Volume 2, Issue 6, November 2014, Page: 86-90
The Physiological Changes in Pregnancy and their Distribution According to Trimester
Ayse Neslin Akkoca, Mustafa Kemal University Faculty of Medicine and Research Hospital, Department of Family Medicine, Hatay, Turkey
Zeynep Tugba Ozdemir, Bozok University Faculty of Medicine and Research Hospital, Department of Internal Medicine, Yozgat, Turkey
Raziye Kurt, Mustafa Kemal University Faculty of Medicine and Research Hospital, Department of Gynecology, Hatay, Turkey
Bilge Bulbul Sen, Mustafa Kemal University Faculty of Medicine and Research Hospital, Department of Family Medicine, Hatay, Turkey
Erhan Yengil, Mustafa Kemal University Faculty of Medicine and Research Hospital, Department of Family Medicine, Hatay, Turkey
Celalettin Karatepe, Mustafa Kemal University Faculty of Medicine and Research Hospital, Department of Cardiovascular Surgery , Hatay, Turkey
Oya Soylu Karapınar, Mustafa Kemal University Faculty of Medicine and Research Hospital, Department of Gynecology, Hatay, Turkey
Cahit Ozer, Mustafa Kemal University Faculty of Medicine and Research Hospital, Department of Family Medicine, Hatay, Turkey
Received: Oct. 10, 2014;       Accepted: Oct. 21, 2014;       Published: Oct. 30, 2014
DOI: 10.11648/j.jgo.20140206.12      View  2574      Downloads  226
Abstract
Aim: In the present study we aimed to investigate specific skin changes of pregnancy with respect to the trimesters. Materials and Methods: Pregnant women either outpatients or inpatients applied to obstetrics and gynecology department, internal medicine department and family medicine department were involved in this study. Results: 400 pregnant women either outpatients or inpatients were involved in this study. 21 pregnant were excluded from the study cause they did not come regularly to follow-ups. Out of 400 pregnant women, 116 (29%) patients were nullipara and 284 (71%) patients were multipara. Patients ages were between 17-49 years and mean age was 25. The most observed physiological skin changes in order were hyperpigmentation in 311 patients (71%), hypertrichosis in 124 patients (31%), hypothricosis in 15 patients (3.7%), hirsutism in 21 patients (5,2%), hair thickening in 76 patients (19%), hair loss in 92 patients (23%), nail lesions in 18 patients (4,5%), stria distensae in 166 patients (41%), palmar erythema in 127 patients (31%), spider angioma in 52 patients (13%), edema in 132 patients (33%), purpura in 3 patients (0.8%),varices in 50 patients (12,5%), hemorrhoid in 60 patients (15%), gingival hyperemia in 90 patients (22,5%), gingivitis in 50 patients (12,5%). Hyperpigmentation were present in 80% of third trimester and 70% of second trimester pregnant and there was a significant difference (p<0, 05). Hair changes (hypertrichosis, hypotrichosis, hirsutism, hair loss and thickening ) were present in 60% of the second trimester women and %70 of the third trimester of women and the difference was significant (p<0,05). Only hair thickening was present in the 30% of the third trimester pregnant which was significantly different (p<0,05). Stria distensae was observed in 55% of the first trimester pregnant and in 45% of the third trimester pregnant which was significantly different (p<0, 05). Conclusion: As a result, many skin changes, physiologic or none, were detected during the pregnancy. We propose that these changes might be related to age, parity and gestational week of pregnant women.
Keywords
Pregnant, Trimester, Skin Changes, Hirsutism, Hyperpigmentation, Hypertrichosis
To cite this article
Ayse Neslin Akkoca, Zeynep Tugba Ozdemir, Raziye Kurt, Bilge Bulbul Sen, Erhan Yengil, Celalettin Karatepe, Oya Soylu Karapınar, Cahit Ozer, The Physiological Changes in Pregnancy and their Distribution According to Trimester, Journal of Gynecology and Obstetrics. Vol. 2, No. 6, 2014, pp. 86-90. doi: 10.11648/j.jgo.20140206.12
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