Maternal oral health project   saskatchewan prevention institute
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Maternal oral health project saskatchewan prevention institute

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May 1st 2013

May 1st 2013

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    Maternal oral health project   saskatchewan prevention institute Maternal oral health project saskatchewan prevention institute Presentation Transcript

    • Maternal Oral Health Project presented by Christine Thompson Project Facilitator www.skprevention.ca © 2013, Saskatchewan Prevention Institute
    • 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
    • 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.
    • Program areas • Alcohol, Tobacco, and Other Drugs • • • • • • Child Injury Prevention Early Childhood Mental Health Maternal and Infant Health Parenting Education Program Partners Reproductive Health
    • Examining link  between poor oral  health and adverse  pregnancy outcomes
    • 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
    • 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
    • “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
    • “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  
    • 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
    • Maternal Oral Health Strategy Framework
    • “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
    • “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)
    • 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
    • Continuing education  • Interdisciplinary training Updating curricula  • Workforce review  Focus on both oral health and  maternal health professionals
    • Barriers to access: • • • • • • • Financial Geographic Social/Cultural Policy Workforce Literacy Lack of health system integration
    • Maternal Oral Health Strategy Framework
    • Image source:  http://groups.itu.int/wsis‐ forum2012/Agenda/KnowledgeExchanges.aspx
    • 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 
    • 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
    • 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.
    • 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