Factors Affecting Pregnant Women’s dental Services Use in Razavi Khorasan Province of Iran

Nayereh Esmaeilzadeh, Seyed J. Hoseini, Majid J. N. Bajestani, Hamid R. Ghorbanzadeh4,, Hamidreza Hoseinzadeh4,, Hasan Abdollahzadeh4,, Zahra I. Mood, Mousa Al R. Hadjzadeh

Abstract


Background: Despite recommendations from guidelines and institutions, dental care utilization during pregnancy remains uncommon. This study aimed to investigate the prevalence and associated factors of poor dental care during pregnancy in Razavi Khorasan.

Materials and Methods: A population‑based, cross‑sectional study was carried out randomly on 670 mothers in 2022. Dental care utilization, oral health, and reasons for dental care usage were measured by a reliable and validated questionnaire. The data collection included information about parents, pregnancy, oral health, and dental care. Predictors associated with barriers to receiving dental care were identified and reported as Odds Ratios (ORs) and confidence intervals. For statistical analysis, Stata14 software was also used.

Results: In general, 80.89% of mothers did not visit the dentist during pregnancy, 3.73% of them brushed and flossed twice or more a day, and 8.66% of them received dental care twice or more a year. Mothers with higher education received more dental care during pregnancy (OR = 3.42 (1.06, 11.07); p = 0.03). Nevertheless, mothers who had adhered to yearly dental care received less dental care during pregnancy (OR = 0.36 (0.17; 0.74); p = 0.00). Based on information about pregnancy history, dental care was less likely to be considered important during pregnancy, when there was multiparity and short pregnancy distances (OR = 0.39 (0.16; 0.96); p = 0.04).

Conclusions: Results of this study showed that awareness among pregnant women and healthcare providers about the importance of oral healthcare during pregnancy was very poor and the consequences of neglecting it were often underestimated, especially during crises and epidemics.


Keywords


Dental health services, dental prophylaxis, maternal health, oral hygiene

Full Text:

PDF

References


Gil Montoya JA, Leon Rios X, Rivero T, Expósito Ruiz M, Perez Castillo I, Aguilar Cordero MJ. Factors associated with oral health related quality of life during pregnancy: A prospective observational study. Qual Life Res 2021;30:3475 84.

Onoda N, Mikami T, Saito N, Kobayashi T. Evaluation of oral health related quality of life in patients with temporomandibular disorders. CRANIO® 2023;41:486 93.

Lima CV, dos Santos Noronha M, de Menezes EJ, de Oliveira Araújo VS, Mendes PH, Ferreira RC, et al. Unraveling the signs and symptoms of oral conditions that affect daily life activities and oral health related quality of life. Clin Oral Investig 2023;27:2725 33.

Soto Villela IT, Dehnhardt Canela BE, Silva Oliva AL, San Martín Roldán D, Calzadilla Núñez A, Díaz Narváez VP. Explicit guarantees in dental health of pregnant women and public health by regions and the 2010 2019 period in Chile. Revista Salud Uninorte 2022;38:505 28.

Daneshvar S, Ghazanfari Z, Hoseiny Rad M, Aivazi N, Aivazi AA. Oral health among pregnant women at Ilam, Iran: A KAP study. J Health Rep Technol 2023;9.

Cho GJ, Kim SY, Lee HC, Kim HY, Lee KM, Han SW, Oh MJ. Association between dental caries and adverse pregnancy outcomes. Sci Rep 2020;10:5309.

Murray I, Hendley J. Change and adaptation in pregnancy. Myles’ Textbook for Midwives E Book. 2020. p. 197.

Turabi R, Agrali ÖB, Doğan B. Awareness, knowledge and attitude toward the relationship between periodontal health and pregnancy outcomes among obstetrician-gynecologist healthcare professionals in Turkey: Results of 11th Turkish-German Gynecological Association Congress based survey. J Turk Ger Gynecol Assoc 2022;23:275.

Sinkford JC. 100 years of American Dental Education Association: Reflections on 27 years of service to American Association of Dental Schools/American Dental Education Association. J Dent Educ 2023;87:1377 9.

