A mixed method study to assess orodental problems and barriers to utilisation of orodental care in pregnant ladies of Himachal Pradesh

Authors

  • Aishwarya Sharma Department of Community Medicine, Dr. RP Government Medical College, Tanda, Himachal Pradesh, India
  • Himanshu Sharma Noora Health, Bangalore, Karnataka, India
  • Sakshi Supehia Department of Community Medicine, Dr. RP Government Medical College, Tanda, Himachal Pradesh, India
  • Preeti Upadhyay Department of Periodontology, Inderprastha Dental College and Hospital, Sahibabad, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20234146

Keywords:

Pregnant woman, Healthcare, Dental problems, Barriers, Periodontal health status

Abstract

Background: The hormonal changes along with decreased salivation during pregnancy result in many orodental problems. The existing orodental conditions worsen due to barriers to the utilisation of orodental care during pregnancy. The objective of this study is to assess orodental problems and barriers to utilisation of orodenatl care in pregnant ladies

Methods: Sample size is calculated using Cochran’s formula. The Purposive sampling technique was used to select hospitals and pregnant women from OPD of the gynecology and obstetrics department of hospitals selected in Himachal Pradesh. Using DMFT and CPI index, interview schedules the study's specific objectives are achieved.

Results: Out of a sample of 112, 92.8% of pregnant women had dental caries, 34.8% of pregnant women had got restorative treatment and 25.8% had their teeth extracted. The majority of pregnant women (51.8%) had dental calculus and (29.5%) shallow periodontal pockets. The system, personal, and caregiver-related barriers are responsible for the underutilisation of orodental care among pregnant women.

Conclusions: This study concluded many pregnant women face orodental problems along with a major factor of lack of dental education and no dental insurance associated with their orodental problems.

References

Fotedar S. Barriers to the utilization of dental services in Shimla, India. Eur J Gen Dent. 2013;2:39-43.

Oral Health. Available at: https://www.who.int/health-topics/oral-health#tab=tab_1. Accessed on 20 February 2023.

Oral health. Available from: https://www.who.int/news-room/fact-sheets/detail/oral-health. Accessed on 20 February 2023.

Jain N, Dutt U, Radenkov I, Jain S. WHO 's Global Oral Health Status Report 2022: Actions, Discussion, & Implementation. Oral Dis. 2023;20:12-8.

Patil P, Kashetty M, Kumbhar S, Patil S. Oral hygiene status, gingival status, periodontal status, and treatment needs among pregnant and nonpregnant women: A comparative study. J Indian Soc Periodontol. 2018;22(2):164.

Watson-Locklear MB. How Pregnancy Affects Your Teeth (and What to Do About It). Orlando Health 2019. Available at: https://www.winniepalmerhospital.com/ content-hub/how-pregnancy-affects-your-teeth-and-what-to-do-about-it. Accessed on 20 February 2023.

Nisha VA. Dental considerations in pregnancy-a critical review on the oral care. J Clin Diagn Res. 2013;7(5):948-53.

Paglia L, Colombo S. Interdisciplinary update Perinatal oral health: focus on the mother. Eur J Paediatr Dent. 2019;20:21-8.

Pregnancy and Dental Work. Available at: https://americanpregnancy.org/healthy-pregnancy/is-it-safe/dental-work-and-pregnancy/. Accessed on 20 February 2023.

Kumar G, Payal S, Sumitra Y, Sandhya J, Deshraj J, Shivam K, et al. Oral health of pregnant females in central India: Knowledge, awareness, and present status. J Edu Health Promot. 2017;6(1):102

Ranjan R, Barman D, Kundu A. Factors associated with dental visit and barriers to the utilization of dental services among tribal pregnant women in Khurda district, Bhubaneswar: A cross-sectional study. J Indian Soc Periodontol. 2019;23(6):562.

Detman LA, Cottrell BH, Denis-Luque MF. Exploring Dental Care Misconceptions and Barriers in Pregnancy. Birth. 2010;37(4):318-24.

