Treatment of dermatitis during pregnancy: a review of drugs. Is dermatitis dangerous for an unborn baby?

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Rarely, when pregnancy proceeds absolutely smoothly, in most cases there is an exacerbation of various diseases, including those that were in the chronic stage. One of these is dermatitis. Often it begins to develop from an early date and lasts throughout the period of bearing a child. Tellingly, this disease disappears on its own after the birth of a child. If you do not treat dermatitis during pregnancy, then this can lead to serious consequences.

Essentially, dermatitis is an inflammatory process that affects the surface of the skin. The integrity of the tissues is broken, the shade changes, and in addition, itching is felt. And, as statistics show, about 50% of women have skin problems during pregnancy.

What could be the reason?

Whatcauses this disease? The most common factors include the following reasons:

• Hormonal imbalance, which is due to changes taking place in the body of a pregnant woman.
• Weakened immune system.
• Exposure to environmental allergens.
• Some temporary "misunderstandings" between mother and baby cells.
• Using hormone-based ointments and creams.
• Disruption of the functioning of the digestive system.
• Genetic inheritance.
• Exposure to sunlight, cold, wind and other weather conditions.

Here it is important to timely monitor the appearance of atypical reactions from the body and take appropriate measures. When using permethrin, it is recommended not to ignore the instructions for use. However, this applies to any prescribed drug. This will prevent future relapses.

Varieties of disease

To combat this disease, various creams are provided, but first let's get acquainted with the classification of dermatitis. It includes several types, which we will discuss below. Tellingly, this disease disappears on its own after the birth of a child. But at this most crucial moment in the life of every woman, it can cause a lot of 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 phenomenonnot uncommon.

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:

1 stage - it all starts with the fact that there is a slight peeling in the area of the elbow joints and under the knees, as well as small rashes that may 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 for a classic allergic reaction. In some cases, these areas change color and become more scarlet. The general condition of women is favorable, and therefore most of them do not pay attention to these signs. This causes treatment to start a little late.

2 stage - 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 an imprint on the general emotional background of the expectant mother. In this case, the rash spreads to different areas: arms, legs, back, stomach. The skin around the eyes darkens. In this case, these signs should not be ignored and medical attention should be sought immediately.

3 stage - is a serious threat to a pregnant woman. And if no action is taken during the first two stages, the disease becomes more aggressive. Due to constant anxiety and itching (it is already becoming unbearable), not only sleep is disturbed, but also the behavior of a woman undergoes changes.

Allergic form of dermatitis, as a rule, begins to worsen with the advent of the I and III trimester.

Perioral disease

Unlike atopic dermatitis during pregnancy in the last stage, this disease does not threaten either the pregnant woman or the fetus. In most cases, for patients, the inconvenience is aesthetic in nature.

Rashes are localized in different places:

• under the nose;
• on the edges of the lips;
• on the chin;
• around the eyes;
• in the temple area.

At the same time, based on the color scheme, they can be from pale pink to red. The surface of the skin is rough to the touch, and after a while, age spots appear on the sites of the rash.

The rash can be presented 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, as a rule, occurs in the third trimester, and in most cases it appears in those women who bear a child for the first time. There is an opinion that this is due to the intensive development of the fetus, but there is no exact confirmation of this theory yet.

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 tint with a white rim around the edges. But after a while, the rash turns into plaques. As for localization, this is the stomach, inner thighs, in rare cases, rashes are observed on the chest. The area around the navel remains intact.

The question of how to smear dermatitis during pregnancy is of interest to every woman, because itching is felt constantly, which disrupts the night regimen of a pregnant woman. As practice shows, rashes appear two weeks before the birth of a child and disappear on their own within 7 days. However, there are no consequences for the mother and child.

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 discovered by the woman herself, she will still not be able to determine which type of disease the disease belongs to. And what can we say about prescribing a drug to herself, even if the instructions for use, "Permethrin", for example, are followed?

