third trimester

Stretch Marks

Pink, red, or purple streaks on belly, breasts, thighs, or hips. Very common, affecting 50-90% of pregnant women.

Medically reviewed by healthcare professionals | Last reviewed: March 2026

📅 When It Occurs

Usually appear in third trimester, though can begin second trimester

📊 How Common

Affects 50-90% of pregnant women to varying degrees

Overview

Stretch marks (striae gravidarum) are streaks that appear when your skin stretches rapidly and breaks down the collagen and elastin supporting it. They typically start as pink, red, purple, or dark brown lines depending on your skin tone.

They most commonly appear on your belly, breasts, thighs, hips, and buttocks - anywhere that gains significant volume during pregnancy. They often develop in the third trimester when weight gain accelerates.

While genetics plays the biggest role in whether you'll get stretch marks, factors like weight gain, hydration, and skin care can influence their severity. They fade significantly postpartum but rarely disappear completely.

📆 By Trimester

First Trimester

Very rare as minimal stretching yet

Second Trimester

May begin appearing, especially on breasts

Third Trimester

Most common and pronounced as belly reaches maximum size

🔍 What Causes It?

  • Rapid skin stretching as belly, breasts, and hips grow
  • Hormonal changes affecting skin structure
  • Genetics - if your mother had them, you likely will too
  • Rapid or excessive weight gain
  • Carrying multiples (twins, triplets)
  • Having larger babies
  • Younger age (skin less elastic)

💡 Relief Strategies

  • Moisturize skin 2-3 times daily with rich creams or oils
  • Stay well-hydrated - drink plenty of water
  • Maintain gradual, steady weight gain (not rapid)
  • Eat foods rich in vitamins C, D, E, zinc, and protein
  • Massage skin gently when applying moisturizer
  • Use cocoa butter, shea butter, or vitamin E oil
  • Focus on overall skin health
  • Manage expectations - prevention is limited by genetics
  • Remember they fade significantly after delivery

⚠️ When to Call Your Doctor

Contact your healthcare provider if you experience:

  • Stretch marks are typically not a medical concern
  • However, see doctor if you have sudden rapid development with severe itching
  • Stretch marks with abdominal pain
  • Signs of infection in stretched skin areas

📅 Explore by Trimester

Learn how this symptom and others change throughout your pregnancy journey: