Is Striae Gravidarum related to Cesarean Scar and Peritoneal Adhesions?

Çelik, Esra Yaşar; Ersoy, Ali Özgür; Ersoy, Ebru; Yörük, Özlem; Tokmak, Aytekin; Taşçı, Yasemin

doi:10.12669/pjms.343.14288

Cited by 6 publications

(10 citation statements)

References 23 publications

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“…The severity of striae gravidarum was related to intraabdominal adhesions according to both Dogan et al [6] and Gungor et al [13], contrary to the results of the present study. On the other hand, Celik et al revealed that striae gravidarum are associated with abdominal scar characteristics rather than being associated with intraabdominal adhesions [7], thus agreeing, at least in part, with the present study. This study revealed a significant association between striae color grading (striae alba) and the severity of adhesion, suggesting that the type of striae rather than its severity is associated with intraabdominal adhesions.…”

Section: Discussionsupporting

confidence: 93%

“…These striae may present in any site but are especially common in the abdomen, breast, leg, and buttocks. The disruptions represented by striae vary from one female to another due to genetic differences and other risk factors [7]. The central reason for the appearance of striae gravidarum is unclear, but estrogen, a hormone that increases during pregnancy, plays an important role in the development of skin stretch marks [8].…”

Section: Introductionmentioning

confidence: 99%

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Skin markers and the prediction of intraabdominal adhesion during second Cesarean delivery

2019

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Objectives: The aim of the present study has been to examine skin scar characteristics and striae gravidarum, considering the reliability of each for predicting adhesions in repeat Caesarean sections. Material and methods: A cross-sectional study was done over a period of two years. One hundred pregnant women were invited to participate in the study. Preoperatively, abdominal scar features (according to the scar's appearance) and stria gravidarum were both recorded. Then, at the time of surgery, intraabdominal adhesions were graded according to the modified Nair's classification. Results: Among the skin markers, abdominal scar width (p = 0.001), depressed scar (p = 0.002) and striae colour grading (p = 0.0183) were found to have significant associations with intraabdominal adhesions; yet all were of low validity. Conclusions: Despite growing interest in the use of skin markers in the prediction of intraabdominal adhesions at the time of repeat CS, the present study demonstrates that these markers may not be reliable.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Skin markers and the prediction of intraabdominal adhesion during second Cesarean delivery

2019

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“…In contention with the current study, there was no difference in peritoneal adhesions in women with or without striae [ 9 , 10 ]. However, another study reported higher rates of intraperitoneal adhesions in women with no or mild striae than those with severe striae (67.3, 65.9, and 36.3%, respectively) [ 17 ].…”

Section: Discussioncontrasting

confidence: 68%

“…They explained this by the overexpression of transforming growth factor- Beta. It leads to deficient elastin production, which is a causative factor in the formation of abdominal striae [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections

Elprince

Taha

Ibrahim

et al. 2021

BMC Pregnancy Childbirth

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Background The current fact of increasing rates of cesarean deliveries is a catastrophe. Recurrent cesareans result in intraperitoneal adhesions that would lead to maternal morbidity during delivery. Great efforts are directed towards the prediction of intraperitoneal adhesions to provide the best care for laboring women. The aim of the current study was to evaluate the role of abdominal striae and cesarean scar characters in the prediction of intraperitoneal adhesions. Methods This was a case- control study conducted in the emergency ward of the obstetrics and gynecology department of a tertiary hospital from June to December 2019. The study was carried on patients admitted to the ward fulfilling particular inclusion and exclusion criteria. The study included two groups, group one was assessed for the presence of striae, and the degree of intraperitoneal adhesions was evaluated during the current cesarean section. Group two included patients without evidence of abdominal striae. They were evaluated for the severity of adhesions also after evaluation of the previous scar. Evaluation of the striae was done using Davey’s scoring system. The scar was assessed using the Vancouver Scar Scale. The modified Nair’s scoring system was used to evaluate intraperitoneal adhesions. Results The study group included 203 women, while the control group included 205 women. There were significant differences in the demographic characters of the recruited patients (p-value 0.001 for almost all variables). The mean Davey score in those with mild, moderate, and severe striae was 1.82 ± 0.39, 3.57 ± 0.5, and 6.73 ± 0.94, respectively (p-value < 0.001). Higher scores for the parameters of the Vancouver scale were present in patients with severe striae (1.69 ± 1.01, 1.73 ± 0.57, 2.67 ± 1.23, and 1.35 ± 1.06 for scar vascularity, pigmentation, pliability, and height respectively with a p-value of < 0.001 each). Thick intraperitoneal adhesions were noted significantly in women with severe striae [21 (43.75%), p-value < 0.001)]. The Davey’s and Vancouver scores showed highly significant predictive performance in the prediction of intraperitoneal adhesions (p-value < 0.001). Conclusion Abdominal striae and cesarean scar were significant predictors for intraperitoneal adhesions.

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“…In the study, it was found that the probability of developing SG is about 0.3 times higher in pregnant women under 30 years old. In their systematic review, Farahnik et al 1 (2017), Celik et al (2018), 28 Ersoy et al (2016), 25 Picard et al (2015), 5 Cakir et al (2014), 29 Osman et al (2007), 22 and J‐Orh et al (2008) 23 reported that young age is a risk factor for SG. It was reported that the structure of fibrillin is more fragile in young women, which can lead to the development of SG more easily 25 …”

Section: Discussionmentioning

confidence: 99%

Risk factors of striae gravidarum and chloasma melasma and their effects on quality of life

Türkmen

Yörük

2022

J of Cosmetic Dermatology

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Objective This study aims to determine the risk factors associated with striae gravidarum (SG) and chloasma melasma (CM) and their effects on the quality of life. Methods This descriptive and cross‐sectional study was carried out in Turkey with 1000 pregnant women at 36 weeks of gestation and above. Personal information form, Quality of Life (SF36) Scale, Skindex‐29 Scale, and MelasQoL‐TR questionnaire were applied to pregnant women. Besides, skin types of pregnant women were determined using Fitzpatrick Skin Type Classification. Davey's score was used to determine the severity of SG. Results In the study, the prevalence of SG was found as 67.9% (n = 679), and the prevalence of CM 23.5% (n = 235). There was a significant relationship between young age, low education level, high BMI before pregnancy, history of SG in her previous pregnancy, family history of SG, and development of SG in pregnant women (p = 0.001). There was a significant relationship between CM in her previous pregnancy and family history of CM and development of CM (p = 0.001). The quality of life of pregnant women with SG was found to be lower than without SG (p < 0.001). The quality of life of pregnant women with CM was found to be lower than without CM (p < 0.001). Conclusions As a result, in the study, it was determined that young age, low education level, high BMI, history of SG in previous pregnancy, and family history of SG were risk factors for SG. The risk factors of CM, on the other hand, were found as the history of CM in the previous pregnancy and the family. It was identified that SG and CM have adverse effects on the quality of life.

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Is Striae Gravidarum related to Cesarean Scar and Peritoneal Adhesions?

Cited by 6 publications

References 23 publications

Skin markers and the prediction of intraabdominal adhesion during second Cesarean delivery

Skin markers and the prediction of intraabdominal adhesion during second Cesarean delivery

Prediction of intraperitoneal adhesions using striae gravidarum and scar characteristics in women undergoing repeated cesarean sections

Risk factors of striae gravidarum and chloasma melasma and their effects on quality of life

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