American Journal of Nursing Research. 2019, 7(4), 643-651
DOI: 10.12691/AJNR-7-4-25
Original Research

The Oral Health Knowledge and Self-care Practices of Pregnant Women in Saudi Arabia

Salma Moawed1, Amany S. Badawy2, 3, , Samar Alotaibi3 and Maha Alrowily4

1Department of Maternity & Child health Nursing, College of Nursing, King Saud University, KSA

2Maternal and Newborn Health Nursing, College of Nursing, Zagazig University, Egypt

3Maternal and Newborn Health Nursing, College of Nursing King Saud University, KSA

4Maternity and Gyn. Nursing, College of Nursing, King Saud University, KSA

Pub. Date: June 15, 2019

Cite this paper

Salma Moawed, Amany S. Badawy, Samar Alotaibi and Maha Alrowily. The Oral Health Knowledge and Self-care Practices of Pregnant Women in Saudi Arabia. American Journal of Nursing Research. 2019; 7(4):643-651. doi: 10.12691/AJNR-7-4-25


Background. Pregnancy is a unique time in a woman's life and is characterized by complex physiological changes. These changes can adversely affect oral health. Oral health is a state of being free from chronic mouth and facial pain, oral and throat cancer, oral sores, periodontal (gum) disease, tooth decay and tooth loss, and other diseases, and disorders that affect the oral cavity. Risk factors for oral diseases include unhealthy diet, tobacco use, harmful alcohol use, and poor oral hygiene (WHO). Multiple studies have shown an association between periodontal infection and adverse pregnancy outcomes, such as premature delivery and low birth weight. Aim of this study assess women’s knowledge towards oral and dental health during pregnancy and to examine their self-care practices in relation to oral and dental health. Methodology The research will be conducted at randomly governmental primary health care centers and schools in Riyadh (Dawadmi region). A Quantitative Descriptive cross-sectional study was carried out. two-hundred Saudi pregnant women selected randomly. Women who gave informed consent were asked to complete a self-administered questionnaire and return it to the researcher A Structured questionnaire will be developed consisted of three parts, Demographic characteristics part, level of women`s Knowledge regarding oral health part & Self-care practice regard oral health care. Results, Conclusion & Recommendation. Age of participant women’s between 28 – 38 years (43.2%). Most of the participants had number of pregnancies between 4-6 (38.5 %). Regarding the level of knowledge about oral health, this study showed that 45% of mother had poor knowledge, and there is a significant relationship between the level of practice and the educational, professional status and attendance to antenatal clinic, which was started by 65% of the sample on time, however, they did not visit the dentist. This study recommends that the implementation of oral health programs in prenatal services is essential to delivery of dental care and decreasing the potential oral problems among pregnant women, as well as conducting careful screening of oral risks, and assisting women in obtaining regular dental care.


