The midwifery initiated oral health-dental service protocol: an intervention to improve oral health outcomes for pregnant women

BMC Oral Health

Anthony Yeo⁷  Sharon Ellis²  Anthony Blinkhorn⁴  Sameer Bhole³  Shilpi Ajwani³  Hannah Dahlen⁵  Ajesh George¹  Maree Johnson⁶ 

[1] Centre for Applied Nursing Research, University of Western Sydney/ South Western Sydney Local Health District, University of Sydney, Ingham Institute Applied Medical Research, Liverpool BC, Locked Bag 7103, Sydney, NSW 1871, Australia;Camden and Campbelltown Hospitals, South Western Sydney Local Health District, Sydney, Australia;Sydney Local Health District Oral Health Services and Sydney Dental Hospital, Faculty of Dentistry, University of Sydney, Sydney, Australia;Faculty of Dentistry, University of Sydney, Sydney, Australia;School of Nursing & Midwifery, University of Western Sydney, Ingham Institute Applied Medical Research, Sydney, Australia;Faculty of Health Sciences, Australian Catholic University, Ingham Institute Applied Medical Research, Sydney, Australia;Centre for Applied Nursing Research, University of Western Sydney, Sydney, Australia

关键词: Dental;    Antenatal care;    Midwives;    Pregnancy;    Oral health;   

Others  :  1090521
DOI  :  10.1186/1472-6831-15-2

 received in 2014-12-16, accepted in 2015-01-05,  发布年份 2015

【 摘 要 】

Background

Evidence is emerging that women’s poor oral health and health practices during pregnancy are associated with poor oral health in their children and potentially an increased risk of pre-term or low-birth weight infants.

Methods/Design

The Midwifery Initiated Oral Health-Dental Service (MIOH-DS) trial is a three arm multicentre randomised controlled trial which will recruit women from three metropolitan hospitals aimed at improving women’s oral health and service access and indirectly reducing perinatal morbidity. All three arms of the trial will deliver oral health promotion material, although a midwife oral assessment and referral to private/public/health fund dental services pathway (Intervention Group 1) and the midwife oral assessment and referral to local free public dental services pathway (Intervention Group 2) will be compared to the control group of oral health promotional material only. Midwives will undergo specific oral health education and competency testing to undertake this novel intervention.

Discussion

This efficacy trial will promote a new partnership between midwives and dentists focused on enhancing the oral health of women and their infants. Should the intervention be found effective, this intervention, with existing on-line educational program for midwives, can be easily transferred into practice for large metropolitan health services within and beyond Australia. Further cost-benefit analysis is proposed to inform national health policy.

Trial registration

Australian New Zealand Clinical Trials Registry ACTRN12612001271897.

【 授权许可】

   
2015 Johnson et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

Figure 2.

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