Why do I develop eczema on my hands during pregnancy?

Eczema is an intensely pruritic inflammatory skin reaction triggered by multiple internal and external factors. It is clinically classified into three stages: acute, subacute, and chronic. The acute stage is characterized by a tendency toward exudation, whereas the chronic stage features lichenification and thickening of the skin. Some patients present directly with chronic eczema. Typical features of eczematous lesions include polymorphism, symmetry, pruritus, and a propensity for recurrence. So, why does eczema develop on the hands during pregnancy?

Why Does Eczema Develop on the Hands During Pregnancy?

Hand eczema during pregnancy may result from hormonal fluctuations that significantly impair the skin’s natural resistance to fungi. Under normal circumstances, systemic medications are generally contraindicated in pregnant women. If pruritus becomes severe, toothpaste—specifically plant-based formulations—may be applied topically for temporary relief, as these are less likely to harm the mother or fetus. Hands should be washed regularly with lukewarm water, and meticulous hand hygiene must be maintained.

Avoid allergenic foods—especially during active, inflamed phases of eczema. Similarly, avoid strong tea, spicy or irritating foods, and alcohol consumption. Maintain household hygiene: if noticeable hand eczema develops during pregnancy, ensure furniture cleanliness, maintain optimal indoor temperature and humidity, change bed sheets and pillowcases frequently, and prevent excessive dampness in the living environment—since high humidity fosters bacterial growth and may exacerbate eczema.

Avoid corticosteroid medications: topical or systemic corticosteroids may adversely affect maternal health and potentially harm fetal development; therefore, such agents should be avoided unless explicitly prescribed and closely supervised by a physician. We hope this information proves helpful!