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Published on: March 29, 2018
Oral health during pregnancy
M A Morgan1, J Crall, R L Goldenberg
1Research Department, American College of Obstetricians and Gynecologists, Washington, D.C., USA. mmorgan@acog.org
Summary
Obstetrician-gynecologists acknowledge the importance of oral health in pregnancy but rarely discuss it with patients. Enhanced training is needed to improve patient oral care during gestation.
Area of Science:
- Obstetrics and Gynecology
- Dental Public Health
- Maternal Health
Background:
- Oral health is crucial during pregnancy, with potential links between periodontal disease and adverse pregnancy outcomes.
- Obstetrician-gynecologists play a key role in maternal healthcare, yet their engagement with oral health issues is not well-defined.
Purpose of the Study:
- To evaluate the extent to which obstetrician-gynecologists address pregnant patients' oral health.
- To identify perceived barriers and facilitators to discussing oral health during prenatal care.
Main Methods:
- A national survey was conducted using questionnaires mailed to obstetrician-gynecologists in March 2008.
- Data from 351 respondents were analyzed to assess attitudes and practices regarding oral health in pregnancy.
Main Results:
- While 84% recognized the importance of dental care and the impact of periodontal disease on pregnancy, most seldom inquired about patients' recent dental visits (73%) or oral health status (54%).
- A significant proportion (38%) did not advise routine dental prophylaxis, with many citing a lack of prior consideration. Many patients were denied dental services due to pregnancy (77%), and lack of insurance was a major barrier (52%).
Conclusions:
- Obstetrician-gynecologists acknowledge the significance of oral health in pregnancy but demonstrate limited proactive engagement.
- Improved education on oral health importance, problem recognition, and procedural safety during pregnancy may enhance physician comfort and practice in addressing this area.
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