Impact of perinatal oral health care education programme on the knowledge, attitude and practice behavior amongst gynaecologists of Vadodara city

Deshpande, Anshula; Dhillon, Steffi; Poonacha, Koodakandi Somanna; Dave, Bhavna; Porwal, Prriya; Macwan, Chirag

doi:10.4103/0970-4388.155124

Cited by 7 publications

(7 citation statements)

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“…Our findings also support earlier reports [32–34, 40] about the misconceptions among ANC providers regarding oral health in pregnancy. Over half of ANC providers believed the myth that calcium will be drawn out of mothers’ teeth by the developing baby, and over a third falsely believed it is unsafe to obtain dental radiographs in pregnant women.…”

Section: Discussionsupporting

confidence: 92%

“…Additionally in our study, some ANC providers reported limited knowledge regarding the association between maternal oral health and early childhood caries in their infants, with less than two thirds of providers identifying this. Earlier studies have reported even lower knowledge of this association among O&Gs with less than a third of respondents identifying this link [32, 34]. …”

Section: Discussionmentioning

confidence: 99%

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What do antenatal care providers understand and do about oral health care during pregnancy: a cross-sectional survey in New South Wales, Australia

George

Dahlen

Reath

et al. 2016

BMC Pregnancy Childbirth

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BackgroundThere is mounting evidence to support the lack of awareness among pregnant women about health consequences and long term risks associated with poor oral hygiene during pregnancy. A recognised and important point of influence is their interaction with health professionals, particularly when receiving Antenatal Care. However, there is limited evidence about the perceptions of ANC providers in Australia toward the provision of perinatal oral healthcare. This study was undertaken to explore the knowledge, attitudes and practices of Antenatal Care (ANC) providers in New South Wales (NSW), Australia providing perinatal oral healthcare and to identify barriers to and predictors of their practices in this area.MethodsA cross sectional survey was undertaken of ANC providers (general practitioners, obstetricians/gynaecologists and midwives) practising in NSW, Australia. Participants were recruited through their professional organisations via email, postal mail, and networking at conferences. The survey addressed the domains of knowledge, attitude, barriers and practices towards oral healthcare, along with demographics. Data was entered into SPSS software and analysed using descriptive and inferential statistics.ResultsA total of 393 surveys (17.6% response rate) were completed comprising 124 general practitioners, 74 obstetricians/gynaecologists and 195 midwives. The results showed limited knowledge among ANC providers regarding the impact of poor maternal oral health on pregnancy/infant outcomes. Most (99%) participants agreed that maternal oral health was important yet few were discussing the importance of oral health or advising women to visit a dentist (16.4–21.5%). Further, less than a third felt they had the skills to provide oral health advice during pregnancy. ANC providers who were more knowledgeable about maternal oral health, had training and information in this area and greater experience, were more likely to engage in practices addressing the oral health of pregnant women.ConclusionThe findings suggest that ANC providers in NSW are not focussing on oral health with pregnant women. ANC providers seem willing to discuss oral health if they have appropriate education/training and information in this area. Further research at a national level is required to confirm whether these findings are similar in all Australian states.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

What do antenatal care providers understand and do about oral health care during pregnancy: a cross-sectional survey in New South Wales, Australia

George

Dahlen

Reath

et al. 2016

BMC Pregnancy Childbirth

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“… • No significant change in OH knowledge/perceptions of pregnant women between baseline and follow-up at 36 weeks • Improved OH practices (e.g. frequency of brushing and flossing teeth) and attendance for dental check-up during pregnancy • Reduced OH problems in 3rd trimester • Potential role of IHW Dental Health Services Victoria, 2017 [ 41 ] Australia Government brochure To provide culturally-appropriate information about available dental services for Aboriginal and Torres Strait Islander peoples N/A Intervention: • Free dental services for any Aboriginal or Torres Strait Islander person at the Royal Dental Hospital of Melbourne • Aboriginal Liaison Officer can assist with streamlining communication • Potential role of IHW Deshpande et al, 2015 [ 54 ] India Peer-reviewed journal article Assess the impact of the perinatal OH care education program on the knowledge, attitude & practice behaviour amongst gynaecologists Cross-sectional Program: • Flip chart and OH resource brochures provided to 46 gynaecologists • Assessed after 1 month • Significant improvement in OH knowledge ( p < 0.001), & practice behaviour ( p < 0.001) • No significant change ( p = 0.49) in attitude of respondents • Training program George et al, 2016 [ 52 ] Australia Peer-reviewed journal article Evaluate the effectiveness of the Midwifery Initiated OH (MIOH) program in improving the OH knowledge of midwives & assess their confidence to promote maternal OH post training Pre-post test Program: • Antenatal OH education and referral • 3 self-paced online modules over 3 months Delivered to 50 midwives • Significantly improved midwives’ knowledge ( p < 0.001) • At program completion 82% of respondents were confident in introducing the topic of OH in their antenatal session, 77.6% were confident with dental service referrals, and 46% were confident to undertake a visual mouth check • Training program George et al, 2016 [ 56 ] Australia Peer-reviewed journal article Undertake sensitivity and specificity assessment of the maternal OH screening tool using two comparison approaches- the Oral Health Impact Profile and a clinical oral assessment by trained study dentists Diagnostic test Screening tool: 2-Item Maternal Oral Health Screening Tool administered by midwives 1. OH status 2.…”

