The Impact of Pregnancy Specific Distress on Hair Loss in Women in Their Third Trimester

INTRODUCTION: This study aimed to investigate the relationship between pregnancy-specific distress and hair loss in women in their third trimester.
METHODS: This cross-sectional prospective study included 138 pregnant women in their third trimester who attended the İstanbul Medipol University Hospital Gynaecology and Obstetrics Clinics. Data were collected through a face-to-face interview using an information form (covering sociodemographic and obstetric history, and hair loss status) and the Tilburg Pregnancy Distress Scale. Results of hematologic and hormonal parameters measured during follow-up were also recorded.
RESULTS: Hair loss during pregnancy was reported by 41 participants (29.7%). Based on TPDS total scores, 17 women (12.3%) were classified as at-risk for distress, and 8 (5.8%) according to the Negative Affect (NA) subscale. Women reporting hair loss had higher TPDS total and subscale scores compared to those without hair loss. No significant differences were observed between hair loss and laboratory parameters, suggesting a potential independent role of distress. Number of pregnancies was positively correlated with PI scores (r=0.284, p=0.001), while age showed a negative correlation with NA scores (r=–0.184, p=0.03).
DISCUSSION AND CONCLUSION: Pregnant women who complain of hair loss should be screened for pregnancy-specific distress, even in the absence of laboratory abnormalities. Incorporating psychological assessment and support into routine prenatal care may reduce distress-related somatic complaints and improve maternal well-being.

Keywords: Hair loss, pregnancy, pregnancy trimester third, psychological distress