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Lotions and Cosmetics: Safe during Pregnancy?

ANTI-COSMETICS

PRO-COSMETICS

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THE COMPLETE ORGANIC PREGNANCY
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BABYCENTER®
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WOMEN'S HEALTHCARE
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UTAH DEPT. OF HEALTH
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BABY MED

THE BABBLE TAKE

When it comes to whether conventional lotions and cosmetics are safe to use during pregnancy, experts generally fall into two camps: those who doubt the safety of the small amounts of toxic substances commonly found in conventional beauty products and feel that it is likely they can pass the skin barrier; and those who feel that these products are widely used, haven't been proven dangerous in small amounts and are probably okay. If you want to be cautious, you might want to heed the advice of the former experts and avoid conventional beauty products, as they often contain substances such as parabens. Experts say the best way to go about avoiding potential toxins is to read the labels, as there is no organic standard for cosmetics and lotions. One substance most experts caution against is retinoids, which is often found in anti-aging creams. Oral retinoids such as Accutane are known to cause birth defects, though nothing has been proven one way or the other when it comes to using retinoids on your skin.

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    ANTI: excerpt from The Complete Organic Pregnancy by Deirdre Dolan and Alexandra Zissu

    Unfortunately most [beauty products] are loaded with chemicals linked to birth defects, carcinogens, ingredients derived from nonrenewable petroleum, and preservatives that can end up in breast tissue. The environmental Working Group say 89 percent of the ingredients in everyday products aren't tested for safety. Which is why — especially when pregnant — organic beauty products are the way to go. But there's a catch: our government doesn't regulate personal products the way it regulates food (though there have been some advances made recently, and hopefully more to come). This means that any shampoo company can slap the label "organic" or "natural" on its product. In the absence of government regulation, the genuine organic- and biodynamic-beauty-product producers (a significant minority) have tried to find a way to differentiate themselves. Many of them are European companies and adhere to comparatively strict European standards. Several trustworthy merchants have also stepped up to help consumers locate the purest products possible.

    When thinking about getting pregnant, or trying to get pregnant, we urge you to spend a few hours in your bathroom. Sift through your products. Read the labels. Compare and contrast the ingredients in your bottles with our "what to avoid" list.

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    ANTI: BabyCenter® "Safe skin care during pregnancy"

    Most pregnant women know that what they put (or don't put) in their bodies is important to the well-being of their growing baby, whether it's the right kind of protein, too much caffeine, or certain types of fish. But many pregnant women might not know that what they put on their bodies is just as important.

    Most of us slather on oceans of lotions every day, but we don't think about what might be passing the skin barrier and being absorbed into our bodies. With a developing baby in your belly, this is a vital concern.

    If you plan to breastfeed, adds Johnson, continue following the guidelines noted below until you stop nursing.

    Retinoids are one of the skin-care ingredients that experts, including Baumann, recommend that expectant moms stay away from.

    Salicylic acid is another no-no for pregnant women. High doses of the acid in its oral form have been shown in studies to cause birth defects and various pregnancy complications.

    While soy-based lotions and facial products are generally safe to use, "Soy can make the 'mask of pregnancy' (dark splotches on facial skin) worse, as can oil of bergamot, which is in many organic products," she says.

    Soy has estrogenic effects, which can make those dark patches, also known as melasma or chloasma, worse, Baumann explains. "The 'active soy' found in some product lines is okay, however, because the estrogenic components have been taken out."

    Lotions that remove your hair chemically (depilatories) or that minimize hair between shaves sound like a dream come true when you can barely reach — not to mention see — your legs. The good news is that these products are considered risk-free.

    "As long as you use [chemical hair removers] as directed, they shouldn't be a problem. It's a topical solution that isn't absorbed into your bloodstream, so it can't have any effect on the baby."

    Sunscreens, including those with ingredients that penetrate the skin, are perfectly safe when you've got your own bun in the oven, says Baumann.

