Ehlers Vicky, Callaway Angelika, Azrak Birgül, Zock Cornelia, Willershausen Brita
Vicky Ehlers is a Dentist at Department of Operative Dentistry, University Medical Center of the Johannes Gutenberg University, Mainz, Germany. She can be reached via e-mail at
MCN Am J Matern Child Nurs. 2014 Jul-Aug;39(4):253-9. doi: 10.1097/NMC.0000000000000045.
To assess midwives' knowledge about oral health and early caries prevention during perinatal care for mothers and babies.
A survey developed by the investigators was conducted among midwives to assess their knowledge about caries etiology, their attitude toward their role in early caries prevention, and prophylactic measures recommended during pregnancy, and after birth, for their babies. Self-administered questionnaires were sent to 180 midwives in hospitals and 323 midwives from a midwives' association in Hesse, Germany.
Response rates were 46% (83/180) and 56% (181/323); a total of 264 questionnaires were evaluated. Most midwives were familiar with the term Early Childhood Caries (ECC), over 90% knew the role of acidic bacteria, carbohydrates, and insufficient oral hygiene in caries etiology. A vast majority of the midwives considered caries prophylaxis as essential, and saw this topic as part of their core area of competence. Only 60% informed the pregnant women in their care about pregnancy gingivitis. Almost all midwives gave recommendations about caries prophylaxis. The risk for developing ECC was explained to the pregnant women and mothers/parents by 92% of the midwives. Recommendations concerning regular dental visits for small children were given by 80% of the midwives.
The time-intensive medical care of families through advanced practice nurses or midwives offers opportunities for better education about caries prophylaxis. A consensus of all the involved healthcare professional groups, including dentists, obstetricians, advanced practice nurses, midwives, pediatric nurses, and pediatricians, is needed to provide uniform recommendations for prophylaxis and prevention of ECC.
评估助产士在母婴围产期护理期间对口腔健康和早期龋齿预防的知识。
研究人员开展了一项调查，以评估助产士对龋齿病因的了解、她们对自身在早期龋齿预防中作用的态度，以及针对孕妇及其产后婴儿推荐的预防措施。自行填写的问卷被发送给德国黑森州医院的180名助产士以及一家助产士协会的323名助产士。
回复率分别为46%（83/180）和56%（181/323）；共评估了264份问卷。大多数助产士熟悉“幼儿龋齿”（ECC）这一术语，超过90%的人知道酸性细菌、碳水化合物和口腔卫生不良在龋齿病因中的作用。绝大多数助产士认为龋齿预防至关重要，并将此主题视为其核心业务领域的一部分。只有60%的助产士告知她们护理的孕妇有关妊娠牙龈炎的情况。几乎所有助产士都给出了龋齿预防的建议。92%的助产士向孕妇和母亲/家长解释了患ECC的风险。80%的助产士给出了关于幼儿定期看牙医的建议。
通过高级执业护士或助产士对家庭进行耗时的医疗护理，为更好地开展龋齿预防教育提供了机会。需要包括牙医、产科医生、高级执业护士、助产士、儿科护士和儿科医生在内的所有相关医疗专业团体达成共识，以提供关于ECC预防和防治的统一建议。
