MCH Best. NPM 13.1: Oral Health in Pregnancy
MCH Strategy. Integrate oral health messages and strategies within existing community-based maternal and infant health programs.
Overview. There is preliminary evidence that oral health education interventions (e.g., oral health education through instructive materials, provision of dental supplies to improve daily habits, encouragement of dental visits, and counseling and motivational interviewing to help navigate services) for pregnant women may increase receipt of dental visits. While these results are encouraging, more research is needed for conclusive results.1
Evidence. Emerging Evidence. Two studies evaluating education or counseling interventions targeting pregnant women show potential for effectiveness in increasing the receipt of dental visits. Access peer-reviewed evidence about education and counseling from the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Patients.
Outcome. Percentage of women who saw a dentist in past year or during pregnancy. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 7 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the strategy “Integrate oral health messages and strategies within existing community-based maternal and infant health programs,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 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