Then Moli S M, Aziz N A, Noor Azimah M, Rani H
Seri Kembangan Health Clinic, Seri Kembangan, Selangor, Malaysia.
UKM Medical Centre, Medical Faculty, Department of Family Medicine, Cheras, Kuala Lumpur, Malaysia.
Med J Malaysia. 2022 Mar;77(2):217-223.
Oral health care is an important indicator of the overall wellbeing of pregnant women. Optimizing the utilisation of dental care during pregnancy goes a long way in ensuring an improved and optimal pregnancy outcome.
This study aimed to assess the practices of primary care doctors on oral health care in pregnancy and its association with the level of knowledge and attitude.
This cross-sectional study was conducted among primary care doctors in nine public health clinics in Petaling District. A self-administered questionnaire consisting of socio-demographic characteristics, knowledge, attitude, and practices related to oral health care in pregnancy was used.
A total of 138 primary care doctors participated in this study with a response rate of 98.0%. Most primary care doctors frequently advised patients not to delay dental visits until after pregnancy (84.8%), advised patients to see dentists (69.7%), and referred patients to dentists during pregnancy (63.6%). However, only 18.9% perform assessments routinely to detect oral health issues. The median (IQR) score for knowledge was 17(4) (range score: 0-23) and attitude was 23(3) (range score: 6-30). Knowledge median score (p:0.026) and practices of referring patients to dentists (p:0.017) were significantly associated. There was a positive correlation between overall practices of primary care doctors and their age, years of experience, and knowledge.
Most primary care doctors frequently advise and refer pregnant patients to see dentist. Primary care doctors with higher knowledge score, who were older and had more experience, had better overall practices on oral health care in pregnancy.
口腔保健是孕妇整体健康的重要指标。在孕期优化牙科护理的利用对于确保改善并达到最佳妊娠结局大有帮助。
本研究旨在评估初级保健医生在孕期口腔保健方面的做法及其与知识水平和态度的关联。
这项横断面研究在八打灵再也区的九家公共卫生诊所的初级保健医生中开展。使用了一份自填式问卷，内容包括社会人口统计学特征、与孕期口腔保健相关的知识、态度和做法。
共有138名初级保健医生参与了本研究，回复率为98.0%。大多数初级保健医生经常建议患者不要推迟牙科就诊至产后（84.8%），建议患者看牙医（69.7%），并在孕期将患者转诊给牙医（63.6%）。然而，只有18.9%的医生会定期进行评估以发现口腔健康问题。知识的中位数（四分位间距）得分为17(4)（得分范围：0 - 23），态度得分为23(3)（得分范围：6 - 30）。知识中位数得分（p:0.026）与将患者转诊给牙医的做法（p:0.017）显著相关。初级保健医生的总体做法与其年龄、经验年限和知识之间存在正相关。
大多数初级保健医生经常建议并将孕妇转诊给牙医。知识得分较高、年龄较大且经验更丰富的初级保健医生在孕期口腔保健方面有更好的总体做法。
