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CC BY 4.0 · European Journal of General Dentistry
DOI: 10.1055/s-0045-1806946
Original