Adamska Paulina, Sobczak-Zagalska Hanna, Gromek Zuzanna, Wojciechowska Barbara, Doroszkiewicz Paulina, Chmielewski Marek, Cichońska Dominika, Zedler Adam, Pilloni Andrea
Division of Oral Surgery, Medical University of Gdańsk, 7 Dębinki Street, 80-211 Gdańsk, Poland.
Department of Pediatric Dentistry, Medical University of Gdańsk, 18 Orzeszkowej Street, 80-204 Gdańsk, Poland.
J Clin Med. 2025 Jul 20;14(14):5153. doi: 10.3390/jcm14145153.
: Prematurely born newborns with low birth weight constitute a group of patients who require special care from the first days of life. Prematurity and low birth weight affect about 13.4 million infants. Risk factors include placental disorders but also factors related to the mother, such as smoking, alcohol drinking, drug use, malnutrition, or certain diseases. It is imperative to educate women of reproductive age (15-49) about the basic factors influencing embryonic development, such as oral health, diet, medicine intake, and harmful habits. Even though most women are aware of the negative impact of harmful habits on the fetus, still too little attention is paid to oral health in pregnant women. Poor oral health may influence the well-being of the future mother, as well as of the child. Therefore, women of reproductive age and those who are pregnant must have adequate knowledge on this subject. The aim of this study was to assess the knowledge of Polish women of reproductive age (15-49) regarding oral health during pregnancy, including the impact of dental treatment, oral hygiene, and maternal oral conditions on pregnancy outcomes and the health of the newborn. : This was a cross-sectional study of 508 women, in the reproductive age, whose age ranged from 18 to 49 years old. The surveys were conducted from April 2020 to November 2020. The questionnaire was originally developed based on the available literature and consisted of seven sections: basic information, general health and habits, pregnancy status and dental care, knowledge of treatment options during pregnancy, oral health status and its association with the risk of preterm birth, prematurity and the child's oral health, and breastfeeding and oral development. : After excluding incomplete questionnaires, a total of 499 questionnaires were included in the analysis. Women participating in the study had a fairly good understanding of the impact of oral health on the fetus and the role of breastfeeding in the development of the stomatognathic system (from 50% to 70% correct answers). However, even though most respondents had completed higher education (344/68.94%), their knowledge of oral health, preterm birth, and low birth weight was very limited (including the impact of inflammation on the intrauterine development of the child or bacteria and transfer across the placenta). In these sections, the percentage of correct answers ranged from less than 20% to 50%. When analyzing knowledge by age, education, number of births, and place of residence, the highest levels of knowledge were observed among respondents with higher education, particularly those aged 27-32. : Respondents had a fairly good understanding of the general impact of oral health during pregnancy and recognition of the importance of breastfeeding for infants. However, their knowledge about the impact of bacteria and inflammation in the mother's oral cavity on prematurity and low birth weight was limited. Therefore, educating women of reproductive age and pregnant women on this topic is essential, as it may help reduce the adverse consequences of prematurity.
低体重早产新生儿是一群从生命最初几天起就需要特殊护理的患者。早产和低体重影响着约1340万婴儿。风险因素包括胎盘紊乱,但也有与母亲相关的因素,如吸烟、饮酒、吸毒、营养不良或某些疾病。必须对育龄妇女(15 - 49岁)进行关于影响胚胎发育的基本因素的教育,如口腔健康、饮食、药物摄入和有害习惯。尽管大多数女性意识到有害习惯对胎儿的负面影响,但孕妇对口腔健康的关注仍然太少。口腔健康不佳可能会影响未来母亲以及孩子的健康。因此,育龄妇女和孕妇必须对这个问题有足够的了解。本研究的目的是评估波兰育龄妇女(15 - 49岁)对孕期口腔健康的了解,包括牙科治疗、口腔卫生以及母亲口腔状况对妊娠结局和新生儿健康的影响。
这是一项对508名育龄妇女的横断面研究,她们的年龄在18至49岁之间。调查于2020年4月至2020年11月进行。问卷最初是根据现有文献编制的,包括七个部分:基本信息、一般健康和习惯、妊娠状况和牙科护理、孕期治疗选择的知识、口腔健康状况及其与早产、低体重风险以及儿童口腔健康的关联,以及母乳喂养和口腔发育。
在排除不完整的问卷后,共有499份问卷纳入分析。参与研究的女性对口腔健康对胎儿的影响以及母乳喂养在口颌系统发育中的作用有相当好的理解(正确答案比例从50%到70%)。然而,尽管大多数受访者完成了高等教育(344/68.94%),但她们对口腔健康、早产和低体重的知识非常有限(包括炎症对胎儿宫内发育的影响或细菌及通过胎盘的传播)。在这些部分,正确答案的比例从不到20%到50%不等。按年龄、教育程度、生育次数和居住地点分析知识时,在受过高等教育的受访者中,尤其是年龄在27 - 32岁的受访者中,知识水平最高。
受访者对孕期口腔健康的总体影响以及母乳喂养对婴儿的重要性有相当好的理解。然而,她们对母亲口腔中的细菌和炎症对早产和低体重的影响的知识有限。因此,对育龄妇女和孕妇进行这个主题的教育至关重要,因为这可能有助于减少早产的不良后果。