scholarly journals Acesso e utilização de serviços odontológicos por gestantes: revisão integrativa de literatura

2020 ◽  
Vol 25 (3) ◽  
pp. 827-835
Author(s):  
Cáren Coronel da Silva ◽  
Cristiane Medianeira Savian ◽  
Bruna Pivetta Prevedello ◽  
Cláudia Zamberlan ◽  
Débora Martini Dalpian ◽  
...  

Resumo O objetivo deste artigo é identificar as produções científicas sobre o acesso e utilização de serviços odontológicos por gestantes. Foi realizada uma revisão integrativa de literatura com busca nas bases de dados BVS e MEDLINE/PubMed. Na base BVS os descritores foram: “acesso aos serviços de saúde”, “saúde bucal” e “gestantes”, e na PubMed: “Health services accessibility”, “oral health” e “pregnant women”, associados entre si pelo operador booleano AND. Foram encontrados cinco estudos que preencheram os critérios de inclusão e exclusão, sendo sistematizados em duas categorias empiricas e co-relacionadas: número expressivo de gestantes que não realizam o pré-natal odontológico e importância de medidas educativas que sinalizem a necessidade de receberem acompanhamento odontológico durante as consultas de pré-natal. Existe a necessidade de mais estudos, para embasar políticas de saúde pública que contemplem esta temática. As pesquisas existentes demonstram baixa adesão ao pré-natal odontológico e que os principais fatores observados como complicadores do acesso e utilização dos serviços odontológicos foram os relacionados aos aspectos socioeconômicos, culturais e educacionais.

2020 ◽  
Vol 4 (6) ◽  
pp. 177-179
Author(s):  
Aprilia Martha Bakoil ◽  
Dinah Charlota Lerik ◽  
Sabina Gero

Improving the optimal health status requires commitment and continuous effort so that a sub-standard development goals (SDGS) program is formed, one of which aims to tackle health problems in pregnant women. Dental and oral disease during pregnancy is a public health problem. The incidence of dental and oral diseases during this period is due to a lack of knowledge about oral health maintenance. The low use of service facilities by the community is related to treatment seeking behavior and ill-health concepts from the community. The purpose of the study was to analyze the relationship of knowledge and assessment of pregnant women with the use of dental health services at the Dental Clinic at the Health Centers in Kupang City. The design of this research was cross-sectional. The samples were 250 respondents, selected using proportional random sampling technique. Data were collected using a questionnaire as an instrument, then analyzed using ordinal regression test. Based on the data analysis results, it could be concluded that there was relationship between knowledge and assessment of pregnant women with the utilization of dental and oral health services in Public Health Center in Kupang City. Keywords: knowledge; pregnant women; utilization; dental and oral health services


2019 ◽  
Author(s):  
Thandiwe Phiri

UNSTRUCTURED Background: Pregnancy is associated with the development of oral cavity disorders and diseases due to the increase in the levels of the hormones Estrogen and Progesterone, which predispose the oral cavity of the pregnant woman to diseases. Some of the common self-reported oral diseases in pregnancy are gingivitis, dental caries, periodontitis, pregnancy tumors and many more. In most developing countries research on the oral health during pregnancy has not been done leading to limited information to general public. The main objective of this study is to determine the self-reported oral diseases, oral hygiene and utilization of oral health services among pregnant women attending antenatal clinic at New Masala Clinic. Methods: A descriptive cross-sectional study was conducted among 208 pregnant women attending antenatal clinic at New Masala Clinic of Ndola town. All participants completed a questionnaire with following parameters; socio-demographics, self-oral care, oral symptoms during pregnancy and utilization of oral health services during pregnancy. The data collected was then analyzed using SPSS software version 20 statistical software. Chi-square test was used to determine significant associations. Results: over one third of participants reported to experience bleeding gums, 85.1% reported to have been brushing regularly at least twice or more daily. None (0%) used floss while majority (80.3%) of the participants reported use of toothpick. Majority (80.8%) had never visited a dentist in their entire life while 7.2% of the participants reported to have visited a dental clinic in less than 1 year ago. Majority (99%)of the participants had never visited a dentist during their pregnancy Conclusion and recommendations: Despite the high level of self-reported oral care among pregnant women there is great need for radical sensitization and awareness about oral health during pregnancy and utilization of dental services among pregnant women. Social economic status and education back ground do not influence dental services utilization or development of oral health diseases and. However the age of gestation has great influence of the development of certain oral symptoms and diseases.


