Process evaluation of the midwifery initiated oral health‐dental service program: perceptions of pregnant women

George, Ajesh; Villarosa, Amy R.; Norrie, Tiffany Patterson; Hoolsema, Julia; Dahlen, Hannah G; Ajwani, Shilpi; Bhole, Sameer; Blinkhorn, Anthony; Srinivas, Ravi; Yaacoub, Albert; Milat, Andrew; Skinner, John; Johnson, Maree

doi:10.1111/adj.12660

Cited by 14 publications

(18 citation statements)

References 20 publications

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“…The process evaluation showed that the program is feasible and could be scaled up in‐line with the national oral health plan; however, challenges exist with regard to providing a model that can be supported by public and private dental professionals. The study findings along with the perspectives of women and midwives will inform the overall scalability and implementation of the program.…”

Section: Resultsmentioning

confidence: 99%

“…This study describes the process evaluation of the MIOH‐DS program from the perspectives of the dental staff who delivered the dental intervention in the trial. The perceptions of the midwives and pregnant women who were part of the program have been detailed elsewhere …”

Section: Introductionmentioning

confidence: 99%

“…The perceptions of the midwives and pregnant women who were part of the program have been detailed elsewhere. 23,24…”

Section: Introductionmentioning

confidence: 99%

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Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

Ajwani

Sousa

Villarosa

et al. 2018

Health Prom J of Aust

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Issue addressed All pregnant women should have a comprehensive oral health evaluation. Unfortunately, many pregnant women seldom seek dental care and some dentists are hesitant to treat during pregnancy. To address these issues, the Midwifery Initiated Oral Health Dental Service (MIOH‐DS) program was developed in Australia. The aim of this study was to undertake a process evaluation and explore the perceptions of dental professionals involved in the program to determine the acceptability, feasibility and effectiveness of the program if it were to be upscaled. Methods A qualitative approach using content analysis was conducted on data from two focus groups involving 12 dental professionals. Results All participants were supportive of the MIOH‐DS program. They thought pregnant women were receptive to their care, and reported markedly improved oral health. The provision of free dental care and the involvement of midwives were cited as major factors that improved the uptake of the program. Some of the challenges encountered were the prevailing misconceptions about the safety of dental treatment and pregnancy‐related impairments. Conclusions Dental professionals found the MIOH‐DS to be acceptable, feasible and effective in improving oral health of pregnant women and their uptake of dental services. However, some challenges need to be addressed as the MIOH‐DS program is upscaled into a cost‐effective model. So what? Dental professionals are important stakeholders in the MIOH‐DS model. The process evaluation of the successful dental intervention is necessary to understand how and why such interventions work, and is an important step in scaling up to a population‐wide intervention.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

Ajwani

Sousa

Villarosa

et al. 2018

Health Prom J of Aust

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“…Ainda existe a crença de que em cada gestação a mulher perde um dente; que a gravidez causa cárie dentária; que a gestante não pode receber tratamento odontológico como anestesia e muitos outros mitos 23 . Muitas mulheres que precisam de tratamento não procuraram o cirurgião-dentista 24,25 e tem consequências, nesta fase, das mais variadas, como progressão de cárie preexistente em um elemento dental até parto prematuro ou baixo peso ao nascer 5,12 .…”

Section: Discussionunclassified

Associação entre percepção de saúde bucal e procura pelo serviço odontológico por gestantes

Saliba

Garbín

Custodio

et al. 2020

SDH

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Objetivo: Objetivou-se analisar a procura por atendimento odontológico e o perfil de gestantes.Materiais e Métodos: Trata-se de um estudo transversal, retrospectivo, de análise documental realizado em uma clínica de atendimento odontológico para gestantes. Os dados de saúde bucal foram coletados em 954 prontuários das gestantes atendidas entre 1999 e 2014. As variáveis estudadas foram: procura por atendimento odontológico, condições sociodemográficas e percepção sobre saúde bucal. Os dados foram analisados no software Epi Info e testes estatísticos foram realizados em nível de significância de 5%.Resultados: A média de idade das gestantes foi de 26 anos, 55,56% (n=530) brancas, 74,84% (n=714) residiam com o companheiro, 44,76% (n=427) trabalhavam, 44,23% (n=422) eram primigestas. Em relação a procura pelo serviço odontológico, a maioria (n=493) relatou sangramento gengival; 57,53% (n=210) não sentiam a boca saudável; 68,31% (n=248) não estavam satisfeitas com a aparência dos dentes. A procura por atendimento odontológico foi mais frequente entre gestantes que não sentiam sua boca saudável (p=0,01). Observou-se que 74,63% (n=712) das gestantes notaram alguma alteração bucal durante a gestação, mas a maioria (53,87%) não procurou atendimento odontológico.Conclusão: Concluiu-se que houve pouca procura por atendimento odontológico pelas gestantes, mesmo com necessidades reais de tratamento ou alterações bucais.

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“…In this light, midwives can play an important role in providing antenatal oral health screening and education, as well as dental referrals [40,46]. Furthermore, recent surveys have also reported that Australian women are positive towards receiving oral health advice from midwives during pregnancy [38,47].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitudes and Practice Behaviour of Midwives Concerning Periodontal Health of Pregnant Patients

Nguyen

Nanayakkara

Holden

2020

IJERPH

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Maternal gum disease is associated with adverse pregnancy outcomes such as preterm birth and low birthweight. This study aims to evaluate the knowledge, attitudes and practice behaviour of Australian midwives regarding the periodontal health of pregnant women to inform interprofessional antenatal care. This was an observational, cross-sectional study. We circulated an online questionnaire to Australian midwives from August 2018 to February 2019. Key outcome variables were knowledge, attitudes, and practice behaviours related to oral health. Key predictor variables were years of practice, practice location, and dental history. We summarized responses with frequency tables and assigned tallied scores for analysis using non-parametric statistical tests. 100 responses were analysed, including from rural (n = 23) and urban (n = 77) midwives. Eighty percent of midwives agreed that maternal dental care can positively affect pregnancy outcomes. Fluoridated toothpaste use (19.1%) was incorrectly answered to prevent gum disease more often than psychological stress control (7.9%), a correct answer. Rural midwives demonstrated a significantly higher knowledge score (p = 0.001) and significantly more positive practice behaviours towards oral health (p = 0.014) than urban midwives. Australian midwives have positive attitudes towards antenatal oral health but misunderstand gum disease aetiology and prevention. This study highlights areas to improve interprofessional education for optimal oral health and pregnancy outcomes.

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Process evaluation of the midwifery initiated oral health‐dental service program: perceptions of pregnant women

Cited by 14 publications

References 20 publications

Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

Process evaluation of the midwifery initiated oral health‐dental service program: Perceptions of dental professionals

Associação entre percepção de saúde bucal e procura pelo serviço odontológico por gestantes

Knowledge, Attitudes and Practice Behaviour of Midwives Concerning Periodontal Health of Pregnant Patients

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