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Topical preparations for preventing stretch marks in pregnancy.
Miriam Brennan1, Gavin Young, Declan Devane
1School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.
The Cochrane Database of Systematic Reviews
|November 16, 2012
Summary
Current evidence does not support topical preparations for preventing striae gravidarum (stretch marks). More rigorous trials are needed to evaluate their effectiveness in pregnant women.
Area of Science:
- Dermatology
- Obstetrics
- Evidence-based Medicine
Background:
- Striae gravidarum affect 50-90% of pregnant women, causing anxiety.
- The exact cause is unknown, and no preventive preparations are proven effective.
- These marks typically appear on the abdomen, breasts, and thighs.
Purpose of the Study:
- To assess the efficacy of topical preparations in preventing stretch marks during pregnancy.
Main Methods:
- Searched the Cochrane Pregnancy and Childbirth Group's Trials Register.
- Included randomized and quasi-randomized controlled trials comparing topical preparations with placebos or no treatment.
- Assessed trial eligibility, quality, and extracted data on stretch mark presence and severity.
Main Results:
- Six trials involving 800 women were included.
- No statistically significant difference in stretch mark development or severity was found between topical preparations and placebo/no treatment.
- No significant difference was observed when comparing different active topical preparations.
Conclusions:
- No high-quality evidence supports topical preparations for preventing pregnancy stretch marks.
- There is a need for robust, large-scale randomized trials to evaluate these preparations.
- Commonly used preparations require evaluation in methodologically rigorous trials.
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