Most Pregnant Women in California Do Not Receive Dental Care: Findings from a Population-Based Study

Marchi, Kristen; Fisher-Owens, Susan A.; Weintraub, Jane A.; Yu, Zhiwei; Braveman, Paula

doi:10.1177/003335491012500610

Cited by 80 publications

(110 citation statements)

References 29 publications

(27 reference statements)

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“…There are many socio-demographic factors involved, such as poor education and pro-health awareness, or low economic status, which affect the attendance of women during pregnancy to the dentist [23][24][25][26]. Our results are in line with the observations of other authors.…”

Section: Discussionsupporting

confidence: 90%

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

et al. 2018

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Objectives: The aim of the study was to assess routine dental examination attendance of pregnant women and a possible impact of gynaecological referrals on the attendance rate. Material and methods:An electronic survey was conducted that was inclusive of women up to 5 years following delivery. The questions related to socio-demographic data, the course of pregnancy and childbirth, and visits to dental office during pregnancy. For statistical analysis, the authors utilized the chi-square test, Spearman's rank correlation coefficient and odds ratios. A significance level of 0.05 has been assumed. Results:A total of 3455 questionnaires were analyzed encompassing women aged 13.1-45.4 years. The respondents were on average 1.78 ± 1.44 years after childbirth. The population comprises of women in 59.1% from large cities, in 74.8% with higher education and in 41% with good socio-economic status. A total of 62.3% of women from the study population have visited a dentist for a routine dental examination. Gynaecologists have given a simple referral to a dentist to 17.6% of all women. 45.9% of them were further requested to provide back the feedback of their dental consultation. Dental appointments were upheld by 87.3% of referred women and by 56.9% of those without a referral (OR = 5.20 (4.05-6.67); p < 0.001). Among those who were referred, dental appointments were upheld in 91.7% of cases when further asked to provide oral health feedback and in 83.5% of cases in absence of such further request (OR = 2.19 (1.3-3.66); p = 0.003). Conclusions:It was determined that referrals from a gynaecologist, and associated oral health feedback requests increase the frequency of abiding to dental appointments during pregnancy. As such, it is necessary to increase the involvement of gynaecologists in the promotion and maintenance of perinatal oral health.

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Section: Discussionsupporting

confidence: 90%

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

et al. 2018

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“…At the Bichat-Gynecology Talks in 1991, it was reported that only 5% of pregnant women spontaneously consult the dentist during pregnancy. [2] Marchi and colleagues have shown that 65% of women in California did not consult a dentist during pregnancy [3]. Many patients avoid seeing a dentist for fear of affecting their baby (Strafford et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Study on the Oral State in Pregnant Women

2017

IJSR

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Introduction: Pregnancy plays a preponderant role in the development of oral and dental pathologies by the action of steroid sex hormones on the different systems of the maternal organism and in particular the immune, vascular and secretory systems, as well as on the gingival flora. and oral. Objective: Our goal was to compare oral status in pregnant versus non-pregnant women to determine whether or not there is a relationship between hormonal disruption during pregnancy and increased incidence of oral disease. Material and methods: We conducted an epidemiological survey. This investigation took place in the gynecology department of the military hospital of Tunis. The sample consists of 200 women divided into two groups: A test group consisting of 100 pregnant women and a control group consisting of 100 non-pregnant women. Exclusion criteria were: Age <19 years, Pathology requiring antibiotic prophylaxis for periodontal probing, such as cardiac pathology, General pathology that may affect periodontal status (such as unbalanced diabetes), females toothless or with less than 8 teeth, outside the third molars. This is a prospective, comparative study between two groups, based on a form developed with an epidemiologist. The survey was carried out using a questionnaire completed by one and the same person during a clinical intraoral examination and relating to the marital status, general pathologies of the patient and her hygiene habits. Periodontal status was assessed for each patient, and we used the bleeding index, plaque index, gingival index, and community index for assessing CPITN periodontal care needs: Community Periodontal Index of Treatment Needs). The data is captured and analyzed using SPSS software version 20. The statistical test used is Pearson's Chi 2 to study the significance of the difference between independent variables. The materiality threshold is set at 5%. Results: The results showed that there is a level of oral hygiene oscillating between the moderate and the bad, a bad condition of the dentition in pregnant women. The physiological state of pregnancy aggravates the situation, so the impact of pregnancy on the periodontal state is manifested by an increase in the gingival index, the bleeding index and the depth of the pockets. These results also showed that pregnancy requires both obstetric and oral followup.

