Kocaöz Semra, Gördeles Beşer Nalan, Kizilirmak Aynur
Nursing Department, Department of Obstetrics and Gynecology Nursing, Niğde Zübeyde Hanım School of Health, Niğde Ömer Halisdemir University, Niğde, Turkey.
Nursing Department, Department of Mental Health Nursing, Niğde Zübeyde Hanım School of Health, Niğde Ömer Halisdemir University, Niğde, Turkey.
J Matern Fetal Neonatal Med. 2020 Dec;33(23):3922-3928. doi: 10.1080/14767058.2019.1591363. Epub 2019 Mar 21.
The study was conducted to identify the striae gravidarum (SG) prevalence in primigravid women, the influencing risk factors and the preventive interventions, and also to investigate its effect on body perception. This cross-sectional and descriptive study was conducted on 421 primigravid women who presented to a training and research hospital to have a nonstress test during routine follow-up. The data of the study were collected with the "Data Collection Form", "Fitzpatrick Skin Type Scale", "Davey's Severity Score of Striae Gravidarum" and "Body Image Scale (BIS)". SG was found to be present in 67% of primigravid women. According to the results of the logistic regression analysis conducted, the presence of social security, sleep duration, BMI in pregnancy, and a history of striae in the mother and/or sister were found to be associated with SG presence ( < 0.05). A very weak positive relationship was found between SG severity in primigravidas and the score obtained from BIS ( < 0.05). The body perception of the pregnant women worsened in the presence of SG and a very weak negative relationship was found between the number of interventions used for prevention and the BIS score ( < 0.05). SG is seen in 7 of 10 women and affects body perception negatively. We recommend providing training and consultancy services both before and during pregnancy on the interventions and lifestyle changes required and topical preparations that can be used to prevent or decrease the severity of SG while taking the risk factors causing the problem into account.
本研究旨在确定初产妇妊娠纹（SG）的患病率、影响风险因素及预防干预措施，并调查其对身体认知的影响。这项横断面描述性研究对421名在常规随访期间到一家培训和研究医院进行无应激试验的初产妇进行。研究数据通过“数据收集表”、“菲茨帕特里克皮肤类型量表”、“戴维妊娠纹严重程度评分”和“身体意象量表（BIS）”收集。发现67%的初产妇有妊娠纹。根据所进行的逻辑回归分析结果，发现社会保障状况、睡眠时间、孕期体重指数以及母亲和/或姐妹有妊娠纹病史与妊娠纹的存在相关（<0.05）。初产妇妊娠纹严重程度与BIS得分之间存在非常微弱的正相关（<0.05）。妊娠纹的存在会使孕妇的身体认知变差，且预防所用干预措施的数量与BIS得分之间存在非常微弱的负相关（<0.05）。十分之七的女性会出现妊娠纹，并对身体认知产生负面影响。我们建议在怀孕前和怀孕期间，考虑到导致问题的风险因素，就所需的干预措施、生活方式改变以及可用于预防或减轻妊娠纹严重程度的局部制剂提供培训和咨询服务。
