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Maternal oral health project saskatchewan prevention institute
1.
Maternal Oral Health Project presented by Christine Thompson Project Facilitator www.skprevention.ca © 2013, Saskatchewan Prevention Institute
2.
Our mission • Our mission is to reduce the occurrence of disabling conditions in children • Our focus is on Primary Prevention: – – – – – Education Information Services Community Development Research and Evaluation Communications
3.
Partners in prevention • • • • • Government of Saskatchewan Kinsmen Telemiracle Foundation Saskatchewan Abilities Council University of Saskatchewan Community‐at‐Large History The Saskatchewan Prevention Institute was formed in 1980 as a non‐ profit, provincial organization.
4.
Program areas • Alcohol, Tobacco, and Other Drugs • • • • • • Child Injury Prevention Early Childhood Mental Health Maternal and Infant Health Parenting Education Program Partners Reproductive Health
5.
Examining link between poor oral health and adverse pregnancy outcomes
6.
Pregnant women are at higher risk for oral conditions such as tooth erosion and periodontal disease … due to physiologic changes in the mouth that occur during pregnancy combined with the lack of routine exams and delays in treatment for oral disease
7.
Health consequences: – For a pregnant woman: associated with diabetes, cardiovascular disease and some respiratory diseases – For a fetus/infant: linked to preterm birth and low birth weight Transmission of caries‐causing bacteria from mothers to infants
8.
“A sizable number of women…enter pregnancy with active oral disease, or pregnancy may trigger the progression of the disease process.” ‐ Association of State & Territorial Dental Directors
9.
“Studies suggest that only about one‐quarter to one‐half of women receive any dental care during their pregnancies. The likelihood of low‐income and uninsured women receiving such care is even lower.” ‐ California Dental Association
10.
Pregnant women cited as key oral health target group by: •U.S. Dept. of Health & Human Services, Health Resources & Services Administration, Maternal and Child Health Bureau •American College of Obstetricians and Gynecologists •American Dental Association •Association of State & Territorial Dental Directors •U.S. State Departments of Health •American Academy of Pediatric Dentistry
11.
Maternal Oral Health Strategy Framework
12.
“The degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate oral health decisions.” ‐ U.S. Dept. of Health and Human Services •Foundational strategy •Low oral health literacy among pregnant women, communities and health care professionals
13.
“Care to maintain oral health is not dental care per se. Oral health care is a subset of primary care. After all, the mouth is part of the body.” – William Maas (Grantmakers in Health)
14.
Oral health as an integral, routine part of prenatal care: • oral health screening • anticipatory guidance •
referral to oral health professional Image source: Washington Dental Service Foundation
15.
Continuing education • Interdisciplinary training Updating curricula • Workforce review Focus on both
oral health and maternal health professionals
16.
17.
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Barriers to access: • • • • • • • Financial Geographic Social/Cultural Policy Workforce Literacy Lack of health system integration
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Maternal Oral Health Strategy Framework
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Image source: http://groups.itu.int/wsis‐ forum2012/Agenda/KnowledgeExchanges.aspx
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Current initiatives ‐ Saskatchewan • SK Ministry of Health Enhanced Preventive Dental Services –
pre/post natal services targeting at risk mothers – Northern Saskatchewan Prenatal/Preschool Dental Program • Children’s Oral Health Initiative (COHI) ‐ Health Canada • No provincial oral public health program for pregnant women; efforts in individual health regions
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Next steps • • • • Linkage with SK Oral Health Coalition Key Informant meetings Look for integration opportunities Possible initial strategies: – – – – Partnership Education/social marketing campaign Continuing education & training for professionals Collaboration projects
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References ASTDD (Association of State & Territorial Dental Directors) (2012). Best Practice Approaches for State and Community Oral Health Programs. Retrieved from: http://www.astdd.org/bestpractices/BPAPernatalOralHhealth.pdf California Dental Association (2010). Oral health during pregnancy & early childhood: Evidence‐based guidelines for health professionals. Retrieved from: http://www.cdafoundation.org/library/docs/poh_guidelines.pdf Grantmakers in Health (2012). Returning the Mouth to the Body: Integrating Oral Health and Primary Care. Retrieved from: http://www.gih.org/files/FileDownloads/Returning_the_Mouth_to_the_Body_no40_September_2012.pdf HHS (U.S. Dept. of Health and Human Services) (2010). Healthy People 2020. Office of Disease Prevention and Health Promotion. Retrieved from: www.cdc.gov/nchs/healthy_people/hp2020.htm (accessed May 31, 2012). IOM (Institute of Medicine). 2013. Oral health literacy: Workshop summary. Washington, DC: The National Academies Press. Retrieved from: http://iom.edu/Reports/2013/Oral‐Health‐Literacy.aspx Saskatchewan Prevention Institute (2011). Maternal Oral Health and Pregnancy Outcomes Literature Review.
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Table discussions • Each table assigned one of the strategies outlined in the framework • Brainstorm ideas for action on maternal oral health in Saskatchewan •
Record each idea on a sticky note • Post notes on flip chart • Choose one idea to present to group
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