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Views of pregnant women in South Western Sydney towards dental care and an oral-health program initiated by midwives.
Health Promot J Austr. 2013 Dec; 24(3):178-84.HP

Abstract

ISSUES ADDRESSED

Oral health during pregnancy is important, yet is often neglected by women. A program is currently being developed for midwives in Australia to promote maternal oral health. The aim of this study was to record the views of pregnant women in Australia towards dental care and midwives promoting oral health.

METHODS

Using convenience sampling, a cross-sectional survey was undertaken of 241 pregnant women attending a metropolitan hospital in South Western Sydney in 2010.

RESULTS

Only 10% of women received oral-health promotional material during pregnancy. More than 50% reported dental problems, yet only 17% had discussed this with their midwives and less than half (44.6%) had sought dental treatment. The main barriers to obtaining dental care were: lack of awareness, safety concerns about dental treatment and dental costs. Pregnant women were more likely (P<0.05) to see a dentist if they had received information about oral health (odds ratio (OR) 3.25, 95% CI 1.34-7.90) and had private health insurance (OR 2.47, 95% CI 1.26-4.85). Most women (>90%) were receptive to midwives providing oral-health education, assessments and referrals to affordable dental services.

CONCLUSION

This study has shown that pregnant women are receiving limited dental advice and are concerned about dental costs. It has also confirmed for the first time in Australia that women are very positive about receiving oral-health advice from midwives during their pregnancy. SO WHAT?: Oral-health promotion programs during pregnancy should consider using midwives to increase dental awareness among women and provide pathways to affordable dental services.

Authors+Show Affiliations

Centre for Applied Nursing Research, University of Western Sydney, South Western Sydney Local Health District (SWSLHD) and Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool BC, NSW 1871, Australia.Centre for Applied Nursing Research, University of Western Sydney, South Western Sydney Local Health District (SWSLHD) and Ingham Institute Applied Medical Research, Locked Bag 7103, Liverpool BC, NSW 1871, Australia.Population Oral Health, Faculty of Dentistry, University of Sydney, 1 Mons Road, Westmead, NSW 2145, Australia.Sydney and South Western Sydney LHD and Sydney Dental Hospital, Faculty of Dentistry, University of Sydney, Locked Mail Bag 7279, Liverpool BC, NSW 1871, Australia.Camden and Campbelltown Hospitals, SWSLHD, Therry Road, Campbelltown, NSW 2560, Australia.Sydney and South Western Sydney LHD and Sydney Dental Hospital, Faculty of Dentistry, University of Sydney, Locked Mail Bag 7279, Liverpool BC, NSW 1871, Australia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24300386

Citation

George, Ajesh, et al. "Views of Pregnant Women in South Western Sydney Towards Dental Care and an Oral-health Program Initiated By Midwives." Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals, vol. 24, no. 3, 2013, pp. 178-84.
George A, Johnson M, Blinkhorn A, et al. Views of pregnant women in South Western Sydney towards dental care and an oral-health program initiated by midwives. Health Promot J Austr. 2013;24(3):178-84.
George, A., Johnson, M., Blinkhorn, A., Ajwani, S., Ellis, S., & Bhole, S. (2013). Views of pregnant women in South Western Sydney towards dental care and an oral-health program initiated by midwives. Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals, 24(3), 178-84. https://doi.org/10.1071/HE13040
George A, et al. Views of Pregnant Women in South Western Sydney Towards Dental Care and an Oral-health Program Initiated By Midwives. Health Promot J Austr. 2013;24(3):178-84. PubMed PMID: 24300386.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Views of pregnant women in South Western Sydney towards dental care and an oral-health program initiated by midwives. AU - George,Ajesh, AU - Johnson,Maree, AU - Blinkhorn,Anthony, AU - Ajwani,Shilpi, AU - Ellis,Sharon, AU - Bhole,Sameer, PY - 2013/05/16/received PY - 2013/09/20/accepted PY - 2013/12/5/entrez PY - 2013/12/5/pubmed PY - 2014/3/7/medline SP - 178 EP - 84 JF - Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals JO - Health Promot J Austr VL - 24 IS - 3 N2 - ISSUES ADDRESSED: Oral health during pregnancy is important, yet is often neglected by women. A program is currently being developed for midwives in Australia to promote maternal oral health. The aim of this study was to record the views of pregnant women in Australia towards dental care and midwives promoting oral health. METHODS: Using convenience sampling, a cross-sectional survey was undertaken of 241 pregnant women attending a metropolitan hospital in South Western Sydney in 2010. RESULTS: Only 10% of women received oral-health promotional material during pregnancy. More than 50% reported dental problems, yet only 17% had discussed this with their midwives and less than half (44.6%) had sought dental treatment. The main barriers to obtaining dental care were: lack of awareness, safety concerns about dental treatment and dental costs. Pregnant women were more likely (P<0.05) to see a dentist if they had received information about oral health (odds ratio (OR) 3.25, 95% CI 1.34-7.90) and had private health insurance (OR 2.47, 95% CI 1.26-4.85). Most women (>90%) were receptive to midwives providing oral-health education, assessments and referrals to affordable dental services. CONCLUSION: This study has shown that pregnant women are receiving limited dental advice and are concerned about dental costs. It has also confirmed for the first time in Australia that women are very positive about receiving oral-health advice from midwives during their pregnancy. SO WHAT?: Oral-health promotion programs during pregnancy should consider using midwives to increase dental awareness among women and provide pathways to affordable dental services. SN - 1036-1073 UR - https://www.unboundmedicine.com/medline/citation/24300386/Views_of_pregnant_women_in_South_Western_Sydney_towards_dental_care_and_an_oral_health_program_initiated_by_midwives_ DB - PRIME DP - Unbound Medicine ER -