With still a few more weeks to go in this pregnancy, I’m already measuring past 40 weeks, can hardly get out of bed and am ready to throw in the towel. And just when I thought this twin pregnancy couldn’t get any more difficult, I came down with a case of PUPPPs—pruritic urticarial papules and plaques of pregnancy.
In regular speak: a terrible, horrible rash that happens to pregnant women.
PUPPPs occurs towards the end of the third trimester, mostly to those carrying multiples and those carrying boys. Double whammy for me!
There’s no known cause for it, although theories abound that it has to do with hormones, or with the expansion of the belly (the rash tends to start on the belly in the form of innocuous stretch marks) or toxins in the liver. And the rash tends to spread to literally every part of the body.
The upside (if you can call it that) is that the rash poses no harm to me or the babies. The downside is that it’s one of the worst rashes around. As in, I look like I’ve been bitten by every mosquito on the planet, and each bite erupted in a red blistering welt. Not pretty, or comfortable, or exactly what you need during pregnancy.
Still, I’m taking my comfort measures, mostly with my arsenal of lotions and potions, oatmeal baths, cold showers, bars of soap, supplements, ice packs, even lemon water—all these cures that others have sworn by and I’m hoping will perform a miracle on me.
Because here’s the thing: the only “cure” for PUPPPs is delivering the babies. And even then, there’s no guarantee that the rash will ease up; some have gone on for weeks or months with it, potentially because of the hormones that may still be lingering in the body, such as with breastfeeding.
If only delivery were but a few days or weeks away for me, I might be able to shrug this off as an unfortunate discomfort, but I have several more weeks to go, and I’m ready to tear my eyes out from the pain and itching. I’ve had rashes before, I’ve had pain before, and this is by far the worst one.
So instead of being productive on my blog, my home or anywhere else in my life, I’ve been holed up in my bed, being emo about all this. Today though, I’m trying a new attitude: I’ll try to take it a day at a time and ignore the itching. I’ll try not to get down when I see a previously smooth patch of skin now blotched with bumps. And I’ll watch a ton of comedies. Heck, I’ll even get out of my pajamas.
Because I’ve got to live with this darn thing for a while, and while I’ll allow myself my daily cry, I’ll do my best to take it day by day, even hour by hour.
And hopefully I’ll be able to be productive again and use my blog and other aspects of my life to distract me from this madness. At least keep my hands on the keyboard and away from the itching.
Have you had PUPPPs or other uncomfortable complications during your pregnancy? How did you cope?

Oh, no! I had it too, but I got it after I had my baby girl! After trying different lotions and soaps, I went to a specialist and was prescribed a cream from the pharmacy and it worked like magic. The rash went away within a week. It was the most frustrating thing I’ve ever experienced, I was already completely exhausted from childbirth and this was an extra nuisance to disrupt any chance of rest I got. I hope it goes away for you soon! Hang in there!
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Queenie, I’ve heard that it can come post-partum too. Sorry that you had to go through it! Now that I think about it, I may even have had it with my first pregnancy post-partum because I had a terrible itch that I attributed to hives and stress. And that was the pits, because just when life is so difficult with a newborn (or pregnancy) we now have to deal with this terrible itch. Glad yours went away pretty quickly!
Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
I am so sorry, Nina! That was one I had never heard of, but it sounds horrible. Taking it just one day (or hour) at a time sounds like a good approach. For a comedy I’d recommend Waking Ned Devine. It’s maybe 15 or so years old so perhaps you’ve already seen it. It is pretty good as a “feel good” film though.
Today Eli said he wanted me to go to the doctor. I asked why think he just likes running around the lobby there or because we sometimes see a garbage truck there. He looked at me incredulously and said in a very patient voice “because to take the baby out!” he’s sick of waiting for his sister to get here. (Or he’s sick of having me in bed all the time…or both.)
Haha Karen, I bet Eli is eager to meet his baby sister already. Nine months is a long time to wait, and especially towards the end when we’re pretty much useless sloths lying down on the couch. That’s one of the worst aspects of this pregnancy and PUPPPs is that I can’t be there for my three year old as much as I would want to. Even being able to sit down next to him as he writes and colors, or taking him out for a walk. I’m sure kids sense that something is up and just want it to change already.
Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
Oh, Nina, so sorry to hear that! I hope the natural remedies will do their trick and give you some relief and that meanwhile you’ll find ways to stay positive.xx
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Thanks, Oana! There are still moments where I can’t believe my luck and I’m just the biggest Debbie Downer, but I’m trying to stay positive, or at least distracted. I’ve been researching this thing like crazy and am now trying to find foods that may help eliminate it, if it’s even possible. It’s worth a try, and better than doing nothing or moping

Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
Hang in there girl! I got eczema break out on my hands after my second (a boy) – right after he was born. Very strange. Aveeno baby lotion (with the oatmeal) was the only thing that saved me.
