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Periodontal disease as a risk factor in pre-term low birth weight--an assessment of gynecologists' knowledge: a pilot
Rekha P Shenoy1, Dilip G Nayak, Peter S Sequeira
1Department of Community Dentistry, Yenepoya Dental College, Deralakatte, Mangalore 575 018, India. merekhap@yahoo.co.in
Insights
Gynecologists recognize oral manifestations of periodontal disease but lack knowledge linking it to pre-term low birth weight (PLBW). Improving awareness of this periodontal disease risk factor is crucial for better maternal and infant health outcomes.
Area of Science:
- Obstetrics and Gynecology
- Periodontology
- Public Health
Background:
- Pre-term low birth weight (PLBW) poses significant financial burdens on healthcare systems and families.
- Periodontal disease is implicated in approximately 18.2% of PLBW cases.
Purpose of the Study:
- To evaluate gynecologists' understanding of periodontal disease as a risk factor for PLBW.
- To assess their knowledge of the oral signs of periodontal disease.
Main Methods:
- A questionnaire survey was administered to gynecologists in Mangalore.
- Respondents were categorized into practice-based groups, including private practice, medical college practice, combined practice, and postgraduate students.
- Chi-square tests were used for statistical analysis.
Main Results:
- Of 93 surveyed gynecologists, 59.8% identified periodontal disease as a risk factor for PLBW, while 14.9% disagreed.
- 77% correctly identified gingival bleeding/enlargement as a sign of periodontal infection.
- Statistical analysis excluded one group due to a low response rate.
Conclusions:
- Gynecologists demonstrated strong knowledge of periodontal disease's oral manifestations.
- However, their understanding of periodontal disease as a risk factor for PLBW was limited.
- Enhanced education is needed to bridge this knowledge gap.
Background:
Pre-term low birth weight (PLBW) is a condition having tremendous financial impact on health care systems as well as the affected families. Studies suggest that 18.2% of all PLBW cases may be attributable to periodontal disease.
Objectives:
To assess gynecologists' knowledge of periodontal disease as a risk factor in PLBW and their knowledge with regard to the oral manifestations of periodontal disease.
Materials And Methods:
A questionnaire survey was conducted on gynecologists in the city of Mangalore. The respondents were divided into four groups--those practicing only in medical colleges, those having only a private practice, those practicing in both medical colleges and in private practice, and post-graduate students of gynecology in the medical colleges in the city.
Statistical Analysis Used:
The Chi-square test for proportions was used to test the differences between the groups.
Results:
Out of a total of 142 gynecologists, 93 participated in the survey. Group II respondents were omitted from the statistical analysis as the response rate was only 18.8%. Periodontal disease was considered to be a risk factor in PLBW by 52 (59.8%) respondents while 13 (14.9%) stated that it was not a risk factor at all. Sixty-seven (77%) respondents stated that bleeding/enlargement of the gingivae was a sign of periodontal infection.
Conclusions:
Respondents' knowledge was high regarding the oral manifestations of periodontal disease but was low regarding periodontal disease as a risk factor in PLBW.
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