Maternal Oral Health: An Examination Survey Conducted in Three Referral Hospitals in Bhutan

2018 ◽  
Vol 4 (1) ◽  
pp. 23-32
Author(s):  
Sonam Ngedup ◽  
Mary Alice Lee ◽  
Dorji Phurpa ◽  
Neyzang Wangmo
Keyword(s):  
Risk Factors ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Periodontal Diseases ◽  
Permanent Teeth ◽  
Modifiable Risk Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Referral Hospitals

Background: Good oral health is important for women during pregnancy and throughout their lives. Mothers with good oral health are less likely to transmit cariogenic bacteria to their infants and toddlers. Thus, maternal oral health is directly related to family health. Objective: To determine the prevalence of dental caries, periodontal diseases and modifiable risk factors among pregnant women seeking antenatal care in three referral hospitals in Bhutan. Methods: A descriptive cross-sectional survey of pregnant women was conducted in April-May 2017. We used a non-probability sampling method to recruit pregnant women (n=443). Oral examinations were done according to methods recommended by the WHO. Participants completed a questionnaire for modifiable risk factors. Results: Overall, caries prevalence was 40% among pregnant women, ranging from 54% in those under 25 to 81% in women 35 and older. The mean decayed, missing and filled permanent teeth (DMFT) was 1.93 (SD=2.66). Nearly 72% of women had calculus on their teeth. Just over 2% had periodontitis. Most women rated their oral health as good to excellent (89%) versus poor (11%). Just 11% reported having had dental care during pregnancy. Conclusions: There is an urgent need for professional dental care during pregnancy, especially among older and multiparous women. Increasing awareness on the importance of oral health during pregnancy will improve maternal health and the health of their young children.

scholarly journals Prevalence of Periodontitis and Associated Factors among Pregnant Women: A cross sectional survey in Southern Province, Rwanda

2021 ◽  
Vol 4 (1) ◽  
pp. 131-150
Author(s):  
Peace Uwambaye ◽  
Michael Kerr ◽  
Stephen Rulisa ◽  
Shiau Harlan ◽  
Cyprien Munyanshongore
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Risk Factor ◽  
Periodontal Disease ◽  
Pregnant Women ◽  
Periodontal Diseases ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Southern Province

Background The literature has shown the relationship between maternal periodontitis and complications associated with pregnancy. Thus, prevalence estimates and risk factor identification for periodontitis during pregnancy in Rwanda are paramount. Aim The aim of the current study was to determine the prevalence of periodontitis and identify related risk factors among pregnant women in Rwanda. Methods A cross sectional study was conducted to determine the prevalence of periodontal diseases in a convenience sample of 400 pregnant women in the Southern Province of Rwanda. A logistic regression analysis using a hierarchical approach was performed to assess the risk factors for periodontal disease. Socio demographic factors were put in the regression model first followed by a second step for other potential factors. Results The overall prevalence of periodontitis was 60.5%. Multivariable logistic regression showed that age OR=2.48 (95% CI. 1.18-5.22), education level OR=82.15 (95% CI. 8.21-822.11), socio economic status OR=2.28 (95% CI. 1.49-6.62), employment status OR=7.3 (95% CI. 1.38-38.74, and tobacco use OR=6.89 (95% CI. 1.78-60.65) were significantly associated with periodontitis. Conclusion Periodontitis appears to be a common problem among pregnant women in Rwanda. Risk factor screening could help identify pregnant women at higher risk of periodontal disease. Rwanda J Med Health Sci 2021;4(1):131-150

scholarly journals Faktor-Faktor Yang Mempengaruhi Kunjungan Antenatal Care Terhadap Perilaku Antenatal Care

2020 ◽  
Vol 1 (2) ◽  
pp. 67-76
Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Family Support ◽  
Health Workers ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Correlation Design

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.

scholarly journals A Cross-Sectional Analysis of Dental Care Utilization Among Pregnant Women in Saudi Arabia

2019 ◽  
Vol 7 (23) ◽  
pp. 4131-4136
Author(s):  
Zainab Albasry ◽  
Bayan Alhaddad ◽  
Mashael Abdullah Benrashed ◽  
Asim Al-Ansari ◽  
Muhammad Ashraf Nazir
Keyword(s):  
Saudi Arabia ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Dental Treatment ◽  
Care Utilization ◽  
Eastern Province ◽  
Cross Sectional ◽  
Dental Visits ◽  
Dental Problem

