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Stretch Marks during
Pregnancy
courtesy by:
James Brann, MD.,
More than half of all pregnant women will
develop stretch marks during their pregnancy. Otherwise
known as striae gravid arum, stretch marks look like
streaks on the surface of the skin, and may vary in
colour depending on your natural skin colour. Most
lightly skinned women develop pinkish stretch marks,
whereas darker skinned women tend to have stretch marks
that are lighter than the surrounding skin.
Most women develop stretch marks on their
abdomen during pregnancy; however it is also common to
get stretch marks on the buttocks, hips, breasts and
thighs. In some cases up to 90 percent of women have
stretch marks on some part of their body as a result of
pregnancy.

What Causes Stretch Marks?
Stretch marks form when your skin is
stretched rapidly as happens during pregnancy. Most women
develop stretch marks during the later trimesters of
pregnancy though some women start to develop them as soon
as their bellies start growing.
Stretch marks are actually small tears that
form in the tissue that supports the skin and helps it
stretch. Stretch marks represent the tearing or
separation of collagen from the skin when tearing occurs.
Stretch marks are not harmful or painful and usually fade
over time.
Who Gets Stretch Marks
Many women believe that using lotions and
creams help prevent stretch marks. Realistically speaking
however, the number of stretch marks you get depends on
how elastic your skin is. The elasticity of your skin
usually relates to your genetic make up. The best thing
you can do is find out if your mother got bad stretch
marks during pregnancy. If she did, you are probably more
prone to stretch marks than other women.
Keep in mind the more weight you gain during
pregnancy the more likely you are to have stretch marks.
Normally the skin is elastic and capable of stretching
quite a bit, however for some women the changes that
occurs during pregnancy is very drastic. These rapid
fluctuations of weight and skin stretching can result in
stretch marks.
Women with multiples are more likely to get
stretch marks because their bellies usually grow much
larger than women with single pregnancies. Other women
likely to develop stretch marks include women who gain a
lot of weight quickly during their pregnancy and women
who carry big babies.
Here are some other factors that may
contribute to your susceptibility to stretch marks:
- If you developed stretch marks before
(like on your breasts during puberty) you are more
likely to get stretch marks while pregnant.
- If you had stretch marks during another
pregnancy you will usually get them again.
- If you are overweight or gain more
weight than recommended you are more likely to get
stretch marks.
- The better hydrated and well nourished
you are the less likely you are to develop serious
stretch marks.
Stretch Mark Prevention
Most women believe that they can prevent
stretch marks by using creams and lotions. There are many
formulations on the market today that claim to help
prevent stretch marks. Some of these may help moisturize
your skin and reduce itching. They may help reduce some
stretch marks however there are no scientific studies
that support this.
You probably know at least one parent
however that swears by cocoa butter or some other
formulation to prevent stretch marks. If nothing else
rubbing these creams into your belly provides your unborn
baby with a light and comforting massage. They may also
give you peace of mind knowing you did everything
possible to prevent stretch marks.
The best thing you can do to minimize
stretch marks aside from using any creams or moisturizers
you select is gaining the recommended amount of weight
during pregnancy. Doctors recommend most women gain
between 25 and 34 pounds. Gaining much more than this can
cause you to develop more stretch marks.

Removing Stretch
Marks
Most women worry about stretch marks after
they have their baby. Fortunately most stretch marks do
fade with time. Usually after 12 moths postpartum most
stretch marks are light and less noticeable. Their
texture may remain different from the surrounding skin
however. Many women notice their stretch marks fading
into whitish lines that are minimally noticeable.
Some women have very severe stretch marks
that impact their self esteem after pregnancy. There are
many treatments available for women that want to improve
the appearance of their stretch marks.
If your stretch marks are particularly bad,
you may consult with your doctor or a dermatologist. Some
topical treatments such as tretinoin cream can help
reduce stretch marks. These creams must be used after pregnancy
however, because they can cause defects in your unborn
baby.
Most of the topical treatments available
should be used shortly after delivery, before they start
to fade. The more time that passes between the delivery
and use of cream, the less likely they are to be
effective.
If you are breastfeeding it is important you
consult with your doctor before using any stretch mark
treatments. Some treatments may impact your milk supply
or pass through the breast milk to your baby.
Most of the creams available to reduce
stretch marks do not help relieve the sagging skin that
also accompanies childbirth. There are some newer
treatments including laser treatments however that may
improve the skins elasticity and help reduce stretch
marks. Some women also consider plastic surgery after
they are done having children. A tummy tuck can help hide
some stretch marks and reduce sagging skin.
Most women are able to joyfully overlook
stretch marks when they consider the miracle of life they
bring into the world. For the most the small annoyance
even the worst stretch marks bring are well worth the
joys of bringing a newborn baby into the world. Do what
you can during pregnancy to maintain an appropriate
weight and try not to worry too much about stretch marks.
Many women wear them with pride, a ‘war wound’ or “badge
of honour” related to their pregnancy. Why not wear them
with pride?

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