Measuring oral health during pregnancy: sensitivity and specificity of a maternal oral screening (MOS) tool

被引：25

作者：

George, Ajesh ^{[1
]}

Dahlen, Hannah G. ^{[2
]}

Blinkhorn, Anthony ^{[3
]}

Ajwani, Shilpi ^{[4
]}

Bhole, Sameer ^{[4
]}

Ellis, Sharon ^{[5
]}

Yeo, Anthony ^{[6
]}

Elcombe, Emma ^{[7
]}

Sadozai, Ayesha ^{[8
]}

Johnson, Maree ^{[9
]}

机构：

[1] Univ Sydney, Ingham Inst Appl Med Res, Collaborat Oral Hlth Outcomes Res Translat & Eval, Western Sydney Univ,South Western Sydney Local Hl, Locked Bag 7103, Liverpool, NSW 1871, Australia

[2] Univ Western Sydney, Ingham Inst Appl Med Res, Sch Nursing & Midwifery, Parramatta 2150, Australia

[3] Univ Sydney, Fac Dent, Sydney, NSW 2006, Australia

[4] Univ Sydney, Sydney Dent Hosp, Sydney Local Hlth Dist Oral Hlth Serv, Sydney, NSW 2010, Australia

[5] South Western Sydney Local Hlth Dist, Camden & Campbelltown Hosp, Antenatal Serv, Campbelltown, NSW 2560, Australia

[6] Univ Western Sydney, Sch Nursing & Midwifery, Parramatta 2150, Australia

[7] Univ New South Wales, Western Sydney Univ, Ingham Inst Appl Med Res, Liverpool 2170, Australia

[8] Univ Western Sydney, South Western Sydney Local Hlth Dist, Ctr Appl Nursing Res, Ingham Inst Appl Med Res, Liverpool 1871, Australia

[9] Australian Catholic Univ, Ingham Inst Appl Med Res, Fac Hlth Sci, Sydney, NSW 2060, Australia

来源：

BMC PREGNANCY AND CHILDBIRTH | 2016年 / 16卷

基金：

英国医学研究理事会;

关键词：

Oral health; Pregnancy; Midwives; Antenatal care; Prenatal care; Validation; QUALITY-OF-LIFE; EDUCATION-PROGRAM; MIDWIVES; VALIDATION;

D O I：

10.1186/s12884-016-1140-4

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Midwives can play a key role in promoting the oral health of pregnant women and assessing their oral health status. A maternal oral assessment tool (MOS) was developed and pilot tested by the study investigators to assist midwives in this role and the results were promising. The aim of this study was to undertake further sensitivity and specificity assessment of the MOS tool using two-comparison approaches-the longer oral health screening tool known as the Oral Health Impact Profile (OHIP-14) and an oral assessment by trained study dentists. Methods: Pregnant women were recruited for this study as part of a larger randomised controlled trial of a Midwifery Initiated Oral Health (MIOH) program. Pregnant women completed the MOS and OHIP-14 as part of their initial assessment undertaken by 38 trained and accredited midwives. A dental assessment was conducted for all women in the intervention group using three trained study dentists with high inter rater reliability. Results: Two hundred and eleven pregnant women participated in the validation of the MOS tool. Results from both approaches found the MOS tool to have high sensitivity, correctly identifying 88-94 % of women at risk of poor dental health, and low specificity (14-21 %). Conclusions: This study has shown that the MOS tool can be successfully implemented by midwives during a woman's first antenatal visit and can identify up to 94 % of women at risk of poor oral health and needing a dental referral. The tool has the potential to be transferable to other antenatal care providers and could be incorporated into hospital obstetric database systems.

引用

页数：6

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