BACKGROUND: Oral and systemic problems are common among pregnant women. Routine dental visits are important for the maintenance of optimal oral health which is linked with systemic health. AIM: To evaluate dental care utilization and related factors among pregnant women in the Eastern province of Saudi Arabia. METHODS: This cross-sectional study was conducted in hospitals and healthcare centers in the cities of Khobar, Dammam, and Qatif in the Eastern province of Saudi Arabia. A piloted tested self-administered questionnaire available in Arabic and English languages was distributed among a calculated sample of 341 pregnant women. Pearson's chi-square test and multiple logistic regression analyses were performed. RESULTS: In the study, 270 questionnaires were analyzed giving a response rate of 79.2%. Mean age of the participants was 29 ± 5.9 years. There were 43.7% pregnant women who received dental treatment when they have a dental problem and only 13.7% performed routine dental visit. Half the sample (52.6%) avoided dental visits during pregnancy and dental treatment being unsafe was the most common reason for avoiding dental visits. After adjustment, routine dental visits during pregnancy were 7.38 times higher among Saudis compared with non-Saudis women (p 0.05). The participants who had a negative perception about the safety of dental treatment had significantly lower odds (OR 0.31, p 0.036) of dental attendance for routine dental visits. CONCLUSION: Routine dental visits were low among pregnant women and many visited dentists when they had a dental problem. Negative perception about the safety of dental treatment was associated with reduced regular dental visits during pregnancy. Pregnant women should be educated about the importance of receiving dental care for the maintenance of optimal oral health.

scholarly journals Kesehatan Gigi Mulut dan Pemanfaatan Pelayanan Kesehatan Gigi Mulut pada Ibu Hamil (Studi Pendahuluan di Wilayah Puskesmas Serpong, Tangerang Selatan)

2015 ◽  
Vol 20 (2) ◽  
pp. 193 ◽  
Author(s):  
Rani Anggraini ◽  
Peter Andreas
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Pregnant Women ◽  
Dental Care ◽  
Health Problem ◽  
Health Knowledge ◽  
Dental Health ◽  
Oral Health Status ◽  
Cross Sectional ◽  
Dental Health Services

Kehamilan memiliki efek penting pada kesehatan mulut terkait perubahan hormonal, pola makan dan perilaku. Wanita hamil menjadi sangat rentan terhadap penyakit gingiva dan periodontal. Kondisi kesehatan gigi dan mulut ibu hamil yang buruk dapat memberikan dampak seperti kelahiran prematur, dan bayi dengan berat badan lahir rendah (BBLR). Tujuan penelitian ini untuk memperoleh gambaran kesehatan gigi mulut ibu hamil, pengetahuan kesehatan gigi mulut dan pemanfaatan pelayanan kesehatan gigi mulut pada ibu hamil. Penelitian ini bersifat deskriptif dengan pendekatan cross sectional. Wawancara terstruktur melibatkan 34 ibu hamil di wilayah kerja Puskesmas Serpong. Pertanyaan meliputi karakteristik responden, tindakan pemeliharaan kesehatan gigi, keluhan atau masalah terkait kesehatan gigi, pengetahuan kesehatan gigi mulut dan kunjungan ke dokter gigi pada ibu hamil. Data deskriptif di Analisis secara Bivariat menggunakan Uji ChiSquare untuk melihat hubungan sosiodemografi, masalah kesehatan gigi dan pengetahuan kesehatan gigi terhadap kunjungan perawatan kesehatan gigi. Hasil penelitian menunjukkan bahwa lebih dari setengah jumlah responden ibu hamil (52,94%) merasa keadaan kesehatan gigi mulut mereka baik dan 61,8% tidak memiliki masalah kesehatan gigi mulut. Sejumlah 55,9% responden mengaku belum pernah mendapatkan informasi mengenai pentingnya kesehatan gigi mulut selama kehamilan. Hanya sekitar 35,5% responden yang ke dokter gigi kurang dari 1 tahun yang lalu. Terdapat hubungan signifikan antara masalah Kesehatan Gigi Mulut terhadap pengetahuan kesehatan gigi mulut ibu hamil dan kunjungan perawatan kesehatan gigi. Kesimpulan penelitian adalah adanya keluhan dan masalah kesehatan gigi mulut pada ibu hamil berpengaruh pada kunjungan perawatan kesehatan gigi mulut saat kehamilan dan terkait pengetahuan yang dimiliki mengenai kesehatan gigi mulut saat kehamilan.Oral Health and Dental Visit of Pregnant Women (Pilot Study in Serpong, South Tangerang). Pregnancy has a significant effect on oral health-related hormonal changes, diet and behavior. Pregnant women become very susceptible to gingival and periodontal disease. Oral health condition of pregnant women may adversely bring impacts such as preterm low birth weight (PLBW). The aim of this study is to gain an overview of oral health status, knowledge and use of dental care service in pregnant women. This was a descriptive study with cross sectional approach. The structured interviews involved 34 pregnant women in Puskesmas Serpong. The questions included the characteristics of the respondents, oral health care practice, problem related to oral health during pregnancy, oral health knowledge and dental health service utilization in pregnant women. Chi-squares test were conducted to examine bivariable relationships between sociodemographic, oral health status and knowledge to dental health services utilization. The results show that more than half of pregnant woman respondents (52.94%) descibed their oral health as good and 61.8% did not have any dental health problems. As many as 55.9% of the respondents had knowledge about the importance of oral dental health during pregnancy. Only about 35.5% of the respondents visited dentists in the last one year. There is a significant correlation between dental health problem and dental health knowledge of pregnant women to the use of dental health services. The conclusion from this study is that dental health problem in pregnant women affects the utilization of dental care during pregnancy and is associated with the knowledge about dental health during pregnancy.

