Skip to main content
Top
Published in: BMC Oral Health 1/2016

Open Access 01-12-2016 | Research article

Midwives’ oral health recommendations for pregnant women, infants and young children: results of a nationwide survey in Germany

Authors: Yvonne Wagner, Roswitha Heinrich-Weltzien

Published in: BMC Oral Health | Issue 1/2016

Login to get access

Abstract

Background

Studies suggest that poor oral health during pregnancy can lead to perinatal complications, such as low birth weight and preterm delivery as well as poor oral health in children. Aim of this study was to assess the German midwives knowledge about oral health and preventive recommendations for pregnant women, infants and young children.

Methods

The nationwide online-survey was conducted with use of a self-developed, pretested and validated standardized questionnaire. The German association of midwives (Deutscher Hebammenverband e.V.) informed their members about the survey through email, newsletter, website and association journal (Hebammenforum) (n = 7.500). Data were analyzed using descriptive statistics.

Results

Response rate was 12.6 % (mean age 42.9 ± 9.3 years). The majority of midwives advised pregnant women about periodontal diseases (78.6 %). Of the midwives, 8.4 % mentioned the possible associations between periodontal diseases and perinatal complications. In general, half of the midwives (53.5 %) recommended a dental visit during pregnancy. A total of 65.5 % of midwives advised parents about early childhood caries. The majority of midwives recommended that oral hygiene starts with eruption of the first tooth (60.4 %) and the first dental visit of the child should be at age 2 or 3 years (51.6 %). Midwives recommendations regarding the implementation of oral hygiene and the referral to a dentist during pregnancy and childhood were highly variable.

Conclusions

To increase oral awareness and to improve the oral health knowledge among midwives and all other health-care professionals, uniform guidelines should be developed in Germany.