Section: Resultsmentioning

confidence: 99%

“…The search yielded four articles reporting training programs in promoting maternal oral health to non-dental health professionals including midwives [ 44 , 52 , 53 ] and gynaecologists [ 54 ]. Two of these studies delivered face-to-face oral health education and promotion programs [ 44 , 53 ] while the other two employed an online self-paced module [ 52 ] and written material [ 54 ] as the delivery mode of training activities. Öcek et al’s program in Turkey [ 53 ] increased oral health knowledge of midwives through a face-to-face program involving oral hygiene procedures, techniques, and eruption chronology of deciduous teeth in young children.…”

Section: Resultsmentioning

confidence: 99%

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The role of indigenous health workers in promoting oral health during pregnancy: a scoping review

Villarosa

Salamonson

et al. 2018

BMC Public Health

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BackgroundEarly childhood caries is the most common chronic childhood disease worldwide. Australian Aboriginal and Torres Strait Islander children are twice more likely to develop dental decay, and contributing factors include poor maternal oral health and underutilisation of dental services. Globally, Indigenous health workers are in a unique position to deliver culturally competent oral healthcare because they have a contextual understanding of the needs of the community.MethodsThis scoping review aimed to identify the role of Indigenous health workers in promoting maternal oral health globally. A systematic search was undertaken of six electronic databases for relevant published literature and grey literature, and expanded to include non-dental health professionals and other Indigenous populations across the lifespan when limited studies were identified.ResultsTwenty-two papers met the inclusion criteria, focussing on the role of Indigenous health workers in maternal oral healthcare, types of oral health training programs and screening tools to evaluate program effectiveness. There was a paucity of peer-reviewed evidence on the role of Indigenous health workers in promoting maternal oral health, with most studies focusing on other non-dental health professionals. Nevertheless, there were reports of Indigenous health workers supporting oral health in early childhood. Although some oral health screening tools and training programs were identified for non-dental health professionals during the antenatal period, no specific screening tool has been developed for use by Indigenous health workers.ConclusionsWhile the role of health workers from Indigenous communities in promoting maternal oral health is yet to be clearly defined, they have the potential to play a crucial role in ‘driving’ screening and education of maternal oral health especially when there is adequate organisational support, warranting further research.

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Long-term effectiveness of the midwifery initiated oral health-dental service program on maternal oral health knowledge, preventative dental behaviours and the oral health status of children in Australia

George

Kong

Sousa

et al. 2022

Acta Odontologica Scandinavica

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BackgroundEarly childhood caries remains a public health challenge and many interventions to manage this disease have focused on prevention during early infancy. Promoting oral health during pregnancy may also improve the oral health of children, however, there is limited evidence in Australia. The Midwifery Initiated Oral Health-Dental Service (MIOH-DS) was developed to train midwives to promote maternal oral health and a large trial showed the program substantially improved the oral health status, knowledge and behaviours of pregnant women. This study evaluated the long-term effectiveness of the program (post trial) on maternal oral health knowledge, preventative dental behaviours, and early childhood caries in offspring. MethodsA prospective cohort study was conducted in three large metropolitan health services in Sydney, Australia. The study followed 204 women and their children three to four years after participating in the original MIOH-DS trial (intervention and control groups). The outcome measures included child dental decay (cariogenic bacteria), and a maternal oral health knowledge and behaviours questionnaire. Descriptive statistics were used to analyse the main outcomes and a regression model was constructed to explore predictors of dental decay among children. ResultsThere were no signi cant differences across the outcome measures between the MIOH-DS participants (mother/child) and control groups except for a small difference in maternal oral health knowledge. Most mothers across both groups demonstrated high oral health knowledge and positive oral health practices, and the regression model found that these outcomes provided a protective effect (low levels of bacteria and dental caries) among children. Some aspects of oral health remained poorly understood by mothers across both groups-the oral health impact of sugary foods and drinks, at-risk feeding practices, and the recommended age for rst dental visits. ConclusionsThe long-term impact of the program demonstrates the effectiveness of improving maternal oral health knowledge and preventative behaviours to reduce the risk of early childhood caries, although the speci c effect of the MIOH-DS program was not found. Although oral health knowledge was high across participants the ndings suggest the need for reinforced education around feeding, diet and dental visiting through postnatal early childhood services to show sustained improvements.

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Impact of perinatal oral health care education programme on the knowledge, attitude and practice behavior amongst gynaecologists of Vadodara city

Abstract: It can be concluded that there is a need for provision of education and awareness to the primary health care providers which would help in improving pregnant women and infant's oral health status along with establishment of dental home.

Cited by 7 publications

References 1 publication

What do antenatal care providers understand and do about oral health care during pregnancy: a cross-sectional survey in New South Wales, Australia

What do antenatal care providers understand and do about oral health care during pregnancy: a cross-sectional survey in New South Wales, Australia

The role of indigenous health workers in promoting oral health during pregnancy: a scoping review

Long-term effectiveness of the midwifery initiated oral health-dental service program on maternal oral health knowledge, preventative dental behaviours and the oral health status of children in Australia

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