Oral health promotion interventions during pregnancy: A systematic review

Cheryl A. Vamos, Erika L. Thompson, Maryouri Avendano, Ellen M. Daley, Rocio B. Quinonez, Kim Boggess

Research output: Contribution to journalReview article

17 Citations (Scopus)

Abstract

Objectives Maternal oral disease during pregnancy is a significant public health issue due to its prevalence and lifecourse connections with adverse pregnancy/birth outcomes, early childhood caries, and chronic diseases. Although both medical and dental professional organizations have discipline-specific and co-endorsed guidelines, whether interventions exist that translate oral health evidence into practice remains unknown. Thus, we conducted a systematic review to examine the range, scope and impact of existing oral health promotion interventions during pregnancy. Methods Search terms related to oral health, health promotion, and pregnancy produced 7754 articles published before March 2013 from five search engines. Inclusion criteria: (i) intervention-based; (ii) quasi-experimental, experimental, or pretest/post-test design; (iii) pregnant women participants; (iv) outcomes including oral health knowledge, attitudes, and/or behaviors; (v) ≥5 participants; (vi) peer-review publication; and (vii) English language. Results All interventions (n = 7) were delivered in prenatal care settings and focused on education. Modalities varied, including the use of oral instruction and audiovisual presentations, in both individual and group formats; however, content was directed toward infant oral health. Few studies specifically addressed prenatal oral health guidelines. Primary outcomes measured included knowledge, beliefs, attitudes, self-efficacy and oral hygiene, and health-seeking behaviors. All but one study showed significant improvement in one of these outcomes postintervention. Conclusions Few oral health interventions among pregnant women addressed oral-related symptoms, hygiene behaviors, and potential oral-systemic implications specific to mothers. Subsequently, more theory- and evidence-based interventions addressing current prenatal oral health guidelines using rigorous designs are needed to improve oral and systemic health for both women and their offspring.

Original languageEnglish
Pages (from-to)385-396
Number of pages12
JournalCommunity Dentistry and Oral Epidemiology
Volume43
Issue number5
DOIs
StatePublished - 1 Oct 2015

Fingerprint

Oral Health
Health Promotion
Pregnancy
Guidelines
Pregnant Women
Mouth Diseases
Mothers
Attitude to Health
Search Engine
Peer Review
Prenatal Care
Oral Hygiene
Self Efficacy
Pregnancy Outcome
Hygiene
Publications
Tooth
Chronic Disease
Language
Public Health

Keywords

  • behavioral science
  • dental health promotion
  • health promotion
  • prevention
  • public health

Cite this

Vamos, Cheryl A. ; Thompson, Erika L. ; Avendano, Maryouri ; Daley, Ellen M. ; Quinonez, Rocio B. ; Boggess, Kim. / Oral health promotion interventions during pregnancy : A systematic review. In: Community Dentistry and Oral Epidemiology. 2015 ; Vol. 43, No. 5. pp. 385-396.
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abstract = "Objectives Maternal oral disease during pregnancy is a significant public health issue due to its prevalence and lifecourse connections with adverse pregnancy/birth outcomes, early childhood caries, and chronic diseases. Although both medical and dental professional organizations have discipline-specific and co-endorsed guidelines, whether interventions exist that translate oral health evidence into practice remains unknown. Thus, we conducted a systematic review to examine the range, scope and impact of existing oral health promotion interventions during pregnancy. Methods Search terms related to oral health, health promotion, and pregnancy produced 7754 articles published before March 2013 from five search engines. Inclusion criteria: (i) intervention-based; (ii) quasi-experimental, experimental, or pretest/post-test design; (iii) pregnant women participants; (iv) outcomes including oral health knowledge, attitudes, and/or behaviors; (v) ≥5 participants; (vi) peer-review publication; and (vii) English language. Results All interventions (n = 7) were delivered in prenatal care settings and focused on education. Modalities varied, including the use of oral instruction and audiovisual presentations, in both individual and group formats; however, content was directed toward infant oral health. Few studies specifically addressed prenatal oral health guidelines. Primary outcomes measured included knowledge, beliefs, attitudes, self-efficacy and oral hygiene, and health-seeking behaviors. All but one study showed significant improvement in one of these outcomes postintervention. Conclusions Few oral health interventions among pregnant women addressed oral-related symptoms, hygiene behaviors, and potential oral-systemic implications specific to mothers. Subsequently, more theory- and evidence-based interventions addressing current prenatal oral health guidelines using rigorous designs are needed to improve oral and systemic health for both women and their offspring.",
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Oral health promotion interventions during pregnancy : A systematic review. / Vamos, Cheryl A.; Thompson, Erika L.; Avendano, Maryouri; Daley, Ellen M.; Quinonez, Rocio B.; Boggess, Kim.

