Ciechanowicz Piotr, Sikora Mariusz, Taradaj Karol, Ruta Agnieszka, Rakowska Adriana, Kociszewska-Najman Bożena, Wielgoś Mirosław, Rudnicka Lidia
Department of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, Poland.
Ginekol Pol. 2018;89(8):449-52. doi: 10.5603/GP.a2018.0077.
The aim of the study was to investigate the prevalence of self-reported skin complaints during pregnancy, applied treatment and the impact on well-being of pregnant women.
We asked 1935 women that were maximum 4 years after labor to fill in our questionnaire. The questionnaire included questions concerning the course of pregnancy, observed skin lesions, applied treatment and influence on the quality of life.
Skin changes during pregnancy were reported by 1447 patients (74.78%). The prevalence of self-reported skin complaints were as follows: stretch marks (77.4%), acne (21.6%) and recurrent herpes labialis (11.6%). In 43.67% (n = 632) of women who reported dermatological problems during pregnancy the disease caused significant deterioration in their well-being. Only 168 patients (11.61%) received dermatological treatment from their obstetricians. Dermatological con-sultation required 217 patients (14.99%). For 133 of treated women (25.68%) the recommended treatment was expensive. However, in the majority of patients (379; 73.15%) who received treatment the skin changes resolved after therapy. Skin symptoms resolved significantly faster in the treated group (3.5 ± 4.3 week vs 5.8 ± 6.2 week; p < 0.001).
Self-reported skin complaints seem to be a relevant problem during pregnancy. Proper skin care as well as appropriate treatment applied by obstetricians and/or dermatologists may help women to recover.
本研究旨在调查孕期自我报告的皮肤问题患病率、所采用的治疗方法以及对孕妇幸福感的影响。
我们邀请了1935名产后最多4年的女性填写我们的问卷。问卷包括有关孕期过程、观察到的皮肤病变、所采用的治疗方法以及对生活质量影响的问题。
1447名患者（74.78%）报告了孕期皮肤变化。自我报告的皮肤问题患病率如下：妊娠纹（77.4%）、痤疮（21.6%）和复发性唇疱疹（11.6%）。在孕期报告有皮肤问题的女性中，43.67%（n = 632）表示该疾病导致她们的幸福感显著下降。只有168名患者（11.61%）从产科医生那里接受了皮肤科治疗。217名患者（14.99%）需要皮肤科会诊。对于133名接受治疗的女性（25.68%）来说，推荐的治疗费用昂贵。然而，在大多数接受治疗的患者（379名；73.15%）中，治疗后皮肤变化得到缓解。治疗组的皮肤症状缓解明显更快（3.5 ± 4.3周对5.8 ± 6.2周；p < 0.001）。
自我报告的皮肤问题在孕期似乎是一个相关问题。产科医生和/或皮肤科医生进行适当的皮肤护理和治疗可能有助于女性康复。
