Академический Документы
Профессиональный Документы
Культура Документы
Morning
Cosmetics
in Pregnancy
Marijay M. Utulo, MD
Discussant
Nenita Lorenzo-Alberto, MD
Adviser
To provide an evidence-based
discussion on the use of common
cosmetic products and procedures
during pregnancy
Case
• M.T.
• 19 years old
• G1P0
• Tondo, Manila
• Amenorrhea
Past Medical History
• Unremarkable
Family History
• Unremarkable
Personal/Social/Sexual
History
• No vices
• FSC at 18 years old to a single,
non-promiscuous sexual
partner
• No history of OCP, IUD or STD
• Highschool graduate,
unemployed
Menstrual History
• Menarche: 15 years old
• Regular monthly interval
• Duration: 3-5 days
• Amount: 3-4 pads per day
• No dysmenorrhea
• LMP: June 17, 2008
• PMP: May 2nd week 2008
• Amenorrhea: 19 weeks AOG
Obstetric History
• G1 – 2008 present pregnancy
Physical Examination
• BP 110/80mmHg PR 82bpm RR
20cpm T 37°C
• Wt 54kgs Ht 152cm BMI 23
• Pink palpebral conjunctivae,
anicteric sclerae
• Symmetrical chest expansion, no
retractions, clear breath sounds
• Adynamic precordium, normal rate,
regular rhythm
Physical examination
• Soft flat abdomen, noted
hyperpigmented linea alba, corpus
enlarged and palpable at the level of
the umbilicus, no tenderness on
palpation
• Internal exam: Normal external
genitalia, smooth nulliparous vagina,
cervix smooth, soft, closed, corpus
enlarged to 18-20 weeks AOG, no
adnexal masses or tenderness
• No cyanosis or edema, full and equal
pulses
Assessment
• Pregnancy Uterine 19 weeks
AOG, by LMP, NIL
• G1P0
• Plan:
– Serial Prenatal check
– Expectant management at term
Problem
• Is there anything she can apply over
the hyperpigmented line below her
umbilicus?
• What about the stretch marks?
Ancient Egypt
Ancient Egypt
• Malachite
• Galena
• Kohl
Greek Culture
• White Lead
• Red Lead
Physiologic Skin Changes
of Pregnancy
1. Hyperpigmentation
2. Striae gravidarum
3. Hair, Nail and Vascular Changes
Hyperpigmentation
Commonly affects:
Areolae
Axillae
Genitals
Scars
Nevi
Greater sensitivity to hormonal
stimulation in anatomic regions with a
higher concentration of melanocytes
Hyperpigmentation
Can be attributed to both
estrogen and progesterone
• Bleaching products:
– Hydroquinone
– Highly potent corticosteroids
– Mercury salts