INTRODUCTION: The American College of Obstetrics and Gynecology recommends routine oral health care during pregnancy. Despite this recommendation, many pregnant women do not receive routine dental care. The reasons for discordance are complex. This study, conducted in conjunction with the ACOG District XII Committee on Healthcare of Underserved Women, surveyed ACOG District XII Fellows regarding their perceptions of factors that impact oral health care in pregnancy. METHODS: Between May and October 2019, ACOG District XII Fellows were asked to participate in an anonymous electronic survey on their practices regarding oral health in pregnancy. IRB approval was obtained. Descriptive statistics were estimated using SPSS (V25). RESULTS: 107 ACOG Fellows completed this survey. Twenty-one percent of Fellows reported receiving education/training related to oral health in pregnancy. Less than half (48%) of Fellows reported asking oral health screening questions, 60% recommend that women undergo routine dental cleaning, and 65% reported counseling patients on the importance of oral health in pregnancy. Seventeen percent (17%) reported insufficient clinic time and 17% of Fellows reported lack of accepting dentists as reasons for not discussing oral health during prenatal care. However, 55% of Fellows reported patients would easily find an accepting dentist. CONCLUSION: District XII ACOG Fellows acknowledge the importance of routine oral health care in pregnancy. However, they perceive barriers to recommending care such as limited clinic time and patient access. Offering oral health education during provider training could improve screening rates and counseling. Additionally, increasing access to dental care could improve overall oral health in pregnant women.
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