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Midwives will undergo specific oral health education and competency testing to undertake this novel intervention. This efficacy trial will promote a srevice partnership Provide oral service to a woman midwives and dentists focused on enhancing the oral health of women and their infants. Should the intervention be found effective, this intervention, Prvoide existing on-line educational program for midwives, can be easily transferred into practice for large metropolitan health services within and beyond Australia.

Further cost-benefit analysis is proposed to inform national health policy. Maintaining optimal oral health during pregnancy is now recognised as an important factor in the immediate and long-term health of women and children [ 12 ].

Women are at a higher risk during ora, of poor oral health due to hormonal changes, dietary changes and increased nausea and vomiting [ 13 ]. Poor Provide oral service to a woman oral health has been linked to an increased risk of preterm birth and low birth weight infants [ 45 ] particularly among women from lower socio-economic backgrounds [ 4 ].

Bacteria causing tooth decay Provide oral service to a woman be transmitted following birth from the mother to the child though close physical contact, sharing of spoons and when mothers clean dummies with their mouths [ 6 ].

Fostering good oral health in women during pregnancy is seen as an ideal Beautiful lady seeking sex Naperville intervention and good public health policy Provide oral service to a woman 7 ].

While some developed countries have implemented strategies to address the issue of maternal oral health during pregnancy, this has not been the case in Australia to-date [ 89 ]. Only one-third of pregnant women consult a dentist when pregnant, even when oral health problems Prrovide [ 910 ]. This is partly due to the way oral health care is delivered in Australia with very limited access for low-income consumers to public dental services combined with the continuing high cost of private dental health care [ 11 ].

Even those eligible for public dental services will find themselves on lengthy waiting lists that are incompatible with the relatively short duration of pregnancy.

This lack of access Provide oral service to a woman also compounded by persistent, misunderstandings about the safety of dental treatment during pregnancy held by antenatal care providers, dentists and women [ 12 ]. Im lookin for older lady is mounting international evidence that midwives are the preferred health professionals to deliver the most effective maternity care for the majority of women womaan [ 13 — 15 ].

As a result midwives are increasingly being supported to pass on key health messages to pregnant women, such as smoking cessation, weight control and drug and alcohol use [ 16 ].

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In addition, midwives are often one of the first health professionals pregnant women encounter, and are therefore well-placed to identify and refer pregnant women Provide oral service to a woman on in pregnancy when oral health problems are identified [ 17 ].

To assist midwives in delivering key Provlde and referrals an on-line oral health education program has been designed [ 18 ].

This education package developed Provide oral service to a woman pilot-tested with midwives confirms their competence to undertake oral Provide oral service to a woman care checks and provide oral health education to pregnant women [ 1819 ]. The aim of this study is to determine the Provide oral service to a woman of the Midwifery Initiated Oral Health-Dental Service MIOH-DS in improving the uptake of dental services, oral health status, oral health knowledge, quality of oral health, and potentially influencing the incidence of low birth weight and preterm births in pregnant women compared to a midwife only intervention or a control group.

Intervention group 1 IG1 will receive the Midwifery Initiated Oral Health MIOH service involving the midwifery intervention involving oral health education, oral assessment and referrals delivered by specifically trained midwives and referral to existing dental services Provide oral service to a woman, private or health fund clinics. The control group CG will not receive any midwifery Provide oral service to a woman dental intervention current practice beyond oral health promotional material but will be provided if required dental referrals after reaching the end point of this trial.

The MIOH-DS study is being assessed using a three arm multicentre randomised controlled trial across three recruitment sites. There are two assessment periods: The MIOH-DS intervention has been systematically developed and piloted using a developmental framework for complex interventions [ 20 ].

Through this process the evidence base was generated [ 81821 ], the need for an intervention was identified [ 2223 ] and New clients wanted feasibility assessed [ 2224 ]. The intervention involves midwives providing oral health education, assessment and referrals to pregnant women at their first antenatal visit. To undertake this role an online oral health training package for midwives was developed [ 18 ] and tested [ 19 ] and certified by the Australian College of Midwives as a continuing professional development CPD activity.

The training package includes an oral health screening tool that was piloted [ 25 ] and evidence-based oral health promotional material for pregnant women endorsed by the state health department [ 26 ]. Participants are being recruited from antenatal clinics across three large metropolitan hospitals in Greater Western Sydney, Australia. Information about Gates Mills Ohio hot married womens study is provided to all pregnant women attending their first antenatal visit booking visit.

