II. Epidemiology
- Incidence: Up to 90% of pregnant women by third trimester
III. Risk Factors
- Younger age
- Fetal Macrosomia
- Obesity (higher prepregnancy BMI)
- Family History
- Non-caucasian
IV. Physiology
- Related to Stretching and skin distention with pregnancy
- Deep Collagen deposits break apart
- Also associated with increased ACTH secretion and other hormonal changes (Estrogen, relaxin)
- Affects connective tissue
V. Signs
VI. Management: Antepartum
- Minimal evidence of benefit of any topical in pregnancy
- Combine topical agents with daily Skin Massage of the involved regions
- Topical agents that have used include cocoa butter, Vitamin E, olive oil, almond oil and aloe vera
- Combination products with possible benefit
- Tocopherol, Fatty Acids, panthenol, hyaluronic acid
- Centella asiatica, alpha-tocopherol, Collagen-elastin
- Unclear safety in pregnancy
VII. Management: Postpartum
- Typical course is for striae to fade postpartum
- Topical Retin A
- Other dermatologic procedures
- Pulsed dye laser at 585 nm
- Microdermabrasion
- Radiofrequency
- Microneedling
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Related Studies
| Definition (NCI) | The visible, linear scarring in the dermis, predominantly of the abdomen due to the stretching of tissue and related hormonal changes during pregnancy. |
| Concepts | Acquired Abnormality (T020) |
| SnomedCT | 271674009, 47212006 |
| English | Stretch marks, Striae gravidarum, stretch marks, stretch mark, striae gravidarum, Pregnancy Stretch Mark, Stretch Marks, Striae gravidarum (disorder) |
| Spanish | estrías del embarazo (trastorno), estrías del embarazo, estrías gravídicas |
Ontology: striae; albicantes (C1410266)
| Concepts | Acquired Abnormality (T020) |
| English | striae; albicantes |
| Dutch | striae; albicantes |
