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Wolters Kluwer - Text Atlas of Obstetric Dermatology

The most significant risk factors identified in this review are younger age, maternal and family history of SG, increased pre-pregnancy and pre-delivery weight, and increased birth weight. For prevention of SG, creams with Centella asiatica extract such as Trofolastin cream and a daily massage seem the most supported treatment options by the literature, but further studies are necessary. This information can be helpful for future expectant mothers who would like to try preventative treatments for SG. Laser treatment appears to yield on average greater mean improvement and in a much shorter time than topical treatments, but no head-to-head studies have been conducted to date.

Tretinoin cream and laser treatments resulted in increased elastin content and collagen production in the treated lesions, which can partly explain the improvement observed. Many new studies that test novel laser treatments, microdermabrasion, and microneedling are underway. Study limitations may explain the conflicting results in some studies.

For example, some studies observed pre-pregnancy weight as a significant risk factor Picard et al. The available studies often include a small and non-randomized sample size, especially those studies that are relevant to treatment. Additionally, studies do not always indicate the types of striae that are treated.

Many more studies have been conducted for nongestational SD, which brings up the concern of whether these results may be extrapolated to SG. SG are commonly regarded as a cosmetic nuisance and overlooked by practitioners as clinically insignificant. Skindex is a validated questionnaire on the quality of life of patients with dermatologic conditions that has been used to assess total impairment caused by SG. The questionnaire focuses on three scales: In a study by Yamaguchi et al. Striae gravidarum are a common form of gestational change that can be a substantial source of distress.

Despite the identification of risk factors, prevention of SG remains challenging. Various therapies have been used to improve the appearance of SG. Fractional lasers and topical medications have yielded promising results.

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Further results from large, randomized-controlled studies are required to validate prevention and treatment options and their long-term efficacy data. All authors listed have contributed sufficiently to the project to be included as authors and all those who are qualified to be authors are listed in the author byline. There were no funding sources for this manuscript. To the best of our knowledge, no conflict of interest, financial or other, exists.

This manuscript has not been previously published and is not under consideration in the same or substantially similar form in any other peer-reviewed media. National Center for Biotechnology Information , U. Int J Womens Dermatol. Published online Dec 6. Park , b G. Kroumpouzos , c, d, e and J.

Author information Article notes Copyright and License information Disclaimer. This article has been cited by other articles in PMC. Abstract Background Striae gravidarum SG are atrophic linear scars that represent one of the most common connective tissue changes during pregnancy. Methods We conducted a literature search using textbooks, PubMed, and Medline databases to assess research performed on the risk factors, prevention, and management of SG.

Results Younger age, maternal and family history of SG, increased pre-pregnancy and pre-delivery weight, and increased birth weight were the most significant risk factors identified for SG. Conclusion Overall, SG has seen a resurgence in research over the last few years with promising data being released. Striae gravidarum, pregnancy, stretch marks, striae distensae. Open in a separate window. Table 1 Risk factors for striae gravidarum.

Table 2 Prevention of striae gravidarum. Table 3 Treatment of striae gravidarum. Striae age ranged from 8 mos to 31 yr and all were white striae. A single patient developed a mild irritant dermatitis. Results Risk factors The most common risk factors for SG include younger age, maternal and family history of SG, higher pre-pregnancy and pre-delivery weight, and higher birth weight Table 1. Prevention Preventative treatments have met with limited success.

Management Although many studies that utilize topical medications or lasers for the treatment of nongestational SD have been performed, only a limited number of these studies focused specifically on SG treatment. Light treatments Light therapy modalities such as intense pulsed light IPL , ultraviolet UV light, and infrared light have been employed for the treatment of nongestational SD.

Other modalities Bipolar radiofrequency demonstrated clinical and histologic improvements in SD Montesi et al. Discussion Stretch marks of pregnancy, which most commonly occur on the abdomen, breasts, hips, and thighs, have notably been a cause of distress and concern for the patient. Conclusion Striae gravidarum are a common form of gestational change that can be a substantial source of distress.

