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Strengthen the Evidence for Maternal and Child Health Programs

Find Established Evidence


Displaying records 1 through 10 (10 total).

Cibulka NJ, Forney S, Goodwin K, Lazaroff P, Sarabia R. Improving oral health in low-income pregnant women with a nurse practitioner-directed oral care program. J Am Acad Nurse Pract. 2011;23(5):249-257. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Oral Health Education, Oral Health Supplies, Assistance in Making Dental Appointment
Intervention Description: To test the effectiveness of an advanced practice nurse model of care to improve oral health in low-income pregnant women.
Conclusion: Implications for practice: Because adverse pregnancy outcomes have been linked to periodontitis in numerous research studies, pregnant women must be educated about the importance of oral health and the necessity of a check-up. APNs are in an ideal position to educate women and assist them to obtain necessary oral health services.

Riedy C, Weinstein P, Mancl L, et al. Dental attendance among low-income women and their children following a brief motivational counseling intervention: A community randomized trial. Soc Sci Med. 2015;144:9-18. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Oral Health Education, Assistance in Making Dental Appointment, Motivational Interviewing
Intervention Description: This study tested a behavioral intervention to increase dental attendance among rural Oregonian low-income women and their children.
Conclusion: High attendance may be attributable to the counselors' patient navigator function.

Milgrom P, Lee RS, Huebner CE, Conrad DA. Medicaid reforms in Oregon and suboptimal utilization of dental care by women of childbearing age. J Am Dent Assoc. 2010;141(6):688-695. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): POPULATION-BASED SYSTEMS, STATE, Medicaid Reform
Intervention Description: The authors conducted a study of dental services used by women of childbearing age who were enrolled in Medicaid in Oregon during the early 2000s, a period of reform during which health care coverage was expanded.
Conclusion: Dental care is important for maternal and child health. However, utilization is unlikely to improve without changes in Medicaid and the dental care delivery system.

Lipper J. Advancing Oral Health through the Women, Infants, and Children Program: A New Hampshire Pilot Project. (2016). Center for Health Care Strategies. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Oral Health Education, Oral Health Supplies, PROVIDER/PRACTICE, Designated Clinic/Extended Hours, Quality Improvement/Practice-Wide Intervention
Intervention Description: The state of New Hampshire created a pilot project to integrate preventive oral health care for low-income women and children through local sites of the Women, Infants and Children (WIC) program. This profile details New Hampshire’s experiences and offers considerations for state agencies, federal policymakers, and other interested stakeholders to explore alternative channels for reaching low-income populations with oral health care and education.

Marchi, K. S., Rinki, C., Shah, M., Dove, M., Terpak, C., Curtis, M. P., & Braveman, P. (2019). Medical provider promotion of oral health and women’s receipt of dental care during pregnancy. Maternal and child health journal, 23(7), 890-902. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT_CONSUMER, Oral Health Education
Intervention Description: Using a diverse, population-based sample of California women with a live birth, researchers examined whether medical providers' promotion of oral health and women's receipt of dental care during pregnancy has changed in recent years. Researchers used data from a population-based survey of postpartum women in 2009 and 2012 in California to compare the prevalence of women's self-reports that, during pregnancy, (a) their medical providers discussed oral health and/or suggested they see a dentist, and (b) they received dental care during pregnancy. Researchers also examined whether women's receipt of dental care during pregnancy was associated with whether their medical providers discussed oral health or suggested that they see a dentist.
Conclusion: Medical provider promotion of oral health increases dental attendance of pregnant women. Characteristics of women reporting that their medical providers promoted, and that they received, dental care during pregnancy in 2012 suggests that the increases in promotion and use of oral health care were largely concentrated among Medi-Cal recipients. Further improvement is needed for all populations of pregnant women. Both public and private providers need to incorporate promotion of and referral for dental care into routine prenatal care protocols.
Significant Findings: Yes
Setting: Clinic/Medical provider office
Target Audience: Pregnant people

Kobylińska, A., Sochacki-Wójcicka, N., Dacyna, N., Trzaska, M., Zawadzka, A., Gozdowski, D., ... & Olczak-Kowalczyk, D. (2018). The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy. Ginekologia polska, 89(3), 120-124. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): HEALTH_CARE_PROVIDER_PRACTICE, Provider Training/Education
Intervention Description: Data was collected electronically from over 3400 pregnant women during a three-month period in 2017.
Conclusion: It was determined that referrals from a gynaecologist, and associated oral health feedback requests increase the frequency of abiding to dental appointments during pregnancy. As such, it is necessary to increase the involvement of gynaecologists in the promotion and maintenance of perinatal oral health.
Significant Findings: Yes
Setting: Clinic/Medical provider office
Target Audience: Pregnant people

