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Stretch Marks in Pregnancy (Striae Gravidarum)

Striae gravidarum or Stretch marks are purplish red streaky scars, which appear when the skin is overstretched. They appear during pregnancy over the abdomen where the skin is supple, usually in the third trimester or the later months when the skin is highly stretched to accommodate the growing fetus. They may also appear over the breast, more so during the period of breast-feeding when the breasts swell up and increase much in size. Apart from these areas, striae are also seen on the hips, buttock and inner and outer thigh. About 70-90% of pregnant women develop stretch marks over the abdomen. Up to 90% of women develop stretch marks over some part of their body due to the excess weight gain of pregnancy.

Most light skinned women have pinkish colored striae and the dark skinned have striae that are lighter than the surrounding area. Most women start to worry about striae or stretch marks after they have their baby. A little attention to the rate of weight gain and skin stretch during the pregnancy period can definitely go a long way in reducing them. The more weight gained during pregnancy, the more likely are you to develop them. In some women, changes in weight are drastic and happen very rapidly causing a sudden stretch of the skin and the dermal protein tissues tears.

This initially appears pinkish and later fades to a white silvery scar, which remains as a stretch mark. Women who have big babies or women with a twin or multiple pregnancy have more chances of having striae as their skin is stretched more due to the bulk of space needed to accommodate more than one fetus. The likelihood of having striae increases if you had them during the pubertal period or in a previous pregnancy, if you gain weight more than what is recommended, or if your body is in a general malnourishment status. Women who have a lot of striae should report this to their doctor as they might be prone to having more vaginal lacerations and tears during a normal vaginal delivery. This is due to dermal matrix with a weak protein framework as is suggested by the large number of striae or deeper indented striae on the abdomen. Skin over the abdomen is supple and has an underneath fat deposition. Sudden loss of weight after the baby is born makes the skin loose and striae appear prominent at that time, which is when most women start worrying about them. Normally after pregnancy, these stretch marks fade away slowly as the body comes back to normalcy and is repairing all the tissues. Usually after12 months post partum these marks do fade away and are much lighter than before. Steps to take for Prevention • To avoid stretch marks over the breasts, try wearing a supportive maternity bra specially made to give extra support for the heavier breasts during pregnancy and in the lactation period.

• Topical creams containing retinol or retinoic acid/ Retin-A should be avoided during pregnancy and after pregnancy as their safety during the lactation period is not well studied. • Eat a good nutritious diet and avoid fattening foods, stretch marks can also result from nutritional deficiency. Eat food rich in proteins, as this would strengthen the protein framework of elastin and collagen in the skin. Be sure to consume food that promote skin health: -Zinc-rich foods such as nuts or fish -Foods high in vitamins A, C, D, such as carrots, citrus fruits and milk. -Protein-rich foods (such as eggs). • You can always prevent stretch marks with exercise and water; make sure you are maintaining healthy skin! Mama always told you to drink plenty of water. Maybe she knew this: it helps prevent stretch marks, too! Proper water intake keeps your skin soft and less likely to develop stretch marks. Caffeine can increase your risk of stretch marks. If you're stuck on your caffeinated coffee or tea, make sure you balance the fluids. Drink just as much - or more - water as you drink coffee, tea or soda.

Many women use moisturizers and lotions, during their pregnancy to prevent stretch marks and worry about them constantly. Most creams in the market only provide temporary moisture that lasts for a few hours, and thus not enough to prevent stretch marks. Search the market for the best topical creams, those containing biological activators of skin renewal, for they also get rid of damaged proteins within your skin and promote the production of glycosaminoglycans, the true moisture holding molecules within your skin. Glycosaminoglycans play a critical role as shock absorbents, to provide binding, hydrating and swelling pressure to tissues, enabling them to withstand compressional forces and thus prevent tearing and scarring of the deep layers of the skin during pregnancy outgrowth, growth spurts during adolescence, overstretching by body building (in association with steroids) or over stretching by more than average weight gain. They also play a vital role in cell proliferation, migration and adhesion. Enjoy your pregnancy rather than worrying about it. Instead, concentrate on gaining the recommended amount of weight, between 25 - 34 pounds, in a graded manner. Remember that pregnancy is a wonderful and joyful period in a woman’s life, meant for enjoyment. Treatment Options for Stretch Marks There are several treatment options for stretch marks. If you are serious about getting ride of those unwanted stretch marks, it's best to be in the care of a surgeon or dermatologist who can recommend your best options.

Some medications can cause stretch marks like hormones and steroids, so it’s always best to be honest with your doctor so he can take a detailed medical history, including the medications you are actually taking so he can provide you the best treatment for these ugly marks. However, there are two main methods for getting ride of stretch marks; surgical Methods and natural methods which involve lotions and creams. SurgicalMethods Dermabrasion or chemical peel can be used to address unwanted stretch marks. Micro-dermabrasion can also help. It is a skin-freshening technique that helps repair skin conditions. The micro-dermabrasion technique abrades the skin with a high-pressure flow of crystals, which stimulates the formation of new collagen and elastin. This causes the attenuated epidermis to heal more effectively, making stretch marks heal and become much less noticeable. There are new advances in laser surgeries, they are much expensive but also very effective if used during the early stages. Dermatologists use a pulsed dye laser to fade red marks.


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