Factors associated with oral care during pregnancy
DOI:
https://doi.org/10.7308/aodontol/2020.56.e16Keywords:
Dental care, Prenatal care, Socioeconomic factorsAbstract
Aim: This study was to describe the oral health procedures and to identify factors associated with the visit of pregnant woman to the dental service during prenatal care.
Methods: This work was a cross-sectional study, which interviewed 742 postpartum women in seven maternity hospitals in the Microrregion of São Mateus, ES, Brazil, in 2012 and 2013. A descriptive analysis of the dental procedures received during the prenatal period and multiple logistic regression were performed to obtain the factors associated with the pregnant woman seeking dental care during prenatal care.
Results: Only 33.6% of the women received dental care during prenatal care. Of these, 44.2% had access to the follow-up dentist’s appointment and 61.4% prophylaxis by the dentist. Receiving dental care during prenatal care was associated with years of study (RP = 1.18; 95%CI 1.07-1.31), type of coverage of basic care (RP = 1.96; 95%CI 1.31-2.92), number of prenatal consultations (RP = 1.23; 95%CI 1.10-1.37), and impact of oral health on quality of life (RP = 1.39; 95%CI 1.02-1.37).
Conclusion: Oral health care during pregnancy continues to be neglected, mainly for the most vulnerable pregnant women (low levels of education, few prenatal consultations, care provided by a simpler health team during prenatal care). Therefore, there is a need to expand dental care services, as well as an active seeking of dental care by vulnerable pregnant women.
Downloads
References
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Coordenação Nacional de Saúde Bucal. Diretrizes da Política Nacional de Saúde Bucal. Brasília, 2004.
Santos Neto ET, Oliveira AE, Zandonade E, Leal MC. Acesso à assistência odontológica no acompanhamento pré-natal. Cienc Saude Coletiva. 2012;17(11):3057–68.
Reis DM, Pitta DR, Ferreira HMB, Jesus MCP, Moraes MEL, Soares MG. Health education as a strategy for the promotion of oral health in the pregnancy period. Cienc Saude Coletiva. 2010;15(1):269–76.
Menezes EV, Yakoob M, Soomro T, Haws RA, Darmstadt GL, Bhutta ZA. Reducing stillbirths: prevention and management of medical disorders and infections during pregnancy. BMC Pregnancy Childbirth. 2009;9(1):1-49.
Polyzos NP, Polyzos IP, Zavos A, Valachis A, Mauri D, Papanikolaou EG, et al. Obstetric outcomes after treatment of periodontal disease during pregnancy: systematic review and meta-analysis. BMJ. 2010;341(29):1-10.
Antunes JLF. Socioeconomic status and health: a discussion of two paradigms. Rev Saude Publica. 2008;42:562–7.
Concha-Sánchez SC. El processo saludenfermedad-atención bucal de la gestante: una visión de las mujeres con base en la determinación social de la salud. Rev Fac Med. 2013; 61(3):275-91.
Ferreira SMSP, Pinheiro ES, Silva RV, Silva JF, Batista LD, Fernandes CG. Prénatal odontológico: acessibilidade e ações ofertadas pela atenção básica de Vitória da Conquista-BA. Rev Faculdade Odontol Lins. 2016;26(2):3-16.
Bressane LB, Costa LNBS, Vieira JMR, Rebelo MAB. Oral health conditions among pregnant women attended to at a health care center in Manaus, Amazonas, Brazil. Rev Odonto Cienc. 2011;26(4):291–6.
Martinelli KG, Santos Neto ET, Gama SG, Oliveira AE. Adequação do processo da assistência pré-natal segundo os critérios do Programa de Humanização do Pré-natal e Nascimento e Rede Cegonha. Rev Bras Ginecol Obstet. 2014;36(2):56-64.
Almeida AM, Loureiro CA, Araújo VE. Um estudo transcultural de valores de saúde bucal utilizando o instrumento OHIP-14 (Oral Health Impact Profile) na forma simplificada – Parte I: adaptação cultural e lingüística. UFES Rev Odontol. 2004;6(1):6-15
Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile–short form. Community Dent Oral Epidemiol. 2005;33(4):307–14.
Sun W, Guo J, Li XY, Zhao YQ, Chen H, Wu G. The routine utilization of dental care during pregnancy in eastern China and the key underlying factors: a Hangzhou city study. PLoS One. 2014;9(6):98780.
Singhal A, Chattopadhyay A, Garcia AI, Adams AB, Cheng D. Disparities in unmet dental need and dental care received by pregnant women in Maryland. Matern Child Health J. 2014;18(7):1658–66.
Jessani A, Laronde D, Mathu-Muju K, Brondani MA. Self-perceived oral health and use of dental services by pregnant women in surrey, British Columbia. J Can Dent Assoc. 2016;82(28):1-11.
Silveira ML, Whitcomb BW, Pekow P, Carbone ET, Chasan-Taber L. Anxiety, depression, and oral health among US pregnant women: 2010 Behavioral Risk Factor Surveillance System. J Public Health Dent. 2016;76(1):56-64.
Marchi KS, Fisher-Owen SA, Weintraub JA, Yu Z, Braveman PA. Most pregnant women in California do not receive dental care: findings from a population-based study. Public Health Rep. 2010;125(6):831–42
Martínez-Beneyto Y, Vera-Delgado MV, Pérez L, Maurandi A. Self-reported oral health and hygiene habits, dental decay, and periodontal condition among pregnant European women. Int J Gynecol Obstet. 2011;114(1):18–22.
Reina HAR. Creencias acerca de la salud oral en gestantes en tres ciudades colombianas. Rev Fac Odontol Univ Antioquia. 2009;20(2):171-8.
Codato LAB, Nakama L, Cordoni Júnior L, Higasi MS. Atenção odontológica à gestante: papel dos profissionais de saúde. Cienc Saude Coletiva. 2011;16(4):2297–301.
Martins W, Almeida H, Pedrosa B, Kozmhinsky V, Guerra C, Sabino M, et al. Conhecimento de gestantes sobre sua saúde bucal e a do bebê. Rev Uningá. 2019;56(2):22-33.
Macinko J, Harris MB. Brazil’s family health strategy—delivering community-based primary care in a universal health system. N Engl J Med. 2015;372(23):2177-81.
Cesar JA, Mendonza-Sassi RA, GonzalesChica DA, Mano PS, Goulart-Filha SM. Características sociodemográficas e de assistência à gestação e ao parto no extremo sul do Brasil. Cad Saude Publica. 2011;27(5):985-94.
Amin M, ElSalhy M. Factors affecting utilization of dental services during pregnancy. J Periodontol. 2014;85:1712-21.
Rosa CQ, Silveira DS, Costa JSD. Factors associated with lack of prenatal care in a large municipality. Rev Saude Publica. 2014;48(6):977–84.
Thompson TA, Cheng D, Strobino D. Dental cleaning before and during pregnancy among Maryland mothers. Matern Child Health J. 2013;17(1):110-8.
Gonçalves KF, Giordani JMA, Bidinotto AB, Ferla, AA, Martins AB, Hilgert JB. Utilização de serviço de saúde bucal no pré-natal na atenção primária à saúde: dados do PMAQ-AB. Cien Saude Coletiva. 2020;25(2):519-32.
Esposti CDD, Oliveira AE, Santos Neto ET, Travassos C. Representações sociais sobre o acesso e o cuidado pré-natal no Sistema Único de Saúde da Região Metropolitana da Grande Vitória, Espírito Santo. Saude E Soc. 2015;24(3):765–79.