Al Jallad N, Vasani S, Wu TT, Cacciato R, Thomas M, Lababede N, et al. Racial and oral health disparity associated with perinatal oral health care utilization among underserved US pregnant women. Quintessence Int 2022;53:892.

Hyder T, Khan S, Moosa ZH. Dental care of the pregnant patient: An update of guidelines and recommendations. J Pak Med Assoc 2023;73:2041 6.

Rahebi D, Valadbeigi T, Hasani J, Hajipour M, Erfanpoor S, Etemad K, et al. Utilization of dental care in Iranian pregnant women: Findings from a population based study. Dent Res J 2021;18:26.

Adesina KT, Ernest MA, Tobin AO, Isiaka Lawal SA, Adeyemi MF, OlarinoyeAO, et al. Oral health status of pregnant women in Ilorin, Nigeria. J Obstet Gynaecol 2018;38:1093 8.

Azab RY, Binyaseen JA, Almuwallad AS, Alomiri SS, Faden NM, Ramadan MM, et al. Treatment perception and utilization of dental care during pregnancy among women visiting antenatal clinics in king Abdulaziz medical city and primary healthcare, National Guard, Jeddah, Saudi Arabia. Cureus 2024;16.

Asgari F, Majidi A, Koohpayehzadeh J, Etemad K, Rafei A. Oral hygiene status in a general population of Iran, 2011: A key lifestyle marker in relation to common risk factors of non communicable diseases. Int J Health Policy Manag 2015;4:343.

Heinze G, Dunkler D. Five myths about variable selection. Transpl Int 2017;30:6 10.

Bahrami Taghanaki HR, Hoseinzadeh H, Hamedi S, Jafari Nejad Bajestani M, Esmaeilzadeh N, Abdollahzadeh H, et al. The effect of Phytopaj) Ferula assa foetida L. oleo gum resin and tragacanth (in patients with COVID 19: A randomized clinical trial. Avicenna J Phytomed 2024;14:152 65.

Ahmadi-Motamayel F, Safabakhsh D, Refaei M. Iranian Women and Health Care Providers’ Perception of Oral Health in Pregnancy: A Qualitative Research. Iran J Nurs Midwifery Res 2023;28:155-9.

Hoerler SB, Jenkins S, Assad D. Evaluating oral health in pregnant women: knowledge, attitudes and practices of health professionals. Am Dent Hyg Assoc. 2019;93:16-22.

Bayat F, Karimi Shahanjarini A, Bashirian S, Faradmal J. Assessment of dental care and its related barriers in pregnant women of Hamadan city. J Educ Community Health 2016;3:20 7.

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;18:1658 66.

Parveen Z, Parveen S, Wassan IB, Rahoojo A, Surwaich A. Oral health status and practice of pregnant women attending antenatal clinics. J Soc Obstet Gynaecol Pak 2020;10:125 9.

Rocha JS, Arima L, Chibinski AC, Werneck RI, Moysés SJ, Baldani MH. Barriers and facilitators to dental care during pregnancy: a systematic review and meta-synthesis of qualitative studies. Cad Saude Publica 2018;34:e00130817.

Ayed A, Embaireeg A, Benawadh A, Al Fouzan W, Hammoud M, Al Hathal M, et al. Maternal and perinatal characteristics and outcomes of pregnancies complicated with COVID 19 in Kuwait. BMC Pregnancy Childbirth 2020;20:1 9.

Esmaeilzadeh N, Hoseini SJ, Nejad Bajestani MJ, Shakeri M, Mood ZI, Hoseinzadeh H, et al. Excess mortality in Northeast Iran caused by COVID 19: Neglect of offset community transformations of health. Asian Pac J Trop Med 2023;16:261 7.

Abdollahzadeh H, Rahmanian V, Sharifi N, Zahedi R, Bajestani MJN, GholianAval M, et al. Risks assessment of Adherence to non pharmaceutical measures towards COVID 19 among residents of Mashhad in the North East of Iran during the awful wave of the epidemic. J Family Med Prim Care 2021;10:3211 8.

Liu PP, Wen W, Yu KF, Gao X, Wong MC. Dental care seeking and information acquisition during pregnancy: A qualitative study. Int J Environ Res Public Health 2019;16:2621.


Refbacks

  • There are currently no refbacks.