207919 Association of Maternal Oral Health Status with Perinatal Health Factors

Monday, November 9, 2009

Terri-Ann M. Thompson, BA , Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Diana Cheng, MD , Center for Maternal and Child Health, Maryland Department of Health and Mental Hygiene, Baltimore, MD
Objective: Oral health has emerged as a relevant factor in perinatal health. Our objective was twofold: to determine the oral health status for Maryland mothers and explore whether lack of preventive oral health care was associated with perinatal health factors.

Methods: Data were obtained from a stratified random sample of 6,361 mothers who delivered live born infants during the years 2004-2007 and completed the Maryland Pregnancy Risk Assessment Monitoring System (PRAMS) survey two to nine months after delivery. Bivariate and descriptive analyses of mothers who reported that they had never had their teeth cleaned by a dentist or dental hygienist before pregnancy were calculated using SUDAAN.

Results: Nearly 30% of mothers reported they had no prior tooth cleaning before their most recent pregnancy. Lack of tooth cleaning was most prevalent among mothers who were Hispanic (52.6%) and had no private health insurance prior to pregnancy (49.3%). There was no association observed between lack of tooth cleaning and infant low birth weight (LBW) of most recent pregnancy. However, mothers who reported no tooth cleaning were more likely to report no prenatal care (2.1% vs. 0.8%),that their pregnancy was unintended (48% vs. 37%) and a past history of LBW (16.3% vs. 9.5%) than mothers reporting prior tooth cleaning (p<0.001). Unfortunately, 56% of mothers reported that oral health care was not discussed prenatally.

Conclusion: A substantial number of reproductive aged women have never had preventive oral health care. Oral health needs to be better integrated into the perinatal health policy agenda.

Learning Objectives:
Describe the prevalence of preventive oral health care among the Maryland perinatal population Discuss steps for further research investigating the potential impact of oral health on pregnancy outcomes

Keywords: Maternal and Child Health, Oral Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Doctor of Philosophy Student, Department of Population, Family and Reproductive Health,Johns Hopkins Bloomberg School of Public Health. Maternal Child Health/Epidemiology Fellow: Johns Hopkins School of Public Health & Maryland Department of Health and Mental Hygiene - conducted analysis of the PRAMS data. Maternal Child Health certification: Johns Hopkins Bloomberg School of Public Health
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.