Pregnancy safe sunscreen: how to read the filters

Read the active ingredients. The FDA has proposed only zinc oxide and titanium dioxide as safe and effective, and ACOG says to avoid oxybenzone when possible. Both still tell you to wear sunscreen.

By The Truva teamPublished

Answers for 6 life stages15 sources, all linked5 min read

How do you find the filters on a sunscreen label?

Sunscreen filters are the active ingredients on the label. The AAD, the American dermatologists’ academy, sorts every sunscreen by them into three kinds.

If the only active ingredients are titanium dioxide, zinc oxide, or both, the academy says you have a physical sunscreen. People often call these mineral sunscreens. If neither is there, it is a chemical sunscreen. A hybrid mixes filters from both kinds.

The FDA lists 16 active ingredients for US sunscreens. The two minerals are zinc oxide and titanium dioxide. Other chemical filters on the FDA list include avobenzone, homosalate, octocrylene and three more with two names each.

Oxybenzone is also called benzophenone-3. Octinoxate is also called ethylhexyl methoxycinnamate. Octisalate is also called ethylhexyl salicylate. Find each name from your label in the list below.

Sunscreen filters: the FDA proposal and pregnancy sourcesA list of nine sunscreen filters. Each row gives the filter and its kind, what the FDA has proposed, and what the pregnancy sources cited say. Zinc oxide, mineral. FDA proposal: safe and effective. Review: often recommended first. Titanium dioxide, mineral. FDA proposal: safe and effective. Review: often recommended first. Oxybenzone, chemical. FDA proposal: more data needed. ACOG care products list: avoid when possible. Review: avoid. Octinoxate, chemical. FDA proposal: more data needed. Review: avoid in pregnancy. Homosalate, chemical. FDA proposal: more data needed. Review: too little evidence on hormones. Octocrylene, chemical. FDA proposal: more data needed. Review: too little evidence on hormones. Octisalate, chemical. FDA proposal: more data needed. No pregnancy rule in these sources. Avobenzone, chemical. FDA proposal: more data needed. No pregnancy rule in these sources. 4-MBC, chemical. Not on the FDA list of 16. Review: avoid in pregnancy.Find the name from your labelZinc oxide, mineralFDA proposal: safe and effectiveReview: often recommended firstTitanium dioxide, mineralFDA proposal: safe and effectiveReview: often recommended firstOxybenzone, chemicalFDA proposal: more data neededACOG care products list: avoid when possible.Review: avoidOctinoxate, chemicalFDA proposal: more data neededReview: avoid in pregnancyHomosalate, chemicalFDA proposal: more data neededReview: too little evidence on hormonesOctocrylene, chemicalFDA proposal: more data neededReview: too little evidence on hormonesOctisalate, chemicalFDA proposal: more data neededNo pregnancy rule in these sourcesAvobenzone, chemicalFDA proposal: more data neededNo pregnancy rule in these sources4-MBC, chemicalNot on the FDA list of 16Review: avoid in pregnancy
Nine filters you may find in the active ingredients, with the FDA’s proposal and what pregnancy sources say.

Whatever the filters, the academy’s advice for everyone is the same: broad spectrum, SPF 30 or higher, and water resistant. Broad spectrum means it protects against both UVA and UVB rays.

What has the FDA said about mineral and chemical filters?

The FDA has proposed that only zinc oxide and titanium dioxide are safe and effective in sunscreen. For twelve other filters it asked for more data, which is not the same as finding harm.

The term it uses is GRASE, short for generally recognised as safe and effective. Its first proposal put the two minerals in that group up to 25 percent. A later proposed order kept that split. Its fact sheet lists oxybenzone, avobenzone, octinoxate and the rest as additional data needed. Neither step is a final order.

The data question is about absorption. The FDA says some active ingredients pass through the skin into the body, so it asked industry for safety data. It still says Americans should use sunscreen, along with other ways to protect themselves from the sun.

Europe has its own limit for one of them. The EU’s cosmetics safety committee (the SCCS) says homosalate is safe up to 7.34 percent in face cream and pump spray, given concerns about possible effects on hormones. That limit is not about pregnancy.

Should you avoid chemical sunscreen filters in pregnancy?

Pregnancy sources disagree about chemical filters. None of them says to go without sunscreen.

ACOG, the American College of Obstetricians and Gynecologists, has a page on chemicals before and during pregnancy. It says to read the ingredients on beauty and personal care products. When possible, it says, avoid products that contain oxybenzone, along with phthalates, parabens and triclosan. That is advice, and the page never mentions sunscreen.

A MotherToBaby blog post says some filters are absorbed, in small amounts. Many have not been studied very well in pregnancy, it says, but they are not known to harm the pregnancy or baby. Mineral filters stay on top of the skin and may be a good choice, it adds.

