maternal oral health project saskatchewan prevention institute
TRANSCRIPT
Maternal Oral Health Project
presented by
Christine ThompsonProject Facilitator
www.skprevention.ca© 2013, Saskatchewan Prevention Institute
Our mission• Our mission is to reduce the
occurrence of disabling
conditions in children
• Our focus is on Primary
Prevention:– Education– Information Services
– Community Development
– Research and Evaluation– Communications
Partners in prevention• Government of Saskatchewan
• Kinsmen Telemiracle Foundation
• Saskatchewan Abilities Council
• University of Saskatchewan
• Community‐at‐Large
HistoryThe Saskatchewan Prevention Institute was formed in 1980 as a non‐
profit, provincial organization.
Program areas• Alcohol, Tobacco, and Other Drugs
• Child Injury Prevention
• Early Childhood Mental Health
• Maternal and Infant Health
• Parenting Education
• Program Partners
• Reproductive Health
Pregnant women are at higher risk for oral conditions such as tooth erosion and periodontal disease
…
due to physiologic changes in the mouth that occur during
pregnancy combined with the lack of routine exams and
delays in treatment for oral disease
Health consequences:– For a pregnant woman: associated with diabetes,
cardiovascular disease and some respiratory diseases
– For a fetus/infant: linked to preterm birth and low birth weight
Transmission of caries‐causing bacteria from mothers to infants
“A sizable number of women…enter pregnancy with active oral disease, or pregnancy may
trigger the progression of the disease process.”
‐
Association of State & Territorial Dental Directors
“Studies suggest that only about one‐quarter to one‐half of women receive any dental care
during their pregnancies.
The likelihood of low‐income and uninsured women receiving such care is even lower.”
‐
California Dental Association
Pregnant women cited as key
oral health target group by:
•U.S. Dept. of Health & Human Services,
Health Resources & Services
Administration, Maternal and Child
Health Bureau
•American College of Obstetricians and
Gynecologists
•American Dental Association
•Association of State & Territorial Dental
Directors
•U.S. State Departments of Health
•American Academy of Pediatric
Dentistry
“The degree to which individuals have the capacityto obtain, process and understand basic health information and
services needed to make appropriate oral health decisions.”
‐
U.S. Dept. of Health and Human Services
•Foundational strategy•Low oral health literacy among pregnant women,
communities and health care professionals
“Care to maintain oral health is not dental care per se.Oral health care is a subset of primary care.
After all, the mouth is part of the body.”
–
William Maas (Grantmakers in Health)
Oral health as an integral, routine part of prenatal care:
• oral health screening• anticipatory guidance• referral to oral health
professionalImage source:
Washington Dental Service Foundation
Focus on both
oral health and
maternal health professionals
Continuing education •
Interdisciplinary training
Updating curricula •
Workforce review
Barriers to access:• Financial• Geographic• Social/Cultural• Policy• Workforce• Literacy• Lack of health system integration
Current initiatives ‐
Saskatchewan• SK Ministry of Health Enhanced Preventive Dental
Services – pre/post natal services targeting at risk mothers
– Northern Saskatchewan Prenatal/Preschool Dental Program
• Children’s Oral Health Initiative (COHI) ‐
Health Canada
• No provincial oral public health program for pregnant women; efforts in individual health regions
Next steps• Linkage with SK Oral Health Coalition• Key Informant meetings
• Look for integration opportunities• Possible initial strategies:
– Partnership– Education/social marketing campaign
– Continuing education & training for professionals– Collaboration projects
ReferencesASTDD (Association of State & Territorial Dental Directors) (2012). Best Practice Approaches for State and Community
Oral Health Programs. Retrieved from: http://www.astdd.org/bestpractices/BPAPernatalOralHhealth.pdf
California Dental Association (2010).
Oral health during pregnancy & early childhood: Evidence‐based guidelines for
health professionals. Retrieved from: http://www.cdafoundation.org/library/docs/poh_guidelines.pdf
Grantmakers in Health (2012). Returning the Mouth to the Body: Integrating Oral Health and Primary Care. Retrieved
from: http://www.gih.org/files/FileDownloads/Returning_the_Mouth_to_the_Body_no40_September_2012.pdf
HHS (U.S. Dept. of Health and Human Services) (2010). Healthy People 2020. Office of Disease Prevention and Health
Promotion. Retrieved from: www.cdc.gov/nchs/healthy_people/hp2020.htm (accessed May 31, 2012).
IOM (Institute of Medicine). 2013. Oral health literacy: Workshop summary. Washington, DC: The National Academies
Press. Retrieved from: http://iom.edu/Reports/2013/Oral‐Health‐Literacy.aspx
Saskatchewan Prevention Institute (2011). Maternal Oral Health and Pregnancy Outcomes Literature Review.