PDF(Pubmed)
Abstract：
BACKGROUND: Poor oral and dental health due to oral dysbiosis during pregnancy increases the risk for negative pregnancy outcomes. Communicating the importance of oral health is therefore essential in reducing the risk of adverse pregnancy outcomes. Professional guidance could substantially support women\'s positive perception of their own competence. Information on oral health should be provided by healthcare professionals such as midwives, obstetricians and dentists. The aim of this study was to assess the needs, wishes and preferences of pregnant women in Germany, regarding interprofessional collaboration and guidance on oral health during pregnancy.
METHODS: Sources of information, preferences regarding information supply as well as the need for interprofessional collaboration of involved healthcare professions were investigated in six online focus groups with pregnant women. In addition, three expert interviews with a midwife, an obstetrician and a dentist were conducted. The focus groups and interviews were analysed using qualitative content analysis according to Kuckartz.
RESULTS: 25 pregnant women participated in focus groups. Pregnant women in all trimesters, aged 23 to 38 years, were included. Many women did not receive any or received insufficient information on oral health during pregnancy and wished for more consistent and written information from all involved healthcare providers. The extent of oral health counselling women received, heavily relied on their personal initiative and many would have appreciated learning about the scientific connection between oral health and pregnancy outcomes. An overall uncertainty about the timing and safety of a dental visit during pregnancy was identified. Interviews with experts provided additional insights into the working conditions of the involved healthcare professionals in counselling and emphasised the need for improved training on oral health during pregnancy in their respective professional education as well as thematic billing options in relation to this topic.
CONCLUSIONS: Guidance of women on oral health during pregnancy appears to be insufficient. Providing information adapted to the needs, wishes and preferences of women during pregnancy as well as the implementation of this topic in the education of involved healthcare professionals could contribute to an improved prenatal care for pregnant women and subsequently a reduced risk of negative pregnancy outcomes.
METHODS: Sources of information, preferences regarding information supply as well as the need for interprofessional collaboration of involved healthcare professions were investigated in six online focus groups with pregnant women. In addition, three expert interviews with a midwife, an obstetrician and a dentist were conducted. The focus groups and interviews were analysed using qualitative content analysis according to Kuckartz.
RESULTS: 25 pregnant women participated in focus groups. Pregnant women in all trimesters, aged 23 to 38 years, were included. Many women did not receive any or received insufficient information on oral health during pregnancy and wished for more consistent and written information from all involved healthcare providers. The extent of oral health counselling women received, heavily relied on their personal initiative and many would have appreciated learning about the scientific connection between oral health and pregnancy outcomes. An overall uncertainty about the timing and safety of a dental visit during pregnancy was identified. Interviews with experts provided additional insights into the working conditions of the involved healthcare professionals in counselling and emphasised the need for improved training on oral health during pregnancy in their respective professional education as well as thematic billing options in relation to this topic.
CONCLUSIONS: Guidance of women on oral health during pregnancy appears to be insufficient. Providing information adapted to the needs, wishes and preferences of women during pregnancy as well as the implementation of this topic in the education of involved healthcare professionals could contribute to an improved prenatal care for pregnant women and subsequently a reduced risk of negative pregnancy outcomes.
摘要：
背景：妊娠期间口腔菌群失调导致口腔和牙齿健康不良会增加不良妊娠结局的风险。因此，传达口腔健康的重要性对于降低不良妊娠结局的风险至关重要。专业指导可以大大支持女性对自己能力的积极看法。有关口腔健康的信息应由助产士等医疗保健专业人员提供，产科医生和牙医。这项研究的目的是评估需求，德国孕妇的愿望和偏好，关于怀孕期间口腔健康的跨专业合作和指导。
方法：信息来源，在六个孕妇在线焦点小组中调查了有关信息供应的偏好以及相关医疗保健专业的跨专业合作需求。此外,三次专家采访助产士,进行了产科医生和牙医。根据Kuckartz使用定性内容分析对焦点小组和访谈进行了分析。
结果：25名孕妇参加了焦点小组。所有三个月的孕妇，23至38岁，包括在内。许多妇女在怀孕期间没有收到任何关于口腔健康的信息或收到的信息不足，并希望从所有相关的医疗保健提供者那里获得更一致和书面的信息。妇女接受口腔健康咨询的程度，在很大程度上依赖于他们的个人主动性,许多人希望了解口腔健康和妊娠结局之间的科学联系.确定了怀孕期间牙科就诊的时间和安全性的总体不确定性。与专家的访谈提供了对参与咨询的医疗保健专业人员的工作条件的更多见解，并强调需要在各自的专业教育中改善怀孕期间口腔健康的培训以及与该主题相关的主题计费选项。
结论：对妇女孕期口腔健康的指导似乎不足。提供适应需求的信息，妇女在怀孕期间的愿望和偏好以及在相关医护人员的教育中实施这一主题可能有助于改善孕妇的产前护理，并随后降低不良妊娠结局的风险。
方法：信息来源，在六个孕妇在线焦点小组中调查了有关信息供应的偏好以及相关医疗保健专业的跨专业合作需求。此外,三次专家采访助产士,进行了产科医生和牙医。根据Kuckartz使用定性内容分析对焦点小组和访谈进行了分析。
结果：25名孕妇参加了焦点小组。所有三个月的孕妇，23至38岁，包括在内。许多妇女在怀孕期间没有收到任何关于口腔健康的信息或收到的信息不足，并希望从所有相关的医疗保健提供者那里获得更一致和书面的信息。妇女接受口腔健康咨询的程度，在很大程度上依赖于他们的个人主动性,许多人希望了解口腔健康和妊娠结局之间的科学联系.确定了怀孕期间牙科就诊的时间和安全性的总体不确定性。与专家的访谈提供了对参与咨询的医疗保健专业人员的工作条件的更多见解，并强调需要在各自的专业教育中改善怀孕期间口腔健康的培训以及与该主题相关的主题计费选项。
结论：对妇女孕期口腔健康的指导似乎不足。提供适应需求的信息，妇女在怀孕期间的愿望和偏好以及在相关医护人员的教育中实施这一主题可能有助于改善孕妇的产前护理，并随后降低不良妊娠结局的风险。