    "[Ingredients] that do go deep into the skin do so in such small concentrations" that they're not worth worrying about, says Johnson. "I personally prefer titanium dioxide and zinc oxide — they are powerful physical sunscreens and do not penetrate the skin." "Most over-the-counter products by reputable brands are safe," she says. "And if you are applying these products to less than 10 percent of your total skin surface, the risks of systemic effects are very low."

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    MIDDLE GROUND: Women's Healthcare Topics "Cosmetics and Anti-Aging Products - What's Safe During Pregnancy?"

    Most pregnant women take great care to avoid putting products in their body that may affect their unborn baby. While it is fine to use certain beauty products during pregnancy, including most cosmetics, other products are definite no no's. Below you'll find a list of some of the more common products that come into question during pregnancy.

    Most researchers feel use of tanning creams during pregnancy is safe. Most stain the skin and thus don't enter the bloodstream.

    It is usually safe to get a facial during pregnancy. Just be sure you let your technician know you are pregnant, especially if you are not showing. Your skin may be more sensitive while pregnant.

    Most cosmetics are perfectly safe to use during pregnancy. They can also help you look and feel great even at your biggest. The only cosmetics you should keep an eye out for are those with added chemicals or vitamins that claim to 'reduce the signs of aging'.

    - Most doctors feel it is unlikely that botox injections to the face will circulate into the bloodstream and harm the baby. Nonetheless botox is a toxin. Most women find their skin looks better anyway during pregnancy tanks to excess fluid retention. In this case, you may be better off skipping treatments until after you have the baby.

    The following products and beauty treatments are not safe to use while pregnant:

    - Accutane or retinoic acid — This is a medication doctors prescribe to treat acne. It contains substances that will cause birth defects, including retardation and heart defects. If you or someone you know becomes pregnant while taking this drug, it is important you stop taking this drug and contact your doctor immediately.

    - Anti-aging products containing high doses of vitamin A — Too much vitamin A can cause birth defects in babies.

    Remember when it doubt, always refer to your doctor for more information about the safety of any beauty product or treatment while pregnant. Sometimes it's better to avoid an unknown rather than risk the chance of harm to your unborn baby.

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    MIDDLE GROUND: Utah Department of Health "Summer Skin Care During Pregnancy"

    Having beautiful skin during pregnancy or breastfeeding is possible, but some safety measures are necessary to protect you and your baby.

    Sunscreens — The sun can damage your skin. It is important to protect your skin to lower your risk of skin cancer. Very little of this product gets into the bloodstream so the fetus or the nursing baby won't be exposed when sunscreens are used. Be sure to wash your hands well after applying any lotion so you don't get the product in your or baby's mouth!

    Self-tanning lotions — Self-tanning lotions have not been known to cause problems because they are poorly absorbed through skin.

    Aloe Vera lotion — Aloe Vera should only be used in lotions and should never be taken orally (by mouth) during pregnancy or while breastfeeding. If taken orally, Aloe Vera could cause cramps, nausea, vomiting and/or diarrhea to you or your breastfed baby.

    Salicylic Acid — If used in a gel, lotion, ointment, pad, soap, or other topical solution, Salicylic Acid can help peel and dry the skin for the treatment of acne and other skin conditions. As with most topical medications, very small amounts of the product are absorbed. Birth defects or problems during breastfeeding are not likely to occur.

    Isotretinoin — (Accutane(TM), Amnesteem(TM)) This is an oral medication for severe acne that can damage a fetus if taken while pregnant.

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    PRO: Baby Med "Hair Care Products and Cosmetics"

    Little information is available regarding the risks to the fetus from cosmetics (including facial make-up and nail polish), perfumes, soaps, lotions and antiperspirants or deodorants. Considering the widespread use of these products during pregnancy, an association with one particular product would be difficult to find. Without specific evidence that cosmetics and other personal care products affect pregnancy outcomes, most physicians advise patients that these agents pose no increased risk to the fetus.

ADDITIONAL LINKS

  • Skin Deep
    Useful search tool for levels of toxicity in beauty products
    by EWG, a Washington-based nonprofit and advocacy group

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