Need to talk? Call 1800 882 436.
It's a free call with a maternal child health nurse. *call charges may apply from your mobile

Is it an emergency? Dial 000
If you need urgent medical help, call triple zero immediately.

beginning of content

Acne during pregnancy

7-minute read

Key facts

  • Acne is when hair follicles and oil glands in your skin become blocked and inflamed.
  • If you are pregnant and have acne, your acne may get worse during your first trimester and will usually improve or even go away by the third trimester.
  • Hormones, blocked oil glands, bacteria, genetics and stress all contribute to the development of acne.
  • If you are pregnant or planning a pregnancy, it is important to only use acne treatments that are safe to use during pregnancy.
  • Good skin care can help manage acne flare-ups and prevent scarring.

What is acne?

Acne is a common skin condition that usually begins during adolescence. You can develop acne when hair follicles in your skin and their oil glands become blocked and inflamed.

What are the symptoms of acne during pregnancy?

If you have acne during pregnancy, you may develop white heads, black heads and inflamed pus-filled spots such as pimples, papules and pustules.

Acne may appear on your face, neck, back or chest. This is where your oil glands are biggest and most active.

Acne may flare up during your first trimester. Usually, it improves or may even disappear during your third trimester. Your acne may even be less severe or disappear with each pregnancy.

After giving birth, breastfeeding can help you keep acne away.

What causes acne during pregnancy?

Hormonal changes in your body can trigger acne during pregnancy.

As you go through adolescence, your hormone levels slowly go up. The oil glands in your skin respond to the rising levels of hormones by making a waxy substance called sebum. These glands can become blocked, causing oil and dead skin cells to be trapped in your skin. This process causes acne.

Acne can also be affected by:

  • bacteria in your hair follicle causing inflammation
  • genetics — you are more likely to have acne if someone in your family has acne
  • stress

When should I see my doctor or midwife about acne?

You should see your doctor or midwife if your acne is not well controlled with non-prescription medicines, or is moderate to severe.

See your doctor, midwife or pharmacist before you start trying for a baby or as soon as you find out you are pregnant. Together you can check if the medicines you are taking or plan to take are safe for your baby.

You can also seek support from your doctor or midwife if your acne is causing you emotional distress.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

How is acne during pregnancy diagnosed?

Your doctor can diagnose acne during pregnancy by examining your skin. They may also ask you about your family history and your lifestyle.

How is acne treated during pregnancy?

If you have mild acne and you are pregnant, treatment may include a treatment that you put directly on your pimple (known as a topical treatment). This includes over-the-counter (OTC) products such as benzoyl peroxide, creams and lotions. Your doctor may also prescribe a topical antibiotic called clindamycin.

If you have severe acne and you are pregnant, your doctor may prescribe an antibiotic tablet called erythromycin.

Physical therapies may also help improve acne, for example:

  • laser
  • blue light therapy
  • micro-needling
  • chemical peels

These treatments can temporarily improve your acne. You will usually need other ongoing treatments as well. It is important that these therapies are done by skilled professionals.

If you are pregnant and have acne there are some medicines you must avoid, because they can harm your baby. Examples include:

  • spironolactone
  • retinoids (medicines similar to vitamin A), including pills, creams and ointments

Always ask your midwife, doctor or pharmacist before starting any new medicine or skin product, to check if it's safe for you and your baby.

What are the complications of acne during pregnancy?

Acne will not affect your pregnancy or your baby. It is important to only use acne treatments that are safe during pregnancy.

Can acne be prevented?

You cannot fully prevent acne due to contributing factors that are out of our control such as genetics. While acne is not caused by dirt, it is still important you take care of your skin to help manage and reduce breakouts.

