Striae Gravidarum as a Predictor of Vaginal Lacerations at Delivery

Wahman, Andrea; Finan, Michael A.; Emerson, Sandra

doi:10.1097/00007611-200093090-00006

Cited by 14 publications

(17 citation statements)

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“…Our study population was homogeneous in terms of race, thus precluding us from exploring the role of this variable in the prediction of SG as well as PT. Previous studies have demonstrated that maternal age, baseline and delivery BMI, neonatal birth weight, length, and head circumference were independently associated with the occurrence of SG (Atwal et al, 2006; Ghasemi, Gorouhi, Rashighi‐Firoozobadi, Jafarian, & Firooz, 2007; Howard et al, 2000; Thomas & Liston, 2004; Wahman et al, 2000). Similar to these studies, we found a correlation between SG scores and body weight at the end of the pregnancy, but not with the rise in BMI during the pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Although poor skin elasticity has previously been proposed to predict greater risk for perineal laceration (Magdi, 1942; Wahman, Finan, & Emerson, 2000), the association between these variables has not been established. The assessment of SG can be performed by midwives and nurses with no need for special equipment or training and via noninvasive, simple observation.…”

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confidence: 99%

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Prediction of Perineal Trauma During Childbirth by Assessment of Striae Gravidarum Score

Halperin

Raz²,

Ben-Gal

et al. 2010

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Prediction of Perineal Trauma During Childbirth by Assessment of Striae Gravidarum Score

Halperin

Raz²,

Ben-Gal

et al. 2010

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…The occurrence rates of striae gravidarum among primiparae in the UK were 48.6% in Davey's first report in 1970 [4] and 63% in 2001 [17]. Although some studies used Davey 's method, it is difficult to compare the prevalence of striae gravidarum because of a lack of data about parity [18,19] or unclear descriptions of the assessment procedures used [20]. …”

Section: Discussionmentioning

confidence: 99%

Quality of life evaluation in Japanese pregnant women with striae gravidarum: A cross-sectional study

2012

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BackgroundStriae gravidarum is a physiological skin change that many pregnant women experience during pregnancy. The striae are often accompanied by a reddish purple color during pregnancy, and then lose pigmentation and become atrophic in the long term after pregnancy. Striae gravidarum seems to be undesirable to many pregnant women. However, the impact of striae gravidarum on pregnant women who experience it has not been clarified. The aim of this study was to evaluate the impact of striae gravidarum on the generic and dermatology-specific quality of life (QOL) of pregnant women.MethodsA cross-sectional study was conducted at three private clinics in a typical urban area in Japan. We recruited 447 pregnant women at 36 weeks of gestation; One hundred and ninety-nine pregnant women at 36 weeks of gestation participated in the study and 179, consisting of 94 primiparae and 85 multiparae, were analyzed.We used and assessed Davey’s score for striae gravidarum, World Health Organization Quality of Life assessment questionnaire for generic QOL, and Skindex-29 for dermatology-specific QOL.ResultsThe prevalence of striae gravidarum was 39.1% (27.7% in primiparae, and 51.8% in multiparae). Although there were no differences in generic QOL scores between the presence and absence of striae gravidarum and with their severity, the whole group of pregnant women and the multiparae group showed significant differences in scores on emotion of Skindex-29 between the presence and absence of striae gravidarum (p = 0.012 and p = 0.011). Pregnant women with severe striae gravidarum showed significantly higher scores on emotion of Skindex-29 compared with those with absent or mild striae gravidarum (p < 0.001 and p = 0.005).ConclusionsThere was no difference in generic QOL of pregnant women between the presence and absence of striae gravidarum, although the occurrence and severity of striae gravidarum influenced their dermatology-specific QOL. Multiparae women were especially impaired by striae gravidarum and it is considered important to prevent or reduce the severity of striae gravidarum of the multiparae group.

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“…SG lesions are more common in young primigavida and are associated with higher weight gain in pregnancy, large for gestational age babies and increased risk of traumatic vaginal delivery. [12]…”

Section: Introductionmentioning

confidence: 99%

Striae distensae treatment review and update

Lokhande

Mysore²

2019

Indian Dermatol Online J

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Striae distansae (SD) or stretch marks are very common, asymptomatic, skin condition frequently seen among females between 5 to 50 years of ages. It often causes cosmetic morbidity and psychological distress, particularly in women and in certain professions where physical appearances have significant importance. Of late, with the increasing emphasis on cosmetic management and awareness, patients approach dermatologists for stretch marks treatment. However, despite several advances, no fully effective treatment has emerged. Unfortunately, there is paucity of the strong evidence in the literature for the effective treatment of striae. A literature search using the terms 'striae distansae (SD or stretch marks’ was carried out in the PubMed, Google Scholar and Medline databases. Only articles related to the treatment were considered and analysed for their data. Commonly cited treatments include topical treatments like tretinoin, glycolic acid, ascorbic acid and various lasers including (like) carbon dioxide, Er:YAG, diode, Q-switched Nd:YAG, pulse dye and excimer laser. Other devices like radiofrequency, phototherapy and therapies like platelet rich plasma, chemical peeling, microdermabrasion, needling, carboxytherapy and galvanopuncture have also been used with variable success. This article reviews all currently accepted modalities and their effectiveness in the treatment of stretch marks.

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Striae Gravidarum as a Predictor of Vaginal Lacerations at Delivery

Cited by 14 publications

References 0 publications

Prediction of Perineal Trauma During Childbirth by Assessment of Striae Gravidarum Score

Prediction of Perineal Trauma During Childbirth by Assessment of Striae Gravidarum Score

Quality of life evaluation in Japanese pregnant women with striae gravidarum: A cross-sectional study

Striae distensae treatment review and update

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