scholarly journals Dental prenatal care in pregnancy

2019 ◽  
Vol 67 ◽  
Author(s):  
Tânia Adas SALIBA ◽  
Lia Borges de Mattos CUSTÓDIO ◽  
Nemre Adas SALIBA ◽  
Suzely Adas Saliba MOIMAZ
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Pregnant Women ◽  
Reference System ◽  
The Internet ◽  
Cross Sectional ◽  
Levels Of Care ◽  
Basic Care ◽  
Oral Health Policy ◽  
Dental Appointment

ABSTRACT Objective: The aimed was to analyze health care protocols for pregnant women with a focus on oral health. Method: This is a cross-sectional, descriptive, documental study on oral health conducted on health care protocols for pregnant women in 2019. Searches conducted in the internet identified maternal health protocols made publicly available by Brazilian municipalities and states. In this search, we considered the following keywords in the Portuguese language: “protocolo” (protocol), “guia” (guide), “linha-guia” (guideline), “diretrizes” (guidelines), “documento” (document) and “orientação” (guidance). It was consulted the following documents by the Brazilian Ministry of Health: National Oral Health Policy, Reception to spontaneous demand: most common complaints in basic care and Basic care protocols: women’s health. The following variables were analyzed: the entry point of each pregnant woman in the health care system, their first dental appointment, the reference and the counter-reference system between the levels of care and the procedures performed by the dentist. Results: It was collected a total of 12 municipal protocols, 5 state and 8 international protocols. Most of these documents did not include all the variables analyzed and in national documents, the procedures reported presented a great disagreement and the reference and counter-reference system was little approached. Most of international documents presented a description of general gestation care, changes in women’s period, and the need for prenatal dental care. Conclusions: It was observed that the “procedures indicated” was dimensions most contemplated. The referral and counter-reference system was not mentioned in all documents.

scholarly journals Perilaku Pemeliharaan Kesehatan Gigi dan Mulut Ibu Hamil di Puskesmas Bahu Manado

e-GIGI ◽  
2013 ◽  
Vol 1 (2) ◽  
Author(s):  
Adiska Devinta Arisanty
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Pregnant Women ◽  
Oral Health Care ◽  
Health Centers ◽  
Premature Births ◽  
Cross Sectional ◽  
Descriptive Research ◽  
Cross Sectional Design ◽  
Care Behavior

Pemeliharaan kesehatan gigi dan mulut selama kehamilan bertujuan untuk mencegah terjadinya masalah kesehatan gigi dan mulut saat masa kehamilan. Kesehatan gigi dan mulut merupakan salah satu hal yang perlu diperhatikan selama kehamilan. Kondisi kesehatan gigi dan mulut ibu hamil yang buruk dapat memberikan dampak pada kehamilan seperti kelahiran prematur, dan bayi dengan berat badan lahir rendah (BBLR), dan preeklampsia. Tujuan penelitian ini untuk mengetahui perilaku pemeliharaan kesehatan gigi dan mulut ibu hamil yang mencakup pengetahuan, sikap, dan tindakan. Jenis penelitian ini bersifat deskriptif dengan pendekatan cross sectional yang melibatkan 50 orang ibu hamil di Puskesmas Bahu Manado. Pengumpulan data diperoleh melalui kuesioner yang meliputi karakteristik responden, pengetahuan, sikap, dan tindakan pemeliharaan kesehatan gigi dan mulut responden. Hasil penelitian menunjukkan bahwa pengetahuan pemeliharaan kesehatan gigi dan mulut ibu hamil di Puskesmas Bahu Manado tergolong baik, dengan perolehan skor 473 (78,8%), sikap pemeliharaan kesehatan gigi dan mulut ibu hamil di Puskesmas Bahu Manado tergolong baik, dengan perolehan skor 558 (93%), dan tindakan pemeliharaan kesehatan gigi dan mulut ibu hamil di Puskesmas Bahu Manado tergolong baik, dengan perolehan skor 502 (83,7%). Kesimpulan dari penelitian ini adalah pengetahuan, sikap, tindakan pemeliharaan kesehatan gigi dan mulut ibu hamil di Puskesmas Bahu Manado tergolong baik.Kata kunci : Perilaku Ibu hamil, pemeliharaan kesehatan gigi dan mulutABSTRACTMaintenance of oral health during pregnancy aims to prevent oral health problems during pregnancy. Oral health is one of the things that need attention during pregnancy. Dental and oral health of pregnant women are poor, which can hqve an impact on pregnancy as premature births, babies with low birth weight (LBW), and preeclampsia. The purpose of this study to determine the oral health care behavior of pregnant women that include knowledge, attitudes, and actions. This is a descriptive research with cross-sectional design among 50 pregnant women at health centers Bahu Manado. The data collected by questionnaires that include respondent characteristics, knowledge, attitudes, and actions of oral health care respondents. The results showed that oral health care knowledge of pregnant women in Bahu Manado health centers was good, with a score of 473 (78.8%), oral health care attitudes of pregnant women in Bahu Manado health centers was good, with a score of 558 (93%) and oral health care maintenance actions of pregnant women in Bahu Manado health centers was good, with a score of 502 (83.7%). Conclusion this study that knowledge, ,attitudes, and actions oral health care of pregnant women in Bahu Manado health centers was good.Key words: oral health behavior of pregnant women, oral health care

scholarly journals Pattern of oral diseases and associated contributing factors in pregnant women attending a maternity center in Dhaka city, Bangladesh

2021 ◽  
Vol 39 (1) ◽  
pp. 50-59
Author(s):  
Mumtahana Nabi ◽  
Abul Masud Md Nurul Karim ◽  
SM Mamun Ur Rashid
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Large Scale ◽  
Family Income ◽  
Oral Disease ◽  
Care Providers ◽  
Cross Sectional

Background: Oral health care in pregnancy is often neglected by women and is also not appropriately addressed by prenatal and other health care providers and justify appropriate attention. The purpose of this cross sectional study was to describe percentage of oral disease occurrence and underlying causes in this sample of pregnant women. Methods: The study included 147 women aged between 15 to 49 years receiving prenatal care at the outdoor department of Azimpur Maternal and Child Health Training Institute in Dhaka, Bangladesh were invited to participate in this study from January 2013 to April 2013. Semi-structured interviews were conducted for data collection. Clinical exam data were recorded using validated scales in a special form. Results: Majority (72%) of the women were  between  20 to 24 years.  57%  had secondary  school  education.  88% of the women were unemployed and 52% women had very low family income of BOT s;10000. More than 90% of the women had good oral hygiene practices. However, 68% liked to  have  sugary  snacks  or  drinks  in  between  main meals, 7% visited their dentists during pregnancy , only 3% received advice  for  routine  oral  health  screening  from their prenatal care providers and only 4% women started their antenatal check-up during first trimester.  All  these negative influences might expose expecting mothers to high level of dental caries (54%), dental  erosion  (52%),  gingivitis (100%) and periodontitis (27%). This study also showed that majority of the women acquired oral health information through watching television (61%) or reading  newspaper  (12%)  while  only  4%  received  information from doctors/dent ists throughout their lifetime. Conclusion: The undertaken research highlighted the importance of using media in modifying Bangladeshi pregnant woman's behaviours toward oral health. It also emphasizes the need for inclusion of oral health preventive programme as part of pre and postnatal care. Further study in this area on a large scale will facilitate formulation of appropriate oral health policy to achieve satisfactory oral and general health outcomes during pregnancy and ensure optimum oral health conditions of their offspring. JOPSOM 2020; 39(1): 50-59

scholarly journals Oral health care practice of women with pregnancy experience

2020 ◽  
Vol 32 (3) ◽  
pp. 197
Author(s):  
Anne Agustina Suwargiani ◽  
Erry Mochamad Arief ◽  
Dudi Aripin ◽  
Sunardhi Widyaputra ◽  
Sri Susilawati
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Pregnant Women ◽  
Sample Size Calculation ◽  
Sampling Technique ◽  
Oral Health Care ◽  
Care Practice ◽  
Health Complaints ◽  
Health Care Practice ◽  
Cross Sectional

Introduction: Oral health of pregnant women is essential due to the physiological, psychological, and immune response changes. Oral health-related prenatal services, however, are still insufficient. There are some deficiencies in health care and health promotion activities provided for pregnant women. The purpose of this study was to determine the oral health care practice of women with pregnancy experience. Methods: A cross-sectional descriptive study was conducted towards Indonesian women with pregnancy experience—sample size calculation was conducted using the survey population to estimate the population proportion formula. Inclusion criteria were women with pregnancy experience, owns mobile phones, able to access the Google® Form questionnaire, and willing to take part in the study. Exclusion criteria were women with pregnancy experience who did not complete the Google® Form questionnaire and women who were having a miscarriage or stillborn. Sampling technique was performed using the non-probability sampling with consecutive sampling technique in August until September 2019. Data collection using questionnaire in form of Google® Form questionnaire and distributed online to women who has pregnancy experience throughout Indonesia. Results: The respondents were grouped in three age categories: 22-34 years, 35-44 years, and 45-65 years. Respondents came from 45 cities throughout Indonesia. 62.70% of pregnant women had never visited the dentist. Pregnant women who have visited the dentist were only 37.30%. Pregnant women visited the dentist because they experience a toothache, while the reason for most pregnant women did not visit the dentist because they dd not have any oral health complaints. Conclusion: 62.70% of pregnant women had never visited the dentist. Pregnant women who have visited the dentist were only 37.30%. Women with pregnancy experience mostly have oral health care to treat their oral health complaints. However, the majority of them never visits the dentist because they did not have any oral health complaints.

scholarly journals Predictors of the Demand for Dental Appointments in Primary Health Care: A National Cross-Sectional Study

2021 ◽  
Author(s):  
Estêvão Azevedo Melo ◽  
Livia Fernandes Probst ◽  
Luciane Miranda Guerra ◽  
Elaine Pereira Silva Tagliaferro ◽  
Alessandro Diogo De-Carli ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Dental Care ◽  
Dental Services ◽  
Cross Sectional ◽  
Primary Health ◽  
The Individual ◽  
Dental Appointment

Abstract Background Aiming to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide, it is necessary that public dental services act in an integrated manner within the Health System, particularly with the primary care services. However, even inside availability scenarios in health care, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. The aim of the present study was to evaluate the predictors of the demand for dental care in Primary Health Care Units (PHC) with Oral Health Teams (OHTs). Methods The present is a cross-sectional analytical study that used data from the external assessment of the third cycle of the National Program for Improving Access and Quality in Primary Care (PMAQ-AB, Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica), carried out between 2017 and 2018, in Brazil. The final sample consisted of 85,231 patients and 22,475 Oral Health teams (OHTs). The outcome variable was the fact that the user requested a dental appointment at the Health Unit. A multilevel analysis was carried out to verify the association between individual variables (related to users) and contextual variables (related to the OHTs) in relation to the outcome. Results In the final model, of the variables at the individual level, the patient's age over 43 years (OR = 2.03, 95% CI: 1.96–2.10) was the one that had the greatest effect on the outcome. In turn, among the contextual variables related to the teams, the ones with the greatest effect on the outcome were 'oral health teams that assisted no more than a single family health team' (OR = 1.29, 95% CI: 1.23–1.36) or 'those in which the dental form constitutes the user's medical record' (OR = 1.21, 95% CI: 1.15–1.26) were predictors of the demand for a dental appointment in Primary Health Care. Conclusion It can be concluded that individual and contextual issues interfere in the demand for dental care. Oral health planning must consider an active search for patients with profiles that do not favor the spontaneous demand for oral health care, such as being older, male gender and non-white ethnicity. It is also concluded that the oral health teams that worked in line with the Brasil Sorridente guidelines are the teams most often sought after by the users.

scholarly journals Indicators for dental appointment scheduling in primary health care: a national cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Estêvão Azevedo Melo ◽  
Livia Fernandes Probst ◽  
Luciane Miranda Guerra ◽  
Elaine Pereira da Silva Tagliaferro ◽  
Alessandro Diogo De-Carli ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Appointment Scheduling ◽  
Outcome Variable ◽  
Dental Services ◽  
Cross Sectional ◽  
Primary Health ◽  
Dental Appointment ◽  
Dental Appointments

Abstract Background Integrated dental services within the Health System, particularly at primary health care, are crucial to reverse the current impact of oral diseases, which are among the most prevalent diseases worldwide. However, the use of dental services is determined by complex phenomena related to the individual, the environment and practices in which care is offered. Therefore, factors associated with dental appointments scheduling can affect positively or negatively the use of dental services. The aim of the present study was to evaluate the indicators for dental appointment scheduling in Primary Health Care (PHC). Methods The present is a cross-sectional analytical study that used data from the external assessment of the third cycle of the National Program for Improving Access and Quality in Primary Care (PMAQ-AB), carried out between 2017 and 2018, in Brazil. The final sample consisted of 85,231 patients and 22,475 Oral Health teams (OHTs). The outcome variable was the fact that the user sought for a dental appointment at the Primary Health Care Unit. A multilevel analysis was carried out to verify the association between individual variables (related to users) and contextual variables (related to the OHTs) in relation to the outcome. Results Only 58.1% of the users interviewed at these Primary Health Care Units seek the available dental care. The variables with the greatest effect on the outcome were the patient’s age up to 42 years old (OR = 2.03, 95% CI: 1.96–2.10), at individual level, and ‘oral health teams that assisted no more than a single family health team (FHT)’ (OR = 1.29, 95% CI: 1.23–1.36) at contextual level. Other variables were also associated with the outcome, but with a smaller effect size. Conclusion In conclusion, users’ age and work process of OHT were indicators for dental appointment scheduling. Our results suggest that when OHT put the National Oral Health Policy guidelines into practice, by assisting only one FHT, the chance for PHC users seeking dental appointments is higher than OHTs that assist more than one FHT. Regarding age, patients aged up to 42 years are more likely to seek an appointment with a dentist.

Perceived Oral Health Literacy, Behaviors, and Oral Health Care among Caregivers to the Homebound Population

2021 ◽  
pp. 108482232110084
Author(s):  
Agata Wilk ◽  
Lisa LaSpina ◽  
Linda D. Boyd ◽  
Jared Vineyard
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Literacy ◽  
Oral Care ◽  
Oral Health Care ◽  
The Body ◽  
Current Evidence ◽  
Oral Health Literacy ◽  
Cross Sectional Survey ◽  
Cross Sectional

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.

scholarly journals Functional status and oral health in patients with amyotrophic lateral sclerosis: A cross-sectional study

2020 ◽  
pp. 1-9
Author(s):  
Alessandro de Sire ◽  
Marco Invernizzi ◽  
Martina Ferrillo ◽  
Francesca Gimigliano ◽  
Alessio Baricich ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Oral Health ◽  
Functional Status ◽  
Cross Sectional Study ◽  
Oral Health Status ◽  
Multidisciplinary Management ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lateral Sclerosis

