Pregnant woman with classic Scabies
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last updated on 19/01/2026
Treatment in case of failure
Repeat the initial treatment
After confirming failure and analyzing the conditions leading to failure (recontamination or poor compliance, intolerance to local treatment, poor decontamination of linen and bedding, treatment not renewed, contact subjects not treated simultaneously, etc.) :
Therapeutic proposal
| or |
Use the same product or another among the 3 proposed products as a first-line treatment. |
| Prioritize oral Ivermectin |
2 doses: D1 and between D8 and D14
if there is doubt about adherence, poor skin condition, or clustered cases. It is only recommended as second-line treatment in the 1st trimester of pregnancy due to lack of data and possible immaturity of the placental barrier. |
Should a pregnant woman in contact with a case of scabies (primary circle) be treated?
- The treatment of a pregnant woman in contact with a case of scabies (primary circle) is highly recommended, especially in the third trimester of pregnancy to avoid contaminating the newborn. The treatment used can be a local treatment or Ivermectin according to previous recommendations and the term of the pregnancy. Close clinical monitoring could be a possible alternative in the first or second trimester of pregnancy.
- The treatment of a breastfeeding woman in contact with a case of scabies (primary circle) is recommended according to previous recommendations.
➜ Associated measures
➜ Topicals guidelines
➜ initial treatment
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