oral health, knowledge, self-care practice, pregnant women


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[1]  National Organization of Nurse Practitioner Faculties. (2014). Nurse practitioner core competencies with suggested curriculum content. Retrieved from FinalNov20.pdf.
[2]  Ozen, B., Ozer, L., Başak, F., Altun, C., & Açıkel, C. (2012). Turkish women's self-reported knowledge and behavior towards oral health during pregnancy. Med Princ Pract, 21(4), 318-322.
[3]  George A, Shamim S, Johnson M, Ajwani S, Bhole S, Blinkhorn A,. Periodontal treatment during pregnancy and birth outcomes: A meta-analysis of randomised trials. Int J Evid Based Healthc. (2011); 9: 122-47.
[4]  Shenoy R, Chacko V. Utilization of dental services due to dental pain by pregnant women in India: A qualitative analysis. J Interdiscip Dent. (2013); 3: 18-20.
[5]  Alves, R., Ribeiro, R., Costa, L., Leles, C., Freire, M., & Paiva, S.. Oral Care during Pregnancy: Attitudes of Brazilian Public Health Professionals. [Article]. International Journal of Environmental Research and Public Health, (2012) 9(10), 3454-3464.
[6]  Hashim, R., & Akbar, M. (2014). Gynecologists’ knowledge and attitudes regarding oral health and PD leading to adverse pregnancy outcomes. Journal of International Society of Preventive & Community Dentistry, 4(Suppl. 3), S166-S172.
[7]  Sheha E., Hassan H., Gamel W. Association between pre-pregnant overweight and obesity and periodontal disease during pregnancy: a cross sectional study. International Journal of Studies in Nursing. 2018; 3(1): 1-21.
[8]  Wu, M., Chen, S.-W., & Jiang, S.-Y. Relationship between gingival inflammation and pregnancy. Mediators of Inflammation, 2015, 623427.
[9]  Corbella, S., Taschieri, S., Del Fabbro, M., Francetti, L., Weinstein, R., & Ferrazzi, E. Adverse pregnancy outcomes and periodontitis: A systematic review and meta-analysis exploring potential association. Quintessence International, (2016).47(3), 193-204.
[10]  Eke, P. I., Dye, B. A., Wei, L., Thornton-Evans, G. O., & Genco, R. J.. Prevalence of periodontitis in adults in the United States: 2009 and 2010. Journal of Dental Research, (2012) 91(10), 914-920.
[11]  Gogeneni, H., Buduneli, N., Ceyhan-O¨ ztu¨rk, B., Gu¨mu¨s‚ , P., Akcali, A., Zeller, I., O¨ zc¸aka, O¨ . Increased infection with key periodontal pathogens during gestational diabetes mellitus. Journal of Clinical Periodontology, (2015). 42(6), 506-512.
[12]  Raman deep, Singh Gambhir, Ashutosh Nirola, Tarun Gupta, Tegbir Singh Sekhon, Samir Anand (2015) Oral health knowledge and awareness among pregnant women in India: A systematic review.
[13]  Erin Hartnett, Judith Haber, Barbara Krainovich-Miller, Abigail Bella, Anna Vasilyeva, and Julia Lange Kessle ; Oral Health in Pregnancy JOGNN, 45, 565-573 July–August 2016, Pages 565-573.
[14]  Haber, J., Hartnett, E., Allen, K., Hallas, D., Dorsen, C., Lange-Kessler, J. Wholihan, D. Putting the mouth back in the head: HEENT to HEENOT. American Journal of Public Health, (2015).105(3), 437-441.
[15]  Cigna Corporation. Healthy smiles for mom and baby: Insights into expecting and new mothers’ oral health habits. Retrieved from (2015).
[16]  Vt, H., T, M., T, S., Nisha V, A., & A, A.. Dental considerations in pregnancy-a critical review on the oral care. J Clin Diagn Res, (2013) 7(5), 948-953.
[17]  Azofeifa, A., Yeung, L. F., Alverson, C. J., & Beltra´n-Aguilar, E. Oral health conditions and dental visits among pregnant and nonpregnant women of childbearing age in the United States, National Health and Nutrition Examination Survey, 1999-2004. Preventing Chronic Disease, (2014). 11, E163.
[18]  Jiang, H., Xiong, X., Buekens, P., Su, Y., & Qian, X. (2015). Use of mouth rinse during pregnancy to improve birth and neonatal outcomes: a randomized controlled trial. BMC Pregnancy Childbirth, 15(1), 311.
[19]  Buerlein J, Peabody H, Santoro K. NIHCM Foundation. Improving Access to Perinatal Oral Health Care: Strategies and Considerations for Health Plans: Issue Brief July 2010. National Institute for Health Care Management. Available from: [Last accessed on 2014 Dec 01].