But, dear friend, I know that is NOTHING compared with what you’re experiencing. I will say a prayer for you every time I think of your misery with the rash. Hopefully yours will go away quickly when babies are out!! You’re strong – and when you don’t feel strong we’ll listen to you vent whenever and encourage you some more. Friends don’t let other friends vent alone!!!
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Also, I was just chatting with my hubby about this and, while we are no experts, beans are sooooo beneficial with eliminating the extras in your body AND especially liver issues. Eating black beans (my fave, and best for you) everyday has helped so many issues for me. Check out Karen Hurd’s website sometime. She is a nutrition lady, but her story is amazing. Her site is her name with (dot)com after it. Look under the beans category, too. Docs won’t tend to advise a nutritional route to go with issues like your rash, normally. But it def couldn’t hurt anything. It’s the frequency that you eat the beans, not mass quantity. So we were thinking maybe try a half cup five-six times a day for a week and see if you notice a difference. Can’t hurt.
Just a thought! And it’s a low cost option to try!!
Thanks for the tip, Kerry. As it is, we’re having bean tostadas this week, although I don’t know if that’s frequent enough. Good to know about their benefits, and we’re fans of beans in this house so it couldn’t hurt! I agree that doctors don’t always go the nutritional route but since I’m limited, I’m totally turning to food to help cleanse my liver.
Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
I’m so sorry!!!
I had a bizarre rash with my first pregnancy that recurred (in a milder form) with each of my pregnancies, but it was much milder than PUPPPs – even the first time around.
I have had shingles, thankfully not while pregnant. That was miserable – but it sticks to one side of your body at least.
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MaryAnne, I also had some weird rash/hives post pregnancy with my first pregnancy, and it actually might have been PUPPPs. I dread the evenings when I know I’ll be scratching subconsciously, knowing I should stop but too lazy to do anything else about it lol. Today for some reason felt better as far as not scratching while I was awake, so hopefully all these things I’m doing is helping.
Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
Oh my lovely Nina,
that sounds awful, you poor love!!
What the hell kind of cruel joke is that???
Doctor Holsby prescribes a big tub of ice cream with those comedies. You must keep up your strength, after all.
I hope time flies, and your gorgeous twinnies are in your arms in the blink of an eye and all this is forgotten.
Love and light xxx
Thanks, Danielle! Ice cream sounds awesome just about now, and yes, I hope these next few weeks will be a blur. Honestly though the rash is so bad that all the other discomforts of a twin pregnancy has taken a back seat. It’s like, Oh, that crazy pain in my bones? Totally out of my mind as I sit here scratching my skin raw lol.
Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
Oh Nina, I am so sorry! I am praying for you and I hope it ends very quickly when the babies are born. In the meantime, I hope you find something that helps! How many weeks are you now?
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Thanks, Steph—ideally I still have about 5 more weeks to go, and perhaps even sooner. That just seems like such a long time ago, and I’ve never been more ready to give birth than now! So far none of my remedies are working, although I heard it can take a few days for them to take effect.
Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
I’m so sorry to hear you’ve got PUPPS, a colleague of mine had it and it seemed pretty bad. Hang in there Nina!
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Thanks, Rashida! Trying to stay positive, or at least distracted
That’s why nights are worse, when you’re just lying there with nothing to do.
Nina recently posted..PUPPPs: The most cruel trick on pregnant women (pregnancy update)
Oh Nina, sending you a gigantic hug. Like carrying twins isn’t tough enough, you poor thing. A good friend of mine had PUPPPS at the end of her (singleton) pregnancy and I saw how awful it was for her. Hope you find some relief (or distraction) soon.
And totally agree with the prescription of ice-cream.
x Laura
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Thanks Laura! I just came back from the doctor and dermatologist who say my case is severe! She prescribed stronger creams to help with comfort measures while I wait out this pregnancy. It’s pretty difficult emotionally too, as I feel like a hyena with all my spots, and only getting an hour of sleep a night doesn’t do too well with how I function during the day. Hopefully the new meds will help me somewhat!
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Oh Nina, I’m so sorry! I had PUPPPs too at around 36 weeks and was prescribed creams but it still was uncomfortable. I remember the sleepless nights trying to ignore the strong urge to scratch. I had to wear really soft cotton t-shirts by the end as I felt everything else was causing more friction and itchiness.
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Aw, as sad as it is, I’m glad you can relate lol. It’s a rash like no other! I went to the dermatologist who also gave me ointments and creams which seem to help, and hopefully the rash will subside before birth but who knows. The doctor even said I had a severe case, eeks! It really doesn’t make the pregnancy any easier, that’s for sure!
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