A MotherToBaby post from about 2015 says there is not one preferred choice for pregnant women. It found no published information that sunscreens affect the baby.

A recent peer reviewed review goes further. It calls mineral filters the usual first choice and says to avoid oxybenzone, octinoxate and 4-MBC in pregnancy to be prudent. For homosalate and octocrylene, it says the evidence is not enough to class them as acting on hormones.

The review’s authors disclose ties to ISDIN, a sunscreen maker, which paid the publication fees. It is a review, not a guideline from a health body.

Two of these sources agree on sprays. MotherToBaby says mineral sunscreens are best applied as a lotion, since a spray may be a hazard if you breathe it in. The review says to avoid mineral sprays in pregnancy when possible, for the same reason.

A dermatology journal letter found that the AAD had no sunscreen recommendations specific to pregnancy or nursing, and that advice on social media varied widely.

One more thing you may read about is a ban. MotherToBaby notes that oxybenzone is banned in some areas because it harms coral. That ban is about reefs, not pregnancy.

Which sunscreen filters are safe in pregnancy, while breastfeeding, postpartum, trying to conceive, or with PCOS?

Pregnancy and breastfeeding have the most advice on sunscreen filters among the sources cited here. The other stages have little or none.

Each row ends with what the Truva app shows for oxybenzone and zinc oxide. Those flags are Truva’s call, not a published rule.

Pregnancy

ACOG advises avoiding oxybenzone in personal care products when possible, and a review adds octinoxate and 4-MBC. The FDA has proposed both minerals as safe and effective. No body cited here has a pregnancy rule for avobenzone, homosalate, octocrylene or octisalate. The Truva app marks oxybenzone “Not Recommended” and zinc oxide “Safe to Use”. See the pregnancy list.

Breastfeeding

InfantRisk’s choice is non nano zinc oxide. It does not yet know if chemical filters reach milk in harmful amounts, and prefers chemical sunscreen to a sunburn. The review’s mineral first advice covers breastfeeding too. The Truva app marks oxybenzone “Not Recommended” and zinc oxide “Safe to Use”. See the breastfeeding list.

Postpartum, not breastfeeding

No body cited here has published a rule on sunscreen filters if you are postpartum and not breastfeeding. The Truva app marks oxybenzone “Caution Advised” and zinc oxide “Safe to Use”. See the postpartum list.

Trying to conceive

ACOG’s oxybenzone line sits on a page headed before and during pregnancy, so it is the only line here that reaches this stage. It is about personal care products and does not name sunscreen. The Truva app marks oxybenzone “Not Recommended” and zinc oxide “Safe to Use”. Truva’s trying to conceive list covers the weeks before a pregnancy is known.

PCOS

The sources cited here give no sunscreen rule for PCOS. A review in the journal Toxics says studies on PCOS outcomes remain sparse. For women it sees as most at risk, it suggests mineral filters, or newer ones that barely get into the body. It is a review, not guidance. The Truva app marks oxybenzone “Not Recommended” and zinc oxide “Safe to Use”. See the PCOS list.

Not pregnant or breastfeeding

The NHS says to use at least factor 30, use enough, and reapply often. The AAD says broad spectrum and water resistant too. The Truva app marks oxybenzone “Caution Advised” and zinc oxide “Safe to Use”. To set two labels side by side, use Compare.

Do you need sunscreen on cloudy days in pregnancy?

Yes. ACOG says the sun’s UV rays can reach you even on cloudy days.

Its reason is melasma, the dark patches some people get in pregnancy. To keep it from getting worse, it says to wear sunscreen and a wide brimmed hat every day when you are outside. It names no filter.

The NHS says you may burn more easily while pregnant. Its advice is a high factor sunscreen and not staying in the sun for long. It names no filter either.

If you want help with a bottle, take it to your midwife, doctor or pharmacist and point to the active ingredients. That is our suggestion, not a published rule.

Where this came from

Every health claim on this page links to the body that published it. Nothing here comes from another blog.

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Truva summarises published guidance from bodies including ACOG, the FDA, the EU SCCS and the Cosmetic Ingredient Review. It has no access to your medical history and it is not a substitute for your doctor, dermatologist or midwife. This post was written by the Truva team from the sources listed above. It has not been reviewed by a clinician, and nothing in it is a diagnosis or a prescription. If you are pregnant, breastfeeding or being treated for PCOS, take the ingredient list to the person looking after you.

The label in your hand, read against your situation.

Truva scans a product and answers for the profile you set: pregnancy, breastfeeding, postpartum, trying to conceive, PCOS, or general use. Every flag names the body it came from, so you can take it to a doctor or midwife rather than take it on trust.

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