scholarly journals Evaluation of the oral health of pregnant women in prenatal consultations in Côte d’Ivoire

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
G D Meless ◽  
J C Guinan ◽  
A D Sangaré ◽  
M Traoré ◽  
A A Amangoua ◽  
...  
Keyword(s):  
Oral Health ◽  
Pregnant Women ◽  
Cote D'ivoire ◽  
Oral Hygiene ◽  
Côte D’Ivoire ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Oral Hygiene Habits

Abstract Background Despite the proven links between oral health status and adverse pregnancy outcomes, oral examination is not systematically integrated into prenatal examinations in Côte d’Ivoire. In addition, there are no prevention messages specifically targeted at pregnant women. Objective: To assess the oral health of pregnant women in Côte d’Ivoire. Methods A cross-sectional survey was conducted at the Maternal and Child Health Department of the National Public Health Institute in Abidjan. The data collected were: age, education level, marital status, source of income, trimester of pregnancy, gestational age, oral hygiene habits and the fact that they whether or not received oral health information. A clinical examination was conducted to assess oral hygiene (OHIS index), periodontal condition (CPI index), dental condition (DMFT index), as well as the presence of epulis, erosion or dental mobility. Frequencies and counts were calculated for the different variables in the study. Results A total of 207 women were observed. The age range was 15 to 44 years with 14.0% under 19 years old. The majority were in couple (76.8%), multi-gesture (77.3%), and more than half had no education (52.2%) or source of income (56.0%); 50.7% snacked between meals and 33.3% had vomiting. They brushed their teeth at least twice a day (70.0%) and had not changed their oral hygiene habits (77.3%) during this pregnancy. Only 3.4% had information on oral health conditions during pregnancy. The frequency of caries was 75.4%, dental erosions 13.0%, gingivitis 57.0%, periodontitis 6.8% and epulis 3.4%. Conclusions The results suggest the integration of systematic dental consultation into prenatal consultations in order permit the sensitization of these women, screening and management of their oral conditions. Key messages Oral diseases of pregnant women are a reality without their knowledge in Côte d’Ivoire. A systematic dental visit is essential during prenatal consultations in Côte d’Ivoire.

scholarly journals Risk factors for iron-deficiency anaemia among pregnant women living in rural Vietnam

2006 ◽  
Vol 9 (4) ◽  
pp. 443-448 ◽  
Author(s):  
Ritsuko Aikawa ◽  
Ngyen C Khan ◽  
Satoshi Sasaki ◽  
Colin W Binns
Keyword(s):  
Risk Factors ◽  
Iron Deficiency ◽  
Pregnant Women ◽  
Western Medicine ◽  
Iron Deficiency Anaemia ◽  
Severe Anaemia ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Deficiency Anaemia ◽  
Hb Concentration

AbstractObjectiveTo assess the prevalence of anaemia in rural Vietnam and to determine its risk factors.DesignA cross-sectional survey.SettingVietnam, Nghe An Province.Study populationThe total number of participants was 439. Of these participants, one was excluded from the study due to a mental disorder. Forty-seven did not participate in the test for parasites and 68 did not complete at least one of the questions.ResultsThe prevalence of anaemia (haemoglobin (Hb) < 11.0 g dl−1) was 43.2% and of severe anaemia (Hb < 8.0 g dl−1) was 0.5%. Taking iron tablets, the consumption of eggs and the preference for Western medicine significantly and positively correlated with Hb concentration in the pregnant women in a multiple regression analysis. Pregnancy duration and hookworm infestation significantly and negatively correlated with Hb concentration in the pregnant women.ConclusionThe prevalence of anaemia in rural Vietnam has remained as high as that found in the national anaemia survey in 2000. The results of the present study could aid in the development of an iron-deficiency anaemia programme among pregnant women in rural Vietnam that emphasises iron supplementation, parasite control and improved diet, including the consumption of eggs. The programme's focus should be on women who prefer traditional medicine to Western medicine.

scholarly journals Depression, periodontitis, caries and missing teeth in the USA, NHANES 2009–2014

2020 ◽  
Vol 8 (4) ◽  
pp. e000583
Author(s):  
Muath Aldosari ◽  
Mohammad Helmi ◽  
Erinne N Kennedy ◽  
Riddhi Badamia ◽  
Satomi Odani ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Oral Health ◽  
Dental Caries ◽  
Periodontal Diseases ◽  
Health Providers ◽  
Oral Diseases ◽  
Missing Teeth ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Untreated Dental Caries

PurposeThis study aimed to investigate the association between self-reported depressive symptoms and oral diseases in US adults, including periodontitis, caries, missing teeth and untreated dental caries.DesignThis study was designed as a secondary data analysis of a cross-sectional survey. We conducted descriptive, multivariable logistic and Poisson regression analyses on weighted data.SettingUS National Health and Nutrition Examination Survey 2009–2014 data.ParticipantsIndividuals aged ≥30 years who completed a periodontal examination and depression screening (n=9799).Results21.6% (28.9 million) of adults aged ≥30 years reported depressive symptoms, with a higher prevalence among females, current smokers and participants with lower income and education status. More than half of the adults with moderate depressive symptoms had periodontal diseases, and more than one-third had teeth with untreated dental caries. After adjusting for sociodemographics, behavioural factors, having diabetes and psychotherapeutic medication use, depressive symptoms were associated with poorer oral health. Severe depressive symptoms were associated with higher odds of mild periodontitis (2.20; 99% CI 1.03 to 4.66). For those with mild depressive symptoms, the mean number of missing teeth was 1.20 (99% CI 1.06 to 1.37) times the average of non-symptomatic individuals; and 1.38 times (99% CI 1.15 to 1.66) among individuals with moderate depressive symptoms.ConclusionsDepressive symptoms were associated with mild periodontitis and a greater number of missing teeth, while having teeth with untreated dental caries was attributed to sociodemographic factors. Awareness of oral health status among patients with depressive symptoms can inform both dental and mental health providers to develop tailored treatment and help patients achieve overall wellness.

scholarly journals Hypothalamic-Pituitary-Testicular Axis Disruptions in Older Men Are Differentially Linked to Age and Modifiable Risk Factors: The European Male Aging Study

2008 ◽  
Vol 93 (7) ◽  
pp. 2737-2745 ◽  
Author(s):  
Frederick C. W. Wu ◽  
Abdelouahid Tajar ◽  
Stephen R. Pye ◽  
Alan J. Silman ◽  
Joseph D. Finn ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Men ◽  
Reproductive Hormones ◽  
Community Dwelling ◽  
Modifiable Risk Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pituitary Dysfunction ◽  
Age Related ◽  
Aging Men

Abstract Context: The cause of declining testosterone (T) in aging men and their relationships with risk factors are unclear. Objective: The objective of the study was to investigate the relationships between lifestyle and health with reproductive hormones in aging men. Design: This was a baseline cross-sectional survey on 3200 community-dwelling men aged 40–79 yr from a prospective cohort study in eight European countries. Results: Four predictors were associated with distinct modes of altered function: 1) age: lower free T (FT; −3.12 pmol/liter·yr, P &lt; 0.001) with raised LH, suggesting impaired testicular function; 2) obesity: lower total T (TT; −2.32 nmol/liter) and FT (−17.60 pmol/liter) for body mass index (BMI; ≥ 25 to &lt; 30 kg/m2) and lower TT (−5.09 nmol/liter) and FT (−53.72 pmol/liter) for BMI 30 kg/m2 or greater (P &lt; 0.001–0.01, referent: BMI &lt; 25 kg/m2) with unchanged/decreased LH, indicating hypothalamus/pituitary dysfunction; 3) comorbidity: lower TT (−0.80 nmol/liter, P &lt; 0.01) with unchanged LH in younger men but higher LH in older men; and 4) smoking: higher SHBG (5.96 nmol/liter, P &lt; 0.001) and LH (0.77 U/liter, P &lt; 0.01) with increased TT (1.31 nmol/liter, P &lt; 0.001) but not FT, compatible with a resetting of T-LH-negative feedback due to elevated SHBG. Conclusions: Complex multiple alterations in the hypothalamic-pituitary-testicular axis function exist in aging men against a background of progressive age-related testicular impairment. These changes are differentially linked to specific risk factors. Some risk factors operate independently of but others interact with age, in contributing to the T decline. These potentially modifiable risk factors suggest possible preventative measures to maintain T during aging in men.