Bahramian H, Mohebbi SZ, Khami MR, Quinonez RB. Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach. BMC Preg Childbirth. 2018;18(1):123-9.

Boban D. Oral diseases and health seeking behaviours among women aged 18 to 34 years in Rural Ernakulam, Kerala. Available at: https://www.academia.edu/ 90309095/Oral_diseases_and_health_seeking_behaviours_among_women_aged_18_to_34_years_in_Rural_Ernakulam_Kerala. Accessed on 20 February 2023.

Rocha JS, Arima LY, Werneck RI, Moysés SJ, Baldani MH. Determinants of Dental Care Attendance during Pregnancy: A Systematic Review. Caries Res. 2018;52(1):139-52.

Patil S, Patel S, Shivakumar KM, Hathiwala S. Relationship of tooth loss, impaired chewing ability, and cognitive impairment among the elderly of western Maharashtra, India. J Int Oral Health. 2018;10:172-5.

Africa CWJ, Turton M. Oral Health Status and Treatment Needs of Pregnant Women Attending Antenatal Clinics in KwaZulu-Natal, South Africa. Int J Dent. 2019;2019:1-7.

Bakhtiar K, Gharouni K, Gharouni B, Bastami F, Almasian M, Mehri H. DMFT and OHIS Indexes in Pregnant Mothers: An Explanation Based on the Health Belief Model. J Community Health Res. 2018;7(1):1-10.

Hatkehlouei MB, Salehi M, Tari H, Molania T. Assessment of Decayed, Missing, and Filled Teeth Index among Pregnant Women in Mazandaran Province, Northern of Iran in 2016. J Res Med Dent Sci. 2017;5(6):58-64.

Gupta R, Acharya AK. Oral Health Status and Treatment Needs among Pregnant Women of Raichur District, India: A Population Based Cross-Sectional Study. Scientifica. 2016;2016:1-8.

Talwar PS, Gambhir RS, Talwar D, Sohi RK, Vashist A, Munjal V. Oral health status and adverse pregnancy outcomes among pregnant women in Haryana, India: A prospective study. J Indian Assoc Public Health Dent. 2015;13:138-43.

Deghatipour M, Ghorbani Z, Ghanbari S, Arshi S, Ehdayivand F, Namdari M, et al. Oral health status in relation to socioeconomic and behavioral factors among pregnant women: a community-based cross-sectional study. BMC Oral Health. 2019;19:32-8.

Hu W, Wang Y, Chen R, Pan T. Oral Health Status and Literacy/Knowledge Amongst Pregnant Women in Shanghai. Int Dent J. 2023;73(2):212-8.

Bunnatee P, Abdulsalam FI, Phoosuwan N. Factors associated with oral health care behaviors of pregnant women in a northeastern province in Thailand: A hospital-based cross-sectional study. PLoS One. 2023;18(8):123-9.

Abdal K, Roozegar M, Gholami Z, Shafiei E. The Periodontal Status of Pregnant and Lactating Women in Ilam Province, Iran (2018 - 2019). J Kermanshah Univ Med Sci. 2021;25(3):e114001.

Krishna Prasad Subedi, Shrestha A, Bhagat T. Oral health status and barriers to utilization of dental services among pregnant women in Sunsari, Nepal: A cross‐sectional study. Int J Dent Hyg. 2023;27:124-9.

Le M, Riedy CA, Weinstein P, Milgrom P. Barriers to utilization of dental services during pregnancy: a qualitative analysis. J Dent Children. 2009;76:46-52.

Bisht R, Menon S. Dentistry and Corona: The Ignored Limb of the Public Health System. Available at: https://science.thewire.in/health/dentists-coronavirus/. Accessed on 20 February 2023.

Downloads

Published

2023-12-30

How to Cite

Sharma, A., Sharma, H., Supehia, S., & Upadhyay, P. (2023). A mixed method study to assess orodental problems and barriers to utilisation of orodental care in pregnant ladies of Himachal Pradesh. International Journal Of Community Medicine And Public Health, 11(1), 323–328. https://doi.org/10.18203/2394-6040.ijcmph20234146

Issue

Section

Original Research Articles