Midwives and oral health care during pregnancy: perceptions of pregnant women in south‐western Sydney, Australia

George, Ajesh; Johnson, Maree; Duff, Margaret; Ajwani, Shilpi; Bhole, Sameer; Blinkhorn, Anthony; Ellis, Sharon

doi:10.1111/j.1365-2702.2011.03870.x

Cited by 38 publications

(76 citation statements)

References 35 publications

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“…Unfortunately there are no comparable studies that have explored the oral health awareness of people with CVD or the knowledge among dental professionals. Looking beyond the CVD setting, many patients in maternity, palliative care, immune-compromised and with diabetes are also unaware of the importance of oral health [44–47]. Perhaps of greater concern are the findings from several studies that reported dentists were also often unaware of the impact of poor oral health on systemic conditions [13, 48–50].…”

Section: Discussionmentioning

confidence: 99%

Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

et al. 2017

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Main objectiveThe aim of this study was to explore the perception of patients with cardiovascular disease towards oral health and the potential for cardiac care clinicians to promote oral health.MethodA needs assessment was undertaken with twelve patients with cardiovascular disease attending cardiac rehabilitation between 2015 and 2016, in three metropolitan hospitals in Sydney, Australia. These patients participated in face-to-face semi-structured interviews. Data was analysed using thematic analysis.ResultsResults suggested that while oral health was considered relevant there was high prevalence of poor oral health among participants, especially those from socioeconomic disadvantaged background. Awareness regarding the importance of oral health care its impact on cardiovascular outcomes was poor among participants. Oral health issues were rarely discussed in the cardiac setting. Main barriers deterring participants from seeking oral health care included lack of awareness, high cost of dental care and difficulties in accessing the public dental service. Findings also revealed that participants were interested in receiving further information about oral health and suggested various mediums for information delivery. The concept of cardiac care clinicians, especially nurses providing education, assessment and referrals to ongoing dental care was well received by participants who felt the post-acute period was the most appropriate time to receive oral health care advice. The issues of oral health training for non-dental clinicians and how to address existing barriers were highlighted by participants.Relevance to clinical practiceThe lack of oral health education being provided to patients with cardiovascular disease offers an opportunity to improve care and potentially, outcomes. In view of the evidence linking poor oral health with cardiovascular disease, cardiac care clinicians, especially nurses, should be appropriately trained to promote oral health in their practice. Affordable and accessible dental care services for people with cardiovascular disease should be considered and offered by health services in Australia.

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Section: Discussionmentioning

confidence: 99%

Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

et al. 2017

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“…Although most pregnant women in Khartoum state receive a comprehensive form of antenatal care from maternity care centres, they do not receive instructions concerning oral health care during pregnancy. A pregnant woman's knowledge and actions concerning her oral health are critical to the oral health of her children and play a vital role in childhood caries prevention (27), and some countries have adopted a strategy of maternal oral health promotion through antenatal care providers (28).…”

Section: Tooth-brushingmentioning

confidence: 99%

Oral health status, knowledge and practice among pregnant women attending Omdurman maternity hospital, Sudan

