Chloasma is a Common Skin Condition for Pregnant Women

Chloasma or the “Mask of Pregnancy” can cause blotchy discoloration on your face and splashes of darkened skin that may appear on the forehead, nose, and cheeks in a mask-like configuration on some pregnant women – more often in dark-skinned women.

What causes chloasma: Those mischievous pregnancy hormones are toying with you again, causing hyperpigmentation on many parts of your body. You might have noticed your freckles and moles are darker now, there’s probably a dark line down the center of your abdomen (the linea nigra), and your areolas are probably a deeper shade as well. (You might as well decide this is sexy.) Dark-skinned women usually notice such hyperpigmentation more, but light-skinned women aren’t off the hook completely – they too will get their fair share of darkening skin, though it may not be as noticeable.
Despite have clear skin most of their lives, many women find another “new experience” awaiting them once they discover a pregnancy. The beginning stages can be small and unnoticeable pimples – usually showing around the jaw line or forehead due to hormonal fluctuations.

Three main factors contribute to acne: increased oil production, clogged pores, and a bacteria called P-acnes. First, oil causes the dead skin cells to stick together, leading to a clogged pore, which is called a blackhead or a whitehead. Bacteria then moves into the pore, producing inflammation, which manifests as redness and pus. Addressing acne requires medications or treatments that decrease oil secretion, unclog pores, and kill bacteria.

As the pregnancy progresses, the acne will worsen. It is at this point, many women may frantically search for cures in their local drugstore or try home remedies. Perhaps they feel overwhelmed by the choices or confused by the long list of ingredients and decide to give up finding a solution. In some cases, the acne can grow to included pigmented or “age” spots as well.

All of these changes typically last the duration of the pregnancy and are due to hormonal changes and increased oil production, resulting in acne, while higher estrogen levels will activate skin color cells to make dark spots. This occurrence is so common in pregnancy that it’s been given the name “mask of pregnancy.” Sun exposure will exacerbate the issue further without a good sunscreen or sun protection, try to use organic sunblock.

Like many others, when facial skin suddenly becomes oily, the first reaction is to take away all moisture or anything ‘greasy’ that can increase the feel of oil on the skin layer.

Never fear, these again are temporary problems with easy fixes. First, stop using anything oil-based and switch to gel-based or water based sunscreens and lotion for the time being. Treat you skin as if it were the acne-prone, pigmented type and finally ask your doctor or dermatologist for a baby-safe acne treatment if the situation is really uncomfortable. Your skin should return to its previous condition soon after your baby is born.

• In the meantime – Eat foods that contain folic acid (you’ll also get plenty in your prenatal supplement), since studies have shown that a folate deficiency can be related to hyperpigmentation. Good choices include green leafy vegetables, oranges, whole-wheat bread, and whole-grain cereal.
• Stay out of the sun as much as possible and wear a natrual sunscreen of at least SPF 15 (sunlight can also intensify hyperpigmentation). A hat and long sleeves are a good idea if you’re fair-skinned, headed to the beach, or have a historically sensitive complexion.
• If you like, use a good concealer to cover particularly pesky spots, but skip bleaches or other chemically based lightening treatments until after you give birth. No peels or lasers, either.

Baby Sun Care Guidelines from the AAP

The best way to protect your baby is to keep your baby out of direct sunlight as much as possible, especially between 10 a.m. and 4 p.m., when the sun’s rays are strongest. Routinely dress him in a hat, lightweight pants, and a long-sleeved shirt for outings during the middle of the day. Tightly woven clothing protects better than loosely woven fabrics (to see how tight the weave is, hold the fabric up to a light – the less light that shines through, the better). Add UV-protective sunglasses if your baby will wear them. Use an umbrella, stroller canopy, or sun-protective tent to protect your baby while he’s outside.

Until August 1999, the American Academy of Pediatrics (AAP) recommended against using any type of sunscreen on babies younger than 6 months, because their skin’s ability to metabolize and excrete chemicals may not be fully developed. This recommendation has been revised somewhat.  You can use sunscreen on babies under 6 months if adequate clothing and shade aren’t available, but check with your pediatrician first.  If you use organic sunblock you can avoid chemical interaction altogether.  That doesn’t mean you should slather your baby in sunblock, though. Just apply a small amount of lotion to exposed areas.

