Nutalapati Rajasekhar, Ramisetti Arpita, Mutthineni Ramesh Babu, Jampani Narendra Dev, Kasagani Suresh Kumar
Department of Periodontics, Mamata Dental College, Giriprasadnagar, Khammam, Andhra Pradesh, India.
Indian J Dent Res. 2011 Sep-Oct;22(5):735. doi: 10.4103/0970-9290.93474.
Preterm low-birth-weight (PLBW) infants are at a higher risk for a number of acute and chronic disorders. Studies point to an association between periodontal infection and increased rates of preterm birth, and pregnant mothers with periodontal diseases are at increased risk of subsequent preterm birth or low birth weight. However, the awareness level of gynecologists about this relationship is unknown.
The aim of the present survey was to assess the awareness about the effects of periodontal disease on pregnancy among practicing gynecologists, and also compare such awareness between gynecologists in two places-Khammam (a district headquarter) and Hyderabad (a state capital).
Random, cross-sectional study in a population of practicing gynecologists from Andhra Pradesh.
A random study population was selected from the practicing gynecologists in Khammam and Hyderabad. Sixty practicing gynecologists, 30 each in Khammam and Hyderabad, were approached and they consented to join the study. Data were collected in questionnaire format from the subject population. Collected data were statistically analyzed. Chi-square test with Yates correction was used to analyze the data. A " P" value of <0.05 was taken as a significant difference.
73.3% of the gynecologists said that their patients complain of bleeding gums, swellings and mobility. 58.3% of the gynecologists were aware that gum diseases occur at a higher rate in pregnant females. 38.3% of the gynecologists were aware that periodontal diseases can affect the outcome of delivery. No significant difference was found between the awareness levels of gynecologists in Khammam and in Hyderabad.
There is a need for interdisciplinary approach for the prevention of PLBW cases by the integration of periodontal care into obstetric management. Effort should be made to increase awareness among the gynecologists.
早产低体重（PLBW）婴儿患多种急慢性疾病的风险更高。研究表明牙周感染与早产率增加之间存在关联，患有牙周疾病的孕妇随后早产或低体重的风险会增加。然而，妇科医生对这种关系的认知水平尚不清楚。
本次调查的目的是评估执业妇科医生对牙周疾病对妊娠影响的认知，并比较位于卡马姆（一个地区总部）和海得拉巴（一个邦首府）两地的妇科医生的这种认知情况。
对安得拉邦的执业妇科医生群体进行随机横断面研究。
从卡马姆和海得拉巴的执业妇科医生中随机选取研究对象。联系了60名执业妇科医生，卡马姆和海得拉巴各30名，他们同意参与研究。通过问卷形式从研究对象群体中收集数据。对收集到的数据进行统计学分析。采用经耶茨校正的卡方检验分析数据。P值<0.05被视为有显著差异。
73.3%的妇科医生表示他们的患者有牙龈出血、肿胀和松动的症状。58.3%的妇科医生知道孕妇患牙龈疾病的几率更高。38.3%的妇科医生知道牙周疾病会影响分娩结果。卡马姆和海得拉巴的妇科医生的认知水平之间未发现显著差异。
需要通过将牙周护理纳入产科管理，采取跨学科方法来预防早产低体重病例。应努力提高妇科医生中的认知度。
