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Skin Rashes
PUPP is a skin condition exclusive to pregnancy and occurs in the last trimester. It generally appears in the first pregnancy and does not recur in subsequent pregnancies. Usually the mother and baby are quite healthy, the rash having no harmful effect on either. It disappears when the baby is born.
This rash can be extremely itchy, making the last few weeks of pregnancy supremely uncomfortable. PUPP can be treated with cortisone creams and oral antihistamines under a doctor’s supervision. In severe cases, oral cortisone medication may be necessary, which is safe in the last trimester.
Cracked Nipples
Successful breast-feeding is a learned technique, not an instinctive process. If it is to be seriously attempted, guidance regarding nipple care and positioning of the baby’s palette on the nipple should be sought well before the child is born. Well-illustrated booklets are available.
Preparation of the nipples, with the use of moisturizing creams such as lanolin, ungvita and paw paw ointment will make the skin more supple and protect it from external irritation. If the nipples crack, pain will make the anticipation of further breast-feeding a frightening ordeal. It is wise to treat cracked nipples actively if breast-feeding is to be successfully pursued. In mild cases, a topical cortisone ointment will readily heal the nipples, but if infection occurs oral antibiotics may be needed.
Although pregnancy is a time of great excitement and joy, dramatic effects may occur on the skin. Because attention is largely focused on the developing baby, minor ailments suffered by the mother can be neglected. Advice and treatment of cosmetic and skin problems should always be sought.

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