| Título: | Promoting oral health in pregnant women through midwifery practice: An innovative approach |
| Autores: |
Johnson, M; University of Western Sydney/South Western Sydney Local Health District/Ingham
Institute Applied Medical Research, Sydney, NSW. Ajwani, S; Sydney & South Western Sydney Local Health District/Sydney DentalHospital/University of Sydney, Sydney, NSW. Bhole, S; Sydney & South Western Sydney Local Health District/Sydney DentalHospital/University of Sydney, Sydney, NSW. Blinkhorn, A; University of Sydney, Sydney, NSW. Dahlen, H; University of Western Sydney, Sydney, NSW. Ellis, S; South Western Sydney Local Health District, Sydney, NSW. George, A; University of Western Sydney/South Western Sydney Local Health District/Ingham Institute Applied Medical Research, Sydney, NSW. |
| Fecha: | 2013-10-13 |
| Publicador: | Hunter New England Local Health District |
| Fuente: |
Ver documento |
| Tipo: |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| Tema: | Nursing; Midwifery; Oral Health; Antenatal Care; Randomised Control Trial |
| Descripción: | Introduction: Pregnant women are prone to dental problems which can contribute to adverse perinatal outcomes. Unfortunately only a third of Australian women consult a dentist during pregnancy with the main barriers being lack of dental awareness, high dental costs and limited emphasis on oral health during antenatal care. To address this issue a unique midwifery initiated oral health dental service (MIOH-DS) program was developed to promote maternal oral health. The program involved training midwives to provide oral health education/assessment and referrals during early pregnancy and offering priority dental referral pathways. The aim of the study was to pilot test the effectiveness of the MIOH-DS program in improving the uptake of dental services, quality of life and oral health knowledge among pregnant women. Method: The program was piloted using a randomised controlled trial. 300 pregnant women were recruited from a metropolitan hospital in South-Western Sydney and allocated into three groups. The control group received no intervention; Group one received the midwifery intervention (MIOH); and Group 2 received the midwifery and a dental intervention (MIOH-DS). All participants received an educational brochure. Pre and post questionnaires were completed by participants at recruitment (12-20 weeks) and follow up (28-42 weeks). Results: 150 women were followed up until birth. No significant differences were found at baseline between groups. Pre/post data showed a 50% improvement in uptake of dental services in Group 2 compared to Group 1 and control (75% vs. 20% vs. 19%). Quality of life significantly improved in group 1 & 2 while oral health knowledge improved (P<0.05) among all 3 groups with the most improvement observed in Group 2. Conclusion: The findings suggest that the MIOH-DS program is effective in promoting oral health and wellbeing among pregnant women. Further testing of the program is currently underway using a larger NHMRC multicentre trial. |
| Idioma: | Inglés |