PUPPP: It Can Happen to You Too

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When I was expecting my first child, everything seemed to be going smoothly. Sure, I battled relentless heartburn that I tried to manage with a mountain of antacids, and I felt like a balloon ready to pop. My cravings were all about Flamin’ Hot Cheetos and popsicles, and with the July heat, I had the air conditioning cranked down to a brisk 58 degrees.

Although my blood pressure was a bit elevated, my doctor reassured me it was nothing to worry about since I didn’t exhibit any other signs of preeclampsia. Just a week before, a friend had asked if I’d noticed any stretch marks. To my surprise, I hadn’t! My skin appeared to be holding up just fine, and I felt a tinge of guilt—after all, it seemed like everyone else got them.

Then, things took a turn. My Cheetos habit wasn’t doing my heartburn any favors, but I kept munching away, even resorting to sleeping upright on the couch. One morning, I noticed my feet were itching like crazy! At first, I thought it might be fleas from our dog who loved to lounge on the couch. I frantically searched for answers online about how to deal with potential flea infestation.

As days passed, the itching spread—first to my hands, and eventually, my belly. I thought it was just a usual pregnancy symptom, so I kept googling “Do humans get fleas?” and “How do I get rid of fleas?” But the itching intensified, and my husband advised me against scratching. The nurse hotline suggested some anti-itch cream, claiming it was just my skin stretching, but nothing seemed to provide relief. Soon, those stretch marks I had previously avoided appeared, and my belly transformed into a canvas of angry red lines.

I tried to cope, but the relentless itching drove me to my wits’ end. By my next appointment, my belly looked like a scene from a horror film, and I explained to my doctor how miserable I was. After examining me, she diagnosed me with pruritic urticarial papules and plaques of pregnancy (PUPPP) and basically said, “The only remedy is giving birth.” Great, just what I wanted to hear!

As my pregnancy progressed, I became increasingly frustrated. I learned that PUPPP often affects women carrying boys, usually during their first pregnancy, though the cause remains a mystery. My attempts to explain this to others often fell flat, and their well-meaning comments did little to improve my mood.

Finally, nearing the end of my pregnancy, my doctor checked my blood pressure and my belly, and given my state of misery, she decided to induce labor a week early. The moment I gave birth, I felt a wave of relief wash over me—though it could’ve been the excitement of finally having my baby! Thankfully, the rash faded over the next few weeks, leaving behind a belly that looked like it had endured a battle. Now, with every subsequent pregnancy, I closely monitor any itch, praying that PUPPP doesn’t return.

So, to all you beautiful expectant mothers out there, consider this your heads-up. If you happen to join the rare club of the 1 in 200 women affected by PUPPP, just know it will eventually subside, even if it drives you up the wall in the meantime. For more support and resources on pregnancy, be sure to check out the excellent information available at March of Dimes.

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Summary

The journey of pregnancy can be filled with unexpected challenges, such as PUPPP, a rare but frustrating skin condition that affects some women. While it may add to the discomfort of pregnancy, it typically resolves after delivery. Awareness and support are essential, so expectant mothers should stay informed about their symptoms and available resources.