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Self-reported oral hygiene habits, dental attendance and attitudes to dentistry during pregnancy in a sample of immigrant women in North London.

By: Contributor(s): Publication details: 2008ISSN:
  • 09320067
Uniform titles:
  • Archives of Gynecology and Obstetrics.
Online resources: Summary: <p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"><span style="font-size: 8pt;"><span style="font-size: 10pt;"><strong>AIM</strong>:The aim of this study was to describe&nbsp;<span class="highlight">self-reported</span>&nbsp;<span class="highlight">oral</span>&nbsp;health,&nbsp;<span class="highlight">oral</span>&nbsp;<span class="highlight">hygiene</span>&nbsp;<span class="highlight">habits</span>, frequency of visits to a dentist and factors associated with&nbsp;<span class="highlight">dental</span>&nbsp;<span class="highlight">attendance</span>&nbsp;among pregnant&nbsp;<span class="highlight">women</span>&nbsp;at a&nbsp;<span class="highlight">North</span>&nbsp;<span class="highlight">London</span>&nbsp;Hospital, the majority of whom are immigrants.</span></span></p><h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"><span style="font-size: 10pt;">BACKGROUND:</span></h4><p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"><span style="font-size: 10pt;">Peridontal disease is associated with an increased risk of adverse&nbsp;<span class="highlight">pregnancy</span>&nbsp;outcomes. The aim of this study is to describe&nbsp;<span class="highlight">self-reported</span>&nbsp;<span class="highlight">oral</span>&nbsp;health,&nbsp;<span class="highlight">oral</span>&nbsp;<span class="highlight">hygiene</span>&nbsp;<span class="highlight">habits</span>, frequency of visits to a dentist and factors associated with<span class="highlight">dental</span>&nbsp;<span class="highlight">attendance</span>&nbsp;among pregnant&nbsp;<span class="highlight">women</span>&nbsp;at a&nbsp;<span class="highlight">North</span>&nbsp;<span class="highlight">London</span>&nbsp;Hospital, the majority of whom are immigrants.</span></p><h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"><span style="font-size: 10pt;">MATERIALS AND METHODS:</span></h4><p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"><span style="font-size: 10pt;">A questionnaire designed by the authors was completed by postnatal&nbsp;<span class="highlight">women</span>&nbsp;within 3 days of delivery. Data collected included past&nbsp;<span class="highlight">dental</span>&nbsp;<span class="highlight">attendance</span>, reasons for&nbsp;<span class="highlight">attendance</span>&nbsp;and information about age, parity and socio-economic group.</span></p><h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"><span style="font-size: 10pt;">RESULTS:</span></h4><p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"><span style="font-size: 10pt;">In total, 206&nbsp;<span class="highlight">women</span>&nbsp;completed the questionnaires within 3 days of delivery; 74.2% of the mothers were not born in the UK and 38.3% were Black African. The mean age of was 28.19 +/- 6.07 years. The majority reported good&nbsp;<span class="highlight">oral</span>&nbsp;<span class="highlight">hygiene</span><span class="highlight">habits</span>&nbsp;such as brushing their teeth twice a day (73.7%) and using mouthwash (51%). However, their&nbsp;<span class="highlight">dental</span>&nbsp;<span class="highlight">attendance</span>&nbsp;was poor and the average time since their last visit to a dentist was 1.8 +/- 1.61 years. Over a third of the&nbsp;<span class="highlight">women</span>&nbsp;questioned did not know about the availability of free&nbsp;<span class="highlight">dental</span>&nbsp;care during&nbsp;<span class="highlight">pregnancy</span>&nbsp;and for 12 months after; 33% visited a dentist in&nbsp;<span class="highlight">pregnancy</span>and half of them needed and received treatment; 15% of mothers had more than one&nbsp;<span class="highlight">pregnancy</span>&nbsp;and yet were still unaware of free&nbsp;<span class="highlight">dental</span>&nbsp;care provided during&nbsp;<span class="highlight">pregnancy</span>&nbsp;and 12 months after birth. Only 36% of questioned&nbsp;<span class="highlight">women</span>&nbsp;regularly visited a dentist.&nbsp;<span class="highlight">Pregnancy</span>&nbsp;did little to change their&nbsp;<span class="highlight">attitudes</span>&nbsp;to&nbsp;<span class="highlight">dental</span>&nbsp;care. There appears no difference in&nbsp;<span class="highlight">attitudes</span>&nbsp;to&nbsp;<span class="highlight">dental</span>&nbsp;care between&nbsp;<span class="highlight">immigrant</span>&nbsp;and British born pregnant&nbsp;<span class="highlight">women</span>.</span></p><h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"><span style="font-size: 10pt;">CONCLUSION:</span></h4><p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"><span style="font-size: 8pt;"><span style="font-size: 10pt;">Efforts to improve the uptake of&nbsp;<span class="highlight">dental</span>&nbsp;care should be directed towards&nbsp;<span class="highlight">immigrant</span>&nbsp;groups in order to promote better maternal health. Further research is required into the provision of&nbsp;<span class="highlight">dental</span>&nbsp;care during&nbsp;<span class="highlight">pregnancy</span>, as the high level of non-<span class="highlight">attendance</span>&nbsp;demonstrated by mothers is undesirable.</span></span></p>
