Integrating a Nurse‐Midwife‐Led Oral Health Intervention Into CenteringPregnancy Prenatal Care: Results of a Pilot Study

作者：Sally Adams, Steven E. Gregorich, Sharon Schindler Rising, Margaret S. Hutchison, Lisa Chung · 发表于：Journal of Midwifery & Women s Health · 年份：2017 · DOI：10.1111/jmwh.12613 · 被引用次数：44 · 研究领域：Dental Health and Care Utilization、Oral microbiology and periodontitis research、Dental Anxiety and Anesthesia Techniques

INTRODUCTION: National and professional organizations recommend oral health promotion in prenatal care to improve women's oral health. However, few prenatal programs include education about oral health promotion. The objective of this study was to determine if women receiving a brief, low-cost, and sustainable educational intervention entitled CenteringPregnancy Oral Health Promotion had clinically improved oral health compared to women receiving standard CenteringPregnancy care. METHODS: Women attending CenteringPregnancy, a group prenatal care model, at 4 health centers in the San Francisco Bay Area, participated in this nonrandomized controlled pilot study in 2010 to 2011. The intervention arm received the CenteringPregnancy Oral Health Promotion intervention consisting of two 15-minute skills-based educational modules addressing maternal and infant oral health, each module presented in a separate CenteringPregnancy prenatal care session. The present analysis focused on the maternal module that included facilitated discussions and skills-building activities including proper tooth brushing. The control arm received standard CenteringPregnancy prenatal care. Dental examinations and questionnaires were administered prior to and approximately 9 weeks postintervention. Primary outcomes included the Plaque Index, percent bleeding on probing, and percent of gingival pocket depths 4 mm or greater. Secondary outcomes were self-reported oral health knowledge, attitudes (importance a...