2018
DOI: 10.1590/0102-311x00130817
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Barriers and facilitators to dental care during pregnancy: a systematic review and meta-synthesis of qualitative studies

Abstract: Some barriers to dental treatment during pregnancy are poorly understood, especially those related to psychosocial factors, which are better explored in qualitative studies. The aim of this systematic review was to explore the barriers and facilitators to dental care during pregnancy through a thematic synthesis of qualitative studies. Qualitative or mixed-methods studies published in English, Portuguese, Spanish and French, from 2000 to 2016, were included. The search strategies were conducted in PubMed, Scop… Show more

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Cited by 39 publications
(59 citation statements)
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“…This nding underscores the low utilization of dental services reported among pregnant women in Canada [7][8][9]. The reasons proffered by the participants for non-utilization were also consistent with existing research evidence, these included low or no interest in oral health [11,12,20], lack of nancial resources [7-9, 11, 12], and fear or concern about dental care during pregnancy [8,11,12,20]. Such reasons demonstrate the need for oral health promoting activities integrated with prenatal care, given that only two participants received a referral to address the oral health complaints.…”
Section: Discussionsupporting
confidence: 77%
“…This nding underscores the low utilization of dental services reported among pregnant women in Canada [7][8][9]. The reasons proffered by the participants for non-utilization were also consistent with existing research evidence, these included low or no interest in oral health [11,12,20], lack of nancial resources [7-9, 11, 12], and fear or concern about dental care during pregnancy [8,11,12,20]. Such reasons demonstrate the need for oral health promoting activities integrated with prenatal care, given that only two participants received a referral to address the oral health complaints.…”
Section: Discussionsupporting
confidence: 77%
“…This result comes in agreement with a study by Dar-Odeh (2018) in Al Madinah, Saudi Arabia in which 43.6% of pregnant women avoided dental visits due to a misconception regarding the safety of dental local anesthesia [29] Dinas et al, (2007) showed that 72.2% of women in Greece considered that dental treatment might cause adverse effects during pregnancy [16]. A recent systematic review found that limited use of dental care services during pregnancy was because the majority of women (72.2%) believe that dental treatment could lead to negative pregnancy outcomes [30]. According to the American Dental Association, dental treatment is safe and pregnant women who are identified to have dental problems should be referred to the dentist.…”
Section: Discussionmentioning
confidence: 99%
“…This was in consonant with previous study. 3 That is why health insurance is very important since it has been associated with better use of dental services. 14,18 Other reasons for not visiting the dentist during pregnancy included; busy schedule and fear of the dentists.…”
Section: Discussionmentioning
confidence: 99%