Periodontal disease and pregnancy outcomes

Routine specialist pregnancy care involved an initial meeting to discuss quitting smoking and set a quit date, followed by 4 weekly telephone calls, and free nicotine replacement therapy for 10 weeks.

Twenty three systematic reviews were included in this overview of reviews reviews assessing the link between periodontal disease and adverse periodontal outcomes. While a majority of the available reviews suggest an association there are concerns regarding the quality of the primary studies.

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Periodontal treatment during pregnancy-no evidence of impact on preterm birth

Routine specialist pregnancy care involved an initial meeting to discuss quitting smoking and set a quit date, followed by 4 weekly telephone calls, and free nicotine replacement therapy for 10 weeks.

15 RCTs were included in this Cochrane review of impact of periodontal treatment on adverse pregnancy outcomes. all the included studies were considered to be at high risk of bias. There was no evidence that periodontal treatment reduces the number of preterm babies.

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OCD risk may increase following perinatal complications

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Alan Underwood summarises a population based cohort study of 2.4 million Swedish children, which highlights links between perinatal risk factors such as smoking during pregnancy, and later development of obsessive compulsive disorder.

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Cannabis use during pregnancy: little known about impact on child or maternal health

smoking-cannabis

Ellen Grimas summarises a systematic review on prenatal exposure to cannabis and maternal and child health outcomes, which highlights the lack of high quality research in this area.

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Periodontal treatment and adverse pregnancy outcomes

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This study updates a previous meta-analysis adding 2 new studies and reassessing the findings. Overall, it suggests that the provision of periodontal treatment does not seem to prevent adverse pregnancy outcomes, although there is a suggestion of benefit in high risk populations.

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The difference of a few weeks in the womb: do early-term infants have poorer developmental outcomes?

New born baby

Human pregnancy is considered to be full-term when it lasts between 37-42 weeks. Anything shorter is considered to be a pre-term birth and anything longer is considered post-term. Longer pregnancies can be a risk to both the mother and infant and so labour tends to be induced if a pregnancy goes on past 42 weeks. [read the full story…]

Low birth weight boys who experience stress may be at increased risk of adolescent depression and anxiety

Premature baby

Depression and anxiety are common conditions in adolescence that can lead to persistent and life-long mood and anxiety disorders for some people. One theory is that prenatal maternal stress can contribute to depression in young people (the so called fetal programming hypothesis). The notion here is that pregnant women who experience stress may send messages to their foetus [read the full story…]

Periodontal treatment, pre-term birth and low birth weight

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Periodontal disease is common as is pregnancy and preterm labour is a complication in 10-15% of all pregnancies.  It is therefore not unsurprising that an association between periodontal disease and pre-term labour has been noted in a number of studies.  The aim of this latest review was quantify the relationship between periodontal disease, preterm birth [read the full story…]