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“…Hasil penelitian ini sesuai dengan penelitian yang dilakukan oleh Marchi dkk, menunjukkan bahwa 65% ibu hamil di California tidak melakukan pemeriksaan ke dokter gigi, walaupun sebagian besar (52%) ibu hamil tersebut dilaporkan memiliki masalah gigi dan mulut selama kehamilan. 9 Berdasarkan data hasil penelitian diatas, peneliti kemudian mengidentifikasi faktor anteseden apa saja yang melatarbelakangi perilaku tidak memeriksakan ke dokter gigi saat hamil dan selanjutnya menindaklanjuti dengan mengidenitifikasi faktor konsekuens apa yang mengikuti perilaku tidak memeriksakan kesehatan gigi dan mulut selama hamil tersebut. Dari hasil penelitian, terungkap bahwa faktor anteseden tidak memeriksakan ke dokter gigi saat hamil, yaitu 33% karena tidak tahu manfaat ke dokter gigi, 26% karena takut ke dokter gigi, 19% karena merasa biaya ke dokter gigi mahal, 11% karena tidak merasa butuh ke dokter gigi, dan 11% karena takut mengganggu janin.…”

Section: Pembahasanunclassified

Pengaruh Program Perubahan Perilaku Ibu Hamil (Cerdigi) Berdasarkan Teori ABC (Studi Pendahuluan di Kelurahan Serpong, Tangerang Selatan)

Septalita

Andreas

2015

Majalah Kedokteran Gigi Indonesia

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ABSTRAKKesehatan gigi dan mulut merupakan salah satu hal yang perlu diperhatikan selama kehamilan. Perilaku pemeliharaan kesehatan gigi dan mulut selama hamil masih rendah. Kondisi kesehatan gigi dan mulut ibu hamil yang buruk dapat memberikan dampak, seperti bayi lahir prematur dan berat badan lahir rendah (BBLR). Teori perubahan perilaku ABC berfokus antecedent, behavior, dan consequence. Tujuan penelitian untuk mengetahui perilaku pemeliharaan kesehatan gigi mulut ibu hamil, mengindentifikasi faktor antecedent-nya, melakukan intervensi perubahan behavior-nya (DHE), dan menganalisis consequence perilakunya. Jenis penelitian ini deskriptif dengan desain cross sectional, melibatkan 27 ibu hamil di Kelurahan Serpong, Tangerang Selatan. Pengumpulan data diperoleh melalui wawancara dan kuesioner. Hasil penelitian menunjukkan 100% (27 responden) menyikat gigi 2x/hari, 44,4% (12 responden) menggunakan obat kumur 1x/minggu dan 4% (1 responden) memeriksakan ke dokter gigi saat hamil. Faktor antecedent tidak memeriksakan ke dokter gigi saat hamil yaitu 33% tidak tahu manfaat ke dokter gigi, 26% takut ke dokter gigi, 19% merasa biaya ke dokter gigi mahal, 11% tidak merasa butuh ke dokter gigi, dan 11 takut mengganggu janin. Setelah 9 hari intervensi, 19 responden dievaluasi consequence -nya dengan hasil 90% belum ke dokter gigi, 5% telah ke dokter gigi, dan 5% tidak mau ke dokter gigi. Alasan belum memeriksakan ke dokter gigi dikarenakan waktu 52%, tidak ada yang mengantar 12%, malas 12%, takut ke dokter gigi 12%, dan belum ada dana 12%. Kesimpulan penelitian adalah perilaku pemeliharaan kesehatan gigi mulut ibu hamil didominasi pemeliharaan sendiri (sikat gigi dan kumur-kumur obat kumur), sementara pemeliharaan ke dokter gigi masih rendah dengan berbagai antecedence. South Tangerang). Oral health is one of the things that need attention during pregnancy. However, the behavior of dental and oral health maintenance during pregnancy is still low. Poor oral health conditions in pregnant women can have an impact, such as premature births and low birth weight (LBW) babies. ABC behavior change theory focuses on the antecedent, behavior, and consequence of behavior. The purpose of this study is to determine pregnant women's behavior of oral health maintenance, identify their antecedent factors, behavior change interventions (DHE), and analyze the behavior consequence. This was a descriptive research with a cross-sectional design among 27 pregnant women in Serpong Subdistrict, South Tangerang. The data were collected through interviews and questionnaires. The results show 100% (27 respondents) did tooth brushing twice a day, 44,4% (12 respondents) used mouthwash once a week and 4%(1 respondent) visited a dentist during pregnancy. The antecedent factors of not visiting a dentist during pregnancy were because: 33% did not know the benefits of visiting a dentist, 26% had fear of dentist, 19% felt that visiting a dentist was expensive, 11% did not feel the need to go to a dentist, and 11% had fear of disturbing the fetus. After 9 d...

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Most Pregnant Women in California Do Not Receive Dental Care: Findings from a Population-Based Study

Cited by 80 publications

References 29 publications

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy

Epidemiological Study on the Oral State in Pregnant Women

Pengaruh Program Perubahan Perilaku Ibu Hamil (Cerdigi) Berdasarkan Teori ABC (Studi Pendahuluan di Kelurahan Serpong, Tangerang Selatan)

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