It is common for pregnant women to experience changes in their skin, including acne. The hormonal fluctuations during pregnancy can lead to increased oil production, clogged pores, and inflammation, resulting in severe acne. Other factors such as stress and genetics may also contribute. To manage your acne, try using gentle cleansers, avoiding harsh skincare products, keeping your face clean and moisturized, and consulting with a dermatologist for safe treatment options. Additionally, maintaining a healthy diet, staying hydrated, managing stress levels, and practicing good hygiene can help improve your skin's condition.