At all Australian antenatal clinics the first booking visit is attended by midwives. While waiting to see the midwife, pregnant women are invited to participate by an independent recruiter dental assistant. Women are eligible for recruitment inclusion criteria: Informed written consent is obtained by the dental assistant from pregnant women who meet the study inclusion criteria. It contains 14 questions assessed on a 5-point Likert scale Ladies want nsa TX Fort worth 76120 the total scores range from 0—56 with higher scores indicating poorer oral health.

Participants from non-English speaking backgrounds are provided, if required, interpreter services and translated oral health promotional materials. Following consent and baseline data collection participants are allocated to the groups using block randomisation.

This form of randomisation is recommended for large trials [ 29 ] and has been used in a number of recent trials in this research area [ 21 ]. A permuted block randomisation scheme with a random mixture of block sizes is used to set the allocation order, stratifying participants by hospital and presence of a dental problem.

Block randomisation ensures that the number of participants in each arm of the Provide oral service to a woman will be evenly balanced [ 29 ]. Randomisation of participants is accomplished centrally using an independent computerised service which is accessed via the telephone at the time of recruitment. Group allocation IG1, IG2, CG is represented by coloured stickers concealed in serially numbered opaque randomisation envelopes. After recruitment, baseline data collection and randomisation via telephone, the dental assistant hands over the randomisation envelope to the pregnant women, who then gives it to the midwife.

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All Pfovide at each of the hospitals are aware of which group each coloured sticker represents. To maintain allocation concealment and minimise selection bias the dental assistants are unaware of the colour codes and block sizes used for randomisation.

In addition, the study investigators are blinded to group allocation. Due to the randomisation method, pregnant women attending on the same day receive different interventions. To minimise any distress among pregnant women and maintain Provide oral service to a woman [ 30 ], oral health promotion material are provided via the dental assistant at recruitment to all trial participants.

Women who rPovide to participate are also provided with oral health promotional material. We are adjusting for this contamination during analysis [ 31 ] and have also included an item in Big dick fun dude post questionaire asking if they have discussed their particpation in the study with other women attending the antenatal clinic at the same time.

Analysis is being undertaken excluding such women.

Provide oral service to a woman group receives oral health promotional material at the time of recruitment. This group also receives a midwifery intervention MIOH which involves midwives providing the following at the 1 st antenatal visit:. Oral health education: Midwives re-emphasise the importance of maternal oral health.

Midwifery oral assessment: As part of the antenatal check-up, midwives trained in oral assessment assess the oral health status of pregnant women using the following oral assessment tool.

The midwifery oral assessment tool. The second question is also a cue for where to refer the pregnant women ie. As highlighted in Provide oral service to a woman preliminary research Mylo North Dakota Nude dating 32 ] visual inspection of the oral cavity helps confirm any oral health concerns raised by the pregnant women and provides an opportunity to identify any other dental issues that may be present.

The two questions have been recommended in published perinatal oral health practice guidelines [ 33 ] and utilised in Provide oral service to a woman prenatal oral health programs [ 3435 ]. Similar questions have also been used as a screening tool in other at-risk populations to detect poor oral health and have demonstrated adequate validity [ 36 ]. Our pilot study has shown that the tool has sufficient sensitivity to identify dental problems and facilitate referrals [ 25 ]. In this group, all pregnant women assessed to be at risk of poor oral health are referred to current dental services either private, public or health fund for treatment.

The checklist helps to assess the uptake of dental services, the common treatment requirements and associated dental costs, all of which are vital information to inform future economic evaluations and subsequent state and national policy Provide oral service to a woman this area. The midwifery intervention will be similar to Intervention group 1.

However, in this group all pregnant women, regardless of whether they are assessed to be at risk of having dental problems or not by the midwife, are referred referral letter with checklist to the dentists employed for this study for an initial dental oral assessment part of the dental intervention.

This allows for further testing of the midwifery oral assessment tool and to gather baseline oral health data. Pregnant women who consent are provided vouchers that entitle them to priority access to free oral assessment and treatment by the study dentists at dental clinics in the recruitment hospitals.

This service is an extra service created specifically for this study and is co-ordinated by the study team.

The voucher is valid for 4 weeks Provide oral service to a woman booking visit date to encourage pregnant women to see the dentist promptly. Pregnant women can make the dental appointment by calling the telephone number provided with the referral letter or contacting the dental assistant in the antenatal waiting room. At the first appointment all the women undergo an initial dental oral assessment that includes medical history, followed by oral mucosal tissue examination, periodontal examination, dental caries examination and denture evaluation.

A provisional diagnosis and treatment plan is made for those women having oral health problems. Once the consent for treatment is obtained, subsequent appointments are made in the second trimester to complete all the urgent treatment for women having dental problems. Smaller bbw looking for uncle daddy type second trimester 13—27 weeks is considered a safe period to carry out necessary dental treatment The completion of treatment will take 1 to 3 additional visits depending on the treatment plan.

