What to know about stretch marks in pregnancy

Stretch marks, also called striae distensae or striae gravidarum, may begin as pink, red, purple, or brown lines and later become lighter or silvery. They can feel itchy or tight as the skin changes. Hormonal shifts and individual skin structure influence who develops them, so they are not a sign that you have done anything wrong. They can appear during pregnancy or become more noticeable after birth, and they may fade over time without disappearing completely.

Use a bland, fragrance-free moisturiser when the skin feels dry or itchy, wear comfortable clothing, and take lukewarm rather than hot showers. Pat skin dry and avoid vigorous scratching, which can break the surface. No cream can reliably prevent stretch marks, and products marketed for this purpose can contain ingredients that are unsuitable in pregnancy. Check any medicated cream, retinoid product, essential oil, or supplement with your pregnancy-care clinician before use. Cosmetic procedures are generally discussed after pregnancy and breastfeeding, depending on the treatment.

Ask for medical assessment if itching is intense, widespread, keeps you awake, or occurs on the palms and soles, especially when there is little visible rash. Seek prompt care for yellowing of the skin or eyes, dark urine, pale stools, or severe abdominal symptoms. A new pregnancy-related rash can have causes other than stretch marks and may need treatment to protect your comfort and health.

Ask whether the marks look typical, which moisturisers are suitable, and which ingredients to avoid. Ask how to manage persistent itch, whether a rash needs testing, and which cosmetic options may be considered after pregnancy or breastfeeding.