For babies over 6 months, use a waterproof sunscreen designed for children. Choose a sunscreen labeled “broad spectrum,” which means it protects against both ultraviolet B (UVB) and ultraviolet A (UVA) rays. Zinc oxide and titanium dioxide sunscreens are good to use on particularly sensitive spots, such as the nose and lips.

The AAP and American Academy of Dermatology recommend an SPF of at least 15, but many experts recommend SPF 30 or higher for babies, and many baby sunscreen formulas have even higher SPFs. If possible, apply sunscreen 30 minutes before sun exposure and reapply it at least every two hours, especially if your baby has been playing in the water or has been sweating (even if the sunscreen is waterproof).

When trying a new sunscreen, do a patch test on your child’s back to make sure he doesn’t have a reaction to it. If he does develop a rash or redness at the test site, choose a hypoallergenic formula instead.

Sun care if your skiing or in high altitude

Higher altitude means increased levels of harmful UV exposure compared to sea level areas. UV exposure increases 8-10 percent with every 1,000 feet above sea level. At an altitude of 9-10,000 feet, UV may be 45-50 percent more intense than at sea level. In addition, snow reflects about 80 percent of the UV light from the sun, meaning that you are often hit by the same rays twice. This only contributes to the problem, further increasing the risk for skin cancer.The combination of higher altitude and ultraviolet (UV) rays reflected by the snow puts skiers and snowboarders at an increased risk of sun damage and ultimately, skin cancer. More than 90 percent of all skin cancers are caused by sun exposure. It’s easy to associate winter with frostbite and windburn, but most people are unaware that UV rays can be even more damaging on the slopes than on the beach,it’s important to take proper precautions while on the slopes.

Both snow and strong wind can wear away natural sunscreen and reduce its effectiveness, so you have to take extra precautions. To protect your skin from the bitter cold, heavy winds and winter sun, follow these important sun protection tips:

• Use a broad-spectrum sunscreen with an SPF of 15 or higher whenever you spend time outdoors. Apply 30 minutes before hitting the slopes.Be aware that the sun’s reflection off the snow is strong even on cloudy days.
• Apply sunscreen liberally and evenly to all exposed skin – most skiers and snowboarders do not use enough sunscreen and therefore do not get the maximum protection.
• Use a more moisturizing sunscreen. Winter conditions can be particularly harsh on the skin.
• Be sure to cover often-missed spots: lips, ears, around eyes, neck, underside of chin, scalp and hands.
• Read the ingredients to learn which active ingredients are protecting you. Try to use Zinc or Titanium and organic inactive ingredients. Organic sunblock can prevent complications some chemical sunscreens may cause.
• Reapply at least every two hours, and more often after sweating or exposure to wind and snow.
• Carry a travel-sized sunscreen and lip balm with an SPF of 15 on the slopes. Reapply on the chairlift, especially after a long, snow-blown run. Lips are very sensitive.
• Wear items like ski masks, which will cover most of the skin, leaving very little exposed to the wind and sun.
• UV-blocking sunglasses or goggles that offer 100% UV protection and have wraparound or large frames protect your eyelids and the sensitive skin around your eyes, common sites for skin cancer and sun-induced aging. The sun’s rays and glare can impair your vision, so it’s important to wear sunglasses or goggles to clearly see the terrain. Plus, it will increase your enjoyment and performance while skiing.
• Keep track of the time you spend in full sunlight. If possible, ski early in the morning and later on in the day, before 10AM and after 4PM. This helps avoid long lines and decreases the amount of time spent outdoors in the most intense hours of sunlight.
• If you are on the slopes for most of the day, take a few breaks indoors to reapply sunscreen.
• Drink plenty of water to avoid dehydration from the sun.

Enjoy the winter season, but be sure to take care of your skin to avoid the damage the cold season can cause.

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