2021 ◽  
Vol 15 (1) ◽  
pp. 250-256
Author(s):  
Anne A. Suwargiani ◽  
Erry M. Arief ◽  
Dudi Aripin ◽  
Sunardhi Widyaputra ◽  
Sri Susilawati

Background: Oral health care for pregnant women is often not provided by five health professionals in Indonesia: dentist, general practitioner, gynaecologist, promotion health officer, and midwives. While pregnant women also neither seek nor receive oral health treatment, even with apparent oral disease signs. This condition might occur due to a lack of understanding regarding the importance of oral health care for a healthy pregnancy. Objective: This study aimed to determine the knowledge of five different types of Indonesian health workers regarding oral health services for pregnant women. Methods: A cross-sectional study was conducted on a population of five types of health workers in Indonesia. The sampling technique used was non-probability sampling with consecutive sampling technique from August until September 2019. The sample size was 191 health workers; calculation of sample size was conducted using the survey population to estimate the population proportion formula. The research data was collected using Google® Form questionnaire, which consisted of questions regarding regulations and socialisation about the oral health of pregnant women, the minimum number of visits of pregnant women to health service facility during pregnancy, the necessity for oral health examination during pregnancy, oral health treatment package for pregnant women, advisory for pregnant women to have an oral health examination, maternal and child health manual book. The questionnaire was distributed online to the five types of health workers in Indonesia. Data were analysed using Microsoft® Excel and presented in tabular form. Results: Nine out of thirteen knowledge criteria were in the 'less' category, which means 69% of health workers lacked knowledge regarding oral health services for pregnant women. Likewise, the number of respondents who knew the correct knowledge was found in 9 of the 13 criteria, indicated that only a small proportion of health workers had adequate knowledge regarding oral health services for pregnant women. Conclusion: Five different types of Indonesian health workers are not knowledgeable enough regarding the importance of oral health services for pregnant women. Only a small portion of Indonesia's health workers have adequate knowledge regarding appropriate oral health services for pregnant women.


2020 ◽  
Author(s):  
Ariana C Kong ◽  
Mariana S Sousa ◽  
Lucie Ramjan ◽  
Michelle Dickson ◽  
Joanne Goulding ◽  
...  

Abstract Background Aboriginal Health Workers provide a unique insight into understanding the health needs of the Aboriginal peoples in the community on account of their cultural knowledge, experiences and understanding of the health services. The aim of this study was to explore the perceptions and experiences of Aboriginal Health Workers towards oral health care to inform the development of an oral health care program to better meet the oral health needs of Aboriginal pregnant women and new mothers.Methods A participatory action research methodology informed the study. Focus groups were conducted with Aboriginal Health Workers at two antenatal health services in Sydney, Australia.Results A total of 14 people participated in the focus groups. The four themes that emerged from the focus groups provided insight on the importance of trust in the building of empowering relationships with Aboriginal women and highlighted the need for Aboriginal Health Workers to receive additional training to better address the oral health needs of Aboriginal pregnant women and new mothers. However, the Aboriginal Health Workers worked in a system fundamentally driven by the legacy of colonisation and integenerational trauma that has created systemic barriers to access of health services, including dental care. The participants recommended that a priority dental referral pathway, that supported continuity of care, could provide increased accessibility to dental care for Aboriginal pregnant women and new mothers.Conclusions The oral health of Aboriginal pregnant women and new mothers is supported by Aboriginal Health Workers, who outlined both a systems and an individual approach in delivery of existing dental care. The Aboriginal Health Workers provided recommendations to develop a program of dental care that could break down the systemic factors that create barriers to accessing dental care for Aboriginal women.


2020 ◽  
Author(s):  
Ariana C Kong ◽  
Mariana S Sousa ◽  
Lucie Ramjan ◽  
Michelle Dickson ◽  
Joanne Goulding ◽  
...  

