Abstract

Objective: To examine the correlations among oral health knowledge, attitude, practices and oral disease among pregnant Chinese women in Singapore. Methods: A descriptive correlational study was conducted in pregnant Chinese women in Singapore. A questionnaire was used to collect data of oral health knowledge, attitude and practices. Plaque index scores were used to assess the oral health of subjects. Results: A total of 82 pregnant women participated in the study, out of whom 38% showed adequate oral health knowledge, nearly half of them achieved adequate and oral health attitude and practice scores while 34% had good Plaque index scores. The lower income group had higher experience of self-reported dental problems during pregnancy than those in the higher income group (p = 0.03). There were significant positive correlations between scores of oral health practice, attitude and oral health knowledge levels. The plaque index scores negatively correlated with the oral health practice scores (p = 0.02). Conclusions: Our findings provided evidence that oral health knowledge, attitude and practices among Chinese pregnant women were not optimal which implies the importance of promoting their oral health during pregnancy through the improvement of knowledge and attitudes. This would facilitate formulation and implementation of appropriate oral health promotion policies.

Highlights

  • Pregnancy brings about progressive physical and psychological changes in women along with hormonal changes

  • A systematic review has concluded that oral disease especially periodontitis is a contributing factor in pre-term low birth weight babies due to the elevation of inflammatory markers and transmission of oral bacteria into the feto-placental unit [5]

  • The plaque index scores negatively correlated with the oral health practice scores (r = −0.2, p = 0.02)

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Summary

Introduction

Pregnancy brings about progressive physical and psychological changes in women along with hormonal changes. The increased physical and emotional demands during pregnancy might contribute to the neglect in oral hygiene leading to poor oral health. Inadequate oral hygiene and hormonal changes increase the risk of developing oral health problems such as gingivitis and periodontitis [1]. Gingivitis is the most commonly reported oral problem during pregnancy, with a prevalence of 60 to. Women commonly experience morning sickness, which leads to increased acidity in the oral cavity and this high acidity erodes the tooth enamel [4]. Pregnancy granuloma has been commonly documented, which frequently occurs in areas of inflamed gingivitis and other recurrent irritation areas. A critical step in preventing oral diseases and its complications during pregnancy is to practice good oral hygiene habits

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