Assessment of Oral Hygiene Practices Among Antenatal Mothers

P. Negi, S. Kaur, Aashima Arora, Raj Kumar Verma
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Abstract

Introduction: Pregnancy is a natural process. Physiological changes which occur during pregnancy increase the risk of developing oral diseases and potentially result in adverse pregnancy outcomes. So, it is important to maintain oral hygiene, especially during the antenatal period. Objective: To assess the oral hygiene practices among antenatal mothers. Methodology: A descriptive study was carried out in the Obstetrics and Gynecology OPD, PGIMER Chandigarh, where 200 antenatal mothers visiting Obstetrics and Gynecology OPD, PGIMER from October to December 2020 were enrolled using purposive sampling technique. Ethical clearance was obtained from Ethics Committee, PGIMER, Chandigarh, and written consent was taken from participants. Data were collected by interviewing participants as per interview schedule comprising (a) personal profile of antenatal mothers, (b) obstetric profile, and (c) oral hygiene practices and perception. Oral hygiene status was observed by assessment sheet (a) checklist comprising dental markers and (b) plaque index tool for assessing oral hygiene of antenatal mothers. Results: The findings of the study revealed that majority of mothers (86%) had correct perception that poor oral hygiene negatively affects the child and 58% believed that brushing does not cause loosening of teeth. When practices were assessed, it was found that 74.5% mothers brushed once only, 99.5% did not floss and 98.5% did not use mouthwash. Although the perception held by mothers was correct, they did not have good oral hygiene practices. When oral hygiene was assessed, it was found that 84.5% mothers had poor oral hygiene because of various dental problems like gum bleeding, caries, gingivitis, etc., whereas only 3% mothers had good oral hygiene. Conclusion: The study concluded that a majority of antenatal mothers had correct perception about oral hygiene, but they did not put it into practice. Many of them had poor oral hygiene. Hence, there is an urgent need for comprehensive educational program to promote good oral health and impart education about correct oral hygiene practices, as oral hygiene is a neglected aspect in pregnancy.
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产前母亲口腔卫生习惯评估
怀孕是一个自然过程。怀孕期间发生的生理变化增加了患口腔疾病的风险,并可能导致不良的妊娠结果。因此,保持口腔卫生非常重要,尤其是在产前。目的:了解产前母亲的口腔卫生习惯。方法:采用有目的抽样技术,在昌迪加尔PGIMER妇产科门诊开展描述性研究,选取2020年10月至12月在PGIMER妇产科门诊就诊的200名产前母亲。获得了昌迪加尔PGIMER伦理委员会的伦理许可,并获得了参与者的书面同意。根据访谈时间表对参与者进行访谈,收集数据,访谈内容包括:(a)产前母亲的个人概况,(b)产科概况,以及(c)口腔卫生习惯和认知。通过评估表(a)包括牙齿标记的检查表和(b)用于评估产前母亲口腔卫生的菌斑指数工具来观察口腔卫生状况。结果:研究结果显示,大多数母亲(86%)正确认识到口腔卫生不良会对孩子产生负面影响,58%的母亲认为刷牙不会导致牙齿松动。当对做法进行评估时,发现74.5%的母亲只刷牙一次,99.5%的母亲没有使用牙线,98.5%的母亲没有使用漱口水。虽然母亲们的看法是正确的,但她们没有良好的口腔卫生习惯。在进行口腔卫生评估时,84.5%的母亲因牙龈出血、龋齿、牙龈炎等各种牙齿问题而口腔卫生不佳,而只有3%的母亲口腔卫生良好。结论:大部分产前妈妈对口腔卫生有正确的认识,但没有付诸实施。他们中的许多人口腔卫生很差。因此,迫切需要全面的教育计划来促进良好的口腔健康,并传授正确的口腔卫生习惯,因为口腔卫生是怀孕期间被忽视的一个方面。
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