Trial registration

German Clinical Trial Register DRKS00008021
Literature
1.
go back to reference Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am Fam Physician. 2008;77:1139–44.PubMed Silk H, Douglass AB, Douglass JM, Silk L. Oral health during pregnancy. Am Fam Physician. 2008;77:1139–44.PubMed
2.
go back to reference Gürsoy M, Pajukanta R, Sorsa T, Könönen E. Clinical changes in periodontium during pregnancy and post-partum. J Clin Periodontol. 2008;35:576–83.CrossRefPubMed Gürsoy M, Pajukanta R, Sorsa T, Könönen E. Clinical changes in periodontium during pregnancy and post-partum. J Clin Periodontol. 2008;35:576–83.CrossRefPubMed
3.
go back to reference Lafaurie GJ. Gingival tissue and pregnancy. In: Panagakos F, editor. Gingival Diseases – Their Aetiology, Prevention and Treatment. InTech. 2011. p. 101–20. Lafaurie GJ. Gingival tissue and pregnancy. In: Panagakos F, editor. Gingival Diseases – Their Aetiology, Prevention and Treatment. InTech. 2011. p. 101–20.
4.
go back to reference 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;19:3324–33.CrossRefPubMed 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;19:3324–33.CrossRefPubMed
5.
go back to reference Pitiphat W, Joshipura KJ, Gillman MW, Williams PL, Douglass CW, Rich-Edwards JW. Maternal periodontitis and adverse pregnancy outcomes. Community Dent Oral Epidemiol. 2008;36:3–11.PubMed Pitiphat W, Joshipura KJ, Gillman MW, Williams PL, Douglass CW, Rich-Edwards JW. Maternal periodontitis and adverse pregnancy outcomes. Community Dent Oral Epidemiol. 2008;36:3–11.PubMed
6.
go back to reference Vergnes JN, Sixou M. Preterm low birth weight and maternal periodontal status: a meta-analysis. Am J Obst Gynecol. 2007;196:135. el.-7.CrossRef Vergnes JN, Sixou M. Preterm low birth weight and maternal periodontal status: a meta-analysis. Am J Obst Gynecol. 2007;196:135. el.-7.CrossRef
7.
go back to reference Offenbacher S, Beck JD, Jared HL, Mauriello SM, Mendoza LC, Couper DJ, et al. Maternal Oral Therapy to Reduce Obstetric Risk (MOTO R) investigators. Effects of periodontal therapy on rate of preterm delivery: a randomized controlled trial. Obstet Gynecol. 2009;114:551–9.CrossRefPubMedPubMedCentral Offenbacher S, Beck JD, Jared HL, Mauriello SM, Mendoza LC, Couper DJ, et al. Maternal Oral Therapy to Reduce Obstetric Risk (MOTO R) investigators. Effects of periodontal therapy on rate of preterm delivery: a randomized controlled trial. Obstet Gynecol. 2009;114:551–9.CrossRefPubMedPubMedCentral
8.
go back to reference Michalowicz BS, Hodges JS, Novak MJ, et al. Change in periodontitis during pregnancy and the risk of pre-term birth and low birthweight. J Clin Periodontol. 2009;36:308–14.CrossRefPubMedPubMedCentral Michalowicz BS, Hodges JS, Novak MJ, et al. Change in periodontitis during pregnancy and the risk of pre-term birth and low birthweight. J Clin Periodontol. 2009;36:308–14.CrossRefPubMedPubMedCentral
9.
go back to reference Vergnes JN, Pastor-Harper D, Constantin S, Bedos C, Kaminski M, Nabet C, et al. Perceived oral health and the use of dental services during pregnancy: the MaterniDent study. Sante Publique. 2013;25:281–92.PubMed Vergnes JN, Pastor-Harper D, Constantin S, Bedos C, Kaminski M, Nabet C, et al. Perceived oral health and the use of dental services during pregnancy: the MaterniDent study. Sante Publique. 2013;25:281–92.PubMed
10.
go back to reference Ramos-Gomez FJ, Crystal YO, Wai M, Crall JJ, Featherstone JDB. Pediatric dental care: prevention and management protocols based on caries risk assessment. J Calif Dent Assoc. 2010;38:746–61.PubMedPubMedCentral Ramos-Gomez FJ, Crystal YO, Wai M, Crall JJ, Featherstone JDB. Pediatric dental care: prevention and management protocols based on caries risk assessment. J Calif Dent Assoc. 2010;38:746–61.PubMedPubMedCentral
12.
go back to reference Vadiakas G. Case definition, aetiology and risk assessment of early childhood caries: a revisited review. Eur Arch Paediatr Dent. 2008;9:114–25.CrossRefPubMed Vadiakas G. Case definition, aetiology and risk assessment of early childhood caries: a revisited review. Eur Arch Paediatr Dent. 2008;9:114–25.CrossRefPubMed
13.
go back to reference Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201:625–6.CrossRefPubMed Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201:625–6.CrossRefPubMed
14.
go back to reference Oral Health Care During Pregnancy Expert Workgroup. Oral Health Care During Pregnancy: A National Consensus Statement. Washington: National Maternal and Child Oral health Resource Center; 2012. Oral Health Care During Pregnancy Expert Workgroup. Oral Health Care During Pregnancy: A National Consensus Statement. Washington: National Maternal and Child Oral health Resource Center; 2012.
15.
go back to reference Foundation CDA. Oral Health During Pregnancy & Early Childhood: Evidence-Based Guidelines for Health Professionals. Sacramento: CDA Foundation; 2010. Foundation CDA. Oral Health During Pregnancy & Early Childhood: Evidence-Based Guidelines for Health Professionals. Sacramento: CDA Foundation; 2010.
16.
