Care Instructions: PUPPP (Pruritic Urticarial Papules and Plaques of Pregnancy)

Your Care Instructions for PUPPP

Pruritic urticarial papules and plaques of pregnancy (PUPPP) is a red, raised rash that itches. It most often occurs in a first pregnancy. The rash may appear first on stretch marks on the stomach. Then it may spread to the thighs, rear end (buttocks), and arms. PUPPP is not a serious condition and does not cause problems for your baby, but it can be very upsetting for you. Controlling your symptoms is the main focus of treatment of PUPPP.

PUPPP usually goes away on its own with in a week after birth. The condition is treated with medicine to stop the itching.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

  • Use anti-itch creams as directed by your doctor. You may want to use over-the-counter calamine lotion.
  • If the itching is very bad, you may be given corticosteroid pills to stop the itching. Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.
  • Take oatmeal baths (such as Aveeno) in warm water.
  • Put a cool, wet towel on the itchy area.
  • Take steps to control your stress. Learn relaxation techniques or keep yourself busy so that you do not focus on the itching.

When should you call for help?

Watch closely for changes in your health, and be sure to contact your doctor if:

  • The anti-itch cream or lotion does not stop the itching.