Effects of olive oil on striae gravidarum in the second trimester of pregnancy
Iran University of Medical Sciences, Tehran, Iran.Complementary therapies in clinical practice 08/2011; 17(3):167-9. DOI: 10.1016/j.ctcp.2010.10.003
This study was performed in order to determine the effects of olive oil on striae gravidarum (SG) occurring within the second trimester of pregnancy. The intervention group, applied olive oil on their abdominal skin area twice a day until the end of the study term. The control group did not use any oil. Striae occurred in 40% of women using olive oil whilst striae were noted to occur in 50% of the control group. There was no significant difference between the intervention and control groups. This study notes that the use of olive oil to the end of the second trimester in pregnancy was not effective in reducing the occurrence of striae gravidarum.
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- "Several treatments for SD have been suggested but no consistent treatment modality has been established yet. "
ABSTRACT: Rapid stretching of the skin over the weak connective tissue leads to development of striae distensae. Recently, researchers have shown special interest towards use of fractional photothermolysis in treatment of striae and several studies have shown its usefulness. Our aim was to assess the efficacy of Fractional CO2 laser in treatment of striae alba. A randomized clinical trial was carried out in female patients with striae alba. Ninety two striae were randomly selected and divided into two groups. Five sessions of laser resurfacing, were performed in Group 1, every 2-4 weeks. Group 2 was treated with 10% glycolic acid+0.05% tretinoin cream nightly during the study. Photographs were taken from the striae before and two weeks after the end of treatment. Mean surface area of striae compared between two groups. Patients' views regarding the degree of improvement were assessed via visual analogue scale (VAS). Forty six striae in Group 1 underwent laser resurfacing and 46 matched striae in Group 2, were treated with topical cream. Mean difference of striae surface area, was significantly decreased after treatment in Group 1 (-37.1±15.6 cm(2)) in comparison with Group 2(-7.9±9 cm(2)) (P value >0.001). Mean VAS was significantly higher in Group 1 (3.05±0.74) compared to Group 2 (0.63±0.66) (P value >0.001). Fractional photothermolysis via Fractional CO2 laser seems to be an effective method for treatment of striae alba.Journal of research in medical sciences 10/2012; 17(10):928-33. · 0.65 Impact Factor
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ABSTRACT: BACKGROUND: Striae gravidarum (stretch marks developing during pregnancy) occur in 50% to 90% of women. They appear as red or purple lines or streaks that fade slowly to leave pale lines or marks on the skin. The abdomen, breasts and thighs are commonly affected. The exact cause of stretch marks is unclear and no preparation has yet been shown to be effective in preventing the development of stretch marks. They are a source of significant anxiety for women, impacting on their quality of life. OBJECTIVES: To assess the effects of topical preparations on the prevention of stretch marks in pregnancy. SEARCH METHODS: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 October 2011) and reference lists of retrieved reports. SELECTION CRITERIA: We included randomised controlled trials and quasi-randomised controlled trials comparing topical preparations (with active ingredients) with other topical preparations (with active ingredients), with a placebo (that is, preparations without active ingredients) or with no treatment for the prevention of stretch marks in pregnant women. DATA COLLECTION AND ANALYSIS: Three review authors independently assessed trial eligibility and trial quality, and extracted data. Data were checked for accuracy. The primary outcome was the presence of stretch marks and the secondary outcome was the severity of stretch marks. MAIN RESULTS: We included six trials involving 800 women. Of the six trials, we judged the risk of bias for three as 'low risk' for random sequence generation, blinding of participants and personnel, blinding of outcome assessment, completeness of outcome data and selective reporting.There was no statistically significant average difference in the development of stretch marks in women who received topical preparations with active ingredients compared to women who received a placebo or no treatment (average risk ratio (RR) 0.74; 95% confidence interval (CI) 0.53 to 1.03; five trials, 474 women; random-effects model, Tau² = 0.09, I² = 65%) (Analysis 1.1).Results were consistent with the main effects when we performed a sensitivity analysis excluding studies judged to be at high risk of bias for random sequence generation, allocation concealment or more than 20% missing data for a given outcome (average RR 0.81; 95% CI 0.60 to 1.10; four trials, 424 women; random-effects model, Tau² = 0.05, I² = 57%).The was no statistically significant average mean difference in the severity of stretch marks (standardised mean difference (SMD) -0.31; 95% CI -1.06 to 0.44; two trials, 255 women; Tau² = 0.26, I² = 87%).There was no statistically significant difference in the development of stretch marks in women who received topical preparations with active ingredients compared to women who received other topical preparations with active ingredients (average RR 0.51; 95% CI 0.16 to 1.60; two trials, 305 women; Tau² = 0.53, I² = 74%). There was no statistically significant difference in the severity of stretch marks (mean difference (MD) -0.20; 95% CI -0.53 to 0.13; one trial, 206 women; heterogeneity not applicable). AUTHORS' CONCLUSIONS: We found no high-quality evidence to support the use of any of the topical preparations in the prevention of stretch marks during pregnancy. There is a clear need for robust, methodologically rigorous randomised trials involving larger sample sizes to evaluate the effects of topical preparations on the development of stretch marks in pregnancy. In addition, it is important that preparations commonly used by women to prevent and treat stretch marks are evaluated within the context of robust, methodologically rigorous and adequately powered randomised trials.Cochrane database of systematic reviews (Online) 11/2012; 11(11):CD000066. DOI:10.1002/14651858.CD000066.pub2 · 6.03 Impact Factor
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ABSTRACT: This study aims to identify the effect of applying bitter almond oil with and without massage on preventing striae gravidarum during pregnancy. Striae gravidarum is a dermatological problem bringing about cosmetic concerns in about 90% of pregnant women. On the onset, striae gravidarum appears as a pink-purple atrophic strip. Striae appear pale atrophic in the postnatal period, but they never disappear completely. In view of the physiology of striae gravidarum formation, this study employs a posttest-only quasi-experimental design with a control group. The participants of this study were the primiparous women who visited the pregnancy unit of a medical centre in the eastern region of Turkey between February 1st, 2010 and April 15th, 2011. The participants were divided into three groups: the primiparous women who applied bitter almond oil with massage (n = 47), who merely applied bitter almond oil (n = 48) and who were in the control group (n = 46). The frequency of striae gravidarum was 20% among the women who applied bitter almond oil with massage, 38·8% among those who merely applied almond oil and 41·2% in the control group. A statistically significant difference was observed in the frequency of striae gravidarum between the groups, and it was the group who applied almond oil with massage that accounted for the difference (p < 0·001). The frequency of striae gravidarum was also found to be lower in the group who applied almond oil with massage compared to the others (p < 0·05). It was found that a 15-minute massage applied with almond oil during pregnancy reduced the development of striae gravidarum, but using bitter almond oil had no effect on this in itself. It is recommended that pregnant women be informed about the positive effects of massaging applied with almond oil early during their pregnancy. Nurses and midwives can use the findings of this study in preventing the development of striae gravidarum during pregnancy.Journal of Clinical Nursing 06/2012; 21(11-12):1570-6. DOI:10.1111/j.1365-2702.2012.04087.x · 1.26 Impact Factor
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