Periodontal diseases and adverse pregnancy outcomes

Komine‐Aizawa, Shihoko; Aizawa, Sohichi; Hayakawa, Satoshi

doi:10.1111/jog.13782

Cited by 111 publications

(99 citation statements)

References 62 publications

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“…The pulmonary, neurological complications and MODS was recorded in 16% of this group of women. [4][5][6] Among this group of women, the most often developing complication was hematological complications which was recorded in 33% of women and ophthalmological complications which was recorded in 33% of women. 7,8 It is significant to note that no renal and septic complications were seen in teenage women admitted for delivery with complication of preeclampsia and eclampsia.…”

Section: Teenage Mothersmentioning

confidence: 94%

Complications and pregnancy outcome in women with preeclampsia and eclampsia

Thiripurasundari¹,

Christe²,

Shobha³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: One of the complications of pregnancy which till today challenges the obstetrician is preeclampsia and its severe form of eclampsia. Objective of this study was to find out the complications and outcome of pregnant women with preeclampsia and eclampsia admitted in a tertiary referral center.Methods: Case records, in labor room, were scrutinized to find out the number and the outcome of pregnancy, in women admitted with preeclampsia or eclampsia in the year 2018.Results: Pregnant women admitted with preeclampsia or eclampsia numbered 2511 and, 109 women developed complications. Maternal complications, were more often seen in mothers, (62.4%) of female babies. Only 37.6% of mothers of male babies developed complications. Complications seen were Renal complications in 34.8%, Hematological complications in 33%, Neurological complications in 25.6%, Pulmonary complications in 16.5%, ophthalmological complications in 11% and Sepsis in 6.4% and MODS in 10%. Of total maternal deaths, 34% was caused by complications of preeclampsia or eclampsia. Major cause of maternal death was MODS and Pulmonary complications. Nearly, 62.3% of babies born had birth weight of 1.8 kg and nearly one-third of babies (26.6%) were dead born.Conclusions: The incidence of preeclampsia and eclampsia in our referral center for the year 2018 was 15%, and 4.3% of women developed complications, and 6% died, making preeclampsia and eclampsia the causative factor for 34% of total maternal deaths. Major maternal complications were Renal, Hematological, Neurological, Pulmonary and MODS. Complications of preeclampsia were more often present in 62.4% mothers of female babies in contrast to 37.6% of mothers of male babies. Nearly one-third of babies (26.6%) were dead born.

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Section: Teenage Mothersmentioning

confidence: 94%

Complications and pregnancy outcome in women with preeclampsia and eclampsia

Thiripurasundari¹,

Christe²,

Shobha³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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“…Dentists in this survey had a limited understanding of oral health and its relation to pregnancy outcomes because (62.5%) of them believed that there was no association between periodontal diseases and adverse pregnancy outcomes. This result indicated that dentists in Jordan had not been updated with recent studies, which assured that periodontal diseases are risk factors for APO, including preterm birth, pre-eclampsia, low birth weight, and gestational diabetes (25). Several studies in the USA reported similar perceptions, where almost (40.0%) of dentists were uncertain about oralconditions and their effects on pregnancy (26)(27)(28).…”

