Pregnancy: Your Body

Pregnancy: Your Body

Skin in pregnancy: stretch marks, linea nigra, melasma, itching

Stretch marks, a dark line down the belly, dark patches on the face, and itchy skin are common in pregnancy. Itching that will not stop is a call.

General research · seeking a stewardpregnancyAlso searched as: stretch marks, pregnancy mask, itchy belly, dark line

What it is

Stretch marks, a dark line down the belly called linea nigra, the pregnancy mask known as melasma, an itchy belly: your skin changes with your hormones and your shape. Pigment hormones darken the line, the nipples, and sometimes the face. Stretching skin can tear the layer under the surface. Up to 9 in 10 women get stretch marks. About half get some melasma.

What's typical

The dark line fades within months of birth. Melasma darkens with sun and fades slowly. Stretch marks start pink or purple, often after week 24, and fade to silver over a year or two. They do not vanish. Genetics matter more than any cream.

What's known

The American Academy of Dermatology says no cream has been shown to stop stretch marks, though moisturizing eases the itch. Sunscreen is the one thing with strong evidence for melasma. Itching on the palms and soles, worst at night, with no rash, is the sign of cholestasis, a liver condition.

What helps

  • Sunscreen on the face every day, and a hat. Melasma darkens fast in the sun.
  • A thick unscented cream or oil on the belly after a shower. It helps the itch and feels good.
  • Lukewarm showers instead of hot, and loose cotton over the belly.

When to call someone

  • Todayitching on your palms and soles, or all over, worse at night, with no rash. Ask for a bile acid test.
  • Todaya new rash with fever, blisters, or a rash that spreads fast.
  • At your next visititchy bumps in your stretch marks, which is common and called PUPPP.

Who helps

MidwifeOB-GYN

Related

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Sources

  • American Academy of Dermatology — Skin conditions during pregnancy
  • American College of Obstetricians and Gynecologists — Patient FAQ on skin conditions during pregnancy

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The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.