Five itchy problems that keep pregnant women awake.

Five itching problems that make pregnant women unable to sleep. During pregnancy, mommy will have a lot of discomfort because of hormonal changes. The skin may also have some itching problems because of pregnancy, and even can't sleep when it is serious, which affects the quality of life. Most of the skin itching during pregnancy will not have much impact on life, but if it has troubled pregnant mommy and even itches more and more, you should seek medical treatment as soon as possible. Itching skin is really annoying! Regarding the diseases that may cause skin itching during pregnancy, Dean Liu of Yan Jimei's dermatology clinic explained that they mainly include the following five categories:

1. Ectopic pregnancy (AEP) includes three diseases:

Nodular prurigo during pregnancy generally occurs in the second and third trimester of pregnancy, mainly on the hands, feet and back of the hand, with papules, itching without blisters and disappearing after delivery. This is a reversible itching of the skin.

Itching folliculitis during pregnancy occurs in the second and third trimester of pregnancy. Unlike acne, it has no acne and will not grow on the face. Most of them appear in the trunk, back and chest, but they don't grow in places with stretch marks. It is also reversible and will return to normal after delivery.

Eczema during pregnancy accounts for most of AEP (about 50%), which appears in hands and body. Scab, rash, erythema, etc. That kind of skin abrasion often occurs in the affected area.

Some studies have found that 20% of AEP patients have atopic dermatitis before pregnancy, and their condition gets worse after pregnancy. 80% patients are not atopic dermatitis before pregnancy, but will appear after pregnancy and recover after delivery. We can't predict in advance whether those pregnant women will have AEP, but because most atopic dermatitis disappears in adulthood, if atopic dermatitis occurs in adulthood, it is likely to be more serious, and the symptoms of these patients will be more serious after pregnancy.

2. Pruritus urticaria-like papules and plaques during pregnancy are referred to as "PUPPP" and are common in elderly women. Some studies have pointed out that a few will appear before or after pregnancy, but almost all of them will occur in the third trimester of pregnancy and disappear within one or two days after childbirth. The main features of this skin disease include:

* It grows along stretch marks, which is different from pruritic folliculitis during pregnancy, so it appears more in the stomach.

* Concentric distribution, but not in the navel.

* When it is severe, it begins to spread to the buttocks, thighs and * * *, but it is rarely higher than the chest, so there will be no face.

* Multiple births or pregnant women with heavier fetuses are more likely to occur.

* pregnant women gain too much weight, such as gaining more than 20 kilograms during pregnancy or giving birth to multiple births, and the risk is relatively high. Some studies have found that the reason may be that the pregnant woman's stomach is too big and the collagen is seriously broken, leading to immune inflammatory reaction; Some studies also found that fetal DNA was found in the mother's skin section, which may also cause inflammatory reaction.

Wang Zhongchuan, an obstetrician and gynecologist at Lugang Christian Hospital, a high-risk gathering area, said that the cause of urticaria during pregnancy is not very clear. It is speculated that it may be related to the change of hormone concentration during pregnancy, plus factors such as fetal weight gain, abdominal distension, and hormonal changes affecting gastrointestinal digestive function. Some studies also believe that it may be caused by the immune response of fetal cells entering the mother.

Further reading: six measures for weight management during pregnancy, not afraid of being overweight.

At the time of attack, redness, papules and plaques will appear on the affected area, and itching is obvious. Because it is related to skin overstretching, it rarely occurs in the early pregnancy, while urticaria is more likely to occur when pregnant with the first child, multiple births and excessive weight gain during pregnancy. In addition, I have had urticaria before, and the probability of it occurring during pregnancy is also very high. The doctor will judge according to the number of weeks of pregnancy and the location of pregnancy, and ask about the relevant skin history, family history, contact history and so on. And judge whether it is acute or chronic, and at the same time eliminate the infection problem. If necessary, please consult other experts such as dermatologists or immunologists for diagnosis.

