A study of obstetricians′ knowledge, attitudes and practices in oral health and pregnancy

Suri, Varun; Rao, Nanak Chand; Aggarwal, Neelam

doi:10.4103/1357-6283.134313

Cited by 24 publications

(19 citation statements)

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“…Surveys conducted in other regions of the world have shown that visits to the dentist during pregnancy are suggested by 44% to 93.9% of specialists [28][29][30][31][32]. A relation between the referral of pregnant women to the dentist and knowledge about the impact of oral health on pregnancy has been shown [31].…”

Section: Discussionmentioning

confidence: 99%

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The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

et al. 2018

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Objectives: The aim of the study was to assess routine dental examination attendance of pregnant women and a possible impact of gynaecological referrals on the attendance rate. Material and methods:An electronic survey was conducted that was inclusive of women up to 5 years following delivery. The questions related to socio-demographic data, the course of pregnancy and childbirth, and visits to dental office during pregnancy. For statistical analysis, the authors utilized the chi-square test, Spearman's rank correlation coefficient and odds ratios. A significance level of 0.05 has been assumed. Results:A total of 3455 questionnaires were analyzed encompassing women aged 13.1-45.4 years. The respondents were on average 1.78 ± 1.44 years after childbirth. The population comprises of women in 59.1% from large cities, in 74.8% with higher education and in 41% with good socio-economic status. A total of 62.3% of women from the study population have visited a dentist for a routine dental examination. Gynaecologists have given a simple referral to a dentist to 17.6% of all women. 45.9% of them were further requested to provide back the feedback of their dental consultation. Dental appointments were upheld by 87.3% of referred women and by 56.9% of those without a referral (OR = 5.20 (4.05-6.67); p < 0.001). Among those who were referred, dental appointments were upheld in 91.7% of cases when further asked to provide oral health feedback and in 83.5% of cases in absence of such further request (OR = 2.19 (1.3-3.66); p = 0.003). Conclusions:It was determined that referrals from a gynaecologist, and associated oral health feedback requests increase the frequency of abiding to dental appointments during pregnancy. As such, it is necessary to increase the involvement of gynaecologists in the promotion and maintenance of perinatal oral health.

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Section: Discussionmentioning

confidence: 99%

“…A relation between the referral of pregnant women to the dentist and knowledge about the impact of oral health on pregnancy has been shown [31]. According to Reddy et al, gynaecologists have the knowledge and proper approach to preventing oral diseases.…”

Section: Discussionmentioning

confidence: 99%

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

et al. 2018

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“…In contrast to this, obstetricians appear more supportive of medications during pregnancy as opposed to alternative medicines for pain. For example, a survey of obstetricians found that 80% felt paracetamol was appropriate to recommend during pregnancy for dental pain [38]. Better use of social media such as Facebook and Twitter may have been useful for increasing recruitment rates.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Recruitment and Attrition in Randomised Controlled Trials of Complementary and Alternative Medicine for Pregnancy‐Related Issues

Close¹,

Sinclair²,

McCullough³

et al. 2016

Evidence-Based Complementary and Alternative Medicine

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Background. Randomised controlled trials (RCTs) investigating Complementary and Alternative Medicine (CAM) for pregnancy-related issues have encountered issues with recruitment and attrition. Little is known about the cause of these issues. Methods. Data was gathered from an antenatal CAM randomised controlled trial. During foetal anomaly appointments, women meeting inclusion criteria were invited to participate in the trial. Numbers of women invited and eligible were recorded. Reasons for noninterest were noted and analysed. Focus groups exploring trial experience of participants were also conducted. Findings. Of the 428 women invited to participate, 376 were eligible and just under a quarter participated. Reasons for nonparticipation included concerns about CAM and lack of interest in participation in research. Other factors negatively affecting recruitment included recruitment timing, competition for participants, limited support from staff, and inadequate trial promotion. Factors encouraging recruitment included being interested in research and seeking pain relief. Reasons for dropping out were time constraints, travel issues, work commitments, and pregnancy issues. Several women in the sham and usual care group dropped out due to dissatisfaction with treatment allocation. Conclusion. CAM researchers must explore problems encountered with recruitment and attrition so that evidence-based implementation strategies to address the issues can be developed.

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“…It is especially important to have a dental check-up, dental cleaning, and any necessary treatment during pregnancy. Delaying necessary treatment for oral health problems during pregnancy could result in significant risk to a mother and baby [6] [7]. The second trimester is a good time to schedule a routine visit to a dental professional, however, if a pregnant woman experiences a problem at any time during pregnancy, she is advised to seek professional help immediately [8].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Periodontal Disease in Pregnancy in an Urban Setting in Zimbabwe

Haruzivishe¹,

Ghandi²,

Chipamaunga³

et al. 2019

OALib

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Periodontal disease is one of the most common infectious diseases in pregnancy. The disease is caused by bacteria that produce inflammation of gingiva through production of inflammatory mediators that may have direct insult on amnion. Untreated and chronic dental infections have a possibility of causing harm to both the mother and the baby. This was an analytical cross-sectional study the purpose of which was to determine the prevalence and risk factors for periodontal disease in pregnancy. The study was conducted on a random sample of 350 postnatal mothers at Harare city Primary Care clinics. Study approval was granted by the Joint Research Ethics Committee of the University of Zimbabwe, College of Health Sciences and Parirenyatwa Group of Hospitals (JREC), the Medical Research Council of Zimbabwe (MRCZ) and Harare City Directorate. All participants gave informed consent. Code numbers were used to identify participants and interviews and oral assessments were conducted in private rooms. Data was collected through face to face interviews following a structured questionnaire, clinical intraoral examination and from clinical records. Data was captured using research electronic data capturing (RedCap) and was analyzed using the Statistical Package for Social Sciences (SPSS). Mean maternal age was 25.9 years, SD 5.7. prevalence of periodontal disease was 48.7%. No significant factors were associated with periodontal disease in the current study. However, other studies have reported significant risk factors for periodontal disease such as gestation age of the pregnancy and place of residence periodontal disease was significantly associated with the following birth outcomes. Periodontal health is the relatively neglected area in perinatal care. Health care professionals should be trained in screening for periodontal disease and giving health education in order to reduce adverse perinatal outcomes.

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A study of obstetricians′ knowledge, attitudes and practices in oral health and pregnancy

Abstract: This study found that although obstetricians generally were knowledgeable about appropriate dental care practices during pregnancy as well as the relationship between oral health and pregnancy outcomes, this knowledge often did not translate into appropriate practice behavior.

Cited by 24 publications

References 0 publications

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

Factors Affecting Recruitment and Attrition in Randomised Controlled Trials of Complementary and Alternative Medicine for Pregnancy‐Related Issues

Determinants of Periodontal Disease in Pregnancy in an Urban Setting in Zimbabwe

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