Vander Schaaf, E. B., Quinonez, R. B., Cornett, A. C., Randolph, G. D., Boggess, K., & Flower, K. B. (2018). A pilot quality improvement collaborative to improve safety net dental access for pregnant women and young children. Maternal and child health journal, 22(2), 255-263. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): HEALTH_CARE_PROVIDER_PRACTICE, Quality Improvement/Practice-Wide Intervention
Intervention Description: Researchers designed a multi-pronged pilot intervention to address barriers to care for pregnant women and young children in dental safety net settings. Pilot intervention components were: (1) Business assessment to evaluate and enhance safety net dental practice financial stability; (2) Quality improvement (QI) training to test and implement improved office access and efficiency; and (3) Evidence-based education for dental providers on care for pregnant women and young children.
Conclusion: A learning collaborative among dental practices increased dental encounters and access for young children and pregnant women. Participation by safety net dental practices in a QI collaborative is feasible and acceptable. Individual sites saw greater improvements in different outcomes areas, based on their own structures and needs. Future efforts should focus on specific needs of each dental practice and should offer additional QI training.
Setting: Safety net dental practices
Target Audience: Pregnant people

George, A., Dahlen, H. G., Blinkhorn, A., Ajwani, S., Bhole, S., Ellis, S., ... & Johnson, M. (2018). Evaluation of a midwifery initiated oral health-dental service program to improve oral health and birth outcomes for pregnant women: A multi-centre randomised controlled trial. International journal of nursing studies, 82, 49-57. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT_CONSUMER, Group Education
Intervention Description: Researchers conducted a RCT to analyze a midwifery intervention that included oral health education, screening and referrals to existing dental pathways.
Conclusion: The Midwifery-Initiated Oral Health Dental Service program (Intervention group 2) improved the uptake of dental services and oral health of pregnant women and is recommended during antenatal care. A cause and effect relationship between this intervention and improved birth outcomes was not supported.
Significant Findings: Yes
Setting: Large metropolitan public hospitals
Target Audience: Pregnant people

Naavaal, S., & Harless, D. W. (2022). Comprehensive pregnancy dental benefits improved dental coverage and increased dental care utilization among Medicaid-enrolled pregnant women in Virginia. Frontiers in Oral Health, 3. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): STATE, Medicaid Reform
Intervention Description: Researchers used pooled cross-sectional data from six cycles of the Virginia Pregnancy Risk Assessment Monitoring System on women aged ≥21 years. Using logistic regression models and a difference-in-difference design, researchers compared the effects of policy implementation on dental insurance and utilization between pre-policy (2013–2014) and post-policy period (2016– 2019) among women enrolled in Medicaid (treatment, N = 1,105) vs. those with private insurance (control, N = 2,575).
Conclusion: The 2015 pregnancy Medicaid dental benefit increased dental insurance and dental care utilization among Medicaid-enrolled women and reduced associated disparities between Medicaid and privately insured groups.
Significant Findings: Yes
Setting: Community-based Virginia
Target Audience: State/Systems
Data Source: Community-based PRAMS data

Lee, H., Marsteller, J. A., & Wenzel, J. (2022). Dental care utilization during pregnancy by Medicaid dental coverage in 26 states: Pregnancy risk assessment monitoring system 2014–2015. Journal of public health dentistry, 82(1), 61-71. Access Abstract

NPM: 13-1: Oral Health During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): STATE, Medicaid Reform
Intervention Description: Pregnancy risk assessment monitoring system (PRAMS) data (2014–2015) and the Medicaid-SCHIP state dental association (MSDA) national profiles (2014–2015) were used in this study. The study sample included 16,612 Medicaid-enrolled women, for a weighted number of 965,046 women from 26 states and New York City. State Medicaid dental coverage was categorized into (1) no coverage for the dental cleaning, (2) coverage for dental cleaning and fillings, (3) extended dental coverage. The adjusted prevalence ratios (aPR) for dental visits for cleaning during pregnancy were examined by Medicaid dental coverage level.
Conclusion: This study highlights the importance of Medicaid dental coverage for adult pregnant women related to dental service utilization during pregnancy.
Setting: Virginia
Target Audience: State/Systems
Data Source: Community-based PRAMS data

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.