Most drugs used for urticaria during pregnancy will not affect the fetus. Dr. Wang Zhongchuan said that most pregnant women will try to avoid using drugs, so they will provide health education for patients first. If they don't improve, they will use ointment. If it is more serious, they will need oral medication. Most of these drugs belong to Class B drugs. Urticaria during pregnancy occurs in the second and third trimester, and the fetal organs are fully developed, which will not affect the fetus. Pregnant mothers don't need to worry. If the symptoms are serious but have been tolerated, in addition to discomfort, I am worried that scratching the skin will cause scars, pigmentation and even infection, and there will be more sequelae. The main points of prenatal education for pregnant women include:

* Wear loose clothes to reduce friction.

* Don't overheat the bath water, moisturize the skin after bathing and avoid taking a bath.

* When the skin itches, you can use a wet towel to ice it a little.

* Avoid coffee, wine and other beverages, and avoid fried food.

* Eat more fruits and vegetables, take in proper water, and keep your stomach healthy.

* Get enough sleep, relieve stress appropriately and keep a good mood. Because stress can interfere with the immune system, the study found that there are many lymphocytes around the skin of patients with pregnancy urticaria, which will be affected by lack of sleep and excessive pressure.

In order to prevent pregnant women from gaining too much weight and increase the probability of getting pregnant urticaria, it is suggested that pregnant mothers gain 2 ~ 3kg in the early stage of pregnancy, 4 ~ 5kg in the middle stage and 4 ~ 5kg in the later stage, with a total weight gain of10 ~12kg.

Five itchy questions that make it difficult for pregnant women to sleep. 3. Dr. Liu said that bullous pustular rash is a rare skin disease, which looks a bit like psoriasis. It occurs in the third trimester of pregnancy and will disappear after delivery. When it happens, there will be papules such as eczema and pustules, which will affect the fetus and cause premature birth or low birth weight.

4. Cholestasis of pregnancy is common in the third trimester of pregnancy, similar to eczema, with papules, desquamation and jaundice, which must be treated directly in obstetrics and gynecology.

It is said that this kind of patients have symptoms before onset, that is, in the first and second stages of pregnancy, itchy skin appears first, which may last for several months, and then rash and jaundice appear in the later stage and disappear after delivery. However, it should be noted that it will have an impact on the fetus, and the probability of maternal gallstones will increase in the future, which may be related to hormonal changes during pregnancy, including the effects of estrogen and prostaglandin and bile metabolism. What's more troublesome is that if the first child is already ill, the second child will be ill again, and the treatment effect with antihistamines is not good, which is a relatively difficult disease to treat.

5. The etiology of pemphigoid during pregnancy may be related to the changes of hormones after pregnancy, which makes the mother suffer from immune cell attacks and papules and blisters appear all over the body. Different from the above diseases, it is not easy to invade the palm, sole and face, but blisters may grow in other places. This disease usually occurs in the second and third trimester of pregnancy, and some will occur after delivery. If it happens after childbirth, it may last for 3 or 4 months before it disappears. Newborn babies may also be affected and have blisters, which is called "pemphigoid during pregnancy".

Pustular rash, cholestasis of pregnancy and pemphigoid during pregnancy are rare skin diseases during pregnancy, but they will affect the fetus and are difficult to treat. As for ectopic rash during pregnancy, pruritic urticaria-like papules and plaques during pregnancy will not have much impact, and pregnant mommy can be more assured.

Ask a doctor to treat these skin diseases with drugs if necessary. Pregnant women can't make a preliminary self-judgment. Once the above symptoms appear, it means that it is already in an inflammatory state. If they don't rely on drugs to stop itching, they must have strong willpower. If the auxiliary methods such as prickly heat cream, green oil essence and ice compress are not effective, it is best to find a doctor to use drugs for treatment.

There is ample evidence that many drugs are very safe for the fetus. Experienced dermatologists and obstetricians and gynecologists will prescribe some drugs without side effects for pregnant mothers. If they still dare not take medicine orally, it is recommended to use at least topical ointment. As mentioned above, these five diseases are mainly treated with steroids and have no effect on the fetus. As long as it is moderate, the amount used in the body is very low, and the chance of further affecting the fetus is even less.

Matters needing attention in pregnant mommy's life For these diseases that make pregnant mommy's skin itch, although it is difficult to prevent them as early as possible, it is suggested to follow several principles in peacetime to keep the skin in a relatively healthy state and reduce the threat of skin diseases.