Ibrahim

Amro

Ghandour

2016

East Mediterr Health J

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Good oral health is important in pregnancy but little is known about the oral health and knowledge and practices of pregnant Sudanese women. This cross-sectional study was conducted to address this gap. A sample of 420 pregnant women attending the prenatal clinic at Omdurman maternity hospital were interviewed and examined for caries and periodontal disease. The mean age of the women was 27.1 (SD 5.8) years, 52.4% had > primary school education and 7.1% were employed. Only 12% had a high level of oral health knowledge and 21.2% a positive attitude towards oral health. Most of the women (65.9%) had poor oral health practices; only 10.2% had visited a dentist during pregnancy. On clinical examination, 58.6% had healthy gums while 12.1% had bleeding gums and 22.9% had calculus. The mean decayed, missing and filled teeth value was 1.16 in the age group 16−19 years and 3.49 in age group ≥ 20 years. These findings suggest the need for oral health programmes as part of prenatal care for pregnant Sudanese women. RÉSUMÉ Une bonne santé bucco-dentaire est importante en période de grossesse, mais peu d'informations sont disponibles sur l'état de santé bucco-dentaire, les connaissances et les pratiques des femmes enceintes soudanaises en la matière. La présente étude transversale a été conduite afin de combler cette lacune. Un échantillon de 420 femmes enceintes de la clinique prénatale de la maternité de l'hôpital d'Omdourman ont été interrogées et examinées afin de déterminer si elles souffraient de caries et de parodontopathies. L'âge moyen des femmes étaient de 27,1 ans (ET 5,8) ; 52,4 % avaient suivi un enseignement primaire, et 7,1 % avaient un emploi. Seulement 12 % d'entre elles avaient une bonne connaissance de la santé bucco-dentaire, et 21,2 % démontraient une attitude positive en la matière. La majorité des femmes (65,9 %) avaient de mauvaises pratiques d'hygiène bucco-dentaire, et seulement 20 % s'étaient rendues chez un dentiste au cours de leur grossesse. À l'examen clinique, 58,6 % avaient des gencives saines, contre 12,1 % qui souffraient de saignements gingivaux et 22,9 % qui avaient du tartre dentaire. La moyenne de l'indice CAO (dent cariée, absente ou obturée) était de 1,16 pour le groupe d'âge des 16-19 ans, et de 3,49 pour le groupe d'âge des 20 ans et plus. Ces résultats laissent penser qu'il existe un besoin en programmes de santé bucco-dentaire dans le cadre des soins prénatals pour les femmes enceintes soudanaises. ‫درمان‬‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫العرشون‬ ‫و‬ ‫الثاين‬ ‫املجلد‬ ‫عرش‬ ‫احلادي‬ ‫العدد‬ 803

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“…Also, school‐based oral health prevention programmes be conducted within schools because school‐aged adolescents are in special need of preventive programme to ensure positive long‐term oral and dental health. Possibility of visit at home, providing free in‐home services, understanding the pregnant women's conditions, supervision over the implementation of oral health programmes in pregnant women and attention of the concerned authorities and healthcare providers to the educational programmes are measures that government can adopt to improve oral health in pregnant women …”

Section: Discussionmentioning

confidence: 99%

Factors affecting dental cleaning behaviour among pregnant women with gingivitis

Rahmani

Hamanajm

Allahqoli

et al. 2019

Int J Dental Hygiene

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Objective Despite the importance of oral health during pregnancy and its consequences for mother and child, dental cleaning behaviour is ineffective among pregnant women; therefore, the prevalence of gingivitis is high in this group. The aim of this study was to determine the factors affecting dental cleaning behaviour among pregnant women with gingivitis. Methods This cross‐sectional study was carried out in Sanandaj city, in the west of Iran in 2017. Using simple random sampling, 340 pregnant women from five health comprehensive service centres were recruited in the study. Data were gathered by a two‐section questionnaire. The first section included demographic information, and the second section involved variables of trans‐theoretical model, fear of dental care and social support. Analysis of data was done by SPSS software by frequency, descriptive, Student t‐test, ANOVA, chi‐square, correlation coefficient and regression. Results About 50% of the pregnant women were in the first stages of dental cleaning behaviour change. The mean score of gingival index (P = 0.01), perceived barriers (P < 0.001) and fear of dental care (P = 0.04) was higher in the initial stages of behaviour change (P < 0.001). Perceived self‐efficacy was directly correlated with social support and perceived benefits (P < 0.01). Dental cleaning behaviour increased 1.59 times and 1.42 times when perceived self‐efficacy and social support were increased one unit, respectively. Conclusions The results showed the majority of pregnant women had a low perception of the benefits of dental cleaning behaviour, did not have adequate incentive for doing the behaviour and did not receive the required social support.

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Midwives and oral health care during pregnancy: perceptions of pregnant women in south‐western Sydney, Australia

Abstract: Antenatal care providers in Australia should provide more information about oral health. These health professionals should be adequately educated to promote oral health. Health services should also consider offering pregnant women affordable and accessible dental services.

Cited by 38 publications

References 35 publications

Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

Oral health and cardiovascular care: Perceptions of people with cardiovascular disease

Oral health status, knowledge and practice among pregnant women attending Omdurman maternity hospital, Sudan

Factors affecting dental cleaning behaviour among pregnant women with gingivitis

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