Physiological skin changes during pregnancy

Shanza Ikram, Aisha Malik, Majid Suhail


Objective To find out the frequency and pattern of physiological skin changes in pregnant women.


Methods This descriptive study evaluated 200 consecutive pregnant females presenting to Dermatology Outpatient Department of Nawaz Social Security Hospital, Lahore over a period of one year.


Results Total of twenty-three cutaneous manifestations were studied including striae gravidarum, hyperpigmentation, hair, nail and vascular changes. Majority of pregnant females complained of striae gravidarum (stretch marks) affecting 71.5% of study population closely followed by pigmentation i.e. linea nigra (64.5%) and melasma (63.5%). The most common vascular change noticed was palmar erythema (43.5%) and nail changes included leukonychia (15%), while diffuse hair loss (11.5%) was the most frequently found hair change.


Conclusion The appreciation of common physiological skin changes during pregnancy will assist in better patient care during antenatal period.



Pregnancy, skin, hair, nails, physiological changes

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Pillay SP, Catherine NP, Tolppanen H, Mebazza A. Physiological changes in pregnancy. Cardiovasc J Afr. 2016;27(2):89-94.

Kumari R, Jaisankar TJ, Thappa DM. A clinical study of skin changes in pregnancy. Indian J Dermatol Venereol Leprol. 2007;73(2):141.

Tunzi M, Gary GR. Common skin conditions during pregnancy. Am Fam Physician. 2007;75:211-8.

Oumeish YO, Parish JL. Pregnancy and the skin. Clin Dermatol. 2006;24:78-9.

Urasaki MBM. Skin physiological alterations perceived by pregnant women attended at public health services. Acta Paul Enferm. 2010;23:519-25.

Kroumpouzos G, Cohen LM. Dermatoses of pregnancy. J Am Acad Dermatol. 2001;45:1-19.

Tyler KH. Physiological skin changes during pregnancy. Clin Obstet Gynecol. 2015;58:119-24.

Torgerson RR, Marnach ML, Bruce AJ, Rogers RS. Oral and vulvar changes in pregnancy. Clin Dermatol. 2006;24:122-32.

Hassan I, Bashir S, Taing S.A clinical study of the skin changes in pregnancy in Kashmir Valley of North India: A hospital based study. Int J Dermatol. 2015;60:28-32.

Barankin B, Silver SG, Carruthers A. The skin in pregnancy. J Cutan Med Surg. 2002;6:236-40.

James W, Berger T, Elston D, editors. Andrews’ Diseases of the Skin: Clinical Dermatology. 12th edn. Philadelphia: Saunders; 2016.

Rothe de Arocha J. Nuevasopciones en el tratamientodelmelasma. Dermatol Venez. 2003;41:11-4.

J-Orh R, Titapant V, Chuenwattana P, Tontisirin P. Prevalence and associate factors for striae gravidarum. J Med Assoc Thai. 2008;91:445-51.

Alves GF, Varella TCN, Nogueira LSC. Dermatologia e gestação. An Bras Dermatol. 2005;80:179-86.

Shah A, Shah SJ, Jha SM, Shakya NB, Dangol A, Shakya S. Physiologic skin changes during pregnancy. Med J Shree Birendra Hospital. 2012;11:42-5.

Bamigboye AA, Smyth R. Interventions for varicose veins and leg oedema in pregnancy. Cochrane Database Syst Rev. 2007;(1):CD001066.

Wu M, Chen SW, Jiang SY. Relationship between gingival inflammation and pregnancy. Mediators Inflamm. 2015;1:1-11.

Kar S, Krishnan A, Shivkumar PV. Pregnancy and skin. J Obstet Gynecol India. 2012;62:268-75.

Vora RV, Gupta R, Mehta MJ, Chaudhari AH, Pilani AP, Patel N. Pregnancy and skin. J Family Med Prim Care. 2014;3:318-24.


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