Efficacy of a prospective community-based intervention to prevent preterm birth
| Autor: | Hidetaka Katabuchi, Junya Miyoshi, Takahiko Katoh, Takashi Ohba, Masanori Ohkuma, Daisuke Tanoue |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Periodontal examination Tooth brushing 03 medical and health sciences 0302 clinical medicine Japan Pregnancy medicine Humans Infant Very Low Birth Weight Community Health Services Prospective Studies Prospective cohort study Periodontal Diseases 030219 obstetrics & reproductive medicine business.industry Obstetrics Incidence (epidemiology) Obstetrics and Gynecology 030206 dentistry medicine.disease Anti-Bacterial Agents Low birth weight Chorioamnionitis Premature birth Pediatrics Perinatology and Child Health Premature Birth Female Bacterial vaginosis medicine.symptom business |
| Zdroj: | Journal of perinatal medicine. 45(1) |
| ISSN: | 1619-3997 |
| Popis: | Objectives: To evaluate a community-based intervention trial for the prevention of preterm birth. Methods: This trial was conducted on pregnant women in the Amakusa area, and in the Hitoyoshi-Kuma area, both in Japan. Prophylactic oral antibiotics were recommended for pregnant women with high-risk on preterm birth. The subjects were also encouraged to undergo a periodontal examination. An explanation of proper tooth brushing was given and full mouth scaling was allowed if deemed necessary. Results: Of 720 consented subjects in the Amakusa area and of 373 in the Hitoyoshi-Kuma area, bacterial vaginosis was found in 100 (13.9%) Amakusa residents and 71 (19.0%) Hitoyoshi-Kuma residents. Prophylactic antibiotics were prescribed for 93 Amakusa residents and 39 Hitoyoshi-Kuma residents. Among subjects who underwent a periodontal examination, periodontal disease was found in 47.7% of Amakusa residents and 59.7% of Hitoyoshi-Kuma residents. Periodontal health was improved among these women by a nonsurgical intervention during their pregnancy. Comparing the incidences of very low birth weight (VLBW) with the averages during the preceding 6 years in each area, the incidences of VLBW was 46.4% lower in Amakusa and 69.7% Hitoyoshi-Kuma during the study year. Conclusions: A community-based multifaceted intervention might reduce the incidence of VLBW infants. |
| Databáze: | OpenAIRE |
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