When pregnant, some women experience acne problems or find that their acne worsens. During this period, many also become more cautious about the safety of skincare products, especially those containing salicylic acid. But is salicylic acid safe for pregnant women?
Salicylic acid is an active ingredient commonly used in various skincare treatments. This article will explain whether this ingredient is safe for use during pregnancy.
What Is Salicylic Acid?
Salicylic acid is a type of beta hydroxy acid (BHA) and belongs to the same group of compounds as aspirin. It works by reducing redness and inflammation in the skin. At high doses, it is also used as a chemical peel treatment.
This acid is often used to treat several skin issues, such as:
- Acne
- Dandruff
- Psoriasis
- Seborrheic dermatitis
- Signs of aging
- Warts
- Plantar warts
Can Pregnant Women Use Salicylic Acid?
Topical use of products containing salicylic acid in low doses is considered safe for pregnant women. Using it once or twice daily through a cleanser or toner is common and generally accepted.
However, doctors recommend:
- Using products with salicylic acid concentrations not exceeding 2%
- Avoiding excessive or overly frequent use
Salicylic acid belongs to the beta hydroxy acid (BHA) group. Other products containing BHAs include:
- Topical acne treatments
- Anti-inflammatory skin treatments
- Anti-aging products
- Cleansers and exfoliants
While typical topical applications contain low doses of salicylic acid and minimal skin absorption, treatments such as chemical peels or body/face exfoliations containing salicylic acid can increase risks to the fetus and should be avoided unless approved by a doctor.
BHA use can also make the skin more sensitive to sunlight, so it is strongly advised to apply sunscreen whenever going outside.
Uses of Salicylic Acid in Skincare
There are various options for treating skin issues, but not all treatments are suitable during pregnancy. Salicylic acid is one of the most popular skincare ingredients and can be found in various forms, whether over-the-counter (OTC) products or prescription treatments.
Common uses of salicylic acid in skin treatments include:
- Acne
- Dandruff
- Psoriasis
- Seborrheic dermatitis
- Signs of aging
- Calluses
- Common and plantar warts
Salicylic acid is part of the aspirin family and functions to reduce redness and skin inflammation. At higher doses, it is used as a chemical peel treatment for skin exfoliation.
It can be found in various forms, such as:
- Soaps
- Facial cleansers
- Lotions
- Creams
- Cleansing pads
Doctors can also prescribe stronger versions in topical or oral forms, depending on your skin condition.
Safe Skincare Products for Pregnant Women
Most skincare products contain a combination of alpha hydroxy acids (AHAs) and beta hydroxy acids (BHAs). Absorption into the skin is minimal when used as creams or ointments, making them low risk for the baby.
Safe AHA and BHA skincare ingredients for pregnant women include:
- Glycolic acid
- Lactic acid
- Azelaic acid
- Benzoyl peroxide
- Betaine salicylate
- Hydroxybutyric acid
- Citric acid
- Hydroxyacetic acid
- Hydroxycaproic acid
- Tretinoin acid
- Tropic acid
Soy-based lotions and facial products are also considered safe. However, for individuals with melasma (dark skin patches), soy-based products may worsen the condition.
Recommendation: Use products with active soy and avoid those containing lecithin, phosphatidylcholine, or textured vegetable protein.
Topical steroid creams such as hydrocortisone purchased from pharmacies are also considered safe during pregnancy. However, avoid prescription steroids without a doctor’s advice.
Safe topical steroid ingredients include:
- Alclometasone
- Desonide
- Fluocinolone
- Hydrocortisone
- Triamcinolone
Skincare Ingredients Pregnant Women Should Avoid
Some skincare ingredients to avoid during pregnancy include:
- Retinoids (Vitamin A Derivatives)
Found in acne creams, anti-aging products, and psoriasis treatments, retinoids help renew skin cells but are not suitable during pregnancy as they may negatively affect the fetus.
- Oral Retinoids (Isotretinoin)
Oral retinoids like isotretinoin, used for severe acne, are proven to cause serious birth defects, including brain and heart damage. They are classified as high-risk during pregnancy.
- Types of Retinoids to Avoid
- Tazarotene
- Tretinoin
- Adapalene
- Alitretinoin
- Retinoic acid
- Retinol
- Retinyl palmitate
- Bexarotene
- Oral Antibiotics such as Tetracyclines
Tetracyclines are sometimes used to treat acne but can interfere with fetal bone growth and cause tooth discoloration if taken after the second trimester.
- Hormonal Acne Treatments
Some hormonal treatments can control acne but are linked to birth defect risks, so they are not recommended during pregnancy unless prescribed by a specialist.
- Isotretinoin
A potent oral acne medication derived from vitamin A, isotretinoin is extremely dangerous for the fetus and can cause serious defects such as neurological and heart problems, even in small doses.
Side Effects of Salicylic Acid
Before using salicylic acid products, perform a patch test for allergies. Possible side effects include:
- Itching
- Rash
- Shortness of breath
- Swelling (eyes, lips, face, tongue)
- Throat tightness
- Dizziness
Avoid using other alcohol-based or harsh cleansers simultaneously, as this may cause severe skin irritation.
In rare cases, salicylate poisoning can occur, especially in children or individuals with liver or kidney problems. Symptoms include:
- Nausea & vomiting
- Hearing loss
- Ringing in the ears
- Extreme fatigue
- Rapid breathing
- Diarrhea
- Mental disturbances
If any of these symptoms occur, stop using the product immediately and consult a doctor.
Alternatives to Salicylic Acid During Pregnancy
- Maintain Consistent Skincare
Simple but consistent skincare is important. Wash your face twice daily with a gentle, alcohol-free cleanser. Avoid drying soaps that can irritate the skin.Keep hair away from the face, especially if oily, as oils can clog pores and trigger acne.
- Healthy and Balanced Diet
Healthy skin starts from within. Eat plenty of fruits, colorful vegetables, and fresh, unprocessed foods. Nutritious foods provide antioxidants and vitamins that help maintain hormonal balance and skin health.Drink enough water (8–10 glasses daily) to detoxify the body and maintain natural skin hydration.
- Get Vitamin A from Natural Sources
Vitamin A is essential for healthy skin cell growth and oil production control. Excessive vitamin A supplements during pregnancy can harm the fetus. Instead, get vitamin A from foods such as:
- Milk and dairy products
- Eggs
- Carrots
- Fish such as salmon or sardines
These sources are safer as the body absorbs only the required amount, unlike supplements which can easily lead to overdose.
- Protect Skin from Sun Exposure
Small amounts of sunlight can help dry out acne due to its antibacterial effect. Excessive exposure, however, can damage skin, cause pigmentation, and worsen acne.Use sunscreen suitable for sensitive skin or pregnant women—paraben-free and mineral-based like zinc oxide or titanium dioxide.
- Avoid Rough Handling of Acne-Prone Skin
Do not squeeze, rub, or pick acne. This can spread bacteria, cause more acne, and leave permanent scars.Use a clean towel when washing your face and gently pat dry instead of rubbing.
Conclusion
Salicylic acid can be safely used by pregnant women in low doses and topically, but excessive use or oral forms should be avoided.
We hope this article is helpful.
Originally published on theAsianparent Malaysia
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