Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/9/2025

Safety of Topical Hydrocortisone During Pregnancy

Introduction to Safety and Efficacy

  • The American Gastroenterological Association suggests that increasing dietary fiber intake (approximately 30g/day) can help prevent constipation and reduce hemorrhoid symptoms in pregnant women 1
  • The European Respiratory Society recommends using topical corticosteroids with caution during the first trimester of pregnancy, due to potential risks 1, 2

Recommendations for Treatment

  • The American Academy of Allergy, Asthma, and Immunology advises using the lowest effective dose for the shortest duration needed to control symptoms when using topical hydrocortisone in pregnant women 3
  • The European Respiratory Society suggests avoiding prolonged continuous use of topical corticosteroids without medical supervision in pregnant women 2

Prevalence and Alternative Treatments

  • Approximately 80% of pregnant women are affected by hemorrhoids, particularly in the third trimester, according to the American Gastroenterological Association 1
  • The American Gastroenterological Association recommends adequate fluid intake, particularly water, to help soften stools and ease bowel movements in pregnant women with hemorrhoids 1
  • Bulk-forming agents such as psyllium husk are considered safe in pregnancy due to lack of systemic absorption, as suggested by the American Gastroenterological Association 1