Do you want to commemorate your pregnancy with a permanent mark? Getting a tattoo is becoming more and more common: Approximately one in five people has some kind of ink design on their skin. But going under the needle while you’re expecting is a decision that requires some careful consideration. 

The risks of getting a tattoo include a slight chance of allergic reaction and infection, but they may be more than you want take on right now. You should also consider your personal pain threshold, since getting a tattoo isn’t a walk in the park — it can be really uncomfortable, depending on where it’s placed.

Take some time to think it over and discuss getting a tattoo with your doctor ahead of time so you’re informed, and then check out the information below.

Is it safe to get a tattoo during pregnancy?

There is not much research on the safety of getting a new tattoo during pregnancy. The little bit of research that exists on tattoo ink suggests that some of it may be metabolized or work its way through your lymph nodes.[1] Some research also suggests that certain products in tattoo ink might be able to be transferred through the placenta.

In rare instances, there have been cases of ink being tainted with bacteria or allergens, since tattoo ink dyes are not well regulated because they are considered a cosmetic product by the FDA. And then there’s the risk of infection any time you get stuck with a needle — in this case, the big concern would be hepatitis B or C or HIV from a dirty needle.[2]

Most tattoo parlors are scrupulous about cleanliness when it comes to their tools and methods, as required by state and local authorities. To be sure the tattoo shop you plan to visit has everything in order, look for the following: a licensed artist; an autoclave, which is a machine that sterilizes equipment; and new, unopened gloves, bandages, needles and dyes for every single client. 

What should you consider if you do get a tattoo during pregnancy? 

If you do decide to get a tattoo during pregnancy, the most important thing is to determine that the parlor you’ve chosen is clean and licensed. After that, keep the following in mind before sitting down to submit your skin to the needle:  

  • The pain is real. Getting a tattoo with a needle isn’t comparable to a sticker or painted on design. You will experience actual pain that may be intense, especially in areas with thinner skin like the neck, hands, ankles and feet.
  • Removal isn’t easy. Alas, erasing a tattoo definitely hurts, and removing one with a laser isn’t recommended if you’re pregnant or breastfeeding.[3]
  • Skin changes. A new tattoo that looks symmetrical on pregnancy skin can become lopsided or distorted after you regain your pre-pregnancy shape, especially if you opt to get it in a spot that’s prone to expand.
  • Skin stretches, too. There’s also the potential for stretch marks, which could appear smack in the middle of your new design (most common locations: belly, buttocks, breasts and thighs).
  • Always go pro. DYI ink and online kits aren’t smart since sterile equipment and a license are vital for safety. Instead, go to a professional who’s registered and reputable.

Skin with new tattoos is sensitive at first, so avoid hard shower spraying in favor of gentle washing and then pat the area dry, rather than rub it. Skip sitting in the sun, splashing in pools, lakes and hot tubs and tight clothing (loose is better, so your skin can breathe). And resist the urge to scratch at skin scabs as this habit can introduce bacteria and cause infection. 

Can you get an epidural if you have a tattoo on your back?

Some OB/GYNs and anesthesiologists have questioned whether it’s safe to perform epidurals on women with tattoos on their backs (a popular spot), under the theory that the needle could push pigmented tissue into the spinal column and cause some sort of growth or infection. There’s little medical literature on this — and to date, any problems with epidurals and back tattoos are rare. 

There’s also a theoretical concern related to future cases of skin cancer in the epidural area, but the science behind this isn’t solid. Still, if you have a back tattoo, or if you’re considering one, it’s something to talk over with your doctor ahead of time so there are no surprises (other than the ones you want) in the delivery room. 

Can you get a tattoo removed during pregnancy? 

Lasers are preferred for tattoo removal, but as mentioned above, this method isn’t recommended if you’re expecting. If you’re dying to get rid of a tattoo, try and stick it out until after your baby arrives. And while tattoo removal technology is getting better all the time, bear in mind that taking one off is slow and arduous and can leave lasting scars on your skin.

Still, if you’re set on removing the ink now, speak with a dermatologist to discuss your options, which may include surgery or dermabrasion. But don’t be tempted to try tattoo removal creams or ointments as they often contain acids that can cause a rash or burn your skin.