The scientific evidence on hair dye during pregnancy is reassuring. Studies examining hairdressers (who have the highest occupational exposure to hair dye chemicals) have not found a consistent increase in birth defects, miscarriage, or other adverse outcomes compared to the general population.
The amount of chemical absorbed through the scalp during a typical hair coloring session is very small — far less than what would be needed to reach the fetus in any meaningful concentration. ACOG does not advise against hair dye during pregnancy, and most providers consider it safe, especially after the first trimester.
That said, no large, randomized controlled trial has specifically studied hair dye safety in pregnant people (for ethical reasons, one is unlikely). The current evidence is based on observational studies, occupational health data, and toxicology assessments of individual chemicals. This is why some providers recommend precautionary measures rather than blanket reassurance.