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Psoriasis and birth

Psoriasis is not a barrier to pregnancy nor does it affect a woman's ability to raise children. Many people who have psoriasis are afraid of passing it on to their children. As psoriasis is not a contagious disease, there is no risk of passing it on to a child through cuddling or breastfeeding. However, there is a genetic predisposition towards psoriasis. According to research, there is an 8% to 15% risk of transmitting it when one of the parents has psoriasis and a 50% to 60% risk when both partners are affected.

Many psoriasis treatments require special precautions before and during pregnancy. You can take help of health care professional to ensure that your psoriasis treatment plan is safe for pregnancy and nursing. Psoriasis may have a negative impact on quality of life through stigmatization. In some people, this affects interaction with peers, work and school situations, and even mood. The hormones of pregnancy and nursing may enhance these effects.

Have some Precautions

No woman should hesitate to breastfeed her newborn. This includes those who experience flare-ups during pregnancy or after childbirth. However, a woman undergoing systemic or local treatment on extensive areas of the skin may need to avoid breastfeeding because some treatments may be transmitted to the infant through breast milk.

While Breastfeeding to your baby

If your nipples become sore which they can do normally during the initial onset of breastfeeding, but you have psoriasis on or around them, don’t worry, psoriasis will not harm your baby, but may be painful for you and you may feel like giving up. Moisturizing in thick amounts the nipples and surrounding areas is essential to help the skin and discomfort. Talk to your midwife, she may be able to suggest other positions to breastfeed that can alleviate some of the discomfort. Some precautions need to be taken while breast feed. Topical medications should not be used on the nipples and there is a possibility that if you are having to treat large areas of skin some of the drug may be absorbed into your blood stream and then appear in your milk.

Systemic medications, taken by mouth or injection should be avoided during breast feeding if possible because they might be absorbed into the milk and passed to the baby. And if you are thinking of breast feeding, it is best to discuss all this with your doctor before you start.

Effects of Psoriasis

The hormonal and bodily changes that occur during pregnancy and nursing may cause changes in a woman's psoriasis. Changes range from improvement in the severity of psoriasis during pregnancy to worsening symptoms. The effects of pregnancy and nursing on a woman's psoriasis vary by individual and from pregnancy to pregnancy.

Impetigo herpetiformis is a form of generalized pustular psoriasis which typically appears during pregnancy. This is an extremely severe form of psoriasis and it is most commonly appears during the last trimester or in the period immediately following childbirth.

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