Pregnancy Guidelines

National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: OHRCinfo@georgetown.edu
Website: https://www.mchoralhealth.org
Available from the website.

This guide offers health professionals an overview of preventive oral health supervision during five developmental periods: prenatal, infancy, early childhood, middle childhood, and adolescence. It is designed to help health professionals implement specific oral health guidelines during these periods. For each period, information about family preparation, risk assessment, interview questions, screening, examination, preventive procedures, anticipatory guidance, measurable outcomes, and referrals is discussed. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: OHRCinfo@georgetown.edu
Website: https://www.mchoralhealth.org
Available from the website.

This series provides an overview of activities to promote oral health during pregnancy. The series discusses efforts of federal agencies and national, state, and local organizations to launch programs, advance policy, and disseminate Oral Health During Pregnancy: A National Consensus Statement to ensure that both health professionals and pregnant women are aware of the importance and safety of receiving oral health care during pregnancy. A list of resources focused on promoting oral health during pregnancy and infancy is included. [Funded by the Maternal and Child Health Bureau]

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National Maternal and Child Oral Health Resource Center
Georgetown University Washington, DC 20057

E-mail: OHRCinfo@georgetown.edu
Website: https://www.mchoralhealth.org
Available from the website.

This report includes a consensus statement that resulted from an expert workgroup meeting held on October 18, 2011, in Washington, DC, convened by the Health Resources and Services Administration in collaboration with the American College of Obstetricians and Gynecologists and the American Dental Association. It contains guidance on oral health care for pregnant women for both prenatal care health professionals and oral health professionals, pharmacological considerations for pregnant women, and guidance for health professionals to share with pregnant women. [Funded by the Maternal and Child Health Bureau]

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American College of Obstetricians and Gynecologists
409 12th Street S.W., P.O. Box 96920
Washington, DC 20090-6920

Telephone: (202) 638-5577
Secondary Telephone: (202) 863-2518
E-mail: resources@acog.org
Website: http://www.acog.org
Available from the website.

This paper presents information and recommendations for obstetricians, gynecologists, and others about oral health care during pregnancy and through the lifespan. Topics include general health, common oral health conditions during pregnancy, periodontal disease and pregnancy outcomes, oral health assessment and counseling during pregnancy, and access to oral health care.

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Association of State and Territorial Dental Directors
3858 Cashill Boulevard
Reno, NV 89509

Telephone: (775) 626-5008
Fax: (775) 626-9268
E-mail: info@astdd.org
Website: http://www.astdd.org
Available from the website.

This report provides a description of perinatal oral health, including its significance and background, barriers to accessing oral health care for this population, and a strategic framework for improving perinatal oral health. It also includes guidelines and recommendations, research evidence, best practice criteria, state practice examples, and a logic model.

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California Dental Association Foundation
1201 K Street, Suite 1511
Sacramento, CA 95814

Telephone: (800) 232-7645
E-mail: foundationinfo@cda.org
Website: http://www.cdafoundation.org
Available from the website.

These guidelines are designed to help health professionals deliver oral health services to pregnant women and young children. Topics include the importance of oral health; maternal physiological considerations related to oral health; pregnancy, oral conditions, and oral health care; oral health and early childhood; access to care; and systems improvement and public policy changes. Sample forms and websites for parents are included as appendices. A policy brief is also available.

• Guidelines
• Policy Brief (see Page 655)

Massachusetts Department of Public Health, Office of Oral Health
250 Washington Street, 5th Floor
Boston, MA 02108

Telephone: (617) 624-6060
Secondary Telephone: (617) 624-5992
Fax: (617) 624-6062
Website: https://www.mass.gov/orgs/office-of-oral-health
Available from the website.

These guidelines provide oral health care recommendations and resources for health professionals caring for pregnant women and young children. Contents include information about oral diseases; oral health status among pregnant women and children in Massachusetts and efforts to improve it; and the role of prenatal care health professionals, oral health professionals, and pediatric health professionals in improving pregnant women’s and children’s oral health. Topics include assessing, advising, educating, referring, collaborating, treatment, and management. Resources on medication use during pregnancy, sample referral forms, and reproducible handouts on healthy portion sizes and healthy eating during pregnancy are also provided.

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Illinois Department of Public Health
525-535 West Jefferson Street
Springfield, IL 60603

Website: http://www.dph.illinois.gov
Available from the website.

This resource guide includes tools and other resources that can be used to improve the oral health status of women of childbearing age, pregnant women, infants, and young children in Illinois. It provides an introduction and background and discusses health information for women of reproductive age and pregnant women; the role of health professionals in improving the oral health of pregnant women, infants, and young children; prescribing opioids for women of reproductive age; and progress toward improving oral health in Illinois. State guidelines for policy and practice are included. [Partially funded by the Maternal and Child Health Bureau]

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New York State Department of Health, Bureau of Dental Health
Corning Tower Building, Room 542 Empire State Plaza
Albany, NY 12237

Telephone: (518) 474-1961
Fax: (518) 474-8985
E-mail: oralhealth@health.state.ny.us
Website: https://www.health.ny.gov/prevention/dental
Available from the website.

This brochure for pregnant women and families provides information about the importance of good oral health habits during pregnancy for women and their infant. It provides information about oral health coverage for women in Maryland, the safety of receiving oral health care while pregnant, and oral conditions that can occur during pregnancy. Tips about how to keep the mouth healthy during pregnancy are provided, and myths and facts about oral health during pregnancy are presented. The resource is available in English and in Spanish. [Funded by the Maternal and Child Health Bureau]

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Maryland Department of Health
201 West Preston Street
Baltimore, MD 21201

Telephone: (410) 767-6500
Secondary Telephone: (877) 463-3464
Website: http://www.dhmh.maryland.gov
Available from the website.