1. Wear clothes with loose air. During pregnancy, weight gain, skin stretching and metabolism increase, and the skin is prone to sweating and becomes more sensitive. It is recommended to wear less clothes with rough texture and artificial fibers, especially when there is itching. Wearing woolen clothes will make you itch more. It is recommended to wear airtight, loose and sweat-absorbing clothes, so as not to increase the chances of rubbing or even breaking the skin.

2. Choosing mild natural cleaning products with mild, spicy and natural ingredients can reduce the chance of skin allergy. In addition, the sanitary conditions are very good now, and the skin is less sweaty and not dirty. So try to avoid products with too strong cleaning power, or you can reduce the dosage and dilute it with water before using it.

Further reading: protect the skin of babies and pregnant mothers.

The temperature of bath water should not be too high. Women will gain about 65,438+00 kilograms during pregnancy. Due to the substantial increase of blood flow and the increase of peripheral blood circulation, the blood volume of important organs will decrease. Therefore, when the bath water is too hot, the skin surface will always evaporate, and the organs are relatively ischemic, so it is easier to lack oxygen, so the water temperature should not be too hot when bathing.

4. Avoid allergic foods If there is atopic dermatitis, it will be more serious after pregnancy. It is recommended to avoid allergic foods such as shrimp, crab and nuts. Studies have found that pregnant women with atopic dermatitis have a greater risk of allergies after birth if they eat these allergic foods.

5. Avoid cold food, barbecue, fried spicy food, cold food, barbecue, fried food and spicy food. You must be worried that it is not easy to rot, or it is too hot and hot, so it is recommended that pregnant mommy try to avoid it.

The principles of skin care are different in different seasons. When choosing skin care products, we should avoid using artificial flavors and preservatives and try to choose natural ingredients. There are many products of this type on the market now, so it is not difficult for consumers to buy them. In addition, pregnant mothers are particularly worried about stretch marks. Drugstores sell many lotions and creams, claiming that adding vitamin E can moisturize the skin, but rubbing pregnant cream and pregnant milk can't repair damaged collagen. Products with moisturizing effect can make the skin less prone to stretch marks, but once they appear, they can't be recovered with products.

There are some differences in the principle of skin care in different seasons. Pregnant mommy's skin is particularly prone to oil in summer, and it is prone to acne or folliculitis. It is best to pay attention to penetrating clothes with loose air. It is obvious to avoid excessive use of lotions and creams when producing oil. The climate in winter is dry and cold, which is not as easy to produce oil as in summer, so it should be moisturized during maintenance. Some mothers will choose vaseline with simple ingredients and no harm. In fact, unless the skin is oily or folliculitis has occurred, vaseline can be applied to hands, feet, stomach or lips to solve the problem of dry skin. As for the face, it is recommended to use a better product.

Avoid buying medicine to treat skin problems. If you judge and deal with skin problems yourself, if you are not careful, it is likely to aggravate the degree of itching. For example, in a common situation, you go to the drugstore to buy compound ointment. If you use the wrong antifungal ointment, it will make the itching symptoms more serious. There are also examples of buying inappropriate ointment by mistake, such as deepening the color of stretch marks and even depositing pigments such as coffee red, which makes pregnant women misuse A acid because they are too anxious, but they don't know that pregnant women may be deformed by using A acid; Or some mothers misuse A acid or hydroquinone because of obvious liver spots on their faces in the late pregnancy, which is very dangerous. Others include areola and dark armpits, which are skin problems that pregnant moms are particularly concerned about. Mommy, don't rush to deal with it yourself. It needs to be diagnosed and evaluated by a professional doctor.

When skin problems appear for the first time during pregnancy, it is best to find a doctor for diagnosis, especially when blisters appear, you must find an experienced dermatologist for judgment. Because of some special diseases, biopsy may be needed, so if it is a slight rash, obstetricians can help solve it, but if it cannot be improved, we should actively seek the assistance of dermatologists.

Conditions will inevitably happen to the skin during pregnancy. When the itch problem seriously bothers pregnant mommy, you must seek the help of a doctor to avoid affecting your mood and sleep quality because of itchy skin.