Treatment of Acne in the Pregnant Patient

Doctor Jeanette Kirai, a Professor of Dermatology at the University of Miami, discusses the treatment of acne in pregnant patients. She highlights that acne is a common issue but inconsistent studies make it hard to quantify its prevalence during pregnancy, with estimates suggesting around 42% of pregnant women experience acne. The psychological aspects of acne during pregnancy are emphasized, underlining the importance of alleviating patients' concerns. Kirai recommends various safe treatment options, particularly topical treatments like benzoyl peroxide, azelaic acid, and clindamycin, while discouraging the use of systemic medications unless necessary. She advises considering the trimester when prescribing, as acne symptoms can worsen in later stages of pregnancy. In addition, she warns against the use of retinoids, especially certain topical ones, due to potential risks. Kirai advises patients to maintain a healthy lifestyle before and during pregnancy and discusses the relevance of prenatal care and patient education. The importance of ongoing communication with patients regarding their treatment expectations and potential risks associated with medications is reiterated. For lactating patients, treatment safety is a common concern, and she recommends consulting pediatricians regarding medication use while breastfeeding. Kirai concludes by emphasizing the necessity of adequately treating pregnant patients to manage both their physical and psychological wellbeing.