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Maternal oral health and preterm low...

Lakhani, Amyn.

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Maternal oral health and preterm low birth weight in Pakistan.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Maternal oral health and preterm low birth weight in Pakistan./
Author:	Lakhani, Amyn.
Description:	94 p.
Notes:	Source: Dissertation Abstracts International, Volume: 67-01, Section: B, page: 0213.
Contained By:	Dissertation Abstracts International67-01B.
Subject:	Health Sciences, Public Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3201165
ISBN:	9780542489259

Maternal oral health and preterm low birth weight in Pakistan.
Lakhani, Amyn.

Maternal oral health and preterm low birth weight in Pakistan. - 94 p.

Source: Dissertation Abstracts International, Volume: 67-01, Section: B, page: 0213.

Thesis (Dr.P.H.)--The University of Alabama at Birmingham, 2005.

Introduction. Preterm birth remains a significant global public health problem. Despite the identification of several risk factors, a large number of preterm births are due to unknown factors. There is strong evidence of the role of infection in the pathogenesis of preterm birth. Maternal periodontal infection (periodontitis) was identified as a potential risk factor for preterm low birth weight (PLBW) in studies from the United States and Chile. However, studies from England have not confirmed this association.

ISBN: 9780542489259Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

Maternal oral health and preterm low birth weight in Pakistan.
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100 1 $a Lakhani, Amyn. $3 1914290
245 1 0 $a Maternal oral health and preterm low birth weight in Pakistan.
300 $a 94 p.
500 $a Source: Dissertation Abstracts International, Volume: 67-01, Section: B, page: 0213.
500 $a Advisers: Sten H. Vermund; Nalini Sathiakumar.
502 $a Thesis (Dr.P.H.)--The University of Alabama at Birmingham, 2005.
520 $a Introduction. Preterm birth remains a significant global public health problem. Despite the identification of several risk factors, a large number of preterm births are due to unknown factors. There is strong evidence of the role of infection in the pathogenesis of preterm birth. Maternal periodontal infection (periodontitis) was identified as a potential risk factor for preterm low birth weight (PLBW) in studies from the United States and Chile. However, studies from England have not confirmed this association.
520 $a Objectives. This study was conducted to review the role of infection in preterm birth; present a critical analysis of published studies; assess the role of maternal periodontal infection as a possible risk factor for PLBW; and determine the prevalence of dental health status and practice in a defined population of pregnant women in Pakistan.
520 $a Methods and results. We conducted a literature review, a case-control and a descriptive study. The results suggested that published studies are inconsistent in their assessment of relationship between periodontitis and PLBW and that discrepancies may be due to differences in study design, sample size, age distribution, ethnicity, and definition of key variables. Our case-control study compared 65 mothers (cases) who delivered a single live born infant before 37 weeks of gestation weighing < 2,500 grams with 221 mothers (controls) who delivered a live born infant between 37-42 weeks of gestation weighing between ≥ 2,500 grams to < 4,500 grams. Periodontal disease was not associated with PLBW (Odds Ratio 0.79; 95% Confidence Interval: 0.45, 1.21) even when adjusted for other risk factors. However, history of reproductive tract infection during a prior pregnancy and indices of family poverty were significant independent risk factors for PLBW. The descriptive study reported a high prevalence of periodontitis among pregnant women (64%), especially those who do not use a toothbrush, use smokeless tobacco, chew betel quid/nuts, and report bleeding gums during pregnancy.
520 $a Recommendations. We recommend that appropriate dental health education should be offered during antenatal visits to increase the dental health care seeking behavior among pregnant women in Pakistan. However, this is not likely to reduce PLBW.
590 $a School code: 0005.
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Health Sciences, Obstetrics and Gynecology. $3 1020690
650 4 $a Health Sciences, Dentistry. $3 1019378
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710 2 0 $a The University of Alabama at Birmingham. $3 1019443
773 0 $t Dissertation Abstracts International $g 67-01B.
790 1 0 $a Vermund, Sten H., $e advisor
790 1 0 $a Sathiakumar, Nalini, $e advisor
790 $a 0005
791 $a Dr.P.H.
792 $a 2005
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3201165