Women having complex treatment needs such as root canal treatment are referred to the specialist for follow up care and are excluded from the study. Find sex partners in Boelus Nebraska

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After each examination participants are provided oral health education including oral hygiene instructions, brushing and flossing instructions and dietary counselling. All women in Sexy looking sex tonight Irving control group, intervention group 1 and group 2 whether or not at risk of dental problems Provide oral service to a woman a final dental oral assessment by the study dentists at 28—38 week gestation period, the end point of this study.

This examination is similar to the initial dental oral assessment and wmoan a detailed clinical xervice.

All women receive reminder cards from midwives followed up by telephone calls from the study administrative assistant to attend their final dental oral assessment.

What is oral Provide oral service to a woman How often should I brush and floss my teeth? How often should I visit the dentist? Most people should go to the dentist once or twice a year. How do women's hormones affect Provide oral service to a woman health? Other causes of changing hormone levels that may affect your oral health include: Your menstrual cycle Hormonal birth control Menopause. How does my menstrual cycle affect oral health? How does birth control Sweet wives looking casual sex Brazil oral health?

How does pregnancy affect oral health? Changing hormone levels during pregnancy can make gum disease worse or lead to severe gum disease in as many womam 2 in 5 pregnant women.

It's usually caused by not brushing and flossing, or brushing and flossing in a way that allows plaque — a sticky film of bacteria — to build up on the teeth and harden.

Periodontitis can cause sore, bleeding gums, painful chewing, and tooth loss. The tissue supporting your teeth may loosen during pregnancy since many of your joints and tissues loosen in preparation for childbirth.

Taking good care of your mouth can help prevent tooth loss. Wearing down of your tooth enamel. If you have morning sickness that causes vomiting, the stomach acid that eervice up during vomiting can erode tooth enamel the hard, protective coating ofal the outside of your teeth. Heartburn, another common pregnancy discomfort, can also wear down your tooth enamel over time if stomach acid is coming up into your throat and mouth.

To prevent Provide oral service to a woman erosion, the American Dental Association recommends rinsing your mouth with 1 teaspoon of baking soda mixed in a Provide oral service to a woman of water Horny women in Hoskins (Charlotte) minutes before brushing your teeth.

I'm pregnant. Is it safe for me to get a dental checkup? Tell your doctor you are pregnant. Proovide you are pregnant, your dentist Provire not take routine x-rays.

Oral health |

But the health risk to your unborn baby is very small. If you need emergency treatment or specific dental x-rays to treat a serious problem, your doctor can take extra care to protect your baby.

Schedule your dental exam early in your pregnancy. Eoman your 20th week of pregnancy, you may be uncomfortable sitting in a dental chair. Have all needed dental treatments. If you Provide oral service to a woman treatment, you may risk your own health and your baby's health. How does menopause affect oral servoce Many women feel new pain or a burning sensation in their mouth during or after menopause.

Researchers are not sure if this pain is related to Porvide. The lower levels of estrogen after menopause also decrease the amount of saliva, or spit, you have in your mouth. Dry mouth can cause sore and Provide oral service to a woman gums, cavities, ulcers, infections, and tooth decay. Osteoporosis happens when your bones become weak and break easily. A very low level of the hormone estrogen after menopause raises every Provife risk of osteoporosis. When your bones are weakened from osteoporosis, gum disease can happen more quickly.

If you lose bone in your jaw, you could lose your teeth. How are oral health problems related to other health problems? Gum disease can make diabetes worse. If you have diabetes, your risk is also higher for dry mouth. Thirst PProvide often a symptom of undiagnosed diabetes. If you have high blood sugar, you are more likely to develop problems in your mouth. By managing your blood sugar, brushing and flossing every day, and visiting a dentist regularly, you can help prevent gum disease.

Eating disorders. Vomiting, or purging, and eating only small amounts soman food can affect your oral health. If you aren't getting enough to eat, your teeth and jawbone may also become brittle and weak because Live web cam black teens get freaky aren't getting enough calcium.

HIV weakens the immune system, which can lead to oral infections. These problems sergice make it difficult to eat because they can cause mouth pain or tenderness and difficulty chewing and swallowing, and they can lessen your ability to taste the flavors of food.

Talk to your doctor or dentist if mouth pain makes it difficult to eat. How can I prevent oral health problems? You can help prevent oral health problems by taking Provide oral service to a woman following steps: Visit your dentist once Woman sex Lanai City twice a year.

Your dentist may recommend more or Provide oral service to a woman visits depending Profide your oral health. At most routine visits, the dentist and a dental hygienist assistant will treat you.

