Maintaining oral health during pregnancy: Perceptions of midwives in Southwest Sydney

被引:36
作者
George, Ajesh [1 ]
Johnson, Maree [2 ]
Duff, Margaret [3 ]
Blinkhorn, Anthony [4 ]
Ajwani, Shilpi [5 ,6 ]
Bhole, Sameer [5 ,6 ]
Ellis, Sharon [7 ,8 ]
机构
[1] Univ Western Sydney, Sch Nursing & Midwifery, Sydney SW Area Hlth Serv, Ctr Appl Nursing Res, Liverpool Bc, NSW 1871, Australia
[2] Univ Western Sydney, Coll Hlth & Sci, Sch Nursing & Midwifery, Ctr Appl Nursing Res, Liverpool Bc, NSW 1871, Australia
[3] Univ Western Sydney, Sydney SW Area Hlth Serv, Ctr Appl Nursing Res, Liverpool Bc, NSW 1871, Australia
[4] Univ Sydney, Fac Dent, Westmead, NSW 2145, Australia
[5] Univ Sydney, Fac Dent, Sydney Dent Hosp, Liverpool Bc, NSW 1871, Australia
[6] Univ Sydney, Fac Dent, SSWAHS Oral Hlth Serv, Liverpool Bc, NSW 1871, Australia
[7] Camden Hosp, Antenatal Serv, Sydney SW Area Hlth Serv, Campbelltown, NSW 2560, Australia
[8] Campbelltown Hosp, Sydney SW Area Hlth Serv, Antenatal Serv, Campbelltown, NSW 2560, Australia
关键词
Pregnancy; Oral health; Midwives; Prenatal care; Qualitative; PERIODONTAL-DISEASE; PRETERM BIRTH; OUTCOMES; CHILDHOOD; THERAPY;
D O I
10.1016/j.colegn.2010.10.003
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Current evidence highlights the importance of maintaining good oral health during pregnancy, unfortunately, many women in Australia do not access dental services at this time. Compounding the situation is the lack of importance placed on the value of good maternal oral health by prenatal care providers. These constraints highlight the potential value of having preventive oral health advice and referral to an appropriate care pathway during the prenatal period. Midwives are in an excellent position to offer such a service, although the specific aspects of the role have not been clearly defined in Australia. As a preliminary step to the development of an oral health service program, initiated by midwives, this study assesses the midwives' perceptions of such an approach. Data were collected for this qualitative study via a focus group with 15 midwives. Thematic analyses of the data showed that despite the high prevalence of poor oral health in the area, most midwives were unaware of its possible ill-effects on maternal and child health. Midwives were also reluctant to discuss oral health with pregnant women because of a lack of appropriate referral pathways to the Public Dental Services. Midwives were receptive to the idea of establishing this new service but highlighted barriers such as the time involved, the competencies required and the need for referral pathways. The findings suggest that a midwifery-initiated oral health service has potential although issues such as training, time constraints and referral pathways must be addressed. (C) 2010 Royal College of Nursing, Australia. Published by Elsevier Australia (a division of Reed International Books Australia Pty Ltd). All rights reserved.
引用
收藏
页码:71 / 79
页数:9
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