ORCID Profile
0000-0003-2550-6465
Current Organisations
King's College London
,
Guy's and Saint Thomas' NHS Foundation Trust
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Publisher: Springer Science and Business Media LLC
Date: 24-03-2017
Abstract: To determine the oral health knowledge of pregnant women and to report their future plans to provide dental care for their expected child. Prospective cohort study Ultrasound maternity services at St Thomas’ Hospital, London, 2014. Pregnant women attending for a routine ultrasound scan completed a questionnaire. Women did not know that milk, dried fruit or fruit juices can cause caries. Most women knew about the benefit of fluoridated toothpaste, dental floss and sugar-free chewing gum, but only a minority knew about fluoride varnish. Most pregnant women planned to read or seek advice before purchasing their child’s first toothpaste. There was no difference regarding knowledge of prevention tools (diet and fluoride supplements) for dental caries ( P .05) between first-time mothers and those who had children already. Though the latter knew more about toothpaste dose and timing of starting toothbrushing ( P .05). Oral health knowledge among pregnant women was deficient with respect to the cariogenicity of prolonged night-time milk feeding, dried fruits and fruit juice consumption. There was also limited knowledge of the benefit of fluoride varnish and timing of starting toothbrushing. Oral health knowledge amongst pregnant women is still deficient in many aspects. In this study population the need to improve maternal knowledge was shown.
Publisher: Wiley
Date: 12-12-2008
DOI: 10.1111/J.1471-0528.2008.01828.X
Abstract: This study investigated the reliability, sensitivity and specificity of a commercially available absorbent pad, AmnioSense, compared with speculum examination for detection of spontaneous ruptured membranes (SRM). Prospective cohort study. Antenatal Day Unit (ADU) of a UK inner-city teaching hospital. Women attending the ADU with a history of suspected ruptured membranes between 18 and 42 weeks of gestation. Eligible women were asked to use the absorbent pad in accordance with the manufacturer's instructions. A midwife recorded the result. A second midwife performed a speculum examination according to unit protocol. Results were entered onto a password-protected study-specific database. Both midwives were blind to the other test result. Comparability between the index test (AmnioSense) and reference standard (speculum). A total of 157 women were recruited and results were analysed in 139 cases. Median gestational age at recruitment was 37(+2) weeks. The prevalence of SRM was 42% (59/139) with AmnioSense giving a sensitivity of 98% (58/59) and specificity of 65% (52/80). Thirty-eight percent (53/139 women) with SRM would have been correctly identified as having intact membranes without the need for a speculum examination. Twenty-five percent of AmnioSense false-positive results were associated with positive high vaginal swab results (7/28). These data suggest that a negative AmnioSense result can provide reassurance of intact membranes. Use of the AmnioSense test before considering speculum examination could reduce the number of speculum examinations undertaken, with benefit to women and concomitant health resource savings.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 05-2009
Publisher: Mark Allen Group
Date: 07-2013
DOI: 10.12968/BJOM.2013.21.7.485
Abstract: Smoking is a highly significant modifiable risk factor in pregnancy. Despite its association with an extensive list of adverse outcomes, 35% of pregnant teenagers smoke throughout their pregnancy ( NHS, 2011a ). Although a successful method of quitting, engagement with Stop Smoking Services (SSS) is low among young women ( National Institute for Health and Care Excellence (NICE), 2010 ). Alternative methods of encouraging this group to utilise SSS are needed. In this study, qualitative data were collected from 32 teenage pregnant smokers and 60 specialist teenage midwives, and used to develop an online tool—‘Baby Be Smoke Free’ (BBSF)—to support smoking cessation in young pregnant women. The tool was piloted in the antenatal clinic of an inner city tertiary referral centre with high rates of teenage pregnancies. Thirty six young women were recruited and qualitative feedback was gathered from a further 15 young pregnant women. BBSF increased awareness of the impact of smoking and motivation to quit. Four out of the 36 women requested support from SSS. Broader testing and refining is required, but BBSF could be a useful intervention to engage this hard to reach group of pregnant women.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Jenny Carter.