This practice guidance provides information on oral health care during pregnancy for oral health professionals and prenatal care professionals in Maryland. It provides information about the oral health of pregnant women and their infants in the state, state statistics on oral health care utilization during pregnancy, clinical practice guidance, a visual guide of oral conditions that can occur during pregnancy, a pharmacological considerations chart, a sample dental referral form, and educational resources to share with pregnant women. [Funded by the Maternal and Child Health Bureau]

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Massachusetts Health Quality Partners
42 Pleasant Street, Suite 3
Watertown, MA 02472

Telephone: (617) 600-4621
Fax: (617) 393-3433
E-mail: info@mhqp.org
Website: http://www.mhqp.org
Available from the website.

This document provides a core set of perinatal clinical care guidelines for the general population. Contents include guidelines for the first prenatal visit (6 to 12 weeks) and at each subsequent prenatal visit (13 to 42 weeks). Topics include initial and interval history; psychosocial assessment; physical examinations; immunizations; laboratory evaluation and additional testing; oral health; genetic counseling, screening, and testing; general counseling, education, and discussion; and the postpartum visit.

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Michigan Department of Health and Human Services
Capitol View Building 201 Townsend Street
Lansing, MI 48913

Telephone: (517) 373-3740
Website: http://www.michigan.gov/mdhhs
Available from the website.

This guide provides information about reducing infant mortality and promoting perinatal oral health in Michigan. It discusses a statewide perinatal oral health initiative, an infant-mortality-reduction plan, the national and local landscapes, and transmission of cariogenic bacteria. It also includes guidance for perinatal care health professionals and oral health professionals, a visual guide for common oral health conditions, and referral resources to assist in facilitating oral health care for pregnant women.

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North Carolina Department of Health and Human Services, Division of Public Health, Oral Health Section
2001 Mail Service Center 5505 Six Forks Road
Raleigh, NC 27699-2001

Telephone: (919) 855-4800
Fax: (919) 870-4805
Website: http://www.ncdhhs.gov/dph/oralhealth
Available from the website.

This practice guidance provides information on oral health care for pregnant women for prenatal care health professionals and oral health professionals in North Carolina, pharmacological considerations for pregnant women, and guidance for health professionals to share with pregnant women. Selected topics include assessing women’s oral health status, advising pregnant women about oral health care, working in collaboration with other health professionals, providing support services to pregnant women, improving health services in the community, and advising women about oral health care. The document was adapted from Oral Health Care During Pregnancy: A National Consensus Statement.

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Northwest Center to Reduce Oral Health Disparities
University of Washington School of Dentistry Health Sciences B-530, Box 357480
Seattle, WA 98195

Telephone: (206) 543-5599
Fax: (206) 685-8024
E-mail: nacrohd@u.washington.edu
Website: http://depts.washington.edu/nacrohd
Available from the website.

This document provides guidelines and recommendations for providing oral health care to pregnant women. It discusses treatment considerations related to hypertension, diabetes, the use of heparin, and the risk of aspiration, as well as positioning clients during procedures. A chart summarizes recommendations during various pregnancy stages.

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South Carolina Department of Health and Environmental Control
2600 Bull Street
Columbia, SC 29201

Telephone: (803) 898-3432
Fax: (803) 898-3323
E-mail: info@dhec.sc.gov
Website: http://www.scdhec.gov
Available from the website.

These practice guidelines provide information on the oral health care of pregnant women in South Carolina. They contain data on infant mortality and preterm birth, oral health care and counseling utilization, and key findings from the South Carolina Pregnancy Risk Assessment Monitoring Systems (PRAMS) for 2012–2013. The guidelines also include recommendations for health professionals and for oral health professionals, referral forms for oral health care, and dentists’ reports for prenatal care professionals. [Funded by the Maternal and Child Health Bureau]

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Texas Department of State Health Services, Oral Health Improvement Program
P.O. Box 149347, Mail Code 1818
Austin, TX 78714-9347

Telephone: (512) 776-2008
Fax: (512) 776-7256
E-mail: dental@dshs.state.tx.us
Website: http://www.dshs.state.tx.us/dental/default.shtm
Available from the website.

This document provides guidance on oral health care during pregnancy for prenatal care health professionals and oral health professionals in Texas. Topics include myths vs. facts, guidance for health professionals, oral conditions during pregnancy, and oral health pharmacological considerations for pregnant women. It also includes resources for consumers, available in English and in Spanish, about good oral health during pregnancy and during infancy as well as a dental referral form for pregnant women. The document was adapted from Oral Health Care During Pregnancy: A National Consensus Statement. [Funded by the Maternal and Child Health Bureau.

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• Program Website

Virginia Department of Health, Dental Health Program
109 Governor Street, Ninth Floor
Richmond, VA 23219

Telephone: (804) 864-7775
Fax: (804) 864-7783
Website: http://www.vdh.virginia.gov/oral-health
Available from the website.

This practice guidance for oral health professionals and prenatal care professionals in Virginia provides information about the oral health of pregnant women and their infants in the state, state statistics on oral health care utilization during pregnancy, a visual guide of oral conditions that can occur during pregnancy, a pharmacological considerations chart, a sample dental referral form, and educational resources to share with pregnant women. [Funded by the Maternal and Child Health Bureau]

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