Author/Authors :
Farshbaf-Khalili Azizeh نويسنده MSc, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Farshbaf-Khalili Azizeh , Malakouti Jamileh نويسنده Departement of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz , Kamrani Atefeh نويسنده Department of Midwifery, Faculty of Nursing and Midwifery,
Tabriz University of Medical Sciences, Tabriz, IR
Iran
Abstract :
Background Striae Gravidarum is a physiological skin change that
many females experience during pregnancy and causes stress and concerns
about their beauty, self-esteem and other psychological problems, by
irritation and even ulcers in the affected areas. Objectives This study
was performed to evaluate the effect of sesame, sweet almond, and sesame
and sweet almond oil on prevention of striae (primary outcome) in
primiparous females. Methods This triple-blind randomized controlled
clinical trial was done on 200 18 to 35-year-old primiparous females at
five governmental health clinics affiliated to Arak University of
Medical Sciences, Iran. The subjects were allocated to three
intervention groups and one control group by four and eight block
randomization and allocation ratio of 1:1:1:1. The strategy used for
analyzing data was intention to treat analysis. The intervention groups
and control group received 1cc sesame, 1cc sweet almond and sesame oil,
1cc sweet almond oil, and 1cc Placebo, respectively, two times (1 mL
twice daily without massaging the abdomen) for 20 weeks. One-way
analysis of variance (ANOVA), chi-square, Kruskal-Wallis and binary
logistic regression were used to analyze data. Results Striae at 35 to
38 weeks of pregnancy were observed in 59.2%, 16.7%, 14% and 82% of
participants in sweet almond, sesame, sesame & sweet almond oil
and control groups, respectively (P < 0.001). The occurrence risk
of striae was significantly decreased in the sesame (adjusted OR = 0.04,
CI = 0.01 to 0.13), sweet almond (0.27, 0.10 to 0.72), and sesame
& sweet almond oil (adjusted OR= 0.03, CI = 0.01 to 0.10)
groups, compared with the control group. Abdominal itching was
significantly different (P < 0.001) among consumers of sweet
almond (65.3%), sesame (10.5%), sesame & sweet almond oil (44%),
and control group (78%). Conclusions The sesame oil, sweet almond oil
and their combination was effective in reducing the occurrence of
abdominal steriae and its itching.
