There is little information about the knowledge and attitudes of physicians regarding oral care. This study aimed to assess the knowledge and attitudes of obstetricians about the relationship between periodontal disease and preterm/low birth weight. A questionnaire was emailed to members of the Brazilian Federation of Gynecology and Obstetrics (FEBRASGO). The questionnaire elicited both personal information and knowledge and attitudes regarding the relationship between periodontal diseases and preterm labor. A total of 875 obstetricians responded to the questionnaire. The majority of respondents were female (54.1%), resided in the Southeast (45.6%), worked in both the public and private sectors (61.4%), and had over 15 years of experience in obstetrics (48.9%). A large proportion of obstetricians (93.4%) stated that bacteria were associated with periodontal disease, and 94% reported that periodontitis was a condition more severe than gingivitis. In total, over 80% of participating obstetricians reported smoking, preeclampsia, bacterial vaginosis and periodontal disease as risk factors or possible risk factors for preterm birth or low birth weight. A correlation between the experience of the obstetricians and referral of their patients for dental examinations (p < 0.001) was observed. Also, obstetricians who had had their own dental visits more recently were more likely to recommend the same for their patients (p < 0.001). It is concluded that, although obstetricians were aware of the association between gingival inflammation and adverse obstetric outcomes, the attitudes of these professionals were not in agreement with their apparent knowledge regarding periodontal diseases and their possible repercussions.
Our results suggest that many disease-free breast cancer survivors after treatment experienced fatigue that compromises their health-related quality of life.
This review aimed to look into agents and mechanisms characterized as endocrine
disrupting chemicals (EDCs). These agents are known to cause several harmful
effects to the reproductive system of women and wildlife. There is a wide range
of chemicals, developed for commercial use mainly in agriculture, which may
cause endocrine disruption. Numerous studies show evidence of environmental
contamination. However, no one is being held liable for the damages. The most
important potentially harmful agents are identified and described, along with
the different effects they have on the female genital area. Brazil is a large
consumer of pesticides and others chemicals that may interfere with a normal
women's life. We analyzed and described the mode of action and the impacts of
different EDCs (bisphenols, phthalates, atrazine, polychlorinated and
polybrominated biphenyls, DDT-dichlorodiphenyltrichloroethane;
DDE-dichlorodiphenyldichloroethylene; DDD-dichlorodiphenyldichloroethane; and
DES-diethylstilbestrol) on the genital area, ovarian steroidogenesis, polycystic
ovary syndrome, endometriosis, the structure of the uterus and the vagina, and
on the formation of leiomyomas.
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