The association between periodontal disease and adverse pregnancy outcomes in Northern Tanzania: a cross-sectional study.
Afr Health Sci
; 18(3): 601-611, 2018 Sep.
Article
em En
| MEDLINE
| ID: mdl-30602993
ABSTRACT
BACKGROUND:
For the past two decades, studies have investigated the relationship between periodontal disease and adverse pregnancy outcomes such as pre-eclampsia, preterm birth, low birth weight and preterm premature rupture of membranes.OBJECTIVES:
To determine the prevalence of periodontal disease and associated adverse pregnancy outcomes among women delivering at the Kilimanjaro Christian Medical Centre (KCMC).METHODS:
This cross-sectional study was based on the use of patients' files, clinical examinations and oral interviews with mothers who delivered at the KCMC. Pregnant women with singleton babies (N=1117) who delivered at the KCMC were recruited for the study. Intra-oral examination was performed within five days of birth. The Community Periodontal Index was used to assess periodontal disease.RESULTS:
The prevalence of periodontal disease was 14.2%. Periodontal disease was significantly associated with higher odds of pre-eclampsia [adjusted Odds Ratio 95% Confidence Interval (aOR=4.12;95%CI2.20-7.90)], low birth weight (aOR=2.41;95%-CI1.34-4.33) and preterm birth (aOR=2.32;95%CI1.33-4.27). There was no significant association between periodontal disease and preterm premature rupture of membranes (aORs 1.83;95%CI0.75-4.21) and eclampsia (3.71;95%CI0.80-17.13).CONCLUSION:
Maternal periodontal disease is a potential independent risk indicator for pre-eclampsia, low birth weight, and preterm birth. Periodontal assessment and therapy should form part of the preventive antenatal care provided to women in developing countries.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doenças Periodontais
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Pré-Eclâmpsia
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Recém-Nascido de Baixo Peso
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Resultado da Gravidez
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Nascimento Prematuro
Tipo de estudo:
Observational_studies
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Prevalence_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Middle aged
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Pregnancy
País como assunto:
Africa
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article