Oral and dental health care practices in pregnant women in Australia: a postnatal survey

Discipline of Obstetrics and Gynaecology, The University of Adelaide, SA, Australia.
BMC Pregnancy and Childbirth (Impact Factor: 2.15). 02/2008; 8:13. DOI: 10.1186/1471-2393-8-13
Source: PubMed

ABSTRACT The aims of this study were to assess women's knowledge and experiences of dental health in pregnancy and to examine the self-care practices of pregnant women in relation to their oral health.
Women in the postnatal ward at the Women's and Children's Hospital, Adelaide, completed a questionnaire to assess their knowledge, attitudes and practices to periodontal health. Pregnancy outcomes were collected from their medical records. Results were analysed by chi-square tests, using SAS.
Of the 445 women enrolled in the survey, 388 (87 per cent) completed the questionnaire. Most women demonstrated reasonable knowledge about dental health. There was a significant association between dental knowledge and practices with both education and socio-economic status. Women with less education and lower socio-economic status were more likely to be at higher risk of poor periodontal health compared with women with greater levels of education and higher socioeconomic status.
Most women were knowledgeable about oral and dental health. Lack of knowledge about oral and dental health was strongly linked to women with lower education achievements and lower socioeconomic backgrounds. Whether more intensive dental health education in pregnancy can lead to improved oral health and ultimately improved pregnancy outcomes requires further study.

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    ABSTRACT: Evidence is emerging that women's poor oral health and health practices during pregnancy are associated with poor oral health in their children and potentially an increased risk of pre-term or low-birth weight infants. The Midwifery Initiated Oral Health-Dental Service (MIOH-DS) trial is a three arm multicentre randomised controlled trial which will recruit women from three metropolitan hospitals aimed at improving women's oral health and service access and indirectly reducing perinatal morbidity. All three arms of the trial will deliver oral health promotion material, although a midwife oral assessment and referral to private/public/health fund dental services pathway (Intervention Group 1) and the midwife oral assessment and referral to local free public dental services pathway (Intervention Group 2) will be compared to the control group of oral health promotional material only. Midwives will undergo specific oral health education and competency testing to undertake this novel intervention. This efficacy trial will promote a new partnership between midwives and dentists focused on enhancing the oral health of women and their infants. Should the intervention be found effective, this intervention, with existing on-line educational program for midwives, can be easily transferred into practice for large metropolitan health services within and beyond Australia. Further cost-benefit analysis is proposed to inform national health policy.Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12612001271897.
    BMC Oral Health 01/2015; 15(1):2. DOI:10.1186/1472-6831-15-2 · 1.15 Impact Factor
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    ABSTRACT: BACKGROUND: Globally, the oral health care for pregnant women is inadequate relating to education and health promotion sectors along with disparities in socio-economy and ethnicity. Neglected oral care often has long-term effects on our overall health, including the health of the baby during pregnancy. Serious problems like gingivitis and periodontal disease may also occur during this period as a result of neglected oral hygiene. OBJECTIVE: This descriptive type of cross sectional study was carried out to assess the pattern of common oral and dental diseases among pregnant women. MATERIALS AND METHODS: A total 147 pregnant women attended at the selected hospital and healthcare centre of Dhaka city for routine checkup over a period of five months from September 2013 to January 2014 fulfilled the eligibility criteria were selected consecutively. Pre-tested semi structured interviewer administrated questionnaires were used to collect the information. RESULTS: The study shows that most of the pregnant women (72%) age ranged from 20-24 years. Also, majority (88%) of them were housewives while only 11% were service holders with monthly family income of BDT≤10000 of more than half of the respondents (52%). Oral complaints found from the study were bleeding gums (78%), sensitive tooth (52%) and cavities (35%) respectively. In addition, 63% never access to their dentists throughout their whole life and only 6% visited their dentists at the time of pregnancy. Lastly, the frequency of oral diseases South American Journal of Medicine, Volume-2, Issue-2, 2014 166 revealed in this study was gingivitis (100%), dental caries (54%), dental erosion (52%), periodontitis (27%) and apthous ulcer (16%) respectively. CONCLUSION: It can be said from the study that educational and occupational statuses of pregnant women in Bangladesh were not satisfactory. An extensive number of pregnant women did not seek oral health care during pregnancy. There is a need for further study on oral health status of the pregnant women to formulate appropriate oral health guidelines for better oral and dental health outcome.
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    ABSTRACT: Cumulative evidence in the dental literature strongly supports the fact that poor oral hygiene practices and inadequate attention toward oral health during pregnancy have an impact on developing the fetus and significant adverse postnatal effects. Available literature suggests that the research is deficit in assessing knowledge and practices related to exposure to radiation, use of medication and safe period for dental treatment during pregnancy. Assessing the knowledge and practices among pregnant women could be a valuable tool for policy makers to improve the oral health. To assess knowledge and practices of pregnant woman regarding oral health. This study was a cross sectional survey. A total of 332 samples were selected by convenience sampling technique. A questionnaire containing 14 close-ended questions related to knowledge and practices pertaining to oral health during pregnancy along with sociodemographic data were used for collecting baseline information. The overall level of knowledge and practice was 27.17% and 55%, respectively. Majority of respondents (89.10%) were not aware that gum diseases are common during pregnancy. Most of them (73.07%) were not aware of safe period for undergoing dental treatment during pregnancy. Only 19.87% were aware that exposure to high dose of radiation was hazardous to their babies. Around 18.6% did not brush when they experienced bleeding, 35.25% cleaned their teeth using finger. The overall results suggest that knowledge and practices of pregnant women need to be greatly improved. All necessary measures should be taken for maintenance of oral hygiene and to avoid complications with the use of drugs and exposure to radiation.
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