Bethany Reichard

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• Bethany Reichard Janelle DePew

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Target Population

• 16 pregnant women and their partners at a
  birthing class
• Age range 16-30 years old
• Some accompanied by spouses, others by mothers or
  friends

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Institutional Facility

• The facility where we delivered our presentation
  was called the Saxton Pavilion in Wilkes Barre
• Birthing classes are held here regularly in a
  very large classroom equipped with a television,
  computer, study models, birthing balls, and more!
• The classes last about 3-4 hours and are held
  twice a week for four weeks.

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Contributing Factors

• Fluctuation in hormones that cause an exaggerated
  response to plaque
• Neglect of their oral hygiene due to focus being
  put on the babys arrival
• Stress
• Lack of education

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Determining Oral Health Needs

• The oral hygiene needs of the pregnant mother,
  and the needs of her baby

• A pre-test was designed to determine the extent
  of their knowledge

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Pre-test

• 1.)    At what age should your child have their
  first dental visit?
• 2.)    What is the importance of Fluoride?
• 3.)    What age should you (your child) begin
  taking a fluoride supplements?
•      a.) During the 3rd Trimester of
  pregnancy
•      b.) 6 months
•     c.) 6 years

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Pre-test (cont.)

• 4.)    Can all natural fruit juices and/or
  milk cause decay? 5.)    Is it detrimental to
  put your child to bed with a bottle of
  juice/milk?6.)    At what age should you begin
  to clean your childs teeth? a.     
  1year b.      2 years c.      6 months7.)   
  At what age, and what location will the first
  baby tooth erupt? First permanent tooth?

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Pre-test (cont.)

• 8.) Do you feel that your oral health can have an
  impact on your childs dental health?
•  
• 9.) Is it true that there is a tooth lost for
  every baby a woman has?
• 10.) Is there any topic not listed above, that
  you are particularly interested in?

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Project Goal and Objectives

• GOAL Increase awareness of the impact of oral
  hygiene in pregnancy and during the formative
  years of a childs life. Ultimately, we wanted
  to create a stimulus for positive action on the
  part of the pregnant women.

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Objectives

• During discussion following presentation,
  participants will be able to volunteer
  information about the importance of fluoride and
  what age their child should begin taking
  supplements.
• During discussion following presentation,
  expecting mothers will be able to volunteer
  information that all natural fruit juices and
  milk have the potential to cause decay.
• During discussion following presentation,
  participants will be able to volunteer
  information about the first tooth to erupt in
  both the primary and permanent dentition, and at
  what age they should begin brushing their childs
  teeth.

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Project Design

• Pre-test-information on fluoride, eruption
  patterns, dietary information. Pregnancy
  gingivitis, and pre-term low birth weight
• Oral Presentation/brochures brochures that
  detail the answers to the pre-test, and offer
  visual aids as an adjunct to learning.
• Evaluation through discussion- summary, with
  questions from pre-test re-visited to determine
  the extent of which objectives were met.

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Educational Methodologies

• Lecture-adult appropriate
• Pamphlet/visual aids
• Discussion/evaluation

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Comparing Project Results with Preliminary Data

• Preliminary data (pre-test) showed that most of
  the participants were somewhat knowledgeable
  about topics presented. Therefore, project
  results (discussion) were as expected, if not
  better.
• The areas that participants were NOT as
  knowledgeable were
• -age of first dental visit
• -age to begin fluoride supplementation
• -impact of bottles with juice/milk
• -age/location of 1st tooth

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• Following the lecture and distribution of
  pamphlets, there were positive responses in these
  areas, indicating that the project was effective.

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Gathering and Analyzing Project Information
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Pre-test Data
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Percentages

• Question 1- 37 answered correctly
• Question 2- 100
• Question 3- 56
• Question 4- 100
• Question 5- 63
• Question 6- 44
• Question 7-50
• Question 8- 88
• Question 9- 88

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Determining the Extent To Which the Project
Objectives Were Achieved

• Objectives 1,2,3- During discussion in all areas
  covered by these objectives, positive responses
  were obtained.
• Objective 4- The topic addressed by this
  objective was the link between poor oral hygiene
  and pre-term low birth weight babies. This area
  was a more difficult topic to explain. None of
  the participants were able to volunteer
  information on this topic during discussion.

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Determining Ways In Which the Project Could Be
Improved

• Establish better communication with contact
  person regarding content and timing of
  presentation
• Our presentation followed a 2 ½ hour birthing
  class-participants were mentally and physically
  drained, making it more difficult to focus.
• Choose the wording of the pretest questions more
  carefully (several questions were worded in a
  vague manner, with a Yes/No answer. This made
  it difficult to determine the actual
  comprehension of the participants).