Health

Safe Skincare During Pregnancy: Ingredients to Use and Avoid

Pregnancy can change your skin, and it can also change which products belong in your routine. You do not need an elaborate regimen: a gentle cleanser, a suitable moisturiser and daily sun protection are a strong foundation. The important step is checking active ingredients and reviewing prescription or medicated products with your obstetric clinician or dermatologist.

Pregnant woman checking the ingredient label on a skincare bottle in a bright bathroom

Written by HelloMommy editorial teamUpdated August 28, 20263 min read

Why your skincare routine may need to change

Hormonal changes can bring acne, dryness, sensitivity or darker patches. At the same time, some medicines and highly active ingredients are unsuitable in pregnancy. Read the full ingredient list rather than relying on labels such as natural or clean, and tell your obstetric clinician and dermatologist about every prescription, over-the-counter treatment and supplement you use. Do not stop a prescribed medicine without speaking to the prescriber.

Ingredients to avoid during pregnancy

The American Academy of Dermatology advises avoiding retinoids, including isotretinoin, tretinoin, tazarotene, adapalene and over-the-counter retinol products. It also lists hydroquinone, finasteride, spironolactone, tetracycline-class antibiotics and topical 5-fluorouracil among ingredients or medicines to avoid. Product names vary, so ask a pharmacist or clinician if the label is unclear.

Ingredients that need extra care

The AAD recommends discussing benzoyl peroxide, essential oils and high-dose salicylic acid above 2% with a dermatologist and limiting use when advised. Evidence is limited for some cosmetic ingredients, and safety can depend on the strength, amount, body area and how often a product is used. Professional guidance matters most for peels, medicated acne products and concentrated treatments.

A simple pregnancy-safe routine

Use a gentle cleanser, moisturise for your skin type and protect exposed skin every day. The AAD recommends broad-spectrum, water-resistant SPF 30 or higher and notes that mineral sunscreens containing zinc oxide, titanium dioxide or both can be helpful if skin is sensitive. Fragrance-free products may reduce irritation. Vitamin C or glycolic acid may be options for colour changes, but introduce one product at a time and stop if irritation develops.

Acne, pigmentation and professional treatment

Pregnancy acne and pigmentation often need a different plan from your pre-pregnancy routine. A dermatologist can confirm the diagnosis and suggest options suited to your health and stage of pregnancy. Ask before using acne medicines, skin-lightening treatments, chemical peels, lasers or products bought online. Seek medical advice promptly for a painful, blistering, widespread or rapidly worsening rash, or a rash accompanied by fever, swelling or breathing difficulty.

Frequently asked questions

Can I use retinol while pregnant?

No. Dermatology guidance recommends avoiding retinoids and retinol products during pregnancy, including prescription and over-the-counter forms. Ask your clinician about an alternative.

Is salicylic acid safe during pregnancy?

Limited use of some low-strength products may be acceptable, but the AAD advises discussing salicylic acid with your dermatologist and avoiding high-dose products above 2% unless specifically advised.

What sunscreen is best during pregnancy?

Use a broad-spectrum, water-resistant sunscreen with SPF 30 or higher. A mineral product containing zinc oxide, titanium dioxide or both may be a good choice for sensitive skin.

Sources

This article is for general information only and is not medical advice. Always talk to your doctor or midwife about your own pregnancy.