Week 25: Rash :(

Uck. So that itchy belly has transformed into a nasty body rash…. I seem to have an onset of PUPPP or AEP.  May need stronger anti-itch lotions soon!

  • PUPPP affects first pregnancies in the 3rd trimester, ~1% of women
  • AEP affects women with a prior history of topical excema
  • Starts out in the abdomen, i.e. close to where stretch marks would be
  • Doesn’t involve the belly button
  • Spreads to thighs, butt, breasts, arms, necks, limb joints
  • Harmless to mom and babe – just ridiculously annoying!  
  • Most severe itching lasts < 1 week (please….)
  • Resolves 1 to 2 weeks after delivery (sob!)
  • Cause unknown.  Likely due to inflammation from damaged tissue from the expanding abdomen. One study suggests that male fetal DNA acts as a skin irritant (aiya, my baby boy!)
  • Treat with steroids – creams/ointments/oral
  • Antihistamines are not as effective but help with sleep
  • Avoid things that normally make you itch (e.g. no seafood)
  • Avoid hot showers and baths, rinse off well, towel off lightly
  • Apply mild soap, unscented moisturiser – preferably oatmeal based
  • Wear loose cotton clothing
  • Avoid going out when it’s hot (er, that’s like everyday in Singapore)


    3 thoughts on “Week 25: Rash :(”

    1. I hope your rash cleared up! I got TERRIBLE itching around week 36. It wasn't officially diagnosed as PUPPP but I was prescribed PUPPP cream as well as an oral antihistimine to deal with the itching. It was so bad that I literally did not sleep for 2-3 days in a row. I was soooo upset about it…but fortunately, by week 38, it had mostly gone away.


    2. Actually this one cleared up after 2 weeks. But I've now got a new round from W34 that's still “itching” on. Thank goodness the weather has been cool and rainy lately though I hear you, sleep is tough!


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