Treatment of striae distensae with microdermabrasion: A clinical and molecular study. J Egypt Wom Dermatol Soc. Laser and light treatments for striae distensae: A comprehensive review of the literature. Am J Clin Dermatol. A comparative study of the effectiveness of intense pulsed light wavelengths nm vs nm in the treatment of striae distensae. J Cosmet Laser Ther. Striae gravidarum in primiparae. Treatment of striae distensae with fractional photothermolysis. Prevention of striae gravidarum with cocoa butter cream.

Int J Gynaecol Obstet. Risk factors associated with striae gravidarum. J Am Acad Dermatol. Treatment of striae alba using the 10,nm carbon dioxide fractional laser.

Wolters Kluwer - Text Atlas of Obstetric Dermatology

Expression of estrogen, androgen, and glucocorticoid receptors in recent striae distensae. Factors associated with the occurrence of striae gravidarum.

J Obstet Gynaecol Br Commonw. Fractional nonablative nm laser treatment of striae distensae in Fitzpatrick skin types II to IV: Clinical and histological results. Effectiveness of Alphastria cream in the prevention of pregnancy stretch marks striae distensae.

Text Atlas of Obstetric Dermatology

Results of a double-blind study. Striae distensae rubrae in monozygotic twins. Striae distensae stretch marks and different modalities of therapy: Is it possible to prevent striae gravidarum? J Chin Med Assoc. Striae gravidarum, vitamin C and other related factors. Int J Vitam Nutr Res. Fitzpatrick's dermatology in clinical medicine. Fitzpatrick's dermatology in general medicine. Use of a specific anti-stretch mark cream for preventing or reducing the severity of striae gravidarum.

Text Atlas of Obstetric Dermatology

Randomized, double-blind, controlled trial. Int J Cosmet Sci. J Eur Acad Dermatol Venereol. Prevalence and associate factors for striae gravidarum. J Med Assoc Thai.

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Topical tretinoin retinoic acid improves early stretch marks. Risk factors of striae gravidarum. Stretch marks during pregnancy: Treatment of striae distensae using an ablative 10,nm carbon dioxide fractional laser: A retrospective review of 27 participants. Two-year follow-up results of copper bromide laser treatment of striae.

J Clin Laser Med Surg. Association of serum relaxin with striae gravidarum in pregnant women. Increased maternal age protects against striae gravidarum. The safety and efficacy of the nm non-ablative fractional XD probe of star lux device in the treatment of striae alba: J Lasers Med Sci. Prophylaxis of Striae gravidarum with a topical formulation. A double blind trial.

Treatment of striae distensae with a TriPollar radiofrequency device: Treatment of stretch marks with the nm flashlamp-pumped pulsed dye laser. Bipolar radiofrequency in the treatment of dermatologic imperfections: Clinicopathological and immunohistochemical aspects. Treatment of striae distensae with needling therapy versus microdermabrasion with sonophoresis. Risk factors for the development of striae gravidarum. Am J Obstet Gynecol. Cocoa butter lotion for prevention of striae gravidarum: A double-blind, randomised and placebo-controlled trial.

John Hopkins University Press; Baltimore: Text Atlas of Obstetric Dermatology. Incidence and risk factors for striae gravidarum. Histopathology of striae distensae, with special reference to striae and wound healing in the Marfan syndrome. Their relation to adrenal cortical hyperfunction. Low-dose tretinoin does not improve striae distensae: Pattern and prevalence of physiological cutaneous changes in pregnancy: A study of antenatal women.

Indian J Dermatol Venereol Leprol. Latin lyric and elegiac poetry: An anthology of new translations. Page 1 of 1 Start over Page 1 of 1. Modern Colposcopy Textbook and Atlas. Callen's Ultrasonography in Obstetrics and Gynecology. Product details File Size: October 1, Sold by: Share your thoughts with other customers. Write a customer review.

Showing of 1 reviews. Top Reviews Most recent Top Reviews. There was a problem filtering reviews right now. Please try again later. An excellent and unique resource in the field of obstetric dermatology. Great number of quality photos. Information included is very useful and up to date. Amazon Giveaway allows you to run promotional giveaways in order to create buzz, reward your audience, and attract new followers and customers. Learn more about Amazon Giveaway.

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