Overall Effects of Risk Factors Associated with Dental Caries Indices Using the Marginalized Zero-Inflated Negative Binomial Model

2019 ◽  
Vol 53 (5) ◽  
pp. 541-546
Author(s):  
Enayatollah Bakhshi ◽  
Mohammad Ali Yazdanipour ◽  
Mehdi Rahgozar ◽  
Zahra Ghorbani ◽  
Marzieh Deghatipour
Keyword(s):  
Risk Factors ◽  
Negative Binomial ◽  
Healthcare Services ◽  
Permanent Teeth ◽  
P Value ◽  
Background Characteristics ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Rate Ratios

The purpose of this paper is to identify risk factors for decayed, missing, and filled permanent teeth (DMFT) in a population of 12–15-year-old schoolchildren and to apply the marginalized zero-inflated negative binomial (MZINB) model for determination and estimation of the overall effects of the risk factors. A cross-sectional survey comprising 764 students aged between 12 and 15 years was used to analyze the association between caries in children and some background characteristics in children and their parents. Information on the samples’ social, behavioral, and demographic status was obtained through a series of closed questions. The incidence rate ratios (IRR) were used to associate some risk factors with caries. In the entire sample, the frequency of zero was 194 (25.4%). The result of the shared-parameter marginalized zero-inflated negative binomial (SP-MZINB) model showed that being a girl (IRR = 1.18; p value = 0.021), higher dental visits frequency (IRR = 1.20; p value <0.001), lower tooth brushing frequency (IRR = 0.91; p value = 0.019), higher flossing frequency (IRR = 1.11; p value = 0.001), and lower mothers’ education (IRR = 0.89; p value = 0.042) are associated with DMFT. Our results may provide better insights of the factors associated with DMFT, and health programs should focus their efforts on healthcare services, for both preventive and curative purposes. This regression model provides an appropriate fit and meaningful interpretation to handling zero-inflated count outcomes. Also, it provides direct estimates of the effects of risk factors on the overall mean that does not require postmodeling computations.

scholarly journals Prevalence of anemia and iron deficiency anemia in Chinese pregnant women (IRON WOMEN): a national cross-sectional survey

2020 ◽  
Author(s):  
Jing Tan ◽  
Guolin He ◽  
Yana Qi ◽  
Hongmei Yang ◽  
Yiquan Xiong ◽  
...  
Keyword(s):  
Risk Factors ◽  
Iron Deficiency ◽  
Pregnant Women ◽  
Iron Deficiency Anemia ◽  
Developed Countries ◽  
Deficiency Anemia ◽  
Current Evidence ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Abstract Background: The current evidence about anemia and iron deficiency anemia (IDA) during pregnancy remains elusive in China. The purpose of this study is to investigate the prevalence of anemia and IDA and their risk factors in Chinese pregnant women.Methods: A nationwide cross-sectional survey of pregnant women was conducted during their antenatal visits. Using a multi-stage sampling method, 24 hospitals from 16 provinces across China were selected. Structured questionnaires were administered to collect information from participants and to extract clinical data from electronic medical records. Mixed-effects logistic regression models were performed to determine the risk factors associated with anemia and IDA.Results: In total, 12,403 pregnant women were enrolled, including 1,018 (8.2%) at the first trimester, 3,487 (28.1%) at the second, and 7,898 (63.7%) at the third. Overall, 19.8% of women were diagnosed with anemia and 13.9% were diagnosed with IDA. The prevalence of anemia and IDA varied among regions and increased by gestational month, peaking at the eighth gestational month (24.0% for anemia and 17.8% for IDA). Pregnant women at advanced stage of gestation, non-local residents, multiple gestations, multiparity, pre-pregnancy underweight, and those experiencing severe nausea or vomiting during pregnancy, were associated with higher risks of anemia and IDA.Conclusions: The prevalence of anemia and IDA during pregnancy are similar to those from developed countries and vary across regions in China.

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