Pregnant or breastfeeding
Management of psoriasis in pregnancy - Psoriasis is believed to improve in 40-60% of people during their first and second trimesters of pregnancy. Overall, psoriasis does not affect fertility or rates of miscarriage, birth defects, or premature birth.
However, many medically prescribed treatments are associated with potential problems during pregnancy and may harm the baby. It is important to optimise control of psoriasis before conception to help minimize flare-ups during pregnancy.
More than half of patients have a flare-up within six weeks of delivery, although this is usually not worse than before pregnancy. Recommended treatment during pregnancy and the breastfeeding period should particularly be limited to emollients, moderate to low potency topical steroids, and dithranol .
What should I be aware of when pregnant or nursing?
A small amount of medication applied to a small area for a short time is not likely to be harmful. A large amount to a large area for a long time increases the risk of harm, especially if covered by occlusive dressings (such as Vita Wrap, DuoDERM, or other films). General emollients as the ones we sell here at HelloSkin appear safe to use in pregnancy and the breastfeeding period. However, please be aware of the following ingredients  .
- Salicylic acid - the risk with topical therapy is considered very small to harm the baby, however, do not apply over large areas of the body for prolonged periods.
- Coal tar - the risk of absorption and injury to the baby is unknown but coal tar contains potentially dangerous polycyclic aromatic hydrocarbons. Coal tar products are considered safe to use for short periods or on localised areas such as the scalp.
- Endocrine disrupters, e.g. parabens and phthalates may be absorbed after topical application . Large amounts should be avoided.
Which products can I use when pregnant and nursing?
Below you will find a selection of products free from any of the ingredients mentioned above, incl. salicylic acid, coal tar, parabens, and endocrine disrupters/hormonal disturbants.
Always read the label. Some products will state that pregnant and breastfeeding mothers should check with a healthcare professional before use.
1. BMJ. 2007 Jun 9; 334(7605): 1218–1220; 2. J Am Acad Dermatol. 2008 Aug;59(2):295-315; 3. Oakley A (2008), DermnetNZ; Waikato Hospital, Hamilton, New Zealand; 4. Environmental Science & Technology 2007 41 (15), 5564-5570