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

Routine · PM · Pregnancy

P. 15 · ROUTINE

Pregnancy-safe evening.

Cleanse, azelaic 10%, ceramide cream. The list of what you can do, not what you can't.

— § 01

The steps.

  1. 01
    PM

    Gentle cream cleanser

    Same as AM, fragrance-free

    Pregnancy is not the time to introduce a double cleanse. A single cream cleanser, lukewarm water, 30 seconds. If you wear mineral SPF + makeup, an oil cleanser before is fine — but check the ingredient list for retinyl palmitate, which crops up in some 'anti-aging' oils.

  2. 02
    PM

    Azelaic acid 10%

    Pregnancy-safe active

    The single active most worth keeping in pregnancy. Azelaic addresses both melasma and pregnancy-related acne flares without the safety questions of a retinoid or BHA. Apply to dry skin, wait 5 minutes before moisturiser. Stinging is normal in the first two weeks; usually resolves.

    The OrdinaryTier A
    Azelaic Acid Suspension 10%

    Default

    DeconstructTier A
    Azelaic + SAP Serum

    Premium

  3. 03
    PM

    Ceramide cream

    Generous, occlusive enough

    Pregnancy dryness — particularly in the second trimester — responds to a slightly richer ceramide cream than your usual moisturiser. The barrier is your front line; protect it with a thicker layer at night.

    CeraVeTier A
    Moisturising Cream

    Default

    La Roche-PosayTier A
    Toleriane Riche

    Premium