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孕妇牙周状况与早产和/或低体重儿分娩发生率及严重程度的关系:一项回顾性观察性病例对照研究

Relationship Between the Periodontal Status of Pregnant Women and the Incidence and Severity of Pre-term and/or Low Birth Weight Deliveries: A Retrospective Observational Case-Control Study.

作者信息

Sinha Abhishek, Singh Neha, Gupta Anamika, Bhargava Triveni, P C Mahesh, Kumar Pratiksha

机构信息

Department of Periodontology, Purvanchal Institute of Dental Sciences, Gorakhpur, IND.

Department of Periodontology, Dental Institute, Rajendra Institute of Medical Sciences (RIMS), Ranchi, IND.

出版信息

Cureus. 2022 Nov 21;14(11):e31735. doi: 10.7759/cureus.31735. eCollection 2022 Nov.

Abstract

BACKGROUND

Literature worldwide has linked periodontitis to preterm births and/or low-birth-weight infants. However, to our knowledge, research on this topic is scarce in India. The United Nations Children's Fund (UNICEF) reports that South Asian nations, particularly India, have the highest rates of preterm births and low-birth-weight infants as well as periodontitis due to poor socioeconomic conditions. Overall, 70% of perinatal fatalities result from prematurity and/or low birth weight, which also increases the incidence of morbidity and drives up the cost of postpartum care by a factor of ten. The frequency and severity of the illness may be greater among the Indian population due to their poor socioeconomic status. To lower the mortality rate and the cost of postnatal care, it is necessary to investigate the impact and severity of the effect of periodontal conditions on pregnancy outcomes in India.

MATERIALS AND METHODS

Following the collection of obstetric and prenatal records from the hospital in compliance with inclusion and exclusion criteria, a sample of 150 pregnant women were chosen from public healthcare clinics for the research. Within three days of delivery following enrolment in the trial, a single physician recorded each subject's periodontal condition using the University of North Carolina-15 (UNC-15) probe under artificial lighting and the Russell periodontal index. The gestational age was calculated based on the latest menstrual cycle, and a medical professional would order an ultrasound if they felt it was essential. The doctor weighed the newborns soon after delivery and in accordance with this prenatal record. The acquired data was analyzed using a suitable statistical analysis technique.

RESULTS

The severity of a pregnant woman's periodontal disease was significantly correlated with the infant's birth weight and gestational age. Preterm births and low-birth-weight infants became more prevalent as the severity of the periodontal disease rose.

CONCLUSION

The results demonstrated that periodontal disease in pregnant women may increase the risk of preterm delivery and low birth weight in infants.

摘要

背景

世界各地的文献已将牙周炎与早产和/或低体重儿联系起来。然而,据我们所知,印度在这一主题上的研究很少。联合国儿童基金会(UNICEF)报告称,由于社会经济条件差,南亚国家,尤其是印度,早产和低体重儿以及牙周炎的发生率最高。总体而言,70%的围产期死亡是由早产和/或低体重引起的,这也增加了发病率,并使产后护理成本增加了十倍。由于印度人群社会经济地位低下,该疾病的发病率和严重程度可能更高。为了降低死亡率和产后护理成本,有必要调查印度牙周状况对妊娠结局的影响及其严重程度。

材料与方法

按照纳入和排除标准从医院收集产科和产前记录后,从公共医疗诊所选取150名孕妇作为研究样本。在试验入组后分娩的三天内,由一名医生在人工照明下使用北卡罗来纳大学15号探针(UNC - 15)和拉塞尔牙周指数记录每个受试者的牙周状况。根据最新月经周期计算孕周,如果医疗专业人员认为有必要,会安排超声检查。医生在新生儿出生后不久根据产前记录对其进行称重。使用合适的统计分析技术对获取的数据进行分析。

结果

孕妇牙周疾病的严重程度与婴儿出生体重和孕周显著相关。随着牙周疾病严重程度的增加,早产和低体重儿变得更加普遍。

结论

结果表明,孕妇的牙周疾病可能会增加婴儿早产和低体重的风险。

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