Association between periodontal disease and preterm prelabour rupture of membranes

Radochová, Vladimíra; Štěpán, Martin; Musilová, Ivana; Slezák, Radovan; Vescicik, Peter; Menon, Ramkumar; Jacobsson, Bo; Kacerovský, Marian

doi:10.1111/jcpe.13067

Cited by 18 publications

(21 citation statements)

References 36 publications

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“…Apart from the effect of hormonal changes, it is increasingly acknowledged[ 18 19 20 ] that other factors such as poor oral hygiene, lack of access to dental care, and low knowledge levels about proper oral hygiene maintenance affirmed to worsened periodontal condition during pregnancy. Further, more recent studies[ 21 22 23 ] indicated these oral alterations have the potential to affect pregnancy outcomes.…”

Section: Introductionmentioning

confidence: 99%

Oral health knowledge among a cohort of pregnant women in south India: A questionnaire survey

Lakshmi

Srilatha

Satyanarayana

et al. 2020

J Family Med Prim Care

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Aim: To assess oral health knowledge of pregnant women visiting Government Maternity Hospital, Hyderabad. Materials and Method: A cross-sectional survey was carried out among 606 pregnant women aged 18–40 years old. Oral health knowledge of respondents was assessed using the 14-item self-administered questionnaire and responses were recorded on a dichotomous scale (yes/no). The data were analyzed using Statistical Package for Social Sciences (SPSS) package version 20.0. Results: Overall inadequate knowledge regards to oral health was observed among 55.8% pregnant women. Based on knowledge regarding tooth decay, 71.6% of study participants believed that every painful tooth has to be removed and 81% of respondents were unaware of brushing with fluoridated toothpaste prevents tooth decay. Similarly, with respect to gum disease, 77.7% of subjects were not aware of gum disease and around 49.8% unacquainted that bleeding during tooth brushing indicates gum problems. It is enriching to observe, 94.1% of respondents felt oral health is important for general health. On the other hand, a quite alarmingly high percentage (73.9%) of subjects does not know the relationship between oral health and pregnancy. Furthermore, 91.1% and 65.5% of participants were ignorant that pregnancy can increase the tendency of gums to swell or bleed and poor oral health affect their unborn baby, respectively. More than three-fourths of the study participants (84%) had never visited dentist Conclusion: The study highlights limited knowledge allied to oral health among pregnant women and problem-oriented dental visits indicating an urge among this group to scale up their knowledge.

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Section: Introductionmentioning

confidence: 99%

Oral health knowledge among a cohort of pregnant women in south India: A questionnaire survey

Lakshmi

Srilatha

Satyanarayana

et al. 2020

J Family Med Prim Care

View full text Add to dashboard Cite

show abstract

“…The study found several factors correlating with periodontal health that can improve oral health, which in turn affect quality of life and reduce the risks for preterm birth [11,12]. As participation in medical dental screening was a main factor for achieving a healthier periodontal status, women need to be regularly counseled by gynecologists and dentists.…”

Section: Discussionmentioning

confidence: 99%

Periodontal disease in pregnancy: A comparative prospective study

Ortmann

Möllers

Braun

et al. 2023

Z Geburtshilfe Neonatol

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Introduction Periodontal disease affects many pregnant women and may be associated with adverse pregnancy outcomes. The object of this study was to evaluate women’s level of knowledge about this condition in pregnancy. We compared level of knowledge, participation in medical screening, and periodontal health status in pregnant women and nonpregnant controls. Material and Methods This study included 141 pregnant and 141 nonpregnant women, examined by one examiner at the Department of Gynecology and Obstetrics of the University Hospital Muenster, Germany. With reference to periodontal health status, the Periodontal Screening Index was used and a questionnaire was designed to represent the level of knowledge and predisposing factors. Results Pregnant women showed a strong tendency towards higher Periodontal Screening Indices than the nonpregnant controls (P=0.058). A strong positive correlation between participation in screenings and a lower Periodontal Screening Index was measured, but no direct relation between knowledge and periodontal health was detected. However, a better level of knowledge correlated noticeably with participation in screening programs. Educational attainment was found to be a main factor correlated with periodontal health and further factors such as medical screening and smoking habits. A great number of women felt they were not sufficiently informed about oral health aspects in pregnancy. Conclusions As participation in screenings was a main item that positively correlated with healthier periodontal status, it had to be a focused element. The possible positive influence of knowledge regarding the participation in screening programs showed not only the need to spread awareness but also the need for proper education.

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“…Previous research has shown that maternal microbiota in other body sites such as oral (43)(44)(45)and gut (26,27) could affect the pregnancy processes and outcomes. The oral flora can be capable of oral-uterine transmission during pregnancy confirming the transferability of colonized flora.…”

Section: Discussionmentioning

confidence: 99%

Different tissues in the maternal-fetal interface harbor distinct microbiomes showing associations related to their anatomical position or function

Jiang²,

Lijuan

et al. 2022

Preprint

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The human placenta was thought to be sterile in healthy pregnancies which has been challenged by the development of DNA sequence-based techniques, although it is still open to controversy. Nonetheless, little is known whether different parts of fetal appurtenances contain district microbiome profiles. Here, DNA 16S rRNA sequencing was performed of the amniotic fluid cells (AC), amnion membrane (AM), the placenta of fetal surface (remove the amniotic membrane, PL), maternal blood (MB), and umbilical cord blood (UCB) at V3-V4 hypervariable region from participants with cesarean delivery. Then sequence raw data were followed by taxonomic classification at 97% similarity and diversity analysis at the genus level. The differences and associations among the five tissues were analyzed. At the phylum composition level, the most abundant microorganisms were Proteobacteria in all five tissues, and followed by Firmicutes in AC, AM, and MB groups, Actinobacteria in UCB and Bacteroidetes in PL, respectively. As the maternal-fetal barrier, PL and AM had the lower OUT number and weaker co-occurrence network compared with the other three tissues. At the beta diversity clustering level, the microbiota constituents in the MB and UCB were highly similar; the microbiota profiles of PL and AM were also remarkably alike; AC was immensely different from those two clusters. Therefore, the five tissues were distinctly separated into three clusters. Our study reveals that different pregnancy-related anatomical sites harbor unique microbial compositions and show different degrees of correlation with other tissues.

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Association between periodontal disease and preterm prelabour rupture of membranes

Cited by 18 publications

References 36 publications

Oral health knowledge among a cohort of pregnant women in south India: A questionnaire survey

Oral health knowledge among a cohort of pregnant women in south India: A questionnaire survey

Periodontal disease in pregnancy: A comparative prospective study

Different tissues in the maternal-fetal interface harbor distinct microbiomes showing associations related to their anatomical position or function

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