ShePrep

Can I use sunscreen while pregnant?

Written by Andy Hendrick
6 sources cited

SafeNo pregnancy restriction. The NHS says at least SPF 30 with at least 4-star UVA protection; the FDA says broad spectrum SPF 15 or higher, reapplied at least every two hours

Yes, and it is one of the few things in this section that is actively recommended rather than merely permitted. ACOG tells pregnant women to wear sunscreen and a wide-brimmed hat every day outdoors to stop melasma worsening. No regulator anywhere restricts any sunscreen filter in pregnancy.

The verdict

Yes. Wear it. This is one of the small number of pages on this site where the guidance is not permission but instruction.

The American College of Obstetricians and Gynecologists advises, in its patient guidance on skin conditions in pregnancy, that to help prevent melasma from getting worse you should wear sunscreen and a wide-brimmed hat every day when you are outside, and it points out that the sun's UV rays reach you even on cloudy days.

No national regulator, in the UK, US, EU or Australia, restricts any sunscreen ingredient in pregnancy. There is no pregnancy warning on sunscreen packaging, and no health service tells pregnant women to switch products.

Why it matters more in pregnancy than it usually does

Melasma, sometimes called chloasma or the mask of pregnancy, is the reason. ACOG explains it as an increase in the body's melanin, the substance that gives colour to skin and hair, producing dark spots and patches on the face.

Two things about melasma make sun protection unusually worthwhile:

  • It is driven by UV, not only by hormones. Hormonal change sets it up; sunlight is what brings it out and deepens it. Protection is the one lever you actually control.
  • It does not always go away. ACOG says dark spots and melasma usually fade on their own after you give birth, but that some women may have dark patches that last for years, and suggests seeing a dermatologist if it does not resolve.

Preventing melasma is far easier than treating it, and several of the treatments used for it afterwards, including retinoids and hydroquinone, are ones you would not want to be using while pregnant anyway.

Mineral versus chemical: what the argument is actually about

You will read a lot of advice telling pregnant women to switch to mineral sunscreen. It is worth understanding where that came from, because it is not what most people assume.

Sunscreen filters divide into two groups. Mineral filters, zinc oxide and titanium dioxide, sit on the surface and largely stay there. Organic filters, sometimes called chemical filters, include avobenzone, oxybenzone, octocrylene, homosalate and octinoxate, and they absorb UV within the skin.

In the United States, the FDA proposed in 2019 that only zinc oxide and titanium dioxide be recognised as generally safe and effective on current data, and asked manufacturers for more information on the others. The trigger was pharmacokinetic studies showing that several organic filters are absorbed into the bloodstream at concentrations above the threshold at which the FDA requires safety testing.

That is a request for data, not a finding of harm. The FDA said so explicitly at the time, and it has not withdrawn or restricted any filter since, nor issued any pregnancy-specific advice about them.

In the EU and UK, sunscreen filters are regulated as cosmetics with maximum permitted concentrations that are reviewed by the scientific committee and revised when new data appears. Several filters have had their permitted limits lowered on that basis. Again, none of those revisions is a pregnancy measure.

So which should you use?

The one you will actually apply, in enough quantity, often enough. That is not a dodge: the largest source of variation in real-world sun protection is how much people put on and whether they reapply, not which filter is in the bottle.

If the absorption question bothers you, mineral sunscreens are a completely reasonable choice and no protection is lost by making it: a mineral SPF 50 blocks what a chemical SPF 50 blocks. Some mineral formulations leave a white cast on deeper skin tones, and tinted mineral versions were developed for exactly that reason. If a mineral product means you skip application, that is a worse outcome than using a chemical one.

Nobody is going to tell you that you did the wrong thing either way, because no authority has said there is a wrong thing here.

The numbers, and who set them

These differ between countries and it is worth keeping them attached to their owners.

The NHS says the label should have an SPF of at least 30 to protect against UVB and at least 4-star UVA protection, or the letters UVA in a circle indicating it meets the EU standard. Its wider advice is to spend time in the shade between 11am and 3pm, never to burn, to cover up with suitable clothing and sunglasses, and to use enough sunscreen and reapply frequently. It also warns not to rely on sunscreen alone and to check the expiry date.

The FDA says to use broad spectrum sunscreens with SPF values of 15 or higher regularly and as directed, to reapply at least every two hours and more often if you are sweating or swimming, and to limit time in the sun between 10am and 2pm. It also notes that spray sunscreens should never be applied directly to the face, which is a formulation instruction rather than a pregnancy one.

This page does not publish its own numbers. If you are in the UK, follow the NHS figures; if you are in the US, follow the FDA's.

Heat is the separate issue

Sunscreen protects against UV. It does nothing about overheating, and overheating in pregnancy is its own topic with its own rules about baths, saunas and hot weather.

Shade, water and timing do both jobs at once, which is why every sun safety page leads with them rather than with the bottle.

Where guidance differs

Nobody restricts sunscreen in pregnancy. Not the NHS, not the FDA, not ACOG, not the EU. There is no pregnancy category for sunscreen filters.

ACOG goes further and recommends it. Daily sunscreen and a wide-brimmed hat, specifically to keep melasma from worsening.

The SPF floor differs. The NHS says at least 30; the FDA says 15 or higher. That is a general population difference, not a pregnancy one.

The mineral-versus-chemical debate is regulatory, not obstetric. The FDA's 2019 proposal concerned absorption data for organic filters in the general population. No body has translated it into pregnancy advice, and this page will not do so on their behalf.

Guidance by country

ACOG's patient guidance explains that dark spots and patches in pregnancy, called melasma or the mask of pregnancy, are caused by an increase in melanin. Its instruction is that to help prevent melasma from getting worse you should wear sunscreen and a wide-brimmed hat every day when you are outside, because the sun's UV rays can reach you even on cloudy days. It adds that dark spots and melasma usually fade on their own after birth, but that some women may have patches that last for years, and that a dermatologist can discuss treatment options if melasma does not go away.

The FDA regulates sunscreen as an over-the-counter drug in the United States and issues no pregnancy-specific advice. Its consumer guidance is to limit time in the sun especially between 10am and 2pm, to wear clothing covering exposed skin along with sunglasses and broad-brimmed hats, to use broad spectrum sunscreens with SPF 15 or higher regularly and as directed, and to reapply at least every two hours and more often when sweating or swimming. It notes that instructions vary by product form and that spray sunscreens should never be applied directly to the face.

Showing guidance from American College of Obstetricians and Gynecologists and FDAread the source.

Sources

  1. Skin Conditions During Pregnancy American College of Obstetricians and Gynecologists, accessed
  2. Sunscreen and sun safety NHS, accessed
  3. Sunscreen: How to Help Protect Your Skin from the Sun U.S. Food and Drug Administration, accessed
  4. FDA Authority Over Cosmetics: How Cosmetics Are Not FDA-Approved, but Are FDA-Regulated U.S. Food and Drug Administration, accessed
  5. Stretch marks in pregnancy NHS, accessed
  6. Allergens in Cosmetics U.S. Food and Drug Administration, accessed