Article ; Online: Retrospective Study of Prenatal and Postnatal Gaps in Oral Health Care Utilization: Medicaid Policy Implications.
Maternal and child health journal
2022 Volume 26, Issue 3, Page(s) 642–648
Abstract: Objective: To assess the frequency and timing of dental treatment completion among pregnant and post-partum women served through the University of North Carolina at Chapel Hill (UNC-CH) Prenatal Oral Health Program (pOHP) dental clinic in the context of ...
| Abstract | Objective: To assess the frequency and timing of dental treatment completion among pregnant and post-partum women served through the University of North Carolina at Chapel Hill (UNC-CH) Prenatal Oral Health Program (pOHP) dental clinic in the context of North Carolina (NC) dental Medicaid policies. Methods: We completed a retrospective chart review of pregnant women referred to the program between May 2015 and May 2019. Data were collected from the time of referral until up to 2 years after their estimated due date (EDD). We assessed pre- and post-delivery dental appointment timing and dental treatment completion. Results: The initial study population included 264 pregnant women. Overall, 213 patients (81%) attended at least one appointment, and 32 patients (12%) completed recommended treatments prior to their EDD. Fifty patients (19%) returned after delivery to resume dental care, with only 25 patients (10%) completing their recommended treatment plan. Women re-entered dental care at a median of 67 days (range 5-613 days) after their EDD and completed treatment at a median of 378 days (range 52-730 days) following delivery. Conclusions for practice: Despite dental clinic referral, most pregnant women do not complete recommended dental treatment before giving birth, and women who resumed dental care after birth demonstrated a lag-time between delivery and care completion. These findings highlight the need for extending post-pregnancy dental care coverage, which is limited under current dental Medicaid policies, posing a major public health issue for new mothers to continue oral health care. |
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| MeSH term(s) | Female ; Humans ; Medicaid ; Oral Health ; Patient Acceptance of Health Care ; Policy ; Pregnancy ; Prenatal Care ; Retrospective Studies ; United States |
| Language | English |
| Publishing date | 2022-01-08 |
| Publishing country | United States |
| Document type | Journal Article |
| ZDB-ID | 1339905-6 |
| ISSN | 1573-6628 ; 1092-7875 |
| ISSN (online) | 1573-6628 |
| ISSN | 1092-7875 |
| DOI | 10.1007/s10995-021-03343-9 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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