Stria Gravidarum ve İlişkili Faktörler

Öz

Çalışmanın amacı primiparlarda stria gravidarumsıklığı ve etkileyen faktörlerin belirlenmesidir. Çalışma Türkiye’nin doğusunda bulunan Adıyaman ilindeki büyük bir devlet hastanesinde yürütülmüştür. Araştırmanın örneklemini basit rasgele örnekleme yöntemiile seçilen toplam 256 primipar kadın oluşturmuştur.Veriler kikare testi, t testi ve backward stepwise lojistik regresyon analizi kullanılarak değerlendirildi. Tüm kadınların %78’inde stria gravidarum gelişmişti. Kadınlar gebelikleri sırasında %39’unda karın bölgesinde, %36’sı göğüste, %45’i kalça gölgesinde stria gravidarum geliştiğini belirtmişlerdir. stria gravidarum gelişme riski yaş artışı ile 0.8 kat, aile hikayesinde stria gravidarum varlığı 3.6 kez, yenidoğanın boyundaki artış ile 2.0 kat arttığı saptanmıştır. Çalışmanın sonucunda anne yaşı, yenidoğanın boyu ve aile hikayesi stria gravidarum için risk faktörleri olarak saptandı.

Anahtar Kelimeler

• Gebelik, hemşirelik, ilişkili faktörler, stria gravidarum

STRIAE GRAVIDARUM AND RELATED FACTORS

Öz

The study aim to examine the prevalence of striae gravidarum in primiparae and identify related risk factors.The study was conducted at a large Government Hospital in Adıyaman, Eastern Turkey. The sample of thestudy consisted of 256 primipara women chosen with the improbable random sampling method.The total striae scores were obtained at the abdomen, thighs and breast. Data were analyzed using chi-squared test, t-test and backward stepwise logistic regression. Of all women, 78% were developed striae gravidarum. Of all Women during pregnancy, 39% developed striae gravidarum on the abdomen, 36% developed striae gravidarum on the breasts, and 45% developed striae gravidarum on the thighs during their pregnancy. Development possibility of striae gravidarum increased by 0.8 times with a given decrease in age, 3.6 times in the individuals with family history of striae gravidarum, and 2.0 times with a given increase in newborn height. It was concluded in the study that maternal age, birth height of baby and family history were related with striae gravidarum

Anahtar Kelimeler

• Pregnancy,nursing,related factors,striae gravidarum

Kaynakça

1. Atwal GSS, Manku LK, Griffiths CEM, Polson DW. Striae Gravidarum in Primipara. The British Journal of Dermatology 2006; 155(5): 965-969.
2. Buchanan K, Fletcher HM, Reid M. Prevention of Striae Gravidarum with Cocoa Butter Cream. International Journal of Gynecology and Obstetrics 2010; 108(1): 65-68.
3. Chang AL, Agredano YZ, Kimball AB. Risk Factors Associated with Striae Gravidarum. Journal of the American Academy Dermatology 2004; 51(6): 881885.
4. Fuhrman L. Common Dermatoses of Pregnancy. The Journal of Perinatal and Neonatal Nursing 2000; 14(1): 1-16.
5. Ghasemi A, Gorouhi F, Firoozabadi MR, Jafarian S, Firooz A. Striae Gravidarum: Associated Factors. Journal of the European Academy of Dermatology and Venereology 2007; 21(6): 743-746.
6. Goldman MP. Universal Classification of Skin Type. In: Melvin AS, Sid JM, Samuel ML, Chelso GC eds. Simplified Facial Rejuvenation. Springer Berlin Heidelberg; 2008.p.47-50.
7. Halperin O, Raz I, Ben-Gal L, Or-Chen K, Granot M. Prediction of Perineal Trauma During Childbirth By Assessment of Striae Gravidarum Score. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2010; 39(3): 292-7.
8. J-Orh R, Titapant V, Chuenwattana P, Tontisirin P. Prevalence and Associate Factors for Striae Gravidarum. Source Journal of the Medical Association of Thailand 2008; 91(4): 445-451.

9. Osman H, Rubeiz N, Tamim H, Nassar AH. Risk Factors for the Development of Striae Gravidarum. American Journal of Obstetrics&Gynecology 2007; 196(1): 62-67.
10. Osman H, Usta IM, Rubeiz N, Abu-Rustum R, Charara I, Nassar AH. Cocoa Butter Lotion for Prevention of Striae Gravidarum: A Double-Blind, Randomised and Placebo-Controlled Trial. International Journal of Obstetrics and Gynaecology 2008; 115(9): 1138-1142.
11. Özdemir M, Özdemir S. Physiologic Skin Changes in Pregnancy. Dermatose 2006; 5: 22-25.
12. Pençe B, Kundakçı N, Avşar F. Sking Changes and Dermatoses of Pregnancy. Turkish Journal of Dermatol 1994; 4(2): 81-90.
13. Susanne V, Frank CP. Physiological Changes in The Skin During Pregnancy. Clinics in Dermatology 1997; 15: 35-43.
14. Thomas RGR, Liston WA. Clinical Associations of Striae Gravidarum. Journal of Obstetrics and Gynaecology 2004; 24 (3): 270-271.
15. Watson RE, Parry EJ, Humphries JD Jones CJP, Polson DW, Kielty CM et al. Fibrillin Microfibrils are Reduced in Skin Exhibiting Striae Distensae. The British Journal of Dermatology 1998;138(6):931-938.
16. Yılmaz E. Physiologic Skin Changes in Pregnancy. Dermatology 2007; 13-18.
17. Young G, Jewell D. Creams for Preventing Stretch Marks in Pregnancy. Cochrane Database of Systematic Reviews 2000; 2: CD000066