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Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach.
BMC Pregnancy Childbirth. 2018 May 10; 18(1):153.BP

Abstract

BACKGROUND

Pregnant women are vulnerable to a wide range of oral health conditions that could be harmful to their own health and future child. Despite the usefulness of regular dental service utilization in prevention and early detection of oral diseases, it is notably low among pregnant women. In this qualitative study, we aimed to explore barriers and facilitators influencing pregnant women's dental service utilization.

METHODS

Using a triangulation approach, we included pregnant women (n = 22) from two public health centers, midwives (n = 8) and dentists (n = 12) from 12 other public centers in Tehran (Iran). Data was gathered through face-to-face semi-structured interviewing and focus group discussion methods. The analysis of qualitative data was performed using conventional content analysis with MAXQDA10 software.

RESULTS

Reported barriers of dental service utilization among pregnant women were categorized under emerging themes: Lack of knowledge and misbelief, cost of dental care, physiological changes, fear and other psychological conditions, time constraint, dentists' unwillingness to accept pregnant women treatment, cultural taboos and lack of interprofessional collaboration. Solutions proposed by dentists, midwives and pregnant women to improve dental care utilization during pregnancy were categorized under three themes: Provision of knowledge, financial support and establishing supportive policies.

CONCLUSIONS

Understanding perceived barriers of dental service utilization during pregnancy can serve as baseline information for planning and formulating appropriate oral health education, financial support, and legislations tailored for lower income pregnant women, midwives and dentists in countries with developing oral health care system.

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Authors+Show Affiliations

Bahramian H
Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Mohebbi SZ
Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. smohebbi@tums.ac.ir. Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. smohebbi@tums.ac.ir.
Khami MR
Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Quinonez RB
Departments of Pediatric Dentistry and Pediatrics, Schools of Dentistry and Medicine, University of North Carolina at Chapel Hill, Chapel Hill, N C, USA.

MeSH

AdultAttitude of Health PersonnelDental CareDentistsFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansIranOral HealthPatient Acceptance of Health CarePregnancyPregnant WomenPrenatal CareQualitative Research

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29747592

Citation

Bahramian, Hoda, et al. "Qualitative Exploration of Barriers and Facilitators of Dental Service Utilization of Pregnant Women: a Triangulation Approach." BMC Pregnancy and Childbirth, vol. 18, no. 1, 2018, p. 153.
Bahramian H, Mohebbi SZ, Khami MR, et al. Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach. BMC Pregnancy Childbirth. 2018;18(1):153.
Bahramian, H., Mohebbi, S. Z., Khami, M. R., & Quinonez, R. B. (2018). Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach. BMC Pregnancy and Childbirth, 18(1), 153. https://doi.org/10.1186/s12884-018-1773-6
Bahramian H, et al. Qualitative Exploration of Barriers and Facilitators of Dental Service Utilization of Pregnant Women: a Triangulation Approach. BMC Pregnancy Childbirth. 2018 May 10;18(1):153. PubMed PMID: 29747592.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach. AU - Bahramian,Hoda, AU - Mohebbi,Simin Z, AU - Khami,Mohammad Reza, AU - Quinonez,Rocio Beatriz, Y1 - 2018/05/10/ PY - 2017/02/22/received PY - 2018/04/24/accepted PY - 2018/5/12/entrez PY - 2018/5/12/pubmed PY - 2019/3/15/medline KW - Dental health perceptions KW - Oral health KW - Pregnant women KW - Qualitative research SP - 153 EP - 153 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 18 IS - 1 N2 - BACKGROUND: Pregnant women are vulnerable to a wide range of oral health conditions that could be harmful to their own health and future child. Despite the usefulness of regular dental service utilization in prevention and early detection of oral diseases, it is notably low among pregnant women. In this qualitative study, we aimed to explore barriers and facilitators influencing pregnant women's dental service utilization. METHODS: Using a triangulation approach, we included pregnant women (n = 22) from two public health centers, midwives (n = 8) and dentists (n = 12) from 12 other public centers in Tehran (Iran). Data was gathered through face-to-face semi-structured interviewing and focus group discussion methods. The analysis of qualitative data was performed using conventional content analysis with MAXQDA10 software. RESULTS: Reported barriers of dental service utilization among pregnant women were categorized under emerging themes: Lack of knowledge and misbelief, cost of dental care, physiological changes, fear and other psychological conditions, time constraint, dentists' unwillingness to accept pregnant women treatment, cultural taboos and lack of interprofessional collaboration. Solutions proposed by dentists, midwives and pregnant women to improve dental care utilization during pregnancy were categorized under three themes: Provision of knowledge, financial support and establishing supportive policies. CONCLUSIONS: Understanding perceived barriers of dental service utilization during pregnancy can serve as baseline information for planning and formulating appropriate oral health education, financial support, and legislations tailored for lower income pregnant women, midwives and dentists in countries with developing oral health care system. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/29747592/Qualitative_exploration_of_barriers_and_facilitators_of_dental_service_utilization_of_pregnant_women:_A_triangulation_approach_ DB - PRIME DP - Unbound Medicine ER -