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Pregnant women’s perspectives on integrating preventive oral health in prenatal care

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 prena...

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Autores principales: Adeniyi, A., Donnelly, L., Janssen, P., Jevitt, C., Kardeh, B., von Bergmann, H., Brondani, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016156/
https://www.ncbi.nlm.nih.gov/pubmed/33794806
http://dx.doi.org/10.1186/s12884-021-03750-4
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author Adeniyi, A.
Donnelly, L.
Janssen, P.
Jevitt, C.
Kardeh, B.
von Bergmann, H.
Brondani, M.
author_facet Adeniyi, A.
Donnelly, L.
Janssen, P.
Jevitt, C.
Kardeh, B.
von Bergmann, H.
Brondani, M.
author_sort Adeniyi, A.
collection PubMed
description 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03750-4.
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spelling pubmed-80161562021-04-02 Pregnant women’s perspectives on integrating preventive oral health in prenatal care Adeniyi, A. Donnelly, L. Janssen, P. Jevitt, C. Kardeh, B. von Bergmann, H. Brondani, M. BMC Pregnancy Childbirth Research Article 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03750-4. BioMed Central 2021-04-01 /pmc/articles/PMC8016156/ /pubmed/33794806 http://dx.doi.org/10.1186/s12884-021-03750-4 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Adeniyi, A.
Donnelly, L.
Janssen, P.
Jevitt, C.
Kardeh, B.
von Bergmann, H.
Brondani, M.
Pregnant women’s perspectives on integrating preventive oral health in prenatal care
title Pregnant women’s perspectives on integrating preventive oral health in prenatal care
title_full Pregnant women’s perspectives on integrating preventive oral health in prenatal care
title_fullStr Pregnant women’s perspectives on integrating preventive oral health in prenatal care
title_full_unstemmed Pregnant women’s perspectives on integrating preventive oral health in prenatal care
title_short Pregnant women’s perspectives on integrating preventive oral health in prenatal care
title_sort pregnant women’s perspectives on integrating preventive oral health in prenatal care
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016156/
https://www.ncbi.nlm.nih.gov/pubmed/33794806
http://dx.doi.org/10.1186/s12884-021-03750-4
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