A question often asked under the topic of pregnancy and nail changes is whether nails grow faster during pregnancy. The truth is: the data is inconsistent.

Many women feel their nails grow faster during pregnancy, likely because they’re trimming them more often or paying closer attention. While hormones and better circulation are often credited, research shows little real difference. In most cases, nails may seem thicker or stronger, but genuine faster growth isn’t consistently seen.

So what, exactly, is the deal with pregnancy and nail changes? How does pregnancy affect the growth and health of your nails?

Potential Factors That Worsen Nail Issues in Pregnancy

Although pregnancy can naturally predispose nails to change, several factors may worsen fragility or lead to complications. Swelling in the hands and feet can place extra pressure on the nail bed, sometimes causing separation or ingrown edges. Changes in posture and gait as the body adapts to a growing bump can also affect toenail health, especially if shoes become tight or friction increases. 

Nutritional shifts, such as low iron or zinc levels, may leave nails brittle or thin, even with prenatal vitamins, as absorption can vary between individuals. Dehydration or poor skin care may lead to cracked cuticles and splitting, while habits like nail biting or using harsh tools can further damage already sensitive nails. 

Finally, the hormonal changes that occur after birth can temporarily make nails more fragile or prone to peeling until the body rebalances.

Tips to Support Healthy Nails During Pregnancy

When it comes to pregnancy and nail changes, gentle care and patience make the biggest difference. Keep nails neatly trimmed and filed with rounded edges, and use mild tools to avoid damage. 

Regularly moisturise nails and cuticles with pregnancy-safe oils such as vitamin E or jojoba to prevent dryness and cracking. 

Wear comfortable, well-fitting shoes to reduce pressure on toenails and avoid ingrown nails. 

Protect nails from trauma by using gloves when cleaning and limiting exposure to harsh chemicals. 

Maintain a balanced diet and take prescribed prenatal vitamins to support healthy nail growth, but only use additional supplements under medical advice. 

Choose gentle, pregnancy-safe nail products, and remember that most nail changes resolve naturally after birth. 

If you notice pain, bleeding, dark streaks, or persistent separation, seek advice from a dermatologist or podiatrist.

When to Seek Medical Advice

While most changes in nail appearance during pregnancy are harmless, certain signs should prompt further evaluation. If you notice new or irregular dark streaks — known as longitudinal melanonychia — or pigment bands that appear asymmetric or begin to evolve, it’s important to have them assessed, as they can occasionally indicate melanoma or other pigment disorders. 

Persistent nail separation (onycholysis) accompanied by pain, swelling, or an unpleasant odour may point to a fungal or bacterial infection requiring treatment. Severe splitting, discomfort, or ingrown toenails that make walking difficult should be reviewed by a podiatrist or orthopaedic specialist. Likewise, when nail changes occur alongside other symptoms such as fatigue, bone pain, or noticeable skin alterations, this may signal an underlying nutritional or metabolic issue and should be discussed with your healthcare provider.

Pregnancy And Nail Changes

While many expectant mothers notice alterations in nail strength, texture, or growth, much of what occurs is mild, temporary, and benign. The most commonly observed signs include leukonychia (white spots), nail splitting (onychocchizia), ingrown nails, and occasional fragility. Controlled studies suggest that although nail thickness may increase during pregnancy, a true acceleration of growth is not always confirmed.

By practicing gentle nail care, supporting nutrition, protecting from trauma, and staying alert to warning signs, most women can maintain healthier nails through pregnancy and recover after childbirth. If you’d like, I can help you prepare a downloadable infographic or patient-friendly handout on nail care during pregnancy. Would you like me to create that?

If you’ve noticed changes to your nails during pregnancy and want professional advice, pop into Northwich Foot Clinic or get in touch to find out how our expert foot care can help you keep your nails healthy and comfortable throughout pregnancy and beyond.

Categories: Foot Care