Oral Health Status of Pregnant Women Examined in Tokushima Prefecture, and its Relationship with a Low-birth-weight Outcome
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- YOKOYAMA Masaaki
- Oral Health Management Center, Tokushima University Hospital
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- YONEZU Takahito
- Tokushima Dental Association
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- YOKOYAMA Masaaki
- Tokushima Dental Association
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- ADACHI Satoshi
- Tokushima Dental Association
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- KUME Michito
- Tokushima Dental Association
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- WADA Akito
- Tokushima Dental Association
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- YOSHIOKA Masami
- Department of Oral Health Care Education, Institute of Health Biosciences, The University of Tokushima Graduate School
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- HINODE Daisuke
- Department of Hygiene and Oral Health Science, Institute of Health Biosciences, The University of Tokushima Graduate School
Bibliographic Information
- Other Title
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- 徳島県における妊婦歯科健診受診者の口腔保健の現状および低体重児出産との関連性
- トクシマケン ニ オケル ニンプ シカ ケンシン ジュシンシャ ノ コウクウ ホケン ノ ゲンジョウ オヨビ テイタイジュウジ シュッサン ト ノ カンレンセイ
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Abstract
Recent studies have suggested that periodontal diseases in pregnant women may be a significant risk factor for low-birth-weight deliveries (less than 2,500g). The aim of this study was to investigate the relationships between the oral health condition, health behavior of pregnant women, and low-birth-weight outcome. We performed oral examinations and conducted a survey of pregnant women to investigate their oral health status and behavior in Tokushima Prefecture. Among 739 pregnant women that received oral examinations, 454 (61.4%) reported complaints and inconvenience related to their oral cavities, 380 women (51.4%) reported gingival bleeding on brushing, while 406 women (54.9%) had teeth which needed treatment. Three hundred and one women (40.7%) harbored periodontal pockets with a depth ≥4mm, and were assigned a Community Periodontal Index (CPI) code of 3 or 4. On the other hand, there were only 136 women (18.4%) who received regular dental checkups. The percentage of pregnant women with a CPI of 3 or 4 was higher than that of women in the same age group based on the Comprehensive Guide to the Survey of Dental Diseases (2005). The percentage of subjects with a CPI of 3 or 4 among pregnant women with a smoking habit was higher than in a group of non-smoking pregnant women (p<0.05). All pregnant women with a smoking habit had a CPI≥1. In addition, we examined the relationship between the oral health status of the pregnant women and a low-birth-weight outcome. Stepwise logistic regression analysis of the 227 pregnant women who signed the informed consent document for this study showed that a smoking habit (OR 5.96, 95% CI 1.16-30.53, p=0.03) and periodontal pocket depth ≥4mm (OR 3.34, 95% CI 1.18-9.42, p=0.02) were significantly associated with low-birth-weight deliveries. In conclusion, efforts should be made to motivate pregnant women to undergo regular dental checkups for periodontal disease prevention and quit smoking.
Journal
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- JOURNAL OF DENTAL HEALTH
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JOURNAL OF DENTAL HEALTH 59 (3), 190-197, 2009
Japanese Society for Oral Health
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Details 詳細情報について
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- CRID
- 1390001205004298368
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- NII Article ID
- 110008460532
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- NII Book ID
- AN00081407
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- ISSN
- 21897379
- 00232831
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- NDL BIB ID
- 10398325
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed