Pregnancy Skin Problems! What To Expect And How To Handle It

by | May 20, 2025 | Skincare

Ahh, pregnancy: the magical time when a woman grows a whole new human. That legendary pregnancy glow? Well, expect a mix of skin puzzling plot twists along the way. The reality is that fluctuating hormones can play havoc with the skin.

But with the right knowledge and skincare routine, mums-to-be can navigate through these changes. Let’s dive into what happens to your skin when pregnant; and discover tips for keeping it healthy throughout this transformative time.

Meet the expert: Dr Judey Pretorius is a biomedical scientist with vast expertise in wound healing, regenerative medicine and cell therapy. She has a master’s degree in genetics and molecular biology and a PhD in pharmaceutical chemistry. As the founder of Biomedical Emporium, she has propelled advancements in skincare by formulating innovative products that support the skin’s natural rejuvenation and repair processes.

Changes In Hormones During Pregnancy

During pregnancy, your body undergoes a significant hormonal shift. “Pregnancy is a time of immense hormonal upheaval,” says Dr Pretorius. “Increased levels of oestrogen, progesterone and human chorionic gonadotropin (hCG) can lead to everything from radiant skin to frustrating breakouts, heightened sensitivity, and even melasma, also known as the ‘mask of pregnancy,’ so while these changes can be expected from your skin during this time, there are ways to manage the behaviour of your skin during pregnancy,” says Dr Pretorius.

Common Skin Issues During Pregnancy

As the body works overtime to support new life, the skin becomes a canvas for internal changes. Among the most common skin concerns pregnant women may experience are:

1. Hormonal Acne And Oiliness

During pregnancy, hormonal fluctuations – particularly androgens and progesterone increases – can lead to heightened sebum production in the skin.

Skincare tip: Treating oily or acne-prone skin during pregnancy requires a gentle, safety-first approach. Many conventional acne treatments are off-limits (like retinoids and high-dose salicylic acid), but there are safe and effective alternatives. Opt for products with niacinamide, azelaic acid or glycolic acid.

Bioderma Atoderm
Shower Gel 

A gentle face and body cleansing gel
that contains niacinamide that helps barrier function, discolouration and revives healthy texture.

Pastry Skincare BHA Overnight
Body Balm

A fragrance-free overnight body balm that combines the power of key ingredients like salicylic acid, niacinamide, squalane and azelaic acid. 

Biomedical Emporium
Maternal Cleanse

A cleanser that also calms the skin creating a smoother appearance. Designed for pregnancy and breast feeding mothers.

READ MORE: What To Do When Body Acne Strikes + The Best Products To Use

2. Stretch Marks

These are life’s little reminders that your skin is going through it. As the belly, breasts, hips, and thighs grow quickly to accommodate a growing baby, the skin stretches faster than it can keep up.

Skincare tip: Regular moisturising (especially with cocoa butter, shea butter or oils).

Aloe Unique Shea
Body Butter

A rich and nourishing moisturiser. Loaded with Shea Butter and vitamins A, B, C and E

Palmer’s Cocoa Butter Formula Moisturizing Body Oil

This oil contains cocoa butter and vitamin E to soften rough skin and leave it feeling deeply moisturised.

Bramley Body Butter
Cocoa Heaven 

Nourish your body, face, hands and feet with this cream enriched with vitamin E and bio-pharm oil.

3. Hyperpigmentation

In addition to stretch marks, darkened patches on the face and body, often caused by sun exposure. Treating hyperpigmentation, especially conditions like melasma or dark patches, requires an effective approach.

Skincare tip: Try using moderate amounts of vitamin C, products containing azelaic acid (10–20%) and a pregnancy-safe mineral SPF with zinc oxide or titanium dioxide daily.

ZO Skin Health 10% Vitamin C Self-Activating Serum Glow’d Up

An antioxidant face cream serum that promotes an even skin tone. Who wouldn’t want that!

The Ordinary Azelaic
Acid Suspension 10%

Try this cream-like formula that brightens skin tone and improves skin texture due to the high concentration of azelaic acid.

Heliocare 360° Mineral Tolerance
Fluid SPF 50

This one contains no chemical filters. Suitable for those with sensitive, intolerant or rosacea-prone skin and atopic dermatitis.

4. Increased Sensitivity

Did you know in addition to hyperpigmentation, hormones also dramatically alter the skin barrier function. Result? Skin may become more reactive – drier, itchier or prone to rashes and irritation.

Skincare tip: Opt for fragrance-free, hypoallergenic moisturisers.

CeraVe Oil Control Moisturising
Gel-Cream 

A lightweight moisturiser that delivers all-day hydration and shine control with a non-greasy matte finish. You’ll love this one!

Aveeno Skin Relief
Moisturising Lotion

Clinically proven to intensely strengthen the skin’s protective barrier, helping to improve its resilience.

Epi-Max Body
Wash Very Sensitive

An ultra-soothing emollient body wash for every sensitive skin prone to dryness. It’s fragrance and colourant-free. 

READ MORE: How To Be That Girl *WITHOUT* A Skin Crisis While Travelling

Dr Judey’s Final Recommendations For Pregnancy-Safe Skincare Tips

  • Go Gentle: Use mild cleansers free from sulphates and harsh exfoliants. A gentle lactic acid cleanser can help remove dead skin without irritation.
  • Hydrate and Balance: Look for products rich in hyaluronic acid and ceramides to keep skin moisturised and resilient.
  • Spot Treat Safely: Ingredients like azelaic acid and niacinamide can help manage breakouts without harming your baby.
  • Nourish to Prevent Stretch Marks: Regularly apply products containing pregnancy-safe ingredients

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