
2. A sharp increase in the level of male sex hormone in a woman. Normally, a small amount of this male hormone is produced by the female body on its own. However, during pregnancy, its level decreases to a critically low level. That is why, if multiple skin rashes (“pimples”) are found, it is necessary to immediately contact a specialist so that he excludes this cause: testosterone has a bad effect on pregnancy and can cause miscarriage;
3. Predisposition of the skin to infection. In such cases, the appearance of acne or blackheads, small areas of inflammation can bother a woman even before pregnancy. In such cases, there are many reasons: impaired immunity, structural features of the skin, diseases of the gastrointestinal tract, etc. In most cases, these conditions will become more frequent during pregnancy, and will require treatment and an exact cause after the baby is born.

Symptoms

When acne appears, the symptoms of the disease do not require any specific knowledge. These are small elements that protrude above the level of healthy skin, most often have a bright red color at the base and a yellowish-purulent tip. Rashes most often appear on those areas of the skin on which physiologically more sebaceous glands are located: the interscapular region, the décolleté region, and the skin of the face. Most often, acne appears in the first and may disappear or their number is significantly reduced by the middle of the second trimester of pregnancy. However, in some cases, this cosmetic inconvenience can end only after childbirth.

Diagnostics

Diagnosis of the disease in such cases may be limited to the usual examination of a dermatovenereologist (or cosmetologist) and an obstetrician-gynecologist. In rare cases, consultation with an endocrinologist and specific blood tests for hormone levels (progesterone and testosterone) are required to rule out a possible miscarriage.

Treatment

important Treating acne during pregnancy is quite a difficult task. The fact is that effective drugs for acne and / or acne contain antibiotics or hormonal substances, the use of which during this period of a woman’s life, if not prohibited, is not recommended due to an adverse effect on fetal development.

Currently, from pharmaceutical preparations during pregnancy, it is possible to use drugs based on azelaic acid (for example, Skinoren). Azelaic acid normalizes redox processes in skin cells, reduces the content of saturated fatty acids in the secretion of the sebaceous glands, thereby making it more liquid and easily separated. Such drugs are most often a cream that is applied to the skin 2 times a day with a thin layer, a clinically significant effect is observed after 1-2 months of systematic use.

Otherwise, academic medicine pays more attention to traditional medicine recipes: the fact is that until the levels of the main “pregnancy hormones” of progesterone, estrogen and testosterone do not change, it is almost impossible to achieve a significant result.

At the same time, the use of face masks made of clay (blue or black) and chamomile infusion is encouraged, which are applied for 20-25 minutes 1 time per day, washed off with warm water.

Prevention

Prevention of acne during pregnancy consists of a few general rules:

1. The use of cosmetics or cosmetic products during this period of life is possible only after consultation with a dermatovenereologist or cosmetologist;
2. Compliance with banal personal hygiene measures (regular and daily washing, changing clothes, etc.);
3. The systematic use of a large amount of fluid (6-8 glasses a day), but only with the permission of the attending physician and the control of a general urine test (to avoid the development of edema and impaired renal function);
4. Don't try to pop or remove pimples yourself. In such cases, the infection most often spreads further to the surrounding tissues and provokes an increase in the affected skin. Various face masks are better suited for this (see above);
5. Do not lead a sedentary lifestyle and do not break the diet, limit the intake of carbohydrates, sugars, animal fats;
6. Monitor your gastrointestinal tract. Very often, the causes of acne are problems with the digestion of food and an unbalanced diet.

Complications

information Acne during pregnancy is not the cause of formidable complications that require active treatment tactics. The most frequent complications in advanced cases are furuncles and carbuncles of the skin, which require surgical assistance on an outpatient basis (opening the abscess).

So the last weeks before the birth have come, the last days of such a difficult, but at the same time such a wonderful period of your life - the time of expectation of a child. In previous articles on emotional experiences during pregnancy (,), I deliberately did not touch on the topic of fear of childbirth. Let's talk about this in more detail.

Fear of childbirth. I'm afraid to give birth, what should I do?

In the first trimester, such fear of childbirth is a rarity. Anxiety that visits a woman at an early stage is more often associated with the topic of bearing: “Will I be able to bear a child? Is everything okay with my health and his? The second trimester in terms of fears is the most prosperous - there is greater self-confidence, toxicosis and drowsiness pass, and it is too early to be afraid of childbirth - they are still far away. But now, week after week, the third trimester comes ... And then the woman, no, no, and the fear of childbirth will fall on her. How to deal with it?

In fact, it is normal to be afraid of childbirth. For primiparas - because it is impossible not to be afraid of what has never happened to you, the unknown is always frightening. In women who give birth again, the fear of childbirth becomes more specific and is usually based on the experience of previous births. It is clear that the more negative the past experience, the stronger the fear of the upcoming birth. However, even if everything went well in the past, childbirth (as an unpredictable process and requiring huge emotional and physical costs) still frightens these women.

Changes in a woman's body before childbirth

So, in the last weeks before childbirth, if the emotional changes of the pregnant woman proceeded according to the stages described by me in previous articles, very interesting metamorphoses occur with each woman. She is more and more noticeably removed from the world around her, from the hustle and bustle, more and more immersed in herself, increasingly striving for solitude. Her cognitive functions such as memory, attention are deteriorating, and any woman on the eve of childbirth will prefer simple physical housework to intellectual work.

