Gupta Neha, Chhetry Manisha
Department of Dental surgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal.
Department of Obstetrics and Gynecology, BP Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2019 May-Jun;57(217):184-188. doi: 10.31729/jnma.4420.
Poor dental hygiene has been associated with various perinatal complications in studies done worldwide but few studies in Nepal have explored the knowledge of pregnant ladies regarding dental hygiene. The aim of the study was to know the knowledge and practices of pregnant women regarding oral health in a tertiary care center in Nepal.
A qualitative study was carried out in Nobel Medical College and Teaching Hospital from January 15, 2018 to June 15, 2018 after approval from the Institutional Review Committee of Nobel Medical College. Convenience sampling was done. Fifty pregnant women admitted in antenatal ward were interviewed regarding their knowledge of dental care in pregnancy, the common dental problems they faced and the treatment taken. A predesigned proforma was used and results were analyzed using SPSS version 17.
Twenty two (44%) patients reported dental problems during pregnancy. Bleeding gums was seen in 7 (14%) and toothache in 7 (14%) were commonly reported dental problems. Forty seven (94%) patients acknowledged that routine dental care was needed for health, only 6 (12%) were aware that poor dental health could affect baby weight. Oral health not seen as priority in 24 (48%) was the main barrier to seeking dental care in pregnancy followed by costs of treatment in 18 (36%) and safety concerns in pregnancy in 8 (16%) cases.
Though dental problems were a common occurrence in pregnancy, utilization of services was low for the same. The participants reported significant barriers to obtaining dental care including lack of knowledge about the importance of maternal oral health and the treatment costs.
在全球范围内开展的研究表明,口腔卫生状况不佳与各种围产期并发症有关,但尼泊尔很少有研究探讨孕妇对口腔卫生的了解情况。本研究的目的是了解尼泊尔一家三级护理中心孕妇的口腔健康知识和实践情况。
在获得诺贝尔医学院机构审查委员会批准后,于2018年1月15日至2018年6月15日在诺贝尔医学院教学医院开展了一项定性研究。采用便利抽样法。对产前病房收治的50名孕妇进行了访谈,了解她们在孕期的牙齿护理知识、面临的常见牙齿问题以及接受的治疗。使用预先设计的表格,并使用SPSS 17版对结果进行分析。
22名(44%)患者报告在孕期出现牙齿问题。牙龈出血7例(14%),牙痛7例(14%)是常见的报告牙齿问题。47名(94%)患者承认日常牙齿护理对健康是必要的,只有6名(12%)意识到牙齿健康不佳会影响婴儿体重。24名(48%)患者认为口腔健康不是首要问题,这是孕期寻求牙齿护理的主要障碍,其次是18名(36%)患者认为治疗费用高,8名(16%)患者担心孕期安全问题。
尽管牙齿问题在孕期很常见,但对相关服务的利用率却很低。参与者报告了获得牙齿护理的重大障碍,包括对孕产妇口腔健康重要性的认识不足和治疗费用。