Effect of maternal periodontal status on birth weight

Umoh, AO; Ojehanon, PI; Savage, Kofo O

doi:10.4103/2278-9626.112318

Cited by 11 publications

(26 citation statements)

References 33 publications

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“…Improving the oral health of pregnant women prevents complications of dental diseases during pregnancy [ 6 ]. Maternal oral diseases have been associated with pre-term births [ 7 - 10 ], development of pre-eclampsia [ 11 , 12 ] and delivery of a “small-for-gestational-age” infant [ 7 , 9 , 10 ]. This could lead to infant mortality and morbidity.…”

Section: Introductionmentioning

confidence: 99%

Resident obstetricians' awareness of the oral health component in management of nausea and vomiting in pregnancy

Enabulele

Ibhawoh

2014

BMC Pregnancy Childbirth

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BackgroundNausea and vomiting are common in early pregnancy in 50-90% of pregnant women and resolves in all but 10% of these women. Many obstetricians encounter this problem and should be familiar with the probable outcomes, current treatment options and oral health component of its management. This study assessed the awareness of obstetrics residents of the oral health component of management of nausea and vomiting in pregnancy.MethodsThis study was carried out among resident doctors in Obstetrics and Gynaecology in Nigeria. A pre-tested, self-administered questionnaire was used for the data collection. The data collected were analyzed using the Statistical Package for Social Science (SPSS) version 17.0. Non parametric analysis in the form of chi square was carried out to test for statistical significance with P value <0.05 considered statistically significant.ResultsA total of 200 questionnaires were administered while 186 were filled and returned, giving a response rate of 93%, comprising 21.5% senior residents and 78.5% junior residents. Most of the respondents agreed that oral health is important in pregnancy. A majority (58%) also thought that oral health complaints in pregnancy were not normal. Fifty-seven percent of the respondents neither assessed teeth and gums of pregnant women for problems during ante-natal care nor educated them on care that would improve their oral health. Majority (95.7%) of the respondents assisted pregnant women with dealing with nausea and vomiting but were not aware of the oral health component of its management.ConclusionOral health component in the management of nausea and vomiting in pregnancy has been largely neglected in obstetric care. It is pertinent that ante-natal health care providers receive adequate education on perinatal oral health care.

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Section: Introductionmentioning

confidence: 99%

Resident obstetricians' awareness of the oral health component in management of nausea and vomiting in pregnancy

Enabulele

Ibhawoh

2014

BMC Pregnancy Childbirth

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“…The respondents in this study were doctors undergoing postgraduate medical training in a tertiary health institution compared to the Jordanian study where the respondents were doctors working in maternities, comprehensive health centers and other hospitals. Studies have suggested that treatment of periodontal disease in pregnancy is feasible and may reduce the risk of preterm birth [6,7]. Only one-third of the sample agreed with this statement.…”

Section: Discussionmentioning

confidence: 80%

“…Umoh et al, [6] in a Nigerian study to investigate the effect of maternal periodontal status on birth weight, reported low birth weight deliveries which were significantly associated with poor periodontal status and concluded that periodontal treatment was effective in preventing low birth weight deliveries. It has been reported that controlling plaque by brushing, flossing and professional prophylaxis, including scaling and root planing, help to achieve good oral health in pregnancy and prevent low birth weight [7].…”

Section: Introductionmentioning

confidence: 99%

An Assessment of the Perceived Association between Oral Health and Pregnancy Outcomes in a Sample of Surveyed Doctors in Port Harcourt Nigeria

Bashiru

Anthony²

2014

EJPM

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Abstract:Background: Misconceptions exist on the safety of dental care during pregnancy. The aim of the study was to evaluate the knowledge of medical practitioners on the relationship between oral health and pregnancy outcomes. Subjects and Methods: A cross-sectional survey involving resident doctors at the University of Port Harcourt Teaching Hospital, Rivers State Nigeria. Data was collected using self-administered questionnaires and analyzed using IBM SPSS (New York, USA) statistics version 20.0. Frequency statistics and bivariate analysis were done and Chi-square test was used to test for statistical significance at the critical value p<0.05. Results: A total of 138 medical practitioners made up of 90 (65.2%) males and 48 (34.8%) females completed the questionnaire. Eighty five (62%) of the subjects were less than 35 years and 76 (55%) had practiced for less than 10 years. Approximately 53% of the subjects would advise patients to visit dentist during pregnancy. The sources of information were medical journal, 58%; medical curriculum, 46%; clinical teaching, 52% and internet, 35%. The majority 117 (85%) of the participants believed there was a possible connection between oral health and pregnancy outcomes, whereas 86 (62.3%) were ignorant that it was safe to carryout dental treatment during pregnancy. Gender, age and years of practice were significant determinant for advising dental visits. Conclusion: Approximately half of the medical practitioners would advise dental visits during pregnancy. Though majority of the participants were aware of the possible connection between oral health and pregnancy outcomes, they were ignorant of the impact of oral diseases on pregnancy outcomes and safety of dental care during pregnancy.