go back to reference American Academy of Pediatric Dentistry. Guideline on perinatal oral health care. Reference Manual. 2011;33:118–23. American Academy of Pediatric Dentistry. Guideline on perinatal oral health care. Reference Manual. 2011;33:118–23.
21.
go back to reference Thomas N, Middleton P, Crowther C. Oral and dental health care practices in pregnant women in Australia: a postnatal survey. BMC Pregnancy Childbirth. 2008;8:13.CrossRefPubMedPubMedCentral Thomas N, Middleton P, Crowther C. Oral and dental health care practices in pregnant women in Australia: a postnatal survey. BMC Pregnancy Childbirth. 2008;8:13.CrossRefPubMedPubMedCentral
22.
go back to reference Krüger MS, Lang CA, Almeida LH, Bello-Correa FO, Romano AR, Pappen FG. Dental pain and associated factors among pregnant women: an observational study. Matern Child Health J. 2015;19:504–10.CrossRefPubMed Krüger MS, Lang CA, Almeida LH, Bello-Correa FO, Romano AR, Pappen FG. Dental pain and associated factors among pregnant women: an observational study. Matern Child Health J. 2015;19:504–10.CrossRefPubMed
23.
go back to reference George A, Duff M, Ajwani S, Johnson M, Dahlen H, Blinkhorn A, et al. Development of an online education program for midwives in Australia to improve perinatal oral health. J Perinatal Educ. 2012;21:112–22.CrossRef George A, Duff M, Ajwani S, Johnson M, Dahlen H, Blinkhorn A, et al. Development of an online education program for midwives in Australia to improve perinatal oral health. J Perinatal Educ. 2012;21:112–22.CrossRef
24.
go back to reference Johnson M, George A, Dahlen H, Ajwani S, Bhole S, Blinkhorn A, et al. The midwifery initiated oral health-dental service protocol: an intervention to improve oral health outcomes for pregnant women. BMC Oral Health. 2015. doi:10.1186/1472-6831-15-2. Johnson M, George A, Dahlen H, Ajwani S, Bhole S, Blinkhorn A, et al. The midwifery initiated oral health-dental service protocol: an intervention to improve oral health outcomes for pregnant women. BMC Oral Health. 2015. doi:10.​1186/​1472-6831-15-2.
25.
go back to reference George A, Johnson M, Duff M, Ajwani S, Bhole S, Blinkhorn A, et al. Midwives and oral health care during pregnancy: perceptions of pregnant women in South-Western Sydney, Australia. J Clin Nurs. 2012;21:1087–96.CrossRefPubMed George A, Johnson M, Duff M, Ajwani S, Bhole S, Blinkhorn A, et al. Midwives and oral health care during pregnancy: perceptions of pregnant women in South-Western Sydney, Australia. J Clin Nurs. 2012;21:1087–96.CrossRefPubMed
26.
go back to reference George A, Johnson M, Duff M, Ajwani S, Bhole S, Blinkhorn A, et al. Maintaining oral health during pregnancy: perceptions of midwives in Southwest Sydney. Collegian. 2011;18:71–9.CrossRefPubMed George A, Johnson M, Duff M, Ajwani S, Bhole S, Blinkhorn A, et al. Maintaining oral health during pregnancy: perceptions of midwives in Southwest Sydney. Collegian. 2011;18:71–9.CrossRefPubMed
27.
go back to reference Ehlers V, Callaway A, Azrak B, Zock C, Willershausen B. Survey of midwives’knowledge of caries prevention in perinatal care. Am J Matern Child Nurs. 2014;39:253–9.CrossRef Ehlers V, Callaway A, Azrak B, Zock C, Willershausen B. Survey of midwives’knowledge of caries prevention in perinatal care. Am J Matern Child Nurs. 2014;39:253–9.CrossRef
28.
go back to reference Al-Habashneh R, Aljundi SH, Alwaeli HA. Survey of medical doctor’s attitudes and knowledge of the association between oral health and pregnancy outcomes. Int J Dent Hyg. 2008;6:214–20.CrossRefPubMed Al-Habashneh R, Aljundi SH, Alwaeli HA. Survey of medical doctor’s attitudes and knowledge of the association between oral health and pregnancy outcomes. Int J Dent Hyg. 2008;6:214–20.CrossRefPubMed
30.
go back to reference Treuner A, Fusch C, Linnemann K, Splieth C. Fluoridprophylaxe im Kleinkindalter – Evaluation der Umsetzung durch Kinder- und Zahnärzte. Dtsch Zahnärztl Z. 2010;65:577–81. Treuner A, Fusch C, Linnemann K, Splieth C. Fluoridprophylaxe im Kleinkindalter – Evaluation der Umsetzung durch Kinder- und Zahnärzte. Dtsch Zahnärztl Z. 2010;65:577–81.
31.
go back to reference Cook C, Heath F, Thompson RL. A meta-analysis of response rates in web- or internet-based surveys. Educational Psychological Measurement. 2000;60:821–36.CrossRef Cook C, Heath F, Thompson RL. A meta-analysis of response rates in web- or internet-based surveys. Educational Psychological Measurement. 2000;60:821–36.CrossRef
32.
go back to reference Shih T, Fan X. Comparing response rates from Web and mail surveys: a meta-analysis. Fields Methods. 2008;20:249–71.CrossRef Shih T, Fan X. Comparing response rates from Web and mail surveys: a meta-analysis. Fields Methods. 2008;20:249–71.CrossRef
Metadata
Title
Midwives’ oral health recommendations for pregnant women, infants and young children: results of a nationwide survey in Germany
Authors
Yvonne Wagner
Roswitha Heinrich-Weltzien
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2016
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-016-0192-1

Other articles of this Issue 1/2016

BMC Oral Health 1/2016 Go to the issue