Periodontal condition is associated with adverse perinatal outcomes and premature rupture of membranes in low-income pregnant women in Bogota, Colombia: a case–control study

Autores organización

• 

  Gloria Ines Lafaurie Villamil

  Autor

• Luis Alejandro Gomez Barrera

  Autor

• 

  Juliette De Avila Quiroga

  Autor

• 

  Martha Cecilia Tamayo Muñoz

  Autor

• Tamy Goretty Trujillo Escobar

  Autor

Autores

• Montenegro DA
• Lancheros MC
• Quiceno J
• Noriega LA
• Grueso ML
• Cepeda K

Grupos de investigación

• Complejidad y Salud Pública

  Investigador

  Santiago Galvis Villamizar

• Grupo de Inmunología celular y molecular Universidad El Bosque (InmuBo)

  Investigador

  Maria Consuelo Romero Sanchez

• Unidad de Epidemiología Clínica Oral UNIECLO

  Investigador

  Maria Rosa Buenahora Tobar

• Unidad de Investigación Básica Oral UIBO

  

  Investigador

  Gloria Ines Lafaurie Villamil

Resumen

Objectives: To assess the periodontal condition as a factor associated with adverse perinatal outcomes, premature rupture of membranes (PRM), and preeclampsia in low-income pregnant women treated at public hospitals in Bogotá, Colombia. Methods: Pregnant women with preterm birth (PTB) and low birth weight (LBW) or both conditions (n = 107/428), or only PTB (n = 73/292) or LBW (n = 74/296) or with PRM (n = 98/392) or preeclampsia (n = 76/304) in a ratio of four controls for each case, coming from three hospitals of the public Northern Network of Bogotá, Colombia were studied. Sociodemographic, perinatal adverse outcome history, antenatal care, chronic infections, periodontal condition, threatened abortion, bleeding in the second half of pregnancy, oligohydramnios, diabetes, gestational diabetes, alcohol consumption, hypertension, smoking, alcohol during pregnancy were determined. Logistic regression was conducted to establish factors associated to perinatal adverse outcomes. Multiple correspondence analysis was conducted as secondary analysis. Results: Threatened abortion, absence of antenatal care, hypertension, chronic infections, and periodontal condition were the most important factors associated with perinatal adverse outcomes. The presence of periodontal pockets was associated with LBW OR 2.52 (IC95% 1.36–4.70), PTB OR 2.04 (IC95% 1.10–3.64), PTB-LBW or both OR 2.08 (IC95% 1.18–3.31), PRM OR 2.04 (IC95% 1.17–3.56). Periodontal pockets presence was not associated with preeclampsia. Multiple correspondence analyses showed high correlation between PRM with chronic infection and presence of periodontal pockets. Conclusions: Periodontal condition is a factor independent of other important risk factors for a perinatal adverse outcome and PRM. Prevention of periodontal disease should be included in preconception and prenatal care programs. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

• Adult; Case-Control Studies; Colombia; Female; Fetal Membranes, Premature Rupture; Humans; Infant, Low Birth Weight; Infant, Newborn; Infant, Newborn, Diseases; Periodontal Diseases; Poverty; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Premature Birth; Prenatal Care; Risk Factors; Socioeconomic Factors; Young Adult; adult; alcohol consumption; Article; bleeding; case control study; Colombia; controlled study; female; human; imminent abortion; low birth weight; lowest income group; major clinical study; maternal hypertension; oligohydramnios; perinatal period; periodontal disease; preeclampsia; pregnancy diabetes mellitus; pregnant woman; premature fetus membrane rupture; premature labor; prenatal care; priority journal; public hospital; risk factor; smoking; social status; complication; newborn; newborn disease; periodontal disease; poverty; pregnancy; pregnancy complication; pregnancy outcome; premature fetus membrane rupture; prematurity; socioeconomics; young adult