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&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;&lt;span style="font-size: 10pt;"&gt;&lt;strong&gt;AIM&lt;/strong&gt;:The aim of this study was to describe&amp;nbsp;&lt;span class="highlight"&gt;self-reported&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;oral&lt;/span&gt;&amp;nbsp;health,&amp;nbsp;&lt;span class="highlight"&gt;oral&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;hygiene&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;habits&lt;/span&gt;, frequency of visits to a dentist and factors associated with&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;attendance&lt;/span&gt;&amp;nbsp;among pregnant&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;at a&amp;nbsp;&lt;span class="highlight"&gt;North&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;London&lt;/span&gt;&amp;nbsp;Hospital, the majority of whom are immigrants.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 10pt;"&gt;BACKGROUND:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 10pt;"&gt;Peridontal disease is associated with an increased risk of adverse&amp;nbsp;&lt;span class="highlight"&gt;pregnancy&lt;/span&gt;&amp;nbsp;outcomes. The aim of this study is to describe&amp;nbsp;&lt;span class="highlight"&gt;self-reported&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;oral&lt;/span&gt;&amp;nbsp;health,&amp;nbsp;&lt;span class="highlight"&gt;oral&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;hygiene&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;habits&lt;/span&gt;, frequency of visits to a dentist and factors associated with&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;attendance&lt;/span&gt;&amp;nbsp;among pregnant&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;at a&amp;nbsp;&lt;span class="highlight"&gt;North&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;London&lt;/span&gt;&amp;nbsp;Hospital, the majority of whom are immigrants.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 10pt;"&gt;MATERIALS AND METHODS:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 10pt;"&gt;A questionnaire designed by the authors was completed by postnatal&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;within 3 days of delivery. Data collected included past&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;attendance&lt;/span&gt;, reasons for&amp;nbsp;&lt;span class="highlight"&gt;attendance&lt;/span&gt;&amp;nbsp;and information about age, parity and socio-economic group.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 10pt;"&gt;RESULTS:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 10pt;"&gt;In total, 206&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;completed the questionnaires within 3 days of delivery; 74.2% of the mothers were not born in the UK and 38.3% were Black African. The mean age of was 28.19 +/- 6.07 years. The majority reported good&amp;nbsp;&lt;span class="highlight"&gt;oral&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;hygiene&lt;/span&gt;&lt;span class="highlight"&gt;habits&lt;/span&gt;&amp;nbsp;such as brushing their teeth twice a day (73.7%) and using mouthwash (51%). However, their&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;&lt;span class="highlight"&gt;attendance&lt;/span&gt;&amp;nbsp;was poor and the average time since their last visit to a dentist was 1.8 +/- 1.61 years. Over a third of the&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;questioned did not know about the availability of free&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;care during&amp;nbsp;&lt;span class="highlight"&gt;pregnancy&lt;/span&gt;&amp;nbsp;and for 12 months after; 33% visited a dentist in&amp;nbsp;&lt;span class="highlight"&gt;pregnancy&lt;/span&gt;and half of them needed and received treatment; 15% of mothers had more than one&amp;nbsp;&lt;span class="highlight"&gt;pregnancy&lt;/span&gt;&amp;nbsp;and yet were still unaware of free&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;care provided during&amp;nbsp;&lt;span class="highlight"&gt;pregnancy&lt;/span&gt;&amp;nbsp;and 12 months after birth. Only 36% of questioned&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;&amp;nbsp;regularly visited a dentist.&amp;nbsp;&lt;span class="highlight"&gt;Pregnancy&lt;/span&gt;&amp;nbsp;did little to change their&amp;nbsp;&lt;span class="highlight"&gt;attitudes&lt;/span&gt;&amp;nbsp;to&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;care. There appears no difference in&amp;nbsp;&lt;span class="highlight"&gt;attitudes&lt;/span&gt;&amp;nbsp;to&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;care between&amp;nbsp;&lt;span class="highlight"&gt;immigrant&lt;/span&gt;&amp;nbsp;and British born pregnant&amp;nbsp;&lt;span class="highlight"&gt;women&lt;/span&gt;.&lt;/span&gt;&lt;/p&gt;&lt;h4 style="margin: 0px 0.25em 0px 0px; text-transform: uppercase; float: left; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 10pt;"&gt;CONCLUSION:&lt;/span&gt;&lt;/h4&gt;&lt;p style="margin: 0px 0px 0.5em; line-height: 17.999801635742188px;"&gt;&lt;span style="font-size: 8pt;"&gt;&lt;span style="font-size: 10pt;"&gt;Efforts to improve the uptake of&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;care should be directed towards&amp;nbsp;&lt;span class="highlight"&gt;immigrant&lt;/span&gt;&amp;nbsp;groups in order to promote better maternal health. Further research is required into the provision of&amp;nbsp;&lt;span class="highlight"&gt;dental&lt;/span&gt;&amp;nbsp;care during&amp;nbsp;&lt;span class="highlight"&gt;pregnancy&lt;/span&gt;, as the high level of non-&lt;span class="highlight"&gt;attendance&lt;/span&gt;&amp;nbsp;demonstrated by mothers is undesirable.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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