Safe Treatments and Skincare for PFP During Pregnancy

If you're dealing with PFP (Pruritic Folliculitis of Pregnancy), you're not alone. This skin condition can be uncomfortable and may add to the many changes your body is already going through during pregnancy. In this article, we’ll help you understand what PFP is, explore safe treatment options during pregnancy, and share tips on how to care for your skin without harming your baby.

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Your body undergoes numerous changes during pregnancy, and your skin is no exception. If you've noticed small red, itchy bumps on your tummy, chest, back, or arms, it could be a harmless condition known as Pruritic Folliculitis of Pregnancy, or PFP for short.



Although PFP does not harm your baby, it may be painful and annoying to you. You may be wondering what types of treatments are safe, which skincare products you can use, and how to manage symptoms without taking any risks. This blog will inform you about PFP and provide information on safe treatment methods during pregnancy.


What is PFP?

PFP is the acronym for Pruritic Folliculitis of Pregnancy. It is a rare skin condition that typically arises during the second or third trimester. It causes tiny red spots or pustules that may resemble acne or a rash. These bumps are often quite itchy and can spread if left untreated, commonly appearing on areas such as the chest, back, arms, and sometimes even the abdomen.

The specific cause of PFP is not apparent. It could have been connected to hormonal changes, the production of oil, or a response in your hair follicles. It might seem painful, but the positive thing is that PFP is not harmful to your baby and, as a rule, disappears several weeks after childbirth.


How is PFP Diagnosed?

You may already be familiar with the symptoms; however, consulting a doctor or dermatologist is the best course of action in any case. It will most often be diagnosed as PFP by looking at your skin. They also may perform a biopsy of your skin, in which case they remove a small amount of your skin (a biopsy) to make sure they have the diagnosis right, particularly when the rash is likely to be confused with some other condition in pregnancy, such as PUPPP or gestational pemphigoid.

Having a good diagnosis is necessary since treatment varies depending on the skin condition one is suffering from. Activities that benefit one condition may not benefit another or be safe.


Safe Treatments for PFP During Pregnancy

When it comes to treatment, the primary goal is to alleviate your itching and minimise the appearance of the bumps. Since you are pregnant, safety is the top priority. Here are some safe treatment options:

  1. Topical corticosteroids: These are creams or ointments that reduce inflammation and itching. Low-potency corticosteroids, such as hydrocortisone, are generally considered safe when used in small amounts and for a short period. Always follow your doctor’s instructions and avoid applying large amounts over vast areas.
  2. Moisturisers: Using fragrance-free moisturisers can help soothe your skin and reduce dryness, which can exacerbate itching. Look for products labelled “hypoallergenic” and “safe for pregnancy.”
  3. Antihistamines: If the itching is severe, your doctor may recommend an oral antihistamine, such as chlorpheniramine or diphenhydramine. These are usually safe during pregnancy, but always ask your doctor before taking any medication.
  4. Benzoyl peroxide: Benzoyl peroxide is sometimes used to treat PFP because it fights bacteria and reduces inflammation. While small amounts are considered low risk, it is recommended to use it only under medical supervision and avoid high-strength products.
  5. Cool compresses: Applying a clean, cool cloth to the affected areas can help calm itching and reduce redness. This is a simple, safe method you can do at home as often as needed.


What to Avoid During Pregnancy

When treating PFP, there are certain ingredients and products you should avoid because they may not be safe for your baby. Here are some things to stay away from:

  • Retinoids (Vitamin A creams): These are often found in acne treatments but are not safe during pregnancy and should be avoided.
  • Strong Steroids: High-potency steroid creams can be absorbed into your bloodstream and may not be safe unless your doctor says otherwise.
  • Salicylic Acid (in large amounts): A small amount in a face wash might be okay, but high concentrations or peels should be avoided.


Skincare Tips for Managing PFP

Aside from treatments, there are also skincare habits that can significantly impact the management of PFP. Here are some tips you can follow daily:


  • Use gentle, non-comedogenic cleansers: This means products that do not clog pores. Look for ones made for sensitive skin.
  • Avoid hot showers and hot water baths: Hot water can dry out your skin and make itching worse. Use lukewarm water instead.
  • Wear loose, breathable clothing: Tight or rough fabrics can irritate your skin further. Choose soft cotton clothes whenever possible.
  • Stay cool and dry: Sweat can worsen itching. Try to stay in cool environments and pat your skin dry gently after bathing.
Dealing with Pruritic Folliculitis of Pregnancy can add to the challenges of your pregnancy journey. But the good news is that there are safe ways to manage it. Mild steroid creams, moisturisers, and some antihistamines can help reduce symptoms without affecting your baby. With the right care, patience, and support from your healthcare provider, your skin can recover safely and comfortably.

FAQs on Safe Treatments and Skincare for PFP During Pregnancy

  1. Can PFP harm my baby?
    No, PFP is a skin condition that affects only you and does not cause any harm to your baby. It is more about your comfort than any medical risk to the pregnancy.
  2. Will PFP come back in future pregnancies?
    It is possible but not guaranteed. Some women experience it again in later pregnancies, while others do not. If you had it once, it's a good idea to monitor your skin closely in future pregnancies.
  3. Can I use over-the-counter creams for PFP without asking a doctor?
    It is always best to consult your doctor before using any medication or skincare product during pregnancy, even if it is available over the counter.
Disclaimer: Medically approved by Dr Sukirti Jain Consultant Obstetrics and Gynaecology Cloudnine Group of Hospitals, Navi Mumbai, Vashi