Dermatoses of Pregnancy
- 14 June 2018
- book chapter
- Published by Springer Publishing Company
Abstract
This chapter reviews the management of four dermatoses that cause severe itching during pregnancy: pruritic urticarial plaques and papules (PUPPP), atopic eruption, pemphigoid gestationis (PG), and intrahepatic cholestasis of pregnancy (ICP). It helps nurse practitioners (NP), nurse midwives, clinical nurse specialists, physician assistants, students, and other health professionals who provide prenatal and postpartum care in outpatient settings. Most common dermatosis of pregnancy characterized by pruritic papules and urticarial plaques start on the abdomen within striae and then may spread to thighs, buttocks, back, and extremities. Women may present at any stage of pregnancy with exacerbation of preexisting or new onset atopic dermatitis. ICP is associated with a risk? of poor outcome to the fetus including preterm birth, intrauterine death, and an increased risk for neonatal respiratory distress syndrome associated with bile acids entering fetal lungs. Ursodeoxycholic acid (UDCA) is the drug of choice for ICP.This publication has 0 references indexed in Scilit: