scholarly journals Pregnant Women's Perspectives on Integrating Preventive Oral Health in Prenatal Care.

Author(s):  
Abiola Adeniyi ◽  
Leeann Donnelly ◽  
Patricia Janssen ◽  
Cecilia Jevitt ◽  
Bahareh Kardeh ◽  
...  

Abstract Background: Oral diseases are considered a silent epidemic including among pregnant women. Given the prevalence of oral conditions among pregnant women and the reported association with adverse pregnancy outcomes, there have been suggestions for the inclusion of preventive oral care in routine prenatal care. However, due to the different administrative and funding structure for oral health and prenatal care in Canada, progress towards this integration has been slow. Our study sought to qualitatively explore the views of pregnant women in British Columbia (BC) on the strategies for integrating preventive oral health care into prenatal care services.Methods: A qualitative approach was utilized involving semi-structured interviews with fourteen (14) purposefully selected pregnant women in Vancouver and Surrey, BC. The interviews were audio-recorded and transcribed. The transcripts were analyzed using an inductive thematic approach. Study validity was ensured via memoing, field-notes, and member checking.Results: Interviews ranged from 28 to 65 minutes producing over 140 pages of transcripts. Analysis resulted in three major themes: oral health experiences during pregnancy, perspectives on integration and integrated prenatal oral care, and strategies for addressing prenatal oral health care. A majority of participants were supportive of integrating preventive oral care in routine prenatal services, with referrals identified as a critical strategy. Oral health education was recognized as important before, during, and after pregnancy; oral health assessments should therefore be included in the prenatal care checklist. Limited funding was acknowledged as a barrier to oral health care access, which may explain why few participants visited their dentists during pregnancy. Interprofessional education surfaced as a bridge to provide prenatal oral health education.Conclusion: Pregnant women interviewed in this study support the inclusion of educational and preventive oral care during prenatal care, although their views differed on how such inclusion can be achieved in BC. They advocated the establishment of a referral system as an acceptable strategy for providing integrated prenatal oral health care.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. Adeniyi ◽  
L. Donnelly ◽  
P. Janssen ◽  
C. Jevitt ◽  
B. Kardeh ◽  
...  

Abstract Background Oral diseases are considered a silent epidemic including among pregnant women. Given the prevalence of oral conditions among pregnant women and the reported association with adverse pregnancy outcomes, there have been suggestions for the inclusion of preventive oral care in routine prenatal care. However, due to the different administrative and funding structure for oral health and prenatal care in Canada, progress towards this integration has been slow. Our study sought to qualitatively explore the views of pregnant women in British Columbia (BC) on the strategies for integrating preventive oral health care into prenatal care services. Methods A qualitative approach was utilized involving semi-structured interviews with fourteen (14) purposefully selected pregnant women in Vancouver and Surrey, BC. The interviews were audio-recorded and transcribed. The transcripts were analyzed using an inductive thematic approach. Study validity was ensured via memoing, field-notes, and member checking. Results Interviews ranged from 28 to 65 min producing over 140 pages of transcripts. Analysis resulted in three major themes: oral health experiences during pregnancy, perspectives on integration and integrated prenatal oral care, and strategies for addressing prenatal oral health care. A majority of participants were supportive of integrating preventive oral care in routine prenatal services, with referrals identified as a critical strategy. Oral health education was recognized as important before, during, and after pregnancy; oral health assessments should therefore be included in the prenatal care checklist. Limited funding was acknowledged as a barrier to oral health care access, which may explain why few participants visited their dentists during pregnancy. Interprofessional education surfaced as a bridge to provide prenatal oral health education. Conclusion Pregnant women interviewed in this study support the inclusion of educational and preventive oral care during prenatal care, although their views differed on how such inclusion can be achieved in BC. They advocated the establishment of a referral system as an acceptable strategy for providing integrated prenatal oral health care.


2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Matilda Braimoh ◽  
Eyitope Ogunbodede ◽  
Abiola Adeniyi

The limited access to oral health care in developing countries can be greatly improved by integrating oral health into the Primary Health Care (PHC) system. This study was designed to assess the views of PHC workers on integrating oral health care into the PHC system. A self-administered questionnaire survey was conducted in two selected local government areas of Lagos State. The instrument contained three sections assessing sociodemographic features, knowledge of common oral diseases and views on integration of oral health into PHC respectively. The mean knowledge score was 7.75 (SD=±1.81), while 60.4% of the respondents had average knowledge scores. Educational status (P=0.018) and designation (P=0.033) were significantly related to the mean knowledge scores. There was no significant difference in the oral health knowledge of the various cadres (P=0.393). Majority (85.4%) of the respondents were willing to include oral health education in their job schedule and 82% believed they needed more training on oral health. The knowledge of the respondents on the causes of the common oral diseases was deficient. Oral health education should be included in the future curriculum of these personnel.


2017 ◽  
Vol 9 (2) ◽  
pp. 16-22
Author(s):  
Sandya Devi S Patil ◽  
Madhu K ◽  
Rachna Thakur ◽  
Santhosh T Paul ◽  
Mihir Nayak

Pregnancy is characterized by complex physiological changes which may adversely affect the oral health and pregnancy outcomes. This study reports a survey on assessing the knowledge, attitude and practice behaviours of gynaecologists and oral health care professionals towards prenatal oral care and barriers limiting the utilization of prenatal oral care health care to pregnant women. The study population comprised of 3 groups: A- Gynaecologists, B- oral health care professionals and C – Pregnant women, 100 in each group. The prevalidated questionnaire included questions about their knowledge, attitude, beliefs and practices regarding oral health care for pregnant women. The data obtained was subjected to statistical analysis using ANOVA test and Pearson’s correlation test. The response rate was 100%. Regarding the association of periodontal disease and adverse pregnancy outcomes, Group A (75%) have high degree of knowledge than B (61%) and C (36%) but the attitude and practice behaviors were significantly high in Group B as compared to Group A and Group C Two-thirds of respondents in both Group A and B (75%) were interested in receiving continuing dental education (CDE) regarding the care of pregnant women.The self-assessed maternal barriers evaluated in this study were lack of knowledge, lack of perceived need.


2012 ◽  
Vol 6 (2) ◽  
pp. 56-63 ◽  
Author(s):  
Shashidhar Acharya ◽  
Harsimran Kaur ◽  
Shobha Tandon

ABSTRACT Aim The activity was undertaken with the objective to assess the utility of a Mobile Dental Clinic to provide oral health services to the rural population. Material & Methods Baseline data collection of subjects was conducted according to the knowledge, attitude, practices and satisfaction proformas at Brahmavara and Byndoor community health centre catchment areas. Oral Health Education through models, video presentation and audio conversations were given to all subjects. Basic treatment was provided to all the subjects recruited for the study. The use and services of mobile dental clinics for oral health care services definitely showed lot of enthusiasm amongst the rural people. They were motivated to listen to oral health education lessons and avail the various oral treatments. Results There 3 month evaluation scores showed better satisfaction and also showed improved knowledge, attitude and practices. These differences were statistically supported by analysis. Conclusion To conclude, the mobile dental clinic proved to be an effective adjunct to the oral health service providers like dental colleges and private practitioners. They act as the first form of exposure to educate the rural people and alleviate their apprehensions towards oral health care.


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