Abstract
The aim of this study is to investigate the association between oral health experiences of women in the peripartum period
and the risk of preterm delivery (<37 weeks). We analyzed 2004–2006 data from the CDC Pregnancy Risk Assessment Monitoring
System (PRAMS), a population-based surveillance system that collects data on pregnancy and postpartum experiences of mothers
who have recently delivered a live infant. Ten states included in the analysis had a ≥70% weighted response rate and three
standard questions pertaining to oral health. White non-Hispanic (WNH), Black non-Hispanic (BNH), and Hispanic women were
selected for analysis. Chi-squared analysis was performed for our bivariate analysis and multivariate logistic regression
models were created to calculate adjusted odds ratios, controlling for socio-demographic characteristics and peripartum morbidities.
Weighted percentages and standard errors were used for all analyses. Among the 35,267 women studied, in the multivariate analysis,
mothers who did not receive dental care during pregnancy and did not have a teeth cleaning during pregnancy were at higher
risk for delivering a preterm infant (OR 1.15, CI 1.02–1.30; OR 1.23, CI 1.08–1.41). In this population-based study, women
who did not receive dental care or have a teeth cleaning during pregnancy were at slightly higher risk for preterm delivery
after adjustment for pertinent confounders.
and the risk of preterm delivery (<37 weeks). We analyzed 2004–2006 data from the CDC Pregnancy Risk Assessment Monitoring
System (PRAMS), a population-based surveillance system that collects data on pregnancy and postpartum experiences of mothers
who have recently delivered a live infant. Ten states included in the analysis had a ≥70% weighted response rate and three
standard questions pertaining to oral health. White non-Hispanic (WNH), Black non-Hispanic (BNH), and Hispanic women were
selected for analysis. Chi-squared analysis was performed for our bivariate analysis and multivariate logistic regression
models were created to calculate adjusted odds ratios, controlling for socio-demographic characteristics and peripartum morbidities.
Weighted percentages and standard errors were used for all analyses. Among the 35,267 women studied, in the multivariate analysis,
mothers who did not receive dental care during pregnancy and did not have a teeth cleaning during pregnancy were at higher
risk for delivering a preterm infant (OR 1.15, CI 1.02–1.30; OR 1.23, CI 1.08–1.41). In this population-based study, women
who did not receive dental care or have a teeth cleaning during pregnancy were at slightly higher risk for preterm delivery
after adjustment for pertinent confounders.
- Content Type Journal Article
- Pages 1-8
- DOI 10.1007/s10995-011-0870-1
- Authors
- Sunah S. Hwang, Division of Newborn Medicine, Children’s Hospital Boston, 300 Longwood Avenue, Enders 961, Boston, MA 02115, USA
- Vincent C. Smith, Department of Neonatology, Beth Israel Deaconess Medical Center, Division of Newborn Medicine, Children’s Hospital Boston, 330 Brookline Avenue, Boston, MA 02115, USA
- Marie C. McCormick, Department of Society, Human Development, and Health, Harvard School of Public Health, Harvard Medical School, 677 Huntington Avenue, Kresge Building Room 619, Boston, MA 02115, USA
- Wanda D. Barfield, Division of Reproductive Health, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS K-20, Atlanta, GA 30341, USA
- Journal Maternal and Child Health Journal
- Online ISSN 1573-6628
- Print ISSN 1092-7875