And again, only a doctor can do this. He will examine the patient in order to examine the damaged areas on the skin, make an anamnesis according to the woman's words and, if necessary, take samples. As a result of these actions, the doctor will be able to identify the cause of the rash.

Actions whendermatitis during pregnancy

Many expectant mothers try to take good care of their he alth, because under their hearts they carry a new life, and it is priceless. At the same time, they are well aware that self-treatment 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 follow simple recommendations:

• Forget about decorative cosmetics while carrying a child.
• Do not wear synthetic clothing.
• Bed linen should be made from natural hypoallergenic material (such as cotton).
• Shampoos, gels and masks are better to buy those that are specifically designed for pregnant women. As a last resort, products for children are suitable.

In addition, clothes should be washed with hypoallergenic powders or phosphate-free gels.

Expert Help

But it is desirable, of course, to consult a doctor who will select an adequate therapy. Treatment will include child-safe anti-inflammatory drugs and antihistamines. In this case, the course should take place under the close attention of a specialist.

Safe antiseptic and antifungal agents include those that contain the following active ingredients:

• 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 chlorpyramidine or suprastin.

Diet correction

Besides this, you need to adjust your diet. Spicy, fried, fatty foods, strong coffee, and preservatives should be excluded from the menu. In addition, you should limit the use of those foods that can cause a food allergic 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 due to their greater usefulness and the absence of potential danger from their side.

Metronidazole ointment

Analogues of this drug are "Metrogil", "Rozeks", "Metroxan", in which the active ingredient is metronidazole. At the same time, funds are also issued in different forms:

• pills;
• gel;
• cream;
• ointment;
• candles.

We will pay special attention to the Metronidazole ointment, since in addition to the active active ingredient, 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 fatty (hydrophobic) base, and particles of the active substance are not completely dissolved in it. Due to this, instead ofdrying the affected area, the product, on the contrary, moisturizes and softens the tissues.

During the treatment of dermatitis during pregnancy, after application, the ointment spreads over the affected area of the skin after some time, and remains on its surface much 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 (12 hours interval) in a small amount. The treatment course is 5 days.

It 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 to local manifestations. Nevertheless, it is necessary to know about their presence, and therefore it is advisable to prescribe this drug only according to indications.

Losterin

"Losterin" during pregnancy can be attributed to the latest generation of drugs that help eliminate skin irritation of various nature. The composition of the drug is very diverse and includes several components:

• glyceryl;
• resin-free naftalan;
• urea;
• propylene glycol;
• stearyl alcohol;
• almond oil;
• sophora extract.

Due to such a balanced composition, the cream is highly effective with simplemethod of application. A short time after applying the composition to the affected area, relief occurs. Actually, for this reason, the drug has become very popular.

In the list of indications, in addition to dermatitis, you can find other manifestations: lichen, eczema, psoriasis. The tool belongs to the list of non-hormonal ointments and therefore is effectively used in relation to pregnant women. Also, due to the lack of hormones, harm to the fetus is excluded, which is an invaluable advantage.

Also, no addictive effect and negative effects on the body of the future mother and her child were noticed. And if he althy tissues get into the area of the cream, 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 used in the presence of damaged 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;
• vomit;
• liver dysfunction;
• pain in the epigastrium;
• the occurrence of an allergic reaction.

Anaphylactic shock and cholestatic jaundice occur in extremely rare cases. And since the remedy is an antibiotic, it is prescribed for pregnant women only in extreme cases, when the harm from the drug is minimal incompared to disease exposure.

Prevention measures

The best treatment for pregnancy dermatitis 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 carry out regular wet cleaning in the house or apartment. This will eliminate all contact with allergens, which are abundant in household chemicals.

It is also necessary to ventilate the premises for access to fresh air, which is very important for providing oxygen to the fetus. If possible, then in the presence of pets and plants, these sources of possible allergies should be removed for some time.

Many women use cosmetics to look irresistible. But during pregnancy, it can also act as an allergen. And against the background of a weakened immunity of a woman (for obvious reasons), additional problems are highly undesirable.

Medications 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.