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Master Thesis

Prévention en santé bucco-dentaire chez la femme enceinte : dépistage du risque de maladies parodontales en consultation prénatale

Abstract : Knowing the impact that a periodontal disease can have on the development of a pregnancy, and on maternal and fetal health, the HAS (High Health Authority) recommends to visit a dentist for screening, 100% reimbursed by the social security system from the 4th month of pregnancy and until the 12th day after the delivery, since June 2014. In fact, the consequences published in the literature are : a higher risk of premature delivery, a late rowth in uterus associated with a lower weight at birth, a higher risk to develop a pre-eclampsia. Yet the prevention by spreading information and referral to a dentist remains inadequate. The midwife is at the heart of the management of the pregnant woman and can play a major role in her health education, particularly in the oral health. Objectives: the objectives of this study were to screen at a pre-natal level, using a risk score, pregnant women who needed a higher prevention in oral health and to offer an educational information aid targeting oral health in pregnant women. Material and method : a prospective study has been conducted on 100 patients over a period of five months, in the three prenatal mid-wife consultation sites : PMI (Mother and Infant Protection Center), private practice, maternity hospital. This study has been put forward together with a screening grid, containing a risk score which allows to target three groups of patients : a low risk group, a medium risk group, and a high risk group. Results : this study has highlighted poor hygiene conditions and inadequate follow up of the interviewed patients, influenced by different factors. The first signs of inflammation could also be revealed through screening, with a greater number of gum bleeding. Conclusion : the implementation of a systematic screening program at prenatal visit level through medical history and short examination of the first signs of inflammation appears to be consistent after this study. The establishment of an open prevention campaign would allow a wider dissemination of the information. Last but not least training for perinatal practitioners and dentists on the subject would allow a better transmission of information to the patients.
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Submitted on : Tuesday, January 3, 2017 - 11:16:47 AM
Last modification on : Monday, July 6, 2020 - 4:04:37 PM
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  • HAL Id : dumas-01370859, version 1


Alice Abril. Prévention en santé bucco-dentaire chez la femme enceinte : dépistage du risque de maladies parodontales en consultation prénatale. Gynécologie et obstétrique. 2016. ⟨dumas-01370859⟩



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