In: Community Dentistry and Oral Epidemiology, Vol. 43, No. 5, 01.10.2015, p. 385-396.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Oral health promotion interventions during pregnancy

T2 - A systematic review

AU - Vamos, Cheryl A.

AU - Thompson, Erika L.

AU - Avendano, Maryouri

AU - Daley, Ellen M.

AU - Quinonez, Rocio B.

AU - Boggess, Kim

PY - 2015/10/1

Y1 - 2015/10/1

N2 - Objectives Maternal oral disease during pregnancy is a significant public health issue due to its prevalence and lifecourse connections with adverse pregnancy/birth outcomes, early childhood caries, and chronic diseases. Although both medical and dental professional organizations have discipline-specific and co-endorsed guidelines, whether interventions exist that translate oral health evidence into practice remains unknown. Thus, we conducted a systematic review to examine the range, scope and impact of existing oral health promotion interventions during pregnancy. Methods Search terms related to oral health, health promotion, and pregnancy produced 7754 articles published before March 2013 from five search engines. Inclusion criteria: (i) intervention-based; (ii) quasi-experimental, experimental, or pretest/post-test design; (iii) pregnant women participants; (iv) outcomes including oral health knowledge, attitudes, and/or behaviors; (v) ≥5 participants; (vi) peer-review publication; and (vii) English language. Results All interventions (n = 7) were delivered in prenatal care settings and focused on education. Modalities varied, including the use of oral instruction and audiovisual presentations, in both individual and group formats; however, content was directed toward infant oral health. Few studies specifically addressed prenatal oral health guidelines. Primary outcomes measured included knowledge, beliefs, attitudes, self-efficacy and oral hygiene, and health-seeking behaviors. All but one study showed significant improvement in one of these outcomes postintervention. Conclusions Few oral health interventions among pregnant women addressed oral-related symptoms, hygiene behaviors, and potential oral-systemic implications specific to mothers. Subsequently, more theory- and evidence-based interventions addressing current prenatal oral health guidelines using rigorous designs are needed to improve oral and systemic health for both women and their offspring.

AB - Objectives Maternal oral disease during pregnancy is a significant public health issue due to its prevalence and lifecourse connections with adverse pregnancy/birth outcomes, early childhood caries, and chronic diseases. Although both medical and dental professional organizations have discipline-specific and co-endorsed guidelines, whether interventions exist that translate oral health evidence into practice remains unknown. Thus, we conducted a systematic review to examine the range, scope and impact of existing oral health promotion interventions during pregnancy. Methods Search terms related to oral health, health promotion, and pregnancy produced 7754 articles published before March 2013 from five search engines. Inclusion criteria: (i) intervention-based; (ii) quasi-experimental, experimental, or pretest/post-test design; (iii) pregnant women participants; (iv) outcomes including oral health knowledge, attitudes, and/or behaviors; (v) ≥5 participants; (vi) peer-review publication; and (vii) English language. Results All interventions (n = 7) were delivered in prenatal care settings and focused on education. Modalities varied, including the use of oral instruction and audiovisual presentations, in both individual and group formats; however, content was directed toward infant oral health. Few studies specifically addressed prenatal oral health guidelines. Primary outcomes measured included knowledge, beliefs, attitudes, self-efficacy and oral hygiene, and health-seeking behaviors. All but one study showed significant improvement in one of these outcomes postintervention. Conclusions Few oral health interventions among pregnant women addressed oral-related symptoms, hygiene behaviors, and potential oral-systemic implications specific to mothers. Subsequently, more theory- and evidence-based interventions addressing current prenatal oral health guidelines using rigorous designs are needed to improve oral and systemic health for both women and their offspring.

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KW - dental health promotion

KW - health promotion

KW - prevention

KW - public health

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U2 - 10.1111/cdoe.12167

DO - 10.1111/cdoe.12167

M3 - Review article

C2 - 25959402

AN - SCOPUS:84940896000

VL - 43

SP - 385

EP - 396

JO - Community Dentistry and Oral Epidemiology

JF - Community Dentistry and Oral Epidemiology

SN - 0301-5661

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