Department of Midwifery, Faculty of Health Sciences, Balıkesir University, Balıkesir, Turkey.
J Cosmet Dermatol. 2023 Feb;22(2):603-612. doi: 10.1111/jocd.14783. Epub 2022 Feb 7.
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.
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.
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).
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.
本研究旨在确定妊娠纹(SG)和黄褐斑(CM)的相关风险因素及其对生活质量的影响。
这是在土耳其进行的一项描述性和横断面研究,共有 1000 名怀孕 36 周及以上的孕妇参与。向孕妇发放个人信息表、生活质量(SF36)量表、Skindex-29 量表和 MelasQoL-TR 问卷,并使用 Fitzpatrick 皮肤类型分类法确定孕妇的皮肤类型。采用 Davey 评分来确定 SG 的严重程度。
研究发现,SG 的患病率为 67.9%(n=679),CM 的患病率为 23.5%(n=235)。孕妇年龄较小、受教育程度较低、怀孕前 BMI 较高、既往妊娠有 SG 史、有 SG 家族史和发生 SG 与 SG 的发生有关(p=0.001)。孕妇既往妊娠有 CM 和 CM 家族史与 CM 的发生有关(p=0.001)。有 SG 的孕妇生活质量低于无 SG 的孕妇(p<0.001)。有 CM 的孕妇生活质量低于无 CM 的孕妇(p<0.001)。
因此,在本研究中,确定了年龄较小、受教育程度较低、BMI 较高、既往妊娠有 SG 史和有 SG 家族史是 SG 的危险因素。另一方面,CM 的危险因素为既往妊娠史和家族史。确定 SG 和 CM 对生活质量有不良影响。