Maternal and Child Health Journal

, Volume 16, Issue 8, pp 1688–1695 | Cite as

The Association between Maternal Oral Health Experiences and Risk of Preterm Birth in 10 States, Pregnancy Risk Assessment Monitoring System, 2004–2006

  • Sunah S. HwangEmail author
  • Vincent C. Smith
  • Marie C. McCormick
  • Wanda D. Barfield


The aim of this study is to investigate the association between oral health experiences of women in the peripartum period and the risk of preterm delivery (<37 weeks). We analyzed 2004–2006 data from the CDC Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance system that collects data on pregnancy and postpartum experiences of mothers who have recently delivered a live infant. Ten states included in the analysis had a ≥70% weighted response rate and three standard questions pertaining to oral health. White non-Hispanic (WNH), Black non-Hispanic (BNH), and Hispanic women were selected for analysis. Chi-squared analysis was performed for our bivariate analysis and multivariate logistic regression models were created to calculate adjusted odds ratios, controlling for socio-demographic characteristics and peripartum morbidities. Weighted percentages and standard errors were used for all analyses. Among the 35,267 women studied, in the multivariate analysis, mothers who did not receive dental care during pregnancy and did not have a teeth cleaning during pregnancy were at higher risk for delivering a preterm infant (OR 1.15, CI 1.02–1.30; OR 1.23, CI 1.08–1.41). In this population-based study, women who did not receive dental care or have a teeth cleaning during pregnancy were at slightly higher risk for preterm delivery after adjustment for pertinent confounders.


Maternal oral health Preterm birth Dental care during pregnancy 



The authors wish to acknowledge the Pregnancy Risk Assessment Monitoring System working group:

Alabama—Albert Woolbright, PhD; Alaska—Kathy Perham-Hester, MS, MPH; Arkansas—Mary McGehee, PhD; Colorado—Alyson Shupe, PhD; Delaware—George Yocher, MS; Florida—Marie Bailey, MA, MSW, MPH; Georgia—Carol Hoban, Ph.D, MS,.MPH; Hawaii—Mark Eshima, MA; Illinois—Theresa Sandidge, MA; Louisiana—Joan Wightkin; Maine—Tom Patenaude; Maryland—Diana Cheng, MD; Massachusetts—Hafsatou Diop, MD, MPH; Michigan—Violanda Grigorescu, MD, MSPH; Minnesota—Judy Punyko, PhD, MPH; Mississippi—Marilyn Jones, M.Ed; Missouri—Venkata Garikapaty, MSc, MS, PhD, MPH; Montana—JoAnn Dotson; Nebraska—Brenda Coufal; New Jersey—Lakota Kruse, MD; New Mexico—Eirian Coronado, MPH; New York State—Anne Radigan-Garcia; New York City—Candace Mulready-Ward, MPH; North Carolina—Paul Buescher, PhD; North Dakota—Sandra Anseth; Ohio—Connie Geidenberger; Oklahoma –Alicia Lincoln, MSW, MSPH; Oregon—Kenneth Rosenberg, MD; Pennsylvania—Tony Norwood; Rhode Island—Sam Viner-Brown, PhD; South Carolina—Mike Smith; South Dakota Tribal—Christine Rinki, MPH; Texas—Kate Sullivan, PhD; Tennessee—David Law, PhD; Utah—Laurie Baksh; Vermont—Peggy Brozicevic; Virginia—Marilyn Wenner; Washington—Linda Lohdefinck; West Virginia—Melissa Baker, MA; Wisconsin—Katherine Kvale, PhD; Wyoming—Angi Crotsenberg; CDC PRAMS Team, Applied Sciences Branch, Division of Reproductive Health. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Sunah S. Hwang
    • 1
    Email author
  • Vincent C. Smith
    • 2
  • Marie C. McCormick
    • 3
  • Wanda D. Barfield
    • 4
  1. 1.Division of Newborn MedicineChildren’s Hospital BostonBostonUSA
  2. 2.Department of Neonatology, Beth Israel Deaconess Medical Center, Division of Newborn MedicineChildren’s Hospital BostonBostonUSA
  3. 3.Department of Society, Human Development, and HealthHarvard School of Public Health, Harvard Medical SchoolBostonUSA
  4. 4.Division of Reproductive HealthCenters for Disease Control and PreventionAtlantaUSA

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