This time is sometimes called the time of nesting, when the expectant mother prepares her house for the birth of a baby: she does laundry and lays out the baby's dowry, re-plans the rooms, and simply brings comfort. It is bad if individual actions develop into a whole process, since the repair of a modern apartment is usually stretched out and takes a lot of effort and energy.

It would be ideal if, in the period before childbirth, a pregnant woman does not solve any global problems associated with great responsibility, but spends the day doing things that are pleasant for her.

It should be noted that all the changes described above that occur to a woman are not accidental and are a great blessing. They reflect the hormonal restructuring of the body before childbirth, as a result of which certain substances are produced, designed, in sufficient quantities, to ensure the successful course of childbirth.

Take, for example, opiates. It is because of them that the pregnant woman becomes so inattentive and forgetful. These substances, being natural analogues of narcotic drugs, effectively anesthetize contractions, allow the female psyche to become disoriented in space and time during childbirth, and at the end of them help to quickly forget about labor pain. Experienced midwives know that the more pronounced such changes in the psyche of a woman in labor, the higher the chance that her birth will go well.

When does labor begin?

Here we are with you and came directly to childbirth. When and how do they start?

According to the generally accepted opinion, pregnancy lasts an average of 280 days, which corresponds to 9 calendar, 10 lunar months or 40 weeks. And yet, each individual pregnancy has its own duration, and term births (that is, births that occurred at the right time) are considered births that occur from 37 to 41 weeks.

It turns out that in advance no one will ever guess the secret when the birth will happen, and the so-called PDR (preliminary date of birth) is a very approximate date. I think it's this uncertainty that makes the final weeks of pregnancy a very troubling time.

The fact is that many future parents, as a rule, modern and very active people, are used to clearly planning all the main moments of their lives. And here is such an important event, but it is impossible to plan or influence it.

I think this is one of the factors that increase the number of caesarean sections. After all, unlike natural childbirth, a caesarean section is very easy to plan. Starting from the 38th week, with good results of the examination of the woman and the fetus, any day convenient for the doctor and the patient can become the birthday of her baby.

How good it is for the child himself, parents do not always think, although now they are increasingly saying that it is the baby and his readiness to be born that set the start of childbirth.

If we talk not only about the physical, but also the psychological well-being of the newborn, then for the child, childbirth becomes a positive experience when he starts them himself, and then takes an active part in them.

So, each person is born at his own time, when he is ready for this. Why are doctors so worried if labor begins before 37 or after 41 weeks?

Postponed pregnancy.

It is understandable with premature birth - everyone knows that in this case, due to the insufficient maturity of organs and tissues, it will be difficult for the baby to adapt to the outside world. However, if the baby is born premature, this is also bad. Firstly, its bones become harder, which means that the head loses plasticity, which makes it difficult to pass through the birth canal. Secondly, the original lubricant covering the body is partially absorbed into the skin, and the child will no longer slide so well through the birth canal. Thirdly, the cells and tissues of the baby will be less adapted to hypoxia, therefore, independent childbirth can be traumatic for them. And here a natural question arises. How so? If a baby begins to be born at a time when it is ready, why can it sit out in its mother's womb for so long?

From my own experience, I can say that often not only the readiness of the baby determines the date of birth. The condition of a woman before childbirth and the circumstances of her life are also able to influence this event. It happens that a woman has to finish an important business (for example, the same repair, or maybe pass an important report or defend a dissertation), and then she, rather without even realizing it, pushes back the date of birth. Or the family where the baby is expected is going through a major conflict, a pre-divorce situation, and then it will be easier for the baby to “sit out” in his house until more prosperous times.

Previously, Russian people followed this tradition: when a woman had a long pregnancy, all relatives and friends tried to visit her. They came to visit to ask for forgiveness and reconcile if they were in a quarrel with her. Our ancestors knew well that if a woman begins to give birth without reconciliation with loved ones, childbirth can be delayed, be very painful and be accompanied by complications.

This leads to an important practical conclusion. If suddenly 40 weeks of pregnancy have passed, and you are still not giving birth, try to analyze the circumstances of your life, think about whether there is something on your part that can postpone the onset of labor on your part. Before giving birth, try to ask for forgiveness if someone was offended, and forgive yourself if someone offended you. Realizing that childbirth may not occur due to some unfinished important business, change priorities: put childbirth first, everything else second.

Sometimes it seems to a woman that after the birth of a child, she will no longer be able to do anything, all her time will be taken up with caring for a newborn. It is both so and not so. In fact, your life with the advent of the baby will not end, but will move into a new quality, it will be full of worries and worries, but at the same time great joys and discoveries!

Perhaps after giving birth, you will look at unfinished business (whether it be the design of a children's room or a scientific article) with completely different eyes. Maybe a fresh look will allow you to complete what you started with great pleasure or completely abandon it as unnecessary.

In conclusion, I want to wish you to live the last weeks before childbirth as fully as possible, discovering your new sides and features, because it is at this time that your femininity is gaining strength. The moment will come when the baby will give you a signal, and you will move along with him on the path called childbirth. And at the end of this path you will meet. Meeting with a new life!