Self-care tips to help prevent acne flare-ups

Here are some self-care tips to reduce flare-ups and scarring:

  • Keep good skin hygiene: wash your face with a gentle soap-free cleanser. Shampoo your hair regularly and keep your hair away from your face and neck.
  • When using make-up: use oil-free or matte-finish products or a mineral powder. These products are less likely to block your skin pores. Remove your make-up every night with a mild soap-free cleanser. Avoid make-up remover wipes.
  • When using moisturiser: use oil-free non-comedogenic ('not pore-clogging') products. Only use moisturiser in acne areas if the area is dry. Using too much moisturiser can make acne worse.
  • Avoid picking, popping or scratching your pimples.
  • Use good sun protection and try to avoid the sun on your skin.

Acne is generally not caused by the foods that you eat. Some people notice that their acne flares up when they eat certain foods. If this is the case for you, try and avoid the foods that may worsen your acne.

Resources and support

Other languages

Visit Healthy Horizons for information in a range of community languages on general health conditions. These include skin diseases, reproductive health and mental health.

Aboriginal and/or Torres Strait Islander peoples

Learn more about Aboriginal and/or Torres Strait Islander pregnancy health on Stronger Bubba Born, or watch the How to Have a Safer Pregnancy video.

Looking for information for sexually and gender-diverse families?

PANDA has inclusive and appropriate support for LGBTIQA+ expecting and new parents.

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: October 2024


Back To Top

Need more information?

Pregnancy Acne - Acne During Pregnancy - All About Acne

Not all pregnancies lead to acne but if you have hormonal acne, it is likely to flare during the first trimester of your pregnancy.

Read more on All About Acne website

Pregnancy - week by week - Better Health Channel

Pregnancy is divided into 3 trimesters and lasts around 40 weeks. Includes details of what happens each week from conception to birth, embryo size, baby development and where to get help.

Read more on Better Health Channel website

Pregnancy at week 6

By week 6, your baby is growing quickly and you may notice the early signs of your pregnancy, such as feeling nauseous.

Read more on Pregnancy, Birth & Baby website

Pregnancy at week 9

Your baby is now the size of a peanut. You won't be showing just yet, but you may have put on a little weight.

Read more on Pregnancy, Birth & Baby website

Linea nigra

Linea nigra (or ‘pregnancy line’) is a dark line of skin down the middle of your abdomen. It often develops during the first trimester of pregnancy.

Read more on Pregnancy, Birth & Baby website

Third trimester

The third trimester is the last 3 months of your pregnancy – an exciting time, but with some discomforts too. Learn more about what to expect before the birth.

Read more on Pregnancy, Birth & Baby website

Second trimester

During the second trimester, your baby’s organs will develop and they will start to hear sounds. Any morning sickness will likely ease off around this time.

Read more on Pregnancy, Birth & Baby website

Pregnancy at week 15

By week 15, your baby may be able to respond to sound and light, while you are gaining weight and your skin and hair are changing.

Read more on Pregnancy, Birth & Baby website

Prurigo of pregnancy

Prurigo of pregnancy is an itchy rash that may develop during pregnancy. It usually appears in the first or second trimester.

Read more on Pregnancy, Birth & Baby website

ACD A-Z of Skin - Polymorphic eruption of pregnancy

Polymorphic eruption of pregnancy (PEP) is a relatively common pregnancy dermatosis that causes very itchy red bumps to appear over the abdomen.

Read more on Australasian College of Dermatologists website

Call us and speak to a Maternal Child Health Nurse for personal advice and guidance.

Need further advice or guidance from our maternal child health nurses?

Healthdirect Australia acknowledges the Traditional Owners of Country throughout Australia and their continuing connection to land, sea and community. We pay our respects to the Traditional Owners and to Elders both past and present.

This information is for your general information and use only and is not intended to be used as medical advice and should not be used to diagnose, treat, cure or prevent any medical condition, nor should it be used for therapeutic purposes.

The information is not a substitute for independent professional advice and should not be used as an alternative to professional health care. If you have a particular medical problem, please consult a healthcare professional.

Except as permitted under the Copyright Act 1968, this publication or any part of it may not be reproduced, altered, adapted, stored and/or distributed in any form or by any means without the prior written permission of Healthdirect Australia.