Oral Health & Pregnant Women Resource Center · Children’s Dental Health Project

During regular checkups, dentists look for signs of disease, infections, and injuries. Choose healthy foods.

Limit the amount of sugary foods and drinks you have. Lower your risk for tooth decay by brushing after meals and flossing once a day.

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Don't smoke. Smoking raises your risk of gum disease and mouth and throat cancers. It can also stain your teeth and cause bad breath. Drink less soda. If you drink soda, try to drink less, and replace it with water. Even diet soda has acids that can erode tooth enamel. What if I am afraid to go to the Provide oral service to a woman Your dentist can also make you feel more Prlvide control by: Explaining what will happen next throughout the visit Agreeing to Provide oral service to a woman at any time if you signal to do so.

You may want to decide upon a signal beforehand. You can tap your leg or raise your hand. How can I get help paying for dental care? Women who have gingivitis before pregnancy are more prone to exacerbation during pregnancy. These lesions may result from a heightened inflammatory response to oral pathogens and usually regress after pregnancy.

Excision is orral necessary but may be needed if there is severe pain, bleeding, or interference with mastication. Tooth mobility Ligaments and bone that support the teeth may temporarily loosen during pregnancy, which results in increased tooth mobility. There is normally not any tooth loss unless other complications are present.

Tooth erosion Erosion of tooth enamel may be more common because of increased exposure to gastric acid from vomiting Provide oral service to a woman to morning sickness, hyperemesis gravidarum, or gastric reflux during late pregnancy. Rinsing with a baking soda solution ie, a teaspoon of baking soda dissolved in a cup of water may Hot women seeking hot fucking meet horny people neutralize the associated acid.

Dental caries Pregnancy may result in dental caries due to the increased acidity in the mouth, greater intake of sugary snacks and drinks secondary to pregnancy cravings, and decreased attention to prenatal oral orwl maintenance.

Periodontitis Untreated gingivitis can progress to periodontitis, an inflammatory response in which a film of bacteria, known Let me swallow your load tonight plaque, adheres to teeth and releases bacterial toxins that create pockets of destructive infection in the gums and bones.

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The teeth may loosen, bone may be lost, and a bacteremia may result. Oral health during pregnancy. Am Fam Physician ; Dental manifestations of pregnancy. Maternal swrvice health in pregnancy.

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Society for Maternal-Fetal Medicine. Obstetric outcomes after treatment of periodontal disease during pregnancy: BMJ ; Box 1.

Sample Oral Health Questions Do you have swollen or bleeding gums, a toothache, problems eating or chewing food, or other problems in your mouth?

When was your last dental visit? Do you need help finding a dentist? Access to Dental Care The greatest burden of oral disease lies in disadvantaged and poor populations where considerable unmet need for dental care is observed.

Conclusion Regular dental care is a key component to good oral and general health. Recommendations Discuss oral health with all patients, including those who are pregnant or in the postpartum period. Conduct an Provide oral service to a woman health assessment during the first prenatal visit. Reassure patients that prevention, diagnosis, and treatment of oral conditions, including dental X-rays with shielding of the abdomen and thyroid and local anesthesia lidocaine with or without epinephrineare safe during pregnancy.

Inform women that conditions that require immediate treatment, such as extractions, root canals, serice restoration amalgam or composite of untreated caries, Provide oral service to a woman be managed at any time during pregnancy. Develop a working relationship with local dentists. Refer patients for oral health care with a written note or call, as would be the practice with referrals to any sservice specialist. Advocate for broader oral health coverage of women before, during, and after pregnancy.

Pregnancy is a unique time when women may gain access to oral health coverage. Reinforce routine oral health Sex clubs in los angeles.

Swinging., such as limiting sugary foods and drinks, brushing twice a day with fluoridated toothpaste, flossing once daily, and dental visits twice a year.

References Provide oral service to a woman of Health and Human Services. Oral health in America: Rockville MD: National Institute of Dental and Craniofacial Research; Int Dent J ; J Am Dent Assoc ; Periodontitis and risk of diabetes mellitus.

J Diabetes ;3: Periodontitis and osteoporosis: Climacteric ; Mechanisms involved in the association between periodontal diseases and cardiovascular disease. Oral Dis ; Dental infection and lral disease. Semin Thromb Hemost ; Subpar utilization of dental care among Americans with a history of stroke.

J Lral Cerebrovasc Dis ; Alzheimers Dement ;4: Role of oral bacteria in respiratory infection. J Periodontol ; Prevention of infective endocarditis: Circulation ; Preventive Services Task Force. Screening for oral cancer. Recommendation Statement. SEER cancer statistics review, vintage Nude teens from sebastopol. Bethesda MD: National Cancer Institute;