PUPPP is a very itchy bumpy rash, less commonly known as pruritic and urticarial papules and plaques of pregnancy, it can also be known as PEP (polymorphic eruption of pregnancy) that often occurs in a first pregnancy and during the last trimester. The exact cause of the rash is unknown but the stretching of the skin appears to be a trigger for the rash. There is no way to avoid getting PUPPP and no way to predict who will get it but it is often linked to multiples. If you have an unexplained rash or itching it is important to see your GP to ensure that you get an accurate diagnosis and the right treatment.
The itching usually starts on the tummy and is likely to be followed by a raised rash that looks a lot like hives. It is quite common for it to spread further onto the breasts, arms and legs. PUPPP does no harm to your baby at all but is very uncomfortable, irritating and may affect your ability to sleep. The symptoms of PUPPP can be managed with creams and medication but it is unlikely to go away until towards the end of your pregnancy or after your baby has been born.
What can you do to relieve the symptoms of PUPPP:
- Try really hard not to scratch, this is likely to make it worse.
- Cool baths.
- Cool compresses.
- Cool cotton clothes.
- Try to avoid being anywhere too hot and keep yourself as cool as possible.
- Use emollients as an alternative to soap when washing.
- Putting oats in your bath water can help reduce the itch – you can put them tied up in the foot section of a pair of tights in the running water.
- Apply emollients after bathing.
- Keep your nails short and filed, then if you do accidentally scratch, you’re less likely to break the skin.
If symptoms are severe your GP may prescribe antihistamines or steroid creams to help relieve the itching.
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