What Works Skin — Independent · Evidence-First · Ad-FreeIssue 014 · 20 April 2026 · Next: 04 Maywhatworksskin.com

Routine · AM · Pregnancy

P. 14 · ROUTINE

Pregnancy-safe morning.

Mineral SPF, alpha arbutin, niacinamide. No retinoids, no salicylic, no hydroquinone.

— § 01

The steps.

  1. 01
    AM

    Gentle cleanser

    Fragrance-free, low-pH

    A simple, fragrance-free cleanser. The hormonal shifts of pregnancy frequently push reactive episodes; this is not the trimester to introduce new actives or a foaming wash.

  2. 02
    AM

    Alpha arbutin 2%

    Pigment-blocker, pregnancy-safe

    Melasma is the most common pregnancy-related skin concern, and the standard pigment regimen — hydroquinone, retinoids, oral tranexamic — is off-limits. Alpha arbutin is the best-evidenced safe substitute. Apply to dry skin under the moisturiser.

    The OrdinaryTier A
    Alpha Arbutin 2% + HA

    Default

    MinimalistTier A
    Alpha Arbutin 2%

    Budget

  3. 03
    AM

    Niacinamide moisturiser

    4% niacinamide + ceramides

    Niacinamide is fully pregnancy-safe and addresses the redness and reactivity that come with hormonal shifts. The ceramide pairing addresses the dryness many people experience in the second trimester.

    CeraVeTier A
    PM Facial Lotion

    Default (AM use OK)

    La Roche-PosayTier A
    Toleriane Sensitive

    Sensitive

  4. 04
    AM

    Mineral SPF 50+

    Zinc-only, no chemical filters

    Pregnancy melasma is heavily UV-sensitive; SPF is the single most consequential variable. Mineral filters are universally recognised as pregnancy-safe and avoid the absorption-and-fetal-exposure questions that sit around chemical filters. Two finger-lengths, every morning.

    Re'equilTier A
    Sheer Zinc SPF 50

    Default

    ISDINTier A
    Eryfotona Ageless

    Premium