THE EFFECT OF TOPICAL APPLICATION OF APPLE VINEGAR ON STRIAE GRAVIDARUM: A RANDOMIZED CLINICAL TRIAL

Authors

  • Maryam Eshghizadeh Department of Medical-Surgical Nursing, Faculty of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
  • Mahdi Basirimoghaddam Department of Medical-Surgical Nursing, Faculty of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.
  • Samane Najafi Department of Family Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
  • Zahra Rezvanifar BSN, Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.
  • Mahdieh Atarodi BSN, Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.
  • Mahboobeh Baghban BSN, Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i7.25592

Keywords:

Striae gravidarum, Apple vinegar, Women, Body image

Abstract

Objective: Striae happen to 50–90% of pregnant women and never disappears completely. It is, therefore, a major aesthetic concern for most women, which can cause psychological distress and disturbed body image. This study was conducted to examine the effectiveness of the topical use of apple vinegar on striae gravidarum.

Methods: This randomized controlled clinical trial study was conducted on 23 women referred to health centers in Gonabad city, selected according to inclusion criteria and systematic random method. The right half of the abdomen in each participant was considered as a trial group and the left half as the control. On the trial side, apple vinegar was massaged onto striae twice daily for 1 month. Data were collected using a demographic questionnaire, checklist of striae aesthetic change, a pair of calipers and a camera and analyzed in SPSS-20 using descriptive statistics, paired t, and Wilcoxon tests at significance level p<0.05.

Results: No significant change was observed in mean length and width of striae in either trial or control sides after the intervention (p>0.05). However, on the trial side, the difference between striae length and width before and after the intervention was statistically significant (p<0.001). A significant difference was observed during intervention in the reduction in striae length and width on trial side (p<0.001).

Conclusion: Topical application of apple vinegar effectively reduces the size of striae. Further and longer studies with larger sample size are recommended.

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Author Biography

Samane Najafi, Department of Family Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

*. Corresponding Author, MSN, Lecturer in Nursing Education, Department of Family Health, Social Development & Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.

References

Bahrami N, Soleimani MA, Shaighan H. Severity of striae gravidarum and its related factors in primiparous women. J Shahrekord Univ Med Sci 2013;15:64-73.

Cunningham W. Pregnancy Williams. 1st Printing. Tehran: Arjmand Publication; 2013.

Taavoni S, Soltanpour F, Haghani H, Ansarian H, Kheirkhah M. A servey of the effect of olive oil and saj cream on striae gravidarum in the second trimester of pregnanc. Iran J Nurs 2012;25:45-51.

Orh RJ, Titapant V, Chuenwattana P, Tontisirin P. Prevalence and associate factors for striae gravidarum. J Med Assoc Thailand 2008;91:445-51.

Moloody M, Rezaei ZH, Bahrami N, Soleimani MA. Striae gravidarum risk factors in primiparae pregnant women. J Urmia Nurs Midwifery Facult 2014;12:207-13.

Wong RC, Ellis CN. Physiologic skin changes in pregnancy. J Am Acad Dermatol 1984;10:929-40.

Shuster S. The cause of striae distensae. Acta Dermatol Venereol 1979;59 Suppl 85:161-9.

Waston RE, Parry EJ, Humphries JD, Jones CJ, Polson DW, Kiety CM, et al. Fibrillin microfibrils are reduced in skin exhibiting striae distansea. Br J Dermatol 1998;138:931-7.

Jomeen J, Martin CR. Self-esteem and mental health during early pregnancy. Clin Eff Nurs 2005;9:92-5.

Pelin KS, Eskiolu F. Striae gravidarum: Associated factors in Turkish primiparae. J Turk Acad Dermatol 2009;3:93401a.

Yamaguchi K, Suganuma N, Ohashi K. Qulity of life evaluation in Japanes pregnant women with striae gravidarum: A cross-sectional study. BMC Res Notes 2012;5:450-6.

Tunzi M, Gray GR. Skin condition during pregnancy. Am Fam Phys 2007;75:211-8.

Salter SA, Kimbell AB. Striae gravidatum. Clin Dermatol 2006;24:97 100.

