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Is it possible to prevent striae gravidarum?
Ebru Ersoy1, Ali Ozgur Ersoy1, Esra Yasar Celik1
1Department of Obstetrics and Gynecology, Zekai Tahir Burak Women's Healthcare Training and Research Hospital, Ankara, Turkey.
Younger maternal age and higher pre-pregnancy BMI are key risk factors for stretch marks (striae gravidarum). Preventive counseling on these modifiable factors is crucial as effective treatments are lacking.
Area of Science:
- Obstetrics and Gynecology
- Dermatology
- Public Health
Background:
- Striae gravidarum (SG), or stretch marks, represent a significant cosmetic concern for many women.
- Currently, there is no definitive treatment for SG, although preventive strategies may offer some benefit.
Purpose of the Study:
- To identify individual risk factors associated with the development of striae gravidarum.
- To assess the potential effectiveness of preventive measures against SG.
Main Methods:
- A prospective observational study was conducted with 211 singleton primiparous pregnant women.
- Participants were assessed for SG and divided into two groups: those with and without stretch marks.
- Individual characteristics were compared between the two groups to identify significant predictors.
Main Results:
- Striae gravidarum were present in 75.4% of the participants.
- Lower mean maternal age and higher mean preconceptional body mass index (BMI) were significantly associated with SG (p < 0.001 for both).
- Positive family history, having a male infant, and lower educational attainment were also significant predictors (p = 0.002, p = 0.042, and p = 0.033, respectively).
- Factors such as preventive product use, smoking, skin type, water intake, and income level did not significantly predict SG.
Conclusions:
- Preconceptional counseling regarding modifiable risk factors, including maternal age and pre-pregnancy weight, is recommended.
- This information is valuable given the lifelong persistence of stretch marks and the absence of conclusive treatments.
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