Centre for Applied Nursing Research (CANR), South Western Sydney Local Health District (SWSLHD)/University of Western Sydney, Sydney, New South Wales, Australia.
Birth. 2012 Sep;39(3):238-47. doi: 10.1111/j.1523-536X.2012.00553.x. Epub 2012 Jun 27.
Poor maternal oral health may be associated with adverse pregnancy and infant outcomes. However, women seldom seek dental care during pregnancy, and misconceptions by prenatal care practitioners about oral health care during pregnancy may contribute to the problem. The aim of this study was to review current knowledge, attitudes, and behavior of dental and prenatal care practitioners about oral health care during pregnancy.
This review examined all studies published in English that explored the knowledge, attitude, behavior, and barriers faced by dentists, general practitioners, midwives, and obstetricians/gynecologists with respect to oral health care during pregnancy.
Despite acknowledging the importance of maternal oral health, many dentists are uncertain about the safety of dental procedures and are hesitant in treating pregnant women. General practitioners and midwives are poorly informed about the impact of poor maternal oral health and rarely initiate this topic during prenatal care. Many general practitioners also believe that dental procedures are unsafe during pregnancy. Obstetricians/gynecologists are well informed about perinatal oral health and are supportive of dental procedures, but because of lack of training in this area and competing health demands they seldom focus on oral health care during their prenatal care.
No real consensus exists among dentists and prenatal care practitioners with respect to oral health care during pregnancy. This issue poses a significant deterrent for pregnant women seeking dental care. Practice guidelines in perinatal oral health are needed for health professionals to emphasize this important aspect of prenatal care.
孕产妇口腔健康状况不佳可能与不良妊娠和婴儿结局有关。然而，女性在怀孕期间很少寻求牙科护理，产前护理从业者对口内护理的误解可能是造成这种情况的原因之一。本研究旨在回顾牙科和产前护理从业者在怀孕期间口腔护理方面的现有知识、态度和行为。
本综述检查了所有以英文发表的研究，这些研究探讨了牙医、全科医生、助产士和妇产科医生/妇科医生在怀孕期间口腔护理方面的知识、态度、行为和面临的障碍。
尽管认识到孕产妇口腔健康的重要性，但许多牙医对口内护理的安全性仍不确定，并且在治疗孕妇时犹豫不决。全科医生和助产士对不良孕产妇口腔健康的影响了解甚少，很少在产前护理中提及这个话题。许多全科医生还认为，牙科手术在怀孕期间是不安全的。妇产科医生对围产期口腔健康有很好的了解，并支持牙科手术，但由于缺乏这方面的培训和竞争的健康需求，他们很少在产前护理中关注口腔健康护理。
牙医和产前护理从业者在怀孕期间的口腔护理方面没有达成真正的共识。这个问题对寻求牙科护理的孕妇构成了重大障碍。需要制定围产期口腔健康实践指南，以便卫生专业人员强调产前护理的这一重要方面。
