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Pregnant women's perspectives on integrating preventive oral health in prenatal care.
BMC Pregnancy Childbirth. 2021 Apr 01; 21(1):271.BP

Abstract

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.

Links

PMC Free PDF

Authors+Show Affiliations

Adeniyi A
Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, Canada. abiola71@student.ubc.ca.
Donnelly L
Department of Oral Biological & Medical Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, Canada.
Janssen P
School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Jevitt C
Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Kardeh B
Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
von Bergmann H
Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, Canada.
Brondani M
Department of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, Canada.

MeSH

AdultBritish ColumbiaDelivery of Health Care, IntegratedFemaleHealth EducationHumansMouth DiseasesOral HealthPregnancyPregnancy ComplicationsPrenatal CarePrevalencePreventive Health ServicesQualitative ResearchStakeholder ParticipationSurveys and Questionnaires

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33794806

Citation

Adeniyi, A, et al. "Pregnant Women's Perspectives On Integrating Preventive Oral Health in Prenatal Care." BMC Pregnancy and Childbirth, vol. 21, no. 1, 2021, p. 271.
Adeniyi A, Donnelly L, Janssen P, et al. Pregnant women's perspectives on integrating preventive oral health in prenatal care. BMC Pregnancy Childbirth. 2021;21(1):271.
Adeniyi, A., Donnelly, L., Janssen, P., Jevitt, C., Kardeh, B., von Bergmann, H., & Brondani, M. (2021). Pregnant women's perspectives on integrating preventive oral health in prenatal care. BMC Pregnancy and Childbirth, 21(1), 271. https://doi.org/10.1186/s12884-021-03750-4
Adeniyi A, et al. Pregnant Women's Perspectives On Integrating Preventive Oral Health in Prenatal Care. BMC Pregnancy Childbirth. 2021 Apr 1;21(1):271. PubMed PMID: 33794806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pregnant women's perspectives on integrating preventive oral health in prenatal care. AU - Adeniyi,A, AU - Donnelly,L, AU - Janssen,P, AU - Jevitt,C, AU - Kardeh,B, AU - von Bergmann,H, AU - Brondani,M, Y1 - 2021/04/01/ PY - 2020/12/09/received PY - 2021/03/22/accepted PY - 2021/4/2/entrez PY - 2021/4/3/pubmed PY - 2021/5/22/medline KW - Collaboration KW - Integrated care KW - Interprofessional education KW - Oral health KW - Prenatal care SP - 271 EP - 271 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 21 IS - 1 N2 - 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. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/33794806/Pregnant_women's_perspectives_on_integrating_preventive_oral_health_in_prenatal_care_ DB - PRIME DP - Unbound Medicine ER -