Skincare products in pregnancy: how to read an ingredient list

Looking at your bathroom shelf and wondering “which of these is still safe?” is very common in pregnancy. Skin changes during this time: some people glow, others get breakouts, dark patches or dryness. You do not need to give up every product, but learning to read the ingredients can bring peace of mind.

The general picture

The amount of a skincare product that reaches the bloodstream is usually small. Even so, for some ingredients a cautious approach is taken, because solid safety data in pregnancy is limited for many of them. A simple rule: products with short, simple ingredient lists are often the easier choice. If you are unsure about a product, ask your doctor or pharmacist.

Retinol and its relatives

Retinol, retinal and similar vitamin A derivatives are common in anti-ageing and acne creams. Avoiding them in pregnancy is generally advised. Look in the ingredient list for words such as “retinol”, “retinyl”, “retinal”, “retinoic”. If you are planning a pregnancy or have just found out, stopping the product and letting your doctor know is enough; there is no need to panic. You can also see the Guide article on hair dye and beauty care.

Acids and acne products

• Salicylic acid: Caution is advised with high-strength peels and oral forms; ask your doctor about low-strength cleansers.
• Glycolic and lactic acid: Low-strength products are generally described as acceptable, but strong chemical peels can be postponed.
• Azelaic acid, niacinamide: Often named among commonly chosen options in pregnancy; still, discuss your own situation with your doctor.
• Benzoyl peroxide: For the topical form, most sources say short-term, low-strength use may be acceptable.
• Not picking at spots, washing gently twice a day and using an oil-free moisturiser always help.

Sunscreen: the most valuable product

Skin can be more sensitive to sun in pregnancy, and brown patches (melasma) may appear on the face. A broad-spectrum, high-protection sunscreen helps reduce patches and protects your skin. Mineral filters (zinc oxide, titanium dioxide) are a frequent choice in pregnancy. For sun protection at the sea and pool, see the Guide article on sea, pool and sun.

Self-tanners and other products

Self-tanning creams are considered to act on the skin surface; with sprays, however, inhalation is a concern, so use them in a well-ventilated space and wear a mask. Moisturisers and oils for stretch marks are safe, though it would be wrong to say they completely prevent marks. If you are sensitive to smells, you can cut down on perfumed and essential-oil products.

6 steps to read an ingredient list

1. Find the “Ingredients” section on the back; the first items are in the highest amounts.
2. Scan for retinol derivatives and strong acids.
3. “Natural” or “organic” does not automatically mean safe; watch for essential oils.
4. Test a new product on a small area 24 hours beforehand.
5. Do not start many new products at once; it makes finding the cause of a reaction harder.
6. If unsure, leave it out and ask your doctor or pharmacist.

Skin changes and your routine

Because of hormones, skin may turn oily or dry, and stretch marks can appear on the belly, breasts and hips. A simple routine is often enough: a gentle cleanser, a moisturiser and sunscreen in the morning. Plenty of body moisturiser eases itching. Checking the ingredient lists of what you already own before buying anything new also avoids unnecessary spending. Asking the pharmacist about a product you doubt is a quick, free route.

When to contact your doctor

• Sudden widespread itching, especially on the palms and soles
• Swelling, breathlessness or a widespread rash after a product
• Severe, cystic, painful acne
• Moles that grow quickly or change colour or shape
• If you cannot be sure about the ingredients of a product you use

For signs of a serious allergy such as breathlessness or facial swelling, call 112 (in Turkey) or your local emergency number.

Frequently asked questions

What can I do about breakouts? Hormones can worsen acne. Gentle cleansing, an oil-free moisturiser and products approved by your doctor are generally enough.

Can I use face masks? Clay, oat or moisturising masks are generally fine; avoid peel masks with strong acids.

This article is for general information; your doctor or pharmacist can best answer questions about the products you use.