Midwifery Care for Pregnant Women with Atopic Dermatitis
DOI:
https://doi.org/10.53713/htechj.v3i4.368Keywords:
midwifery care, itching, atopic dermatitis, dry skinAbstract
Atopic dermatitis, or atopic eczema, is a chronic inflammatory skin disease characterized by itchy red skin lesions, xerosis, ichthyosis, and skin pain. Among the social impacts of atopic dermatitis are difficulty and isolation in relationships and social stigmatization. In addition, atopic dermatitis is known to cause sleep disturbances, anxiety, hyperactivity, and depression. This study aims to provide midwifery care in cases of atopic dermatitis experienced by pregnant women in the third trimester. The case study design in this study uses an in-depth approach to the subjective mother A, age 31 years, G3P1011, gestational age 32-33 weeks, who comes with complaints of itching on the body with skin conditions experiencing dryness and scaling, which causes the skin surface to feel rough. Data was collected through interviews, observation, physical examination, and documentation study. The examination was carried out through inspection and palpation of the skin area experiencing complaints, along with an assessment of the skin condition. Interviews regarding the history of allergies and precipitating factors reinforced the initial diagnosis. The diagnosis made was atopic dermatitis in pregnant women in the third trimester with complaints of pruritic and dry skin. Midwifery interventions were carried out through observation and education. Evaluation results showed a decrease in itching complaints and improved skin condition. This study emphasizes the importance of early detection of skin dryness and a holistic approach in supporting the comfort and skin health of pregnant women.
References
Afshari, M., Kolackova, M., Rosecka, M., Čelakovská, J., & Krejsek, J. (2024). Unraveling the skin; a comprehensive review of atopic dermatitis, current understanding, and approaches. Frontiers in Immunology, 15. https://doi.org/10.3389/fimmu.2024.1361005
Balakirski, G., & Novak, N. (2022). Atopic dermatitis and pregnancy. Journal of Allergy and Clinical Immunology, 149(4), 1185–1194. https://doi.org/10.1016/j.jaci.2022.01.010
Brennan, F., Dutton, M., & Magann, L. (2024). Palliative Management of Skin Symptoms. Textbook of Palliative Care, 1-19. https://doi.org/10.1007/978-3-319-31738-0_18-2
Broshtilova, V., & Gantcheva, M. (2024). Skin Disorders in Pregnancy. In Cutaneous Manifestations in Diabetes (pp. 305-316). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-031-65300-1_26
Campbell-Yeo, M., Kim, T., Disher, T., Richardson, B., Dol, J., Bishop, T., Delahunty-Pike, A., Dorling, J., Glover, M., Inglis, D., Johnson, T., Macmillan, D., Mcgrath, P., Monaghan, J., Orovec, A., Simpson, D. C., Skinner, N., Whitehead, L., Wozney, L., & Chez NICU Home team in alphabetical order (2021). Do Single-Family Rooms Increase Parental Presence, Involvement, and Maternal Well-Being in Neonatal Intensive Care?. The journal of perinatal & neonatal nursing, 35(4), 350–361. https://doi.org/10.1097/JPN.0000000000000600
Chopra, C. R., Sharma, M., Gill, M. S., Del Balso, V., Sakka, N., & Abu-Hilal, M. (2025). Maternal, Fetal, and Labour Outcomes of Dupilumab Use for Atopic Dermatitis During Pregnancy: A Systematic Review. Journal of Cutaneous Medicine and Surgery, 29(1), 51–55. https://doi.org/10.1177/12034754241290806
Gangadharan, G. (2021). Non-pharmacological interventions in the management of atopic dermatitis. Journal of Skin and Sexually Transmitted Diseases, 3(2), 130-135. http://dx.doi.org/10.25259/JSSTD_12_2021
Hills, F. (2024). Management of connective tissue disorders and dermatological disorders in pregnancy. Obstetrics, Gynaecology & Reproductive Medicine, 34(10), 278-285. https://doi.org/10.1016/j.ogrm.2024.07.003
Jeskey, J., Kurien, C., Blunk, H., Sehmi, K., Areti, S., Nguyen, D., & Hostoffer, R. (2024). Atopic Dermatitis: A Review of Diagnosis and Treatment. The Journal of Pediatric Pharmacology and Therapeutics, 29(6), 587–603. https://doi.org/10.5863/1551-6776-29.6.587
Kasanova, Lidia Widia, & Oki Alestari, R. (2025). Comprehensive Midwifery Care on 34 Weeks Pregnancy with Hemorrhoid. Health and Technology Journal (HTechJ), 3(2), 149–157. https://doi.org/10.53713/htechj.v3i2.342
Li, S., Xiao, X., & Zhang, X. (2022). Hydration Status in Older Adults: Current Knowledge and Future Challenges. Nutrients, 15(11), 2609. https://doi.org/10.3390/nu15112609
Meledathu, S., Naidu, M. P., & Brunner, P. M. (2025). Update on atopic dermatitis. Journal of Allergy and Clinical Immunology, 155(4), 1124–1132. https://doi.org/10.1016/j.jaci.2025.01.013
Peracchini, M., Agostini, A., D’Angelo, A., Sicignano, T., Santoni, G., Finale, E., ... & Messina, M. P. (2023). The psychological support for women who underwent a stillbirth during their pregnancy: the quality of midwifery care. Rivista di psichiatria, 58(4), 143-153. http://dx.doi.org/10.1708/4064.40476
Polańska, P. (2025). The Specific Dermatoses of Pregnancy. Quality in Sport, 38, 58219. https://doi.org/10.12775/QS.2024.38.58219
Putri, E. D., kundarti, F. isti, Indriani, R., & Rahayu, D. E. (2025). Midwifery Care for Over 35 Years Multigravida Mothers with Premature Rupture of Membranes at the Age of a Term Pregnancy. Health and Technology Journal (HTechJ), 3(3), 351–357. https://doi.org/10.53713/htechj.v3i3.361
Rudder, M., Lefkowitz, E. G., Ruhama, T., & Firoz, E. (2021). A review of pruritus in pregnancy. Obstetric Medicine, 14(4), 204–210. https://doi.org/10.1177/1753495X20985366
Samadi, A., Yazdanparast, T., Shamsipour, M., Hassanzadeh, H., Orimi, M. H., Firooz, R., & Firooz, A. (2022). Stratum corneum hydration in healthy adult humans according to the skin area, age and sex: A systematic review and meta-analysis. Journal of the European Academy of Dermatology and Venereology, 36(10), 1713-1721. https://doi.org/10.1111/jdv.18297
Seol, J. E., Cho, G. J., Jang, S. H., Ahn, S. W., Hong, S. M., Park, S. H., & Kim, H. (2024). Effect of Amount of Daily Water Intake and Use of Moisturizer on Skin Barrier Function in Healthy Female Participants. Annals of Dermatology, 36(3), 145. https://doi.org/10.5021/ad.23.067
Shrikhande, L. A., & Kadu, P. P. (2024). Pruritus in Pregnancy. Journal of Obstetrics and Gynecology of India, 74(1), 12–21. https://doi.org/10.1007/s13224-024-01957-x
Ting, S., & Nixon, R. (2021). Assessment and management of itchy skin in pregnancy. Australian journal of general practice, 50(12), 898–903. https://doi.org/10.31128/AJGP-03-21-5900