[20]  George A, Johnson M, Blinkhorn A, Ajwani S, Bhole S, Yeo AE,. The oral health status, practices and knowledge of pregnant women in south-western Sydney. Aust Dent J. 2013; 58: 26-33.
[21]  Bamanikar S, Kee LK. Knowledge, attitude and practice of oral and dental healthcare in pregnant women. Oman Med J. (2013); 28: 288-91.
[22]  Paul Y, Singh P, Singla P, Rathore S, Vaid R. (2014) Periodontal health – Awareness among pregnant females in semi urban population of Chandigarh – A crosssectional survey. BFUDJ; 5: 49-53.
[23]  Ha, J. E., Jun, J. K., Ko, H. J., Paik, D. I., & Bae, K. H.. Association between periodontitis and preeclampsia in neversmokers: A prospective study. Journal of Clinical Periodontology, (2014) 41(9), 869-874.
[24]  Chacko V, Shenoy R, Prasy HE, Agarwal S. Self-reported awareness of oral health and infant oral health among pregnant women in Mangalore, India – A prenatal survey. Int J Health Rehabil Sci(2103).; 2: 109-15.
[25]  American Academy of Pediatric Dentistry.. Policy on early childhood caries (ECC): Classifications, consequences, and preventive strategies. Pediatric Dentistry, (2015) 37(6), 50-52.
[26]  Mital P, Agarwal A, Raisingani D, Mital P, Hooja N, Jain P. (2013) Dental caries and gingivitis in pregnant women. Sch Acad J Biosci. 2013; 1: 718-23.
[27]  Saddki, N., Yusoff, A., & Hwang, Y.L. (2010). Factors associated with dental visit and barriers to utilization of oral health care services in a sample of antenatal mothers in Hospital University Sains Malaysia. BMC Public Health, 10, 75. Retrieved from
[28]  Agarwal A, Mital P, Hooja N, Mital P, Salvi A, Fatima A. Oral and dental health knowledge, attitude and practice among pregnant Women. Sch Acad J Biosci. (2014); 2: 627-32.
[29]  American College of Obstetricians and Gynecologists Women’s Health Care Physicians Committee on Health Care for Underserved Women. (2013). Committee opinion no. 569: Oral health care during pregnancy and through the lifespan. Obstetrics and Gynecology, (2013). 122(2 Pt. 1), 417-422.
[30]  Buerlein, J. K., Horowitz, A. M., & Child, W. L. Perspectives of Maryland women regarding oral health during pregnancy and early childhood. Journal of Public Health Dentistry, (2011). 71(2), 131-135.
[31]  Chacko, V., Shenoy, R., Prasy, H. E., & Agarwal, S.. Self-reported awareness of oral health and infant oral health among pregnant women in Mangalore, India - a prenatal survey. International Journal of Health and Rehabilitation Sciences, (2013) 2(2), 109-115.
[32]  Ehlers, V., Callaway, A., Hortig, W., Kasaj, A., & Willershausen, B. Clinical parameters and aMMP-8-concentrations in gingival crevicular fluid in pregnancy gingivitis. Clinical Laboratory, (2013). 59(5-6), 605-611.
[33]  Farg D. and Hassan H. Risk Factors for Hyperemesis Graviderum Requiring Hospital Admission during Pregnancy and Nursing Implication. American Journal of Nursing Research, 2019; 7(3).
[34]  Hughes SC, Levinson G, Rosen MA, Schnider and Levinson’s Anesthesia for Obstetics, 4th ed. 2001. Lippincott Williams & Wilkins :Philadelphia.
[35]  Institute of Medicine. (2013). Oral health literacy: Workshop summary. Washington, DC: The National Academies Press. Retrieved-from
[36]  Journal of Indian Society of Periodontology Vol 19, Issue 6, Nov- Dec on Wednesday, April 18, 2018.
[37]  Keirse, M. & Plutzer, K. (2010). Women’s attitudes to and perceptions of oral health and dental care during pregnancy. J Perinat Med, 38(1), 3-8.
[38]  Langelier, M. H., Glicken, A. D., & Surdu, S. (2015). Adoption of oral health curriculum by physician assistant education programs in 2014. The Journal of Physician Assistant Education, 26(2), 60-69.
[39]  Reddy RS, Amara SL, Tatapudi R, Koppolu P, Nimma VL, Reddy RL (2013). Awareness and attitude towards maintenance of oral health during pregnancy among patients and clinicians attending obstetrics and gynecology ward. J Dr NTR Univ Health Sci.; 2: 102-8.
[40]  Pentapati KC, Acharya S, Bhat M, Rao SK, Singh S. (2013). Knowledge of dental decay and associated factors among pregnant women: A study from rural India. Oral Health Prev Dent.; 11: 161-8.