Section: Knowledge Of Dentists About the Treatment Of Pregnant Womenmentioning

confidence: 99%

Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

AlShurman

Khader

Batieha

et al. 2020

Preprint

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Background: Although international guidelines emphasized that pregnant patients should receive proper dental treatment, many dentists are still hesitant to do so. This study aimed to determine the knowledge, attitude, and practices of dentists towards offering dental treatment to pregnant women in Jordan.Methods: An online survey was distributed to 1000 dentists using social-media applications between August and October, 2019. The survey consisted of three sections; dentists’ knowledge about the association between oral diseases and pregnancy, their participation in training courses, and their practices regarding various dental treatments during pregnancy. Descriptive statistics were obtained and Chi-square tests were used to measure the association between demographic variables and knowledge, attitude, and practices variables. Significance was considered at P-value < 0.05.Results: A total of 547 (54.7%) responded to the questionnaire. Only (37.5%) agreed that periodontal diseases might increase risk of adverse pregnancy outcomes. Almost (75.9%) did not attend any training program. The 2nd trimester was the most preferable time to do all dental procedures. There was a tendency to perform scaling and fillings especially in the 2nd trimester (82.4%), (86.1%) respectively. The majority of dentists would feel comfortable to do RCT (72.0%) or extraction (60.0%) in the 2nd trimester, whereas greater caution was apparent on 1st and 3rd trimester. A proportion of (32.5%) thought that taking x-rays during pregnancy was contraindicated. About (53.7%) didn’t know about the safety to administer nitrous oxide sedation during pregnancy. Around (75.9%) refused to prescribe non-steroidal anti-inflammatory drugs to pregnant women. By far, paracetamol was the drug of choice (96.9%) to prescribe as an analgesic and amoxicillin as an antibiotic (89.2%).Conclusion: lack of knowledge, poor attitude and incorrect practices were observed among surveyed dentists with regards to management of pregnant women. Thus, further education courses about international guidelines are needed to correct the common misconceptions and negative attitudes and practices of dentists in treating pregnant women.

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“…Szczególnie ważna może być zależność pomiędzy mikrobiotą jamy ustnej a nieprawidłowościami w przebiegu ciąży [39,40]. Od czasu gdy po raz pierwszy zaobserwowano zależność pomiędzy chorobami przyzębia a niską masą urodzeniową płodu, [41] liczne, choć nie wszystkie, badania epidemiologiczne wykazały związek pomiędzy chorobami przyzębia a przedwczesnym porodem, ograniczeniem wzrostu płodu, niską masą urodzeniową, stanem przedrzucawkowym oraz cukrzycą ciężarnych. Metaanalizy wskazują na istnienie nieznacznego związku pomiędzy paradontozą a przedwczesnym porodem oraz niską masą urodzeniową [42].…”

Section: Wpływ Mikrobioty Pochwy I Jamy Ustnej Na Mikrobiotę Macicy Iunclassified

Effect of uterine microbiota on female and offspring health

Macura¹,

Majewska‐Szczepanik²,

Strzępa³

et al. 2020

Med Og Nauk Zdr.

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Wprowadzenie. Powszechnie wiadomo, że obecność mikrobioty w organizmie jest ważna dla zdrowia człowieka. W ostatnich latach postęp technik biologii molekularnej nie tylko umożliwił potwierdzenie obecności drobnoustrojów w układzie pokarmowym, oddechowym i moczowym człowieka, ale również doprowadził do wykrycia obecności drobnoustrojów w narządach do tej pory uznawanych za sterylne, takich jak jama macicy. Cel pracy. W niniejszej pracy dokonano próby opisania składu mikrobioty macicy oraz jej roli fizjologicznej. Ponadto przedstawiono ewentualny wpływ zaburzeń w składzie mikrobioty na rozwój stanów patologicznych w obrębie żeńskiego układu rozrodczego. Opis stanu wiedzy. Najnowsze doniesienia wskazują na możliwość kolonizacji drobnoustrojami płynu owodniowego, krwi pępowinowej oraz łożyska. Fakt ten sugeruje możliwość wpływu mikrobioty na funkcjonowanie układu rozrodczego i przebieg ciąży, a także na rozwój i stan zdrowia płodu. Stan mikrobioty macicy może być również czynnikiem wpływającym na powodzenie technik wspomaganego rozrodu. Warto podkreślić, że niektóre doniesienia wskazują również na zależność pomiędzy ekspozycją na mikrobiotę w prenatalnym okresie życia a predyspozycjami do pojawienia się pewnych chorób w postnatalnym okresie życia. Podsumowanie. Wpływ mikrobioty macicy na zaburzenia płodności oraz rozwój płodu i zdrowie przyszłego noworodka stanowi ważne pole dalszych badań naukowych. W przyszłości stan mikrobioty żeńskiego układu rozrodczego powinien odgrywać ważną rolę w codziennej praktyce klinicznej.

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Periodontal diseases and adverse pregnancy outcomes

Cited by 111 publications

References 62 publications

Complications and pregnancy outcome in women with preeclampsia and eclampsia

Complications and pregnancy outcome in women with preeclampsia and eclampsia

Knowledge, Attitude, and Practices of dentists in offering dental treatment to pregnant women in Jordan: A Cross-Sectional survey

Effect of uterine microbiota on female and offspring health

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