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ASSOCIATION OF MATERNAL PERIODONTITIS WITH LOW BIRTH WEIGHT IN NEWBORNS IN A TERTIARY CARE HOSPITAL
Insights
Maternal periodontitis significantly increases the risk of low birth weight in newborns. Periodontal therapy is recommended as part of antenatal care to mitigate this risk.
Area of Science:
- Public Health
- Periodontology
- Obstetrics
Background:
- Low birth weight (LBW) is a significant public health concern in Pakistan.
- Identifying modifiable risk factors like periodontitis is crucial for reducing the burden of LBW.
- This study investigated the association between maternal periodontitis and LBW in Abbottabad.
Purpose of the Study:
- To determine the association between maternal periodontitis and low birth weight in newborns.
- To assess the frequency and severity of periodontitis in mothers delivering LBW babies.
- To identify periodontitis as a potential modifiable risk factor for LBW.
Main Methods:
- A hospital-based matched case-control study was conducted with 160 postpartum mothers.
- 80 mothers of LBW babies (cases) were matched with 80 mothers of normal birth weight babies (controls) by age and gestational age.
- Data collection involved hospital records, interviews, and periodontal examinations.
Main Results:
- Periodontitis was significantly more prevalent in mothers of LBW babies (OR: 4.167).
- Multivariate analysis confirmed periodontitis as an independent risk factor for LBW (aOR: 3.173).
- Other independent risk factors included lower educational level, socioeconomic status, poor maternal nutrition, and moderate/severe anemia.
Conclusions:
- Maternal periodontitis is a strong, independent, and clinically significant risk factor for low birth weight.
- Periodontal therapy should be integrated into antenatal care protocols for pregnant women.
- Addressing periodontitis may help reduce the incidence of LBW in the region.
Background:
Low birth weight is a major public health problem in Pakistan. So there is a need for identification of its modifiable risk factors like periodontitis which will reduce its burden on the society. The objectives of the study were to find out the association between maternal periodontitis and low birth weight in new-borns of all gestational ages delivered in a tertiary care hospital of Abbottabad as well as to see the frequency of periodontitis severity in these subjects.
Methods:
A hospital-based matched case-control study was conducted among 160 postpartum mothers in Gynaecology/Obstetrics- B ward Ayub Teaching Hospital, Abbottabad. The 80 cases were mothers of low birth weight babies (< 2,500 g), the 80 controls were mothers of normal weight babies (> 2,500 g) matched with maternal age and gestational age. Data was collected through the hospital records, interview and a periodontal examination.
Results:
Periodontitis was more in the cases than in the controls (OR: 4.167, 95% CI: 2.142-8.109, p = 0.000). On multivariate logistic regression, periodontitis was found to be a significant independent risk factor for low birth weight (aOR: 3.173, 95% CI: 1.429-7.047, p = 0.005). Other significant risk factors were educational level (aOR: 3.408, 95% CI: 1.452-7.996, p = 0.005), socioeconomic status (aOR: 3.173, 95% CI: 1.366-7.368, p = 0.007), maternal nutrition (aOR: 3.071, 95% CI: 1.392-6.778, p = 0.005) and moderate/severe anaemia (aOR: 3.035, 95% CI: 1.052-8.756, p = 0.040).
Conclusions:
Periodontitis is found to be a strong, independent, and clinically significant risk factor for low birth weight. So periodontal therapy should form a part of the antenatal care of the pregnant women in Abbottabad.
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