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For Her · Beauty

Pregnancy-Safe Skincare

Your skin changes dramatically during pregnancy. Here’s exactly which ingredients to use, which to avoid, and how to build a routine that keeps your skin happy while keeping your baby safe.

Ingredients to Avoid

What to swap out

Avoid — strong evidence

  • Retinol / Retinoids (Tretinoin, Retin-A, Adapalene) — high doses of vitamin A are linked to birth defects. Topical retinol carries theoretical risk; prescription-strength retinoids are a definite avoid. Swap for bakuchiol.
  • Salicylic acid (high dose) — low-concentration BHA in cleansers (≤2%) is considered safe by most dermatologists; high-dose leave-on salicylic acid treatments should be avoided.
  • Hydroquinone — a skin-lightening agent with high absorption rates. Avoid during pregnancy.
  • Formaldehyde-releasing preservatives — found in some nail products and hair straighteners. Avoid exposure.

Use with caution / check with your midwife

  • Chemical sunscreens (oxybenzone, avobenzone) — some studies show systemic absorption; mineral sunscreens (zinc oxide, titanium dioxide) are the preferred alternative.
  • Essential oils at high concentrations — some (clary sage, juniper, rosemary) are associated with uterine stimulation. Diluted amounts in skincare are generally fine; avoid in first trimester if uncertain.
  • Caffeine in high concentrations — fine topically in normal amounts; very high-dose caffeine eye products are worth swapping.

Safe Ingredients

What you can keep using

The vast majority of skincare actives are fine during pregnancy. Here are the ones that frequently get questioned but are well-supported by evidence:

Vitamin C (ascorbic acid)

Completely safe. A powerful antioxidant that helps with hyperpigmentation (which worsens in pregnancy due to hormonal changes). One of the best additions to a pregnancy routine.

Hyaluronic acid

Safe. A hydrating humectant that draws moisture to the skin. Particularly useful as skin often becomes drier or more reactive during pregnancy.

Niacinamide (vitamin B3)

Safe. Excellent for pregnancy skin — helps with hyperpigmentation, oil regulation, and barrier support. A great retinol alternative for managing breakouts.

AHAs (glycolic, lactic acid)

Safe at normal concentrations. Glycolic and lactic acid exfoliants are a good swap for salicylic acid-heavy products and help with the skin texture changes of pregnancy.

Mineral sunscreen (SPF)

Safe and strongly recommended. SPF is arguably the most important step of a pregnancy routine — hormonal changes make skin significantly more prone to pigmentation when exposed to UV.

Bakuchiol

Safe. A plant-derived retinol alternative that addresses fine lines and texture without the safety concerns. Now well-supported by clinical evidence as a genuine retinol stand-in.

Also safe: ceramides, peptides, squalane, zinc, colloidal oat, shea butter, rosehip oil

These are all well-tolerated during pregnancy and excellent for supporting the skin barrier, which often becomes more sensitive and reactive. If you’re simplifying your routine, a ceramide moisturiser + mineral SPF is a solid foundation.

Skin Changes in Pregnancy

What’s happening to your skin (and why)

Pregnancy hormones — particularly oestrogen and progesterone — affect skin in ways that vary enormously between women. The same pregnancy can give one person a glowing complexion and another persistent breakouts. Neither is a sign that something is wrong.

Common changes

  • Melasma / chloasma — “the mask of pregnancy” — patches of darker pigmentation on the face, triggered by oestrogen and UV. Mineral SPF every day is the most effective prevention.
  • Linea nigra — a dark line appearing vertically on the abdomen. Normal and temporary.
  • Breakouts — increased sebum production in first trimester can trigger acne in those prone to it.
  • Dryness and sensitivity — common from second trimester; barrier-supporting products become more important.
  • Stretch marks — caused by rapid skin stretching. Genetics play a larger role than topical products, but keeping skin hydrated and supple helps.

Building Your Routine

A pregnancy skincare routine that works

Morning routine

  1. Gentle cleanser — non-stripping, fragrance-free
  2. Vitamin C serum — helps prevent melasma, antioxidant protection
  3. Hyaluronic acid (optional, if dryness is a concern)
  4. Moisturiser — ceramide-based, fragrance-free
  5. Mineral SPF 30+ — non-negotiable; reapply if you’re outside

Evening routine

  1. Oil or balm cleanser first (if wearing SPF/makeup), then gentle cleanser
  2. Niacinamide or AHA serum — for texture and pigmentation
  3. Bakuchiol — if you want a retinol alternative for anti-ageing
  4. Moisturiser — richer at night; look for ceramides, peptides, or shea
  5. Body oil or cream — for bump, breasts, thighs; focus on areas prone to stretch marks

When to simplify

First trimester nausea and fatigue can make any routine feel like too much. It’s completely fine to pare back to cleanser + moisturiser + SPF and rebuild once you’re feeling better. The most sustainable routine is the one you’ll actually do.

Beauty Guides

Go deeper

Skincare

The complete pregnancy skincare guide

Every ingredient, every question, answered with evidence.

Read guide →
Skin

Stretch marks: prevention and treatment

What actually helps, what doesn’t, and how to embrace the changes.

Read guide →
Pigmentation

Managing melasma during pregnancy

Prevention strategies and the safe treatment options that work.

Read guide →
Breakouts

Pregnancy acne: safe treatments

Which acne treatments are safe and which to swap.

Read guide →
SPF

Best mineral sunscreens for pregnancy

No white cast, no oxybenzone — the mineral SPFs worth trying.

Read review →
Actives

Bakuchiol: the retinol alternative

Does it actually work? The evidence, and the best products.

Read guide →

Up Next

Your Postpartum Body

What to expect from your body after birth — and how to support your recovery at your own pace.

Read the guide →