Vol 89, No 8 (2018)
Research paper
Published online: 2018-08-31

open access

Page views 2870
Article views/downloads 2204
Get Citation

Connect on Social Media

Connect on Social Media

Skin changes during pregnancy. Is that an important issue for pregnant women?

Piotr Ciechanowicz1, Mariusz Sikora1, Karol Taradaj, Agnieszka Ruta, Adriana Rakowska1, Bożena Kociszewska-Najman2, Mirosław Wielgoś2, Lidia Rudnicka1
Pubmed: 30215465
Ginekol Pol 2018;89(8):450-453.

Abstract

Objectives: 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.

Material and methods: 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.

Results: 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 con­sultation 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).

Conclusions: 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.

Article available in PDF format

View PDF Download PDF file

References

  1. Kannambal K, Tharini GK. A Screening Study on Dermatoses in Pregnancy. J Clin Diagn Res. 2017; 11(5): WC01–WC05.
  2. Ambros-Rudolph CM, Müllegger RR, Vaughan-Jones SA, et al. The specific dermatoses of pregnancy revisited and reclassified: results of a retrospective two-center study on 505 pregnant patients. J Am Acad Dermatol. 2006; 54(3): 395–404.
  3. Sävervall C, Sand FL, Thomsen SF. Dermatological Diseases Associated with Pregnancy: Pemphigoid Gestationis, Polymorphic Eruption of Pregnancy, Intrahepatic Cholestasis of Pregnancy, and Atopic Eruption of Pregnancy. Dermatol Res Pract. 2015; 2015: 979635.
  4. Kumari R, Jaisankar TJ, Thappa DM. A clinical study of skin changes in pregnancy. Indian J Dermatol Venereol Leprol. 2007; 73(2): 141.
  5. Makara-Studzińska M, Pietrzak A, Lewicka M, et al. Somatic and non-somatic problems connected with psoriasis in pregnancy. Ginekol Pol. 2013; 84(3): 211–213.
  6. Panicker VV, Riyaz N, Balachandran PK. A clinical study of cutaneous changes in pregnancy. J Epidemiol Glob Health. 2017; 7(1): 63–70.
  7. Fernandes LB, Amaral WN. Clinical study of skin changes in low and high risk pregnant women. An Bras Dermatol. 2015; 90(6): 822–826.
  8. Al-Himdani S, Ud-Din S, Gilmore S, et al. Striae distensae: a comprehensive review and evidence-based evaluation of prophylaxis and treatment. Br J Dermatol. 2014; 170(3): 527–547.
  9. Farahnik B, Park K, Kroumpouzos G, et al. Striae gravidarum: Risk factors, prevention, and management. Int J Womens Dermatol. 2017; 3(2): 77–85.
  10. Bieber AK, Martires KJ, Stein JA, et al. Pigmentation and Pregnancy: Knowing What Is Normal. Obstet Gynecol. 2017; 129(1): 168–173.
  11. Chaudhary R, Mahakal N, Chauhan A, et al. Dermatological Disorders in Pregnancy: A Cross-Sectional Study. Int J Sci Study. 2015; 3(8): 118–122.
  12. Vaughan Jones S, Ambros-Rudolph C, Nelson-Piercy C. Skin disease in pregnancy. BMJ. 2014; 348: g3489.
  13. Ficarra G, Birek C. Oral herpes simplex virus infection in pregnancy: what are the concerns? J Can Dent Assoc. 2009; 75(7): 523–526.
  14. Urasaki M. Alterações fisiológicas da pele percebidas por gestantes assistidas em serviços públicos de saúde. Acta Paulista de Enfermagem. 2010; 23(4): 519–525.