What is pregnancy acne and what causes it? It isn’t a condition that affects every pregnant woman, and the women it does affect are all affected differently. Some women’s actually clears up and is smoother than ever during pregnancy, while others look like teenagers back in high school.

There are two things that make acne in pregnancy more prevalent. One is the increase of the hormone progesterone, and the other is the mother’s level of hydration. Not only does progesterone smooth the muscles of the uterus, which can lead to heartburn, but it also causes the secretions from your skin glands to increase, which leads to the increase in acne.

Staying hydrated in pregnancy is important, but as for everyone, it is recommended to a pregnant woman to drink a minimum of 8 glasses of water a day. More if possible. The water rehydrates the body including the skin, and it also softens the other effects of progesterone in your body, like helping with constipation and helping your uterus relax.

There is no cure for pregnancy acne and very little you can do about it besides taking steps to prevent secondary infection. You don’t want to scratch or pick at your face as it could lead to scarring. Try to wear little or no makeup in an effort to not clog the pores and wash your face well every morning and night.

Some OB/GYNs will provide prescriptions for a cream to use while pregnant. Others will refer you to a dermatologist. When this is the case, your dermatologist should work closely with your doctor to assure that they are prescribing you medication that is safe for you to take during your pregnancy.

by Armin Brott

Dear MrDad: I’m really excited about my wife’s pregnancy and started to go to the doctor’s appointments with her. But the doctor basically ignores me or gives me a silly looking smile. I want to stay involved but I’m getting really angry. Is there anything else I can do?

Armin answers: For some expectant dads, the joys and excitement and anticipation they experience as the pregnancy progresses can be outweighed by the bitterness they feel at the way they’re treated by their partner’s doctors.

Sadly, most men who go to their wife’s OB appointments feel just like you do: as though they’re cute or novel or just annoying. And a big percentage of expectant dads complain that medical professionals—OBs, nurses, ultrasound technicians, and support staff—tend to treat them as though they’re little more than intruders or spectators and the wife is the only one worth dealing with. If they get talked to at all, it’s only to discuss the ways they can support their wives. The fact that the dad-to-be might have some specific and important needs, concerns, questions, worries, or anything of his own else rarely seems to occur to anyone.

Fortunately, this isn’t true of every medical professional. Some OBs will go out of their way to include the dad in the process. They make a special point of looking at him while talking about what’s going on with his wife and baby, they encourage him to ask questions and they answer them thoroughly and respectfully.

But don’t just sit back and expect to be welcomed into what is generally women’s private domain. Make it clear as early as you can that you want to be involved—especially if you have even the slightest suspicion that you’re not being taken seriously. Ask a lot of questions, behave as interested as you possibly can, and make it impossible for them to ignore you. If you still don’t get the respect and attention you deserve tell the doctor point-blank that you want to be included. You may have to do it more than once but eventually he or she will get the point.

About the Author
Armin Brott, hailed by Time as “the superdad’s superdad,” has written or co-written six critically acclaimed books on fatherhood, including the newly released second edition of Fathering Your Toddler: A Dad’s Guide to the Second and Third Years. His articles have appeared in The New York Times Magazine, Newsweek, American Baby, Parenting, Child, Men’s Health, The Washington Post among others. Armin is an experienced radio and TV guest, and has appeared on Today, CBS Overnight, Fox News, and Politically Incorrect. He’s the host of “Positive Parenting,” a weekly radio program in the San Francisco Bay Area. Visit Armin at www.mrdad.com.