Thursday, March 25, 2010


I HAVE PUPPP!!!!!!!!!! YARGHHHH!!

What are the freaking odds? I should get a medal for the amount of pre & post pregnancy complications I've gotten.

Hemorrhoids too! JESUS freaking Christ.

DEAR GOD.

Up to 1 percent of pregnant women develop a condition characterized by itchy, red bumps and larger patches of a hive-like rash on their bellies. This is called pruritic urticarial papules and plaques of pregnancy (PUPPP) or polymorphic eruption of pregnancy.

PUPPP usually begins in the third trimester and is more common among women carrying twins and those having their first baby. The eruptions usually show up first on the abdomen around or in stretch marks (if you have any) and may spread to your thighs, buttocks, and arms. PUPPP is harmless for you and your baby, but it can itch like crazy!

Your doctor or midwife will want to see you for a diagnosis and will probably prescribe a topical ointment to give you some relief. She may also recommend an antihistamine. In severe cases, you may need a course of oral steroids.

PUPPP usually disappears within a few days after delivery, although it sometimes persists for several weeks. (In rare cases, it may even begin after you give birth.) Fortunately, it seldom appears again in subsequent pregnancies.

Even more rare than PUPPP is a skin condition called prurigo of pregnancy (or papular eruptions of pregnancy), which is characterized by many tiny bumps that may look like bug bites. These eruptions can occur anywhere on your body, but you're most likely to get them on your hands, feet, arms, and legs.

Although the eruptions can be itchy and annoying, prurigo of pregnancy appears to pose no risk to your baby. This condition generally starts around the beginning of the third trimester and may last for up to three months after you give birth.

In very rare cases, a pregnant woman will develop very itchy eruptions that start out like hives and then turn into large blistering lesions. This rash is called pemphigoid gestationis (or herpes gestationis, although it has nothing to do with herpes virus). The eruptions often start on the abdomen and spread to the arms and legs.

This condition is considered more serious than PUPPP because it may be associated with an increased risk for preterm delivery and fetal growth problems. It usually begins in the second or third trimester, but it can start anytime — even in the first week or two after you have your baby.

Pemphigoid gestationis can come and go throughout pregnancy, and it often flares up after delivery as well. It usually happens again in subsequent pregnancies and tends to be more severe.

Let your caregiver know if you develop any kind of rash during pregnancy. Whether or not the rash is related to your pregnancy, it's a good idea to have your caregiver evaluate it and recommend appropriate treatment or refer you to a dermatologist.

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