MCDaniel DH, Ash K, Zukowski M. Treatment of stretch marks with the 585-nm flashlamp-pumped pulsed dye laser. Dermatol Surg 1996;22:332-7.

Nussbaum R, Bennedetto AV. Cosmetic aspects of pregnancy. Clin Dermatol 2006;24:133-41.

Creasy RK, Resnik R. Maternal-Fetal medicine. 2nd ed. Philadelpia, PA: WB Sunders Company; 1989.

Odey P. Herbs for a Healthy Pregnancy. Los Angeles, CA: McGraw Hill Professional; 1999. p. 42-4.

Taavoni S, Soltanpour F, Haghani H, Ansarian H, Kheirkhah M. Effect of olive oil on striae gravidarum in the second trimester of pregnanc. Complement Ther Clin Pract 2011;17:167-9.

Tashan ST, Kafkasli A. The effect of bitter almond oil and massaging on striae gravidarum in primiparaous women. J Clin Nurs 2012;21:1570-6.

Buchanan K, Fletcher HM, Reid M. Prevention of striae gravidarum with cocoa butter cream. Int J Gyn Obstet 2010;108:65-8.

Behnia H, Hosseini M. The protective effect of almond oil and glycerin in striae gravidarum. Pejouhandeh Res J 2000;19:317-20.

Malakouti J, Farshbaf A, Kamrani A. The effect of sesame oil and sweet almond prevention striae and itching of primipara women: A randomized controlled trial. Iran J Obstet Gyn Infert 2015;18:1-11.

Bragg P, Paul C. The Miracles of Apples Cider Vinegar. Translated by Fallahi M, Panahi A. 3rd edition. Mashhad: Shahin Publication; 1982.

Karimi K, Gholizadeh G. Health and Beauty in the Delicate Flowers. Tehran: Noandish Publication; 1999.

Gandy M, Grammer J. Effect of Graston Technique on Post-gravid Stretch Marks. Logan College of Chiropractic; 2011.

Suh DH, Lee SJ, Lee JH, Kim HJ, Shin MK, Song KY, et al. Treatment of striae distensae combined enhanced penetration platelet-rich plasma and ultrasound after plasma fractional radiofrequency. J Cosmet Laser Ther 2012;14:272-6.

Young G, Jewell D. Creams for preventing stretch marks in pregnancy. Cochrane Database of Syst Rev 1996;1:1-9.

Osman H, Usta IM, Rubeiz N, Abu-Rustum R, Charara I, Nassar AH. Cocoa butter lotion for prevention of striae gravidarum: A double-blind, randomized and placebo controlled trial. J Obstet Gynecol 2008;28:1137-42.

Kaivani M, Sepahi S, Azima S, Emamghoreishi M, Asadi N, Haghpanah S. The effects of olive leaf extract ointment on pain intensity and early maternal complications in primiparous women. Int J Pharm Pharm Sci 2017;9:31-4.

Bedaghabadi M, Behnamvoshani HR. A comparative study of vinegar solution bath and soda solution bath in the treatment of candida vaginitis in sabzevar clinic in 2001. Asrar J Sabzevar Univ Med Sci 2001;8:65 71.

Donkor A, Mensah DO, Fiazorli M. Extracts of Euphobia hirta Linn and Physalis angulata L. and their amalgamation demonstrate potency against Staphylococcus aureus and Pseudomonas aeruginosa. Prevalence of postnatal depression and associated risk factors among South Asian mothers living in a newly developing country. Int J Pharm Pharm Sci 2016;8:322-6.

Published

07-07-2018

How to Cite

Eshghizadeh, M., M. Basirimoghaddam, S. Najafi, Z. Rezvanifar, M. Atarodi, and M. Baghban. “THE EFFECT OF TOPICAL APPLICATION OF APPLE VINEGAR ON STRIAE GRAVIDARUM: A RANDOMIZED CLINICAL TRIAL”. Asian Journal of Pharmaceutical and Clinical Research, vol. 11, no. 7, July 2018, pp. 76-80, doi:10.22159/ajpcr.2018.v11i7.25592.

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