Abstract Background: In Australia, models of care have been developed to train antenatal care providers to promote oral health among pregnant women. However, these models are underpinned by Western values of maternity care that do not consider the need to ensure cultural safety for Aboriginal and Torres Strait Islander women. This study aimed to explore the perceptions and experiences of Aboriginal Health Workers and Family Partnership Workers towards oral health care during pregnancy. It is part of a larger program of research to develop a new, culturally appropriate model of oral health care for Aboriginal pregnant women and new mothers.Methods: A participatory action research methodology informed the study. Focus groups were convened to yarn with Aboriginal Health Workers, Family Partnership Workers and Aboriginal management staff at two antenatal health services in Sydney, Australia. Results: A total of 14 people participated in the focus groups. There were four themes that were constructed. These focussed on the importance of trust to build relationships with clients, and the need to receive training to better address the oral health needs of Aboriginal pregnant women and new mothers. Further, the staff work in a system fundamentally driven by the legacy of colonisation and its subsequent effects of integenerational trauma on Aboriginal people and communities. This has significantly contributed to the systemic barriers Aboriginal continue to face in accessing health services, including dental care. The participants recommended that a priority dental referral pathway, that supported continuity of care, could provide increased accessibility to dental care for Aboriginal pregnant women and new mothers.Conclusions: There is the need for an individual and systems approach to promote oral health among Aboriginal pregnant women and new mothers. This approach should cultivate trust between Aboriginal women and both care providers and healthcare systems. A new model of care is needed that provides oral health training to Aboriginal Health Workers and addresses the systemic factors that create barriers to accessing dental care for Aboriginal women.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1473-1476
Author(s):  
Ashwika Datey ◽  
Soumya Singhai ◽  
Gargi Nimbulkar ◽  
Kumar Gaurav Chhabra ◽  
Amit Reche

The COVID 19 outbreak has been declared a pandemic by the world health organisation. The healthcare sector was overburdened and overstretched with the number of patient increasing and requiring health services. The worst-hit population always are the people with special needs, whether it is children, pregnant females or the geriatric population. The need for the emergency kind of health services was so inflated that the other special population which required them equally as those patients with the COVID 19 suffered a lot. Dentistry was not an exception, and even that is also one of the important components of the health care delivery system and people requiring oral health care needs were also more. Those undergoing dental treatments would not have completed the treatment, and this would have resulted in various complications. In this situation, some dental emergency guidelines have been released by Centres for Disease Control (CDC) for the urgent dental care those requiring special care dentistry during the COVID 19 pandemic. Children with special care needs were considered more vulnerable to oral diseases; hence priority should have been given to them for dental treatments moreover in the future also more aggressive preventive measures should be taken in order to maintain oral hygiene and prevent many oral diseases. Guardians/caregivers should be made aware and motivated to maintain the oral health of children with special health care needs. This review mainly focuses on the prevention and management of oral diseases in children's with special care needs.


2019 ◽  
Vol 4 (1) ◽  
pp. 66
Author(s):  
Rahmaini Fitri

Pregnancy causes physiological changes in the body and as well as in the oral cavity. Dental and oral diseases associated with pregnancy that is, gingivitis, periodontitis and pregnancy granuloma. Mouth dental disease during pregnancy is not only influenced by the pregnancy itself but rather the lack of knowledge about dental and oral health maintenance. Efforts to improve the knowledge of pregnant women about oral health is done by providing information, information necessary for health education media. In this case the media is created and used to improve the knowledge of pregnant women is the booklet. This study aimed to analyze the differences in knowledge and attitudes before and after maintenance booklet oral health in pregnant women. This study is a quasi experiment with one group pre  and post test design. The sample is the first trimester pregnant women who come to the health center in Sentosa Baru Medan as many as 34 people. Analysis of the data  forcompare the average difference in scores of knowledge and attitudes before and after the intervention used the Wilcoxon test. The results showed there is an increased knowledge and attitude maintenance of oral health in pregnant women after being given a booklet with a value of p < 0.001, a percentage increase of 30% knowledge and attitudes percentage of 37%. The conclusions of this study is increased knowledge and attitude maintenance of oral health in pregnant women after being given a booklet.


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