BACKGROUND: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease affecting upper and lower motor neurons. The current practice of caring for patients affected by ALS involves a multidisciplinary team without any indication about oral health care. OBJECTIVE: We sought to investigate the functional status and oral health in patients with ALS to define a specific multidisciplinary management. METHODS: In this cross-sectional study, we included patients affected by ALS, evaluating their functional status, using the Revised ALS Functional Rating Scale (ALSFRS-R) and their oral health status through specific parameters, including Brief Oral Health Status Examination (BOHSE), Winkel Tongue Coating Index (WTCI), and Oral Food Debris Index (OFDI). RESULTS: All 37 patients (mean age: 61.19±11.56 years) showed a poor oral status, independent from the functional status and strictly correlated to the severity of sialorrhea (p = 0.01). OFDI index was negatively correlated with the ALSFRS-R upper limb (p = 0.03). Patients with bulbar onset had significantly lower ability to perform adequate tongue movements in terms of protrusion (p = 0.006) and lateralization (p <  0.001). Significant negative correlations between survival rate and BOHSE (p = 0.03) was found. CONCLUSIONS: Taken together, our findings showed that a poor oral health status might be correlated to a worse functional status and survival time. Thus, an adequate oral health care and rehabilitation should be considered as crucial in the multidisciplinary management of patients with ALS.

scholarly journals Building a "Smiling Brazil"? Implementation of the Brazilian National Oral Health Policy in a health region in the State of São Paulo

2015 ◽  
Vol 31 (1) ◽  
pp. 82-96 ◽  
Author(s):  
Aline Guerra Aquilante ◽  
Geovani Gurgel Aciole
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Oral Health ◽  
Health Care Professionals ◽  
Health Department ◽  
Work Conditions ◽  
Oral Health Care ◽  
Sao Paulo ◽  
São Paulo ◽  
Oral Health Policy

This paper is a case study on the implementation of the Brazilian National Oral Health Policy (PNSB), known as "Smiling Brazil", in the cities of the Regional Health Department of Araraquara (DRS III) in São Paulo State. A structured questionnaire was given to the municipal oral health coordinators, an interview with oral health care professionals and managers was conducted, and the official data provided by the Brazilian Ministry of Health were coded to assess the policy's scope: (i) expansion and qualification of actions; (ii) work conditions; (iii) care; (iv) access; and (v) planning and management. The quantitative and qualitative analyses were linked by methods triangulation. In terms of PNSB implementation, the majority of the cities (52.6%) were classified as "good", with 42.1% classified as "bad". Approximately 10 years after launching the PNSB, despite strides in oral health care and access to different levels of care, the cities still experience difficulties in implementing the policy's principles.

scholarly journals Assessment of Primary Health Care in the Treatment of Tuberculosis in a Brazilian Locality of the International Triple Frontier

2017 ◽  
Vol 11 (1) ◽  
pp. 124-134 ◽  
Author(s):  
Reinaldo Antonio Silva-Sobrinho ◽  
Anneliese Domingues Wysocki ◽  
Lúcia Marina Scatena ◽  
Erika Simone Galvão Pinto ◽  
Aline Ale Beraldo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Low Frequency ◽  
Cross Sectional ◽  
Levels Of Care ◽  
Primary Health ◽  
Directly Observed Treatment ◽  
Process Component ◽  
International Border ◽  
Validated Instrument

Objective:To evaluate the performance of Primary Health Care (PHC) in treatment of TB patients in a triple international border municipality.Methods:The present study was an evaluative survey of cross-sectional and quantitative approach conducted with 225 PHC healthcare professionals. Data was collected through a structured and validated instrument, which provided five indicators of "structure" and four indicators of "process" classified as unsatisfactory, regular or satisfactory.Results:The "structure" component was unsatisfactory for the indicator of professionals involved in TB care and training, and regular for the indicator of connection between the units and other levels of care. The "process" component was regular for the indicators of TB information, directly observed treatment and reference and counter reference on TB, and unsatisfactory for external actions on TB control.Conclusion:The "structure" and "process" components points out some weaknesses in terms of management and organization of human resources. Low frequency of training and the turnover influenced the involvement of professionals. Elements of "structure" and "process" show the need for investing in the PHC team and improving the clinical management of cases.

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