Wie man mit Haarausfall nach der Geburt eines Kindes umgeht

Why does your hair change during and after pregnancy?

The average person loses up to 100 hairs a day, but not all at once, so it’s not usually very noticeable. When you’re pregnant, however, your body has higher levels of the hormones oestrogen and progesterone, which prevent those hairs from falling out. Some studies suggest the hormone prolactin also leads to less hair loss and more growth, making your hair look and feel thicker¹.

After pregnancy, when your body no longer has to support your baby, your hormone levels drop and the hair sheds. However, you’re not actually losing more hair than normal. It’s just that your hair is falling out in larger clumps than it ordinarily would, so it can seem more obvious.

Dr Leila Asfour, a dermatologist at the British Association of Dermatologists, says women may notice an increase in hair shedding and thinning in general over the whole scalp, called telogen effluvium.

"This is due to changes to the hair cycle, which causes the hair to fall out faster than it normally would,” she explains. “It tends to occur around three or four months after having their baby."

Over time, the hair cycle tends to return to normal, although this can take several months."The majority of women do not require any treatment for hair loss after a pregnancy as the hair cycle will eventually go back to normal without any treatments," says Asfour.

Postpartum hair treatments for hair loss

Unfortunately, there are no treatments to prevent or slow down the hair shedding process. However, there are treatments you can try to make your hair appear thicker and healthier.

Use volumising haircare products

Volumising shampoos and conditioners can make your hair look and feel thicker by adding body to it. These products won’t stop your hair from shedding or make it grow faster, but they may improve the look of your hair.

Eat well

Food shopping and cooking may be the last activities on your mind when you’re looking after a newborn. However, eating a diet with a variety of fruits, vegetables, fibre, and healthy proteins will make sure you’re getting all the vitamins and nutrients you need, which will keep you and your hair healthy.

Eating well doesn’t have to be too complicated or time-consuming. Avocados and eggs are a good source of protein and healthy fats, which boost your skin and hair health². If you’re short on time, smashed avocado and poached or scrambled eggs on wholegrain toast is a quick, filling meal.

The nutrients zinc and selenium are also important for healthy hair. You can find zinc in fortified cereals, wholegrain bread, nuts, red meat and chicken. Selenium is found in pork, beef, turkey, chicken, fish, shellfish and eggs. Vegetarians can get selenium from spinach, green peas, beans and potatoes. A jacket potato with beans and some veg on the side is another easy, quick meal.

Take vitamins or supplements

Although no specific vitamins have been shown to affect hair loss, they can help support your overall health. "Other things to consider during and after pregnancy which can impact hair growth include women's thyroid function, iron levels, vitamin D, zinc, and vitamin B12 - also known as folate," says Asfour.

"Boosting these can support the overall hair health. After having their baby, women can become iron deficient, so it is important to check these levels during and after pregnancy."

Use the right contraceptive

Women often start contraception after pregnancy, but Asfour says it’s worth being aware that certain contraceptives can make hair shedding worse³.

"We would recommend a contraceptive with a low androgen index if possible, avoiding the progesterone-only ones if appropriate," she says.

Patienten wählen aus für Komplikationen bei der Schwangerschaft

Schwangerschaft

Ist die Einnahme von Epilepsie-Medikamenten während der Schwangerschaft sicher?

Hannah* bekam erstmals Natriumvalproat zur Behandlung ihrer Epilepsie verschrieben, als sie 13 Jahre alt war. "Damals wurde ich nicht über die Risiken aufgeklärt, und dann wurde ich mit 16 Jahren schwanger", sagt sie. "Im vierten Monat kam es zu einer Fehlgeburt, weil das Baby schwere Missbildungen aufwies, die auf meine Medikamente zurückzuführen waren. Mehr als 20 Jahre später kündigte die britische Arzneimittelbehörde MHRA letzten Monat ein Verbot an, Frauen und Mädchen im gebärfähigen Alter Natriumvalproat zu verschreiben, es sei denn, sie unterschreiben ein Formular, in dem sie erklären, dass sie die Risiken verstehen.

von Sarah Graham

Schwangerschaft

Zervikalinsuffizienz und Naht

Cervical insufficiency (sometimes called cervical incompetence) occurs when the neck of the womb (the cervix) softens, shortens and opens without any other symptoms of labour. This may be in the second trimester or early in the third, leading to premature delivery of the baby. Cervical suture - also called cervical cerclage or cervical stitch - is a stitch placed in/around the cervix. This is to try to prevent late miscarriage or premature birth in women who are felt to be at high risk of cervical insufficiency.

von Dr. Hayley Willacy, FRCGP

When should you speak to your doctor about hair loss?

"If hair loss persists for more than six to eight months after giving birth, then this could indicate a hair disorder and medical treatments might be necessary," says Asfour. "We would recommend speaking to your GP or arranging to see a dermatologist with an interest in hair disorders."

It’s also important to make sure there isn’t an additional cause for your hair loss, such as an infection or stress⁴.

Weitere Lektüre

1. Muacevic et al: Effects of Hormones and Endocrine Disorders on Hair Growth.

2. Guo et al: Diet and hair loss: effects of nutrient deficiency and supplement use.

3. Graves et al: Alopecia due to high androgen index contraceptives.

4. American Academy of Dermatology Association: Hair loss.