Paper
Hypertrophic Scar and Pregnancy
Published Jan 1, 2013 · Shuchi Jain, Madhu Jain, V. Jain
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Abstract
Context: Prolonged wound inflammation predisposes to hypertrophic scar formation. Scar growth may also be stimulated by various hormones which might be responsible for higher incidence of keloid formation during pregnancy and decrease in its size after the menopause. Aim: To find out a suitable anti-scar treatment to suit every patient even in pregnancy. Setting: Pregnant patients have a special situation where every drug can not be administered due to Teratogenic potential and co-existing physiological levels of discomfort such as abdominal distension so that established treatment protocols like intralesional steroid and pressure garments may not be found suitable. Methods and design: It is a prospective study. We hereby present a report of two cases, one with a woman in late pregnancy sustaining burn and another with a pre-existing scar getting hypertrophied during pregnancy. Out of several treatment modalities, we preferred to use an herbal cream which had been found to be safe and innocuous in earlier study carried out by one of the authors with good result. The cream was applied twice a day over the scar and massaged gently till it disappeared. The scars were evaluated on Vancouver Scar Scale. Result: Troublesome itching remarkably decreased by 2 weeks of continuous application. All the parameters showed appreciable improvement in the hypertrophic scars associated with pregnancy by three months. There was no side effect with the use of herbal cream.
An herbal cream effectively improves hypertrophic scars associated with pregnancy without side effects.
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