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“…Lopez and colleagues also assessed the risk of preterm birth and low birth weight in women with periodontitis in the USA and found that pregnant women with periodontitis were at a high risk of giving birth to premature babies with low birth weight (p=0.0004; RR=3.5) 36 .Several other studies also con rmed the association 37 , 38 , 39 , 40 , 41 , 42 , 14 , 43 . Also in Africa, some studies have been done on preterm birth and low birth weight deliveries and these were signi cantly associated with poor periodontal status; for example a study done in Nigeria by Umoh and colleagues revealed that periodontal treatment was effective in preventing low birth weight deliveries 20 . In Uganda, Wandera and colleagues also found that mothers with periodontal problems and poor oral hygiene during pregnancy had a greater risk of preterm birth as opposed to mothers who did not have periodontitis during pregnancy 44 and Muwazi in Uganda in his cross-sectional study revealed the association between gingival recession and preterm birth 31 .…”

Section: Discussionmentioning

confidence: 99%

“…In Africa, some studies have associated poor periodontal status with premature birth and low birth weight deliveries. For example, a study done in Nigeria by Umoh and colleagues concluded that the management of periodontal diseases reduced the prevalence of low birth weight deliveries 20 . Although the studies highlighted the association between periodontal infection and the risk of low birth weight, the literature search conducted did not nd any study that pointed to periodontal screening during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Assessing the association between periodontitis and preterm birth : A case control study

Uwambaye

Munyanshongore

Rulisa

et al. 2020

Preprint

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Background: Premature delivery is among the leading causes of perinatal mortality and morbidity in developed societies which is an important problem in obstetrics. Maternal periodontitis is a prevalent condition that has been suspected to be associated with adverse pregnancy outcomes such as preterm birth. However, there are still conflicting results which this study aims to address by examining the association between periodontitis and preterm birth. This study provides necessary information to inform decisions on the screening tool to be recommended for use by nurses and midwives to screen for periodontal diseases during antenatal consultations in order to improve mothers’ and children’s health. Methods: A case control study was conducted at 12 health facilities in the Southern Province of Rwanda from February to August 2018. A total of 555 women in the postpartum period were enrolled in the study. Cases and controls were enrolled in a ratio of 1:2, each enrolled case of preterm birth was followed by 2 control cases delivered at term gestation that were next on the register. There were 185 cases of preterm deliveries and 370 controls of term delivery. Multivariate regression analysis was done and the variables were hierarchically grouped into three groups: The first group involved demographic variables that were put in the regression model as Step 1. The second group was made up of other potential factors that were put in the regression model as the second step. The third group was periodontitis, as it was hypothesized to be a major predictor variable and this constituted the the third step of the regression model. Results: Significant association was found between periodontitis and preterm birth. Women who had periodontitis had 6 times the odds of giving birth to preterm birth babies compared to women who had no periodontitis (p<0.001) (95% CI 3.9, 10.4). Conclusion: Periodontitis is a risk factor for preterm birth and preventive solutions such as having a periodontitis screening tool for nurses and midwives during antenatal care consultations is highly recommended.

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Effect of maternal periodontal status on birth weight

Cited by 11 publications

References 33 publications

Resident obstetricians' awareness of the oral health component in management of nausea and vomiting in pregnancy

Resident obstetricians' awareness of the oral health component in management of nausea and vomiting in pregnancy

An Assessment of the Perceived Association between Oral Health and Pregnancy Outcomes in a Sample of Surveyed Doctors in Port Harcourt Nigeria

Assessing the association between periodontitis and preterm birth : A case control study

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