Pregnancy striae, also known as stretch marks, are one of the most common skin changes occurring during pregnancy, affecting approximately 60–90 % of pregnant women [1], [2]. These marks typically appear as fine, linear, and parallel lesions, predominantly located on the abdominal region, although they may also develop on the breasts, hips, and thighs [3]. The exact pathophysiology of striae gravidarum remains unclear. However, several mechanisms have been proposed, including mechanical stretching of the skin as the uterus enlarges, hormonal influences such as increased levels of estrogen, cortisol, and relaxin, and underlying genetic predisposition [4], [5], [6]. Additionally, a range of risk factors may increase the likelihood of developing these lesions. These include younger maternal age, higher pre-pregnancy body mass index (BMI), carrying multiple fetuses, delivering a high birth-weight infant, and having a family history of striae gravidarum [7].

Although striae gravidarum do not pose any physical health risk, they are often perceived as cosmetically undesirable and may cause considerable emotional distress for affected women [8], [9]. The appearance of these marks can negatively impact body image and self-esteem, leading to psychological discomfort and reduced self-confidence during pregnancy [7], [10]. Given the emotional sensitivity of this period, addressing such concerns is important not only for maternal well-being but also for fetal health. Maternal stress has been associated with adverse pregnancy outcomes, including preterm birth and low birth weight [11].

Preventing stretch marks can help improve the quality of a mother’s life after childbirth [12], [13]. Stretch marks can cause pain and discomfort and may require further medical treatment. Prevention of striae can help reduce treatment costs associated with this problem [1].

Although a definitive cure for striae has not yet been established [14], [15], regular exercise, adequate fluid intake, and proper nutrition can help reduce the likelihood of its occurrence [16]. There are modern treatment methods such as laser therapy, skin shaving, and tretinoin therapy [2]. In addition to being expensive, these methods may also have side effects and require multiple treatment sessions [15]. For this reason, more research has focused on its prevention, and several studies have investigated the effect of oiling and hydrating the skin by using oils and creams [17], [18].

Recently, much attention has been drawn to the use of herbal methods for the prevention and treatment of pregnancy striae. These methods have received more attention due to their natural properties, low risk, and fewer side effects compared to chemical methods. Among the herbs and herbal compounds that have been studied in this area, one can refer to almond oil, olive oil, cocoa butter, and various herbal extracts [19]. Clinical studies have not only investigated the effect of these compounds in preventing striae but also evaluated their safety and possible side effects.

Given the increasing use of herbal remedies and the need for scientific validation, a systematic review was conducted to evaluate their effectiveness in preventing striae gravidarum. A systematic review of the existing literature can help identify the best herbal methods, evaluate their effectiveness and safety, and provide suggestions based on the current evidence.

This systematic review evaluates the effectiveness of herbal remedies in preventing and managing stretch marks during pregnancy. This review will try to identify the best herbal remedies, evaluate their effectiveness, and provide suggestions based on the existing evidence.