The association between periodontal disease and adverse pregnancy outcomes in Northern Tanzania: a cross-sectional study

被引:28
|
作者
Gesase, Nyobasi [1 ]
Miranda-Ruis, Jaume [2 ,3 ]
Brunet-Llobet, Lluis [3 ,4 ]
Lahor-Soler, Eduard [2 ,3 ]
Mahande, Michael J. [5 ]
Masenga, Gileard [1 ]
机构
[1] KCMU Coll, KCMC, Dept Obstet & Gynaecol, Moshi, Tanzania
[2] Univ Barcelona, Dept Odontostomatol, Fac Med & Hlth Sci, Feixa Llarga S-N, Barcelona 08907, Catalonia, Spain
[3] Fundacio St Joan de Deu, Inst Recerca St Joan de Deu IRSJD, Hosp Dent & Periodontal Med Res Grp, Barcelona, Spain
[4] Univ Barcelona, Hosp Univ St Joan de Deu, Div Pediat Dent, Barcelona, Spain
[5] KCMU Coll, Inst Publ Hlth, Dept Epidemiol & Biostat, Moshi, Tanzania
关键词
Preterm birth; low birth weight; pre-eclampsia; eclampsia; preterm premature rupture of membranes; periodontal disease; periodontitis; cross-sectional studies; LOW-BIRTH-WEIGHT; PRETERM BIRTH; MATERNAL PERIODONTITIS; RISK-FACTOR; PREECLAMPSIA; MECHANISMS; DELIVERY;
D O I
10.4314/ahs.v18i3.18
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:601 / 611
页数:11
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