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The midwifery initiated oral health-dental service protocol: an intervention to improve oral health outcomes for pregnant women
- 作者:Maree Johnson (1)
Ajesh George (2) Hannah Dahlen (3) Shilpi Ajwani (4) Sameer Bhole (4) Anthony Blinkhorn (5) Sharon Ellis (6) Anthony Yeo (7)
1. Faculty of Health Sciences ; Australian Catholic University ; Ingham Institute Applied Medical Research ; Sydney ; Australia 2. Centre for Applied Nursing Research ; University of Western Sydney/ South Western Sydney Local Health District ; University of Sydney ; Ingham Institute Applied Medical Research ; Liverpool BC ; Locked Bag 7103 ; Sydney ; NSW ; 1871 ; Australia 3. School of Nursing & Midwifery ; University of Western Sydney ; Ingham Institute Applied Medical Research ; Sydney ; Australia 4. Sydney Local Health District Oral Health Services and Sydney Dental Hospital ; Faculty of Dentistry ; University of Sydney ; Sydney ; Australia 5. Faculty of Dentistry ; University of Sydney ; Sydney ; Australia 6. Camden and Campbelltown Hospitals ; South Western Sydney Local Health District ; Sydney ; Australia 7. Centre for Applied Nursing Research ; University of Western Sydney ; Sydney ; Australia
- 关键词:Oral health ; Pregnancy ; Midwives ; Antenatal care ; Dental
- 刊名:BMC Oral Health
- 出版年:2015
- 出版时间:December 2015
- 年:2015
- 卷:15
- 期:1
- 参考文献:1. Silk H, Douglas AB, Douglas JM, Silk L: Oral health during pregnancy. / Am Fam Physician 2008, 77:1139-144.
2. Steinberg BJ, Hilton IV, Iida H, Samelson R: Oral health and dental care during pregnancy. / Dent Clin N Am 2013,57(2):195-10. 10.1016/j.cden.2013.01.002 CrossRef 3. Klepacz-Szewczyk J, Pawlicka H: Most frequent oral pathological states problems occurring in pregnant patient. / Dent Med Probl 2014,51(3):387-96. 4. Xiong X, Buekens P, Fraser WD, Beck J, Offenbacher S: Periodontal disease and adverse pregnancy outcomes: a systematic review. / BJOG 2006, 113:135-43. 10.1111/j.1471-0528.2005.00827.x CrossRef 5. Ide M, Papapanou PN: Epidemiology of association between maternal periodontal disease and adverse pregnancy outcomes–systematic review. / J Clin Periodontol 2013,40(s14):S181-S194. 6. Health N: / Early childhood oral health guidelines for child health professionals 2nd edition. Sydney: Health N; 2009. 7. Yost J, Li Y: Promoting oral health from birth through childhood: prevention of early childhood caries. / MCN Am J Matern Child Nurs 2008,33(1):17-3. 10.1097/01.NMC.0000305652.01743.8d CrossRef 8. George A, Johnson M, Blinkhorn A, Ellis S, Bhole S, Ajwani S: Promoting oral health during pregnancy: current evidence and implications for Australian midwives. / J Clin Nurs 2010, 19:3324-333. 10.1111/j.1365-2702.2010.03426.x CrossRef 9. George A, Ajwani S, Bhole S, Johnson M, Blinkhorn A, Ellis S: Promoting perinatal oral health in South-Western Sydney: a collaborative approach. 2010;89 (special issue C). / J Dent Res 2010., 142301: 10. Thomas N, Middleton P, Crowther C: Oral and dental health care practices in pregnant women in Australia: a postnatal survey. / BMC Pregnancy Childbirth 2008,8(1):13. 10.1186/1471-2393-8-13 CrossRef 11. New South Wales Health: / Oral health—eligibility of persons for public oral health care in NSW (PD2009_074). 2009. Retrieved from health.nsw.gov.au/policies/pd/2009/pdf/PD2009_074.pdf" class="a-plus-plus">http://www.health.nsw.gov.au/policies/pd/2009/pdf/PD2009_074.pdf 12. Wasylko LMD, Dykxhoorn SM, Rieder MJ, Weinberg S: A review of common dental treatments during pregnancy: implications for patients and dental personnel. / J Can Dent Assoc 1998,64(6):434-39. 13. Renfrew MJ, Homer CSE, Downe S, McFadden A, Muir N, Prentice T, / et al.: The Lancet’s series on midwifery executive summary. / Lancet 2014, 2014:1-. 14. ten Hoope-Bender P, de Bernis L, Campbell J, Downe S, Fauveau V, Fogstad H, / et al.: Improvement of maternal and newborn health through midwifery. / Lancet 2014. http://dx.doi.org/10.1016/S0140-6736(14)60930-2 15. Van Lerberghe W, Matthews Z, Achadi E, Ancona C, Campbell J, Channon A, / et al.: Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality. / Lancet 2014. 16. Edvardsson K, Ivarsson A, Garvare R, Eurenius E, Lindkvist M, Mogren I, / et al.: Improving child health promotion practices in multiple sectors -outcomes of the Swedish Salut Programme. / BM - 刊物主题:Dentistry; Oral and Maxillofacial Surgery;
- 出版者:BioMed Central
- ISSN:1472-6831
文摘
Background Evidence is emerging that women’s poor oral health and health practices during pregnancy are associated with poor oral health in their children and potentially an increased risk of pre-term or low-birth weight infants. Methods/Design The Midwifery Initiated Oral Health-Dental Service (MIOH-DS) trial is a three arm multicentre randomised controlled trial which will recruit women from three metropolitan hospitals aimed at improving women’s oral health and service access and indirectly reducing perinatal morbidity. All three arms of the trial will deliver oral health promotion material, although a midwife oral assessment and referral to private/public/health fund dental services pathway (Intervention Group 1) and the midwife oral assessment and referral to local free public dental services pathway (Intervention Group 2) will be compared to the control group of oral health promotional material only. Midwives will undergo specific oral health education and competency testing to undertake this novel intervention. Discussion This efficacy trial will promote a new partnership between midwives and dentists focused on enhancing the oral health of women and their infants. Should the intervention be found effective, this intervention, with existing on-line educational program for midwives, can be easily transferred into practice for large metropolitan health services within and beyond Australia. Further cost-benefit analysis is proposed to inform national health policy. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12612001271897.
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