Knowledge, Attitude, and Practice towards Oral Health among Pregnant Women Attending Antenatal Care at Siriraj Hospital

Main Article Content

Chatkoew Boriboonhirunsarn
Dittakarn Boriboonhirunsarn

Abstract

Objectives: To evaluate knowledge, attitude, and practice towards oral health of pregnant women, and to compare characteristics between women with different levels of oral health knowledge.
Materials and Methods: A total of 304 low-risk pregnant women, before 20 weeks of gestation, were randomly selected to complete a self-administered questionnaire during their first antenatal care visit. The questionnaire consisted of 4 parts, including baseline characteristics, knowledge, attitude, and questions about personal practice and related information received. Women were further categorized into having lower, medium, and higher knowledge level according to knowledge score tertiles. Various characteristics were compared between the 3 groups.
Results: Overall knowledge score was 7.5 out of 15. Majority of women reported correct answers about oral health care during pregnancy (58.9%-98.4%). Fewer women reported correct answers on relationship between oral health and pregnancy (26.6%-66.1%). Only 14.1% and 15.5% reported that oral and dental surgeries and local anesthetics were safe. Women had misconceptions on many issues including swollen gum, loose tooth, and dental treatments. More than half of the women (56.3%) had ever received information on oral and dental health during pregnancy and 54.9% reported to receive information from medical personnel. Women with higher knowledge scores were more likely to have higher education and income, have dental visits before pregnancy, and receive information from health care personnel.
Conclusion: Pregnant women had relatively limited knowledge on some issues of oral health during pregnancy. Higher level of knowledge was related to higher education and income.

Article Details

How to Cite
(1)
Boriboonhirunsarn, C.; Boriboonhirunsarn, D. . Knowledge, Attitude, and Practice towards Oral Health Among Pregnant Women Attending Antenatal Care at Siriraj Hospital. Thai J Obstet Gynaecol 2023, 31, 182-191.
Section
Original Article

References

GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1789-858.

Petersen PE. Improvement of global oral health-the leadership role of the World Health Organization. Community Dent Health 2010;27:194-8.

Petersen PE. World Health Organization global policy for improvement of oral health-World Health Assembly 2007. Int Dent J 2008;58:115-21.

The American College of Obstetricians and Gynecologists. Committee Opinion Number 569. Oral health care during pregnancy and through the lifespan. Obstet Gynecol 2013;122:417-22.

For the dental patient: oral health during pregnancy. J Am Dent Assoc 2011;142:574.

Guideline on oral health care for the pregnant adolescent. Pediatr Dent 2016;38:59-66.

Hartnett E, Haber J, Krainovich-Miller B, Bella A, Vasilyeva A, Lange Kessler J. Oral health in pregnancy. J Obstet Gynecol Neonatal Nurs 2016;45:565-73.

Daalderop LA, Wieland BV, Tomsin K, Reyes L, Kramer BW, Vanterpool SF, et al. Periodontal disease and pregnancy outcomes: overview of systematic reviews. JDR Clin Trans Res 2018;3:10-27.

Srithong N, Pomma S. Oral health status and oral health behavior of pregnant women receiving services at Ministry of Public Health hospitals. Thai Dental Public Health Journal 2016;21:5-12.

Rakchanok N, Amporn D, Yoshida Y, Harun-Or-Rashid M, Sakamoto J. Dental caries and gingivitis among pregnant and non-pregnant women in Chiang Mai, Thailand. Nagoya J Med Sci 2010;72:43-50.

Lieff S, Boggess KA, Murtha AP, Jared H, Madianos PN, Moss K, et al. The oral conditions and pregnancy study: periodontal status of a cohort of pregnant women. J Periodontol 2004;75:116-26.

Komine-Aizawa S, Aizawa S, Hayakawa S. Periodontal diseases and adverse pregnancy outcomes. J Obstet Gynaecol Res 2019;45:5-12.

Corbella S, Taschieri S, Del Fabbro M, Francetti L, Weinstein R, Ferrazzi E. Adverse pregnancy outcomes and periodontitis: A systematic review and meta-analysis exploring potential association. Quintessence Int 2016;47:193-204.

Boggess KA, Urlaub DM, Moos MK, Polinkovsky M, El-Khorazaty J, Lorenz C. Knowledge and beliefs regarding oral health among pregnant women. J Am Dent Assoc 2011;142:1275-82.

Fadavi S, Sevandal MC, Koerber A, Punwani I. Survey of oral health knowledge and behavior of pregnant minority adolescents. Pediatr Dent 2009;31:405-8.

Togoo RA, Al-Almai B, Al-Hamdi F, Huaylah SH, Althobati M, Alqarni S. Knowledge of pregnant women about pregnancy gingivitis and children oral health. Eur J Dent 2019;13:261-70.

Naorungroj S, Hunsrisakhun J, Talungchit S. Oral hygiene status, self-reported oral malodor, oral hygiene practices, and oral health knowledge: A cross-sectional study in a group of Muslim Thai pregnant women. J Int Oral Health 2018;10:229-36.

Daniel WW, editor. Biostatistics: a foundation for analysis in the health sciences. 7th ed. New York: John Wiley & Sons; 1999.

Llena C, Nakdali T, Sanz JL, Forner L. Oral health knowledge and related factors among pregnant women attending to a primary care center in Spain. Int J Environ Res Public Health 2019;16.

Boggess KA, Urlaub DM, Massey KE, Moos MK, Matheson MB, Lorenz C. Oral hygiene practices and dental service utilization among pregnant women. J Am Dent Assoc 2010;141:553-61.

George A, Shamim S, Johnson M, Dahlen H, Ajwani S, Bhole S, et al. How do dental and prenatal care practitioners perceive dental care during pregnancy? Current evidence and implications. Birth 2012;39:238-47.

Morgan MA, Crall J, Goldenberg RL, Schulkin J. Oral health during pregnancy. J Matern Fetal Neonatal Med 2009;22:733-9.

Hashim R, Akbar M. Gynecologists’ knowledge and attitudes regarding oral health and periodontal disease leading to adverse pregnancy outcomes. J Int Soc Prev Community Dent 2014;4:S166-72.