{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:00:33Z","timestamp":1761897633171,"version":"3.40.5"},"reference-count":22,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T00:00:00Z","timestamp":1647302400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>Striae gravidarum (SG) and perineal lacerations are common occurrences during late pregnancy and labor. It has been hypothesized that both conditions may share a common pathophysiological pathway through changes in the connective tissue. We aimed to investigate a possible association between these two conditions and whether the presence of SG may predict perineal lacerations.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We conducted a prospective cohort study that included women who gave birth at the Soroka University Medical Center (SUMC), Beer-Sheva, Israel. Those who provided informed consent were examined for the presence of SG using the Davey scoring system to determine the severity of abdominal SG. Clinical and obstetrical characteristics and the presence and degree of perineal tears were retrieved from the computerized patients\u2019 records. Univariate analysis was carried using appropriate statistical tests.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 187 women were recruited. Of those, 81 (43.3%) did not have SG, 24 (12.8%) 43 (23%) and 39 (20.9%) had mild, moderate and severe SG, respectively. Women with SG were significantly older and had a higher body mass index (p&lt;0.01 for both). Delivery characteristics, mode of delivery, and gestational age were comparable between the groups; however, women with SG gave birth to significantly larger neonates (p&lt;0.01). Seventy-one (31%) women had suffered from 1<jats:sup>st<\/jats:sup> or 2<jats:sup>nd<\/jats:sup>-degree perineal tears, and none had 3<jats:sup>rd<\/jats:sup> or 4<jats:sup>th<\/jats:sup>-degree perineal tears. No significant differences were found in rates of perineal tears between women with and without SG (p = 0.91), regardless of SG severity (p = 0.38).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>In our study, SG was not associated with perineal tears. This information may be used as reassurance when giving antepartum consultation to women with SG, even in severe cases.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0265149","type":"journal-article","created":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T17:34:26Z","timestamp":1647365666000},"page":"e0265149","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["The association between striae gravidarum and perineal lacerations during labor"],"prefix":"10.1371","volume":"17","author":[{"given":"Tamar","family":"Matyashov","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ella","family":"Pardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reut","family":"Rotem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yael","family":"Lichtman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maayan","family":"Elnir Katz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4239-8665","authenticated-orcid":true,"given":"Adi Y.","family":"Weintraub","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6646-9061","authenticated-orcid":true,"given":"Amir","family":"Horev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,3,15]]},"reference":[{"key":"pone.0265149.ref001","article-title":"Striae gravidarum: Risk factors, prevention, and management.","author":"B Farahnik","year":"2017","journal-title":"Int J Women\u2019s Dermatology"},{"key":"pone.0265149.ref002","article-title":"Striae gravidarum","author":"SA Salter","year":"2006","journal-title":"Clin Dermatol"},{"key":"pone.0265149.ref003","article-title":"Hidden association between the presence and severity of striae gravidarum and low back pain in pregnancy","author":"D Kokanal\u0131","year":"2019","journal-title":"Eur J Obstet Gynecol Reprod 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Dermatol"},{"key":"pone.0265149.ref013","article-title":"Skin biopsy analysis reveals predisposition to stretch mark formation.","author":"TF Mitts","year":"2005","journal-title":"Aesthetic Surg J"},{"key":"pone.0265149.ref014","article-title":"Risk factors associated with striae gravidarum","author":"ALS Chang","year":"2004","journal-title":"J Am Acad Dermatol"},{"key":"pone.0265149.ref015","article-title":"Prediction of perineal tear during childbirth by assessment of striae gravidarum score.","author":"S Kapadia","year":"2014","journal-title":"Int J Reprod Contraception, Obstet Gynecol"},{"key":"pone.0265149.ref016","article-title":"Striae gravidarum in primiparae","author":"GSS Atwal","year":"2006","journal-title":"Br J Dermatol"},{"key":"pone.0265149.ref017","article-title":"Striae Gravidarum as a Predictor of Vaginal Lacerations at Delivery.","author":"AJ Wahman","year":"2000","journal-title":"South Med J"},{"key":"pone.0265149.ref018","article-title":"Risk factors for the development of striae gravidarum","author":"H Osman","year":"2007","journal-title":"Am J Obstet Gynecol"},{"key":"pone.0265149.ref019","article-title":"Association between severities of striae gravidarum and Obstetric Anal Sphincter Injuries (OASIS).","author":"O Halperin","year":"2017","journal-title":"Midwifery."},{"key":"pone.0265149.ref020","article-title":"Risk factors for birth-related perineal trauma: A cross-sectional study in a birth centre.","author":"FMB da Silva","year":"2012","journal-title":"J Clin Nurs"},{"key":"pone.0265149.ref021","article-title":"Comparison of adverse perinatal outcomes between Asians and Caucasians: a population-based retrospective cohort study in Ontario.","author":"N Zeng","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"pone.0265149.ref022","article-title":"Birthweight and ethnicity","author":"SL Barron","year":"1983","journal-title":"BJOG An Int J Obstet Gynaecol"}],"container-title":["PLOS 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