Prevention of striae gravidarum with cocoa butter cream. Int J Gynecol Obstet

Department of Obstetrics and Gynaecology, University Hospital of the West Indies, Mona, Kingston, Jamaica.
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics (Impact Factor: 1.54). 09/2009; 108(1):65-8. DOI: 10.1016/j.ijgo.2009.08.008
Source: PubMed


To determine whether cocoa butter cream is effective in preventing striae gravidarum.
This randomized, double-blind, placebo-controlled trial enrolled 300 pregnant women: 150 women received cocoa butter cream and 150 women received a placebo cream. The women were followed-up from 16 weeks of pregnancy to delivery to assess the development of striae gravidarum. Maternal height, weight, and abdominal girth were recorded at each visit. After delivery the placenta was weighed, and anthropometry and Apgar scores of the neonate were recorded.
The 2 groups had similar clinical parameters at booking. Striae gravidarum developed in 44% of patients using cocoa butter cream compared with 55% of those using placebo; the difference was not significant (chi(2)=2.8, df(1), P=0.09). Striae gravidarum were more common among younger women and those with large neonates. However, no relationship was found between development of striae and body mass index.
Cocoa butter cream does not prevent striae gravidarum. In Afro-Caribbean women, development of striae is related to young age of the mother and large neonates.

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    • "For the standardization of scoring for objectivity, a researcher (Yamaguchi) visited every clinic and educated the researchers to learn Davey’s score using the drawings in the manuscript written by Buchanan, et al. [15]. During the research, the rate of appearance of striae gravidarum was periodically compared among clinics. "
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    ABSTRACT: Striae 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. A 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. The 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). There 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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    ABSTRACT: 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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