The association between periodontal disease and adverse pregnancy outcomes in Northern Tanzania: a cross-sectional study.
Por:
Gesase N, Miranda-Rius J, Brunet Ll, Lahor-Soler E, Mahande MJ and Masenga G
Publicada:
1 sep 2018
Categoría:
Medicine (miscellaneous)
Resumen:
BACKGROUND: For the past two decades, studies have investigated the relationship between periodontal disease and adverse pregnancy outcomes such as pre-eclampsia, preterm birth, low birth weight and preterm premature rupture of membranes. OBJECTIVES: To determine the prevalence of periodontal disease and associated adverse pregnancy outcomes among women delivering at the Kilimanjaro Christian Medical Centre (KCMC). METHODS: This cross-sectional study was based on the use of patients' files, clinical examinations and oral interviews with mothers who delivered at the KCMC. Pregnant women with singleton babies (N=1117) who delivered at the KCMC were recruited for the study. Intra-oral examination was performed within five days of birth. The Community Periodontal Index was used to assess periodontal disease. RESULTS: The prevalence of periodontal disease was 14.2%. Periodontal disease was significantly associated with higher odds of pre-eclampsia [adjusted Odds Ratio 95% Confidence Interval (aOR=4.12;95%CI:2.20-7.90)], low birth weight (aOR=2.41;95%-CI:1.34-4.33) and preterm birth (aOR=2.32;95%CI:1.33-4.27). There was no significant association between periodontal disease and preterm premature rupture of membranes (aORs 1.83;95%CI:0.75-4.21) and eclampsia (3.71;95%CI:0.80-17.13). CONCLUSION: Maternal periodontal disease is a potential independent risk indicator for pre-eclampsia, low birth weight, and preterm birth. Periodontal assessment and therapy should form part of the preventive antenatal care provided to women in developing countries.
Filiaciones:
Gesase N:
Department of Obstetrics and Gynaecology, Kilimanjaro Christian Medical Centre (KCMC)/Kilimanjaro Christian Medical University College (KCMU College), Moshi, Tanzania
Miranda-Rius J:
Department of Odontostomatology. Faculty of Medicine and Health Sciences. Universitat de Barcelona, Barcelona, Spain
Hospital Dentistry Periodontal Medicine Research Group, Institut de Recerca Sant Joan de Déu (IRSJD), Fundació Sant Joan de Déu, Barcelona, Spain
Brunet Ll:
Hospital Dentistry Periodontal Medicine Research Group, Institut de Recerca Sant Joan de Déu (IRSJD), Fundació Sant Joan de Déu, Barcelona, Spain
Division of Pediatric Dentistry. Hospital Universitari Sant Joan de Déu. Universitat de Barcelona, Barcelona, Spain
Lahor-Soler E:
Department of Odontostomatology. Faculty of Medicine and Health Sciences. Universitat de Barcelona, Barcelona, Spain
Hospital Dentistry Periodontal Medicine Research Group, Institut de Recerca Sant Joan de Déu (IRSJD), Fundació Sant Joan de Déu, Barcelona, Spain
Mahande MJ:
Department of Epidemiology and Biostatistics. Institute of Public Health. Kilimanjaro Christian Medical University College (KCMU College), Moshi, Tanzania
Masenga G:
Department of Obstetrics and Gynaecology, Kilimanjaro Christian Medical Centre (KCMC)/Kilimanjaro Christian Medical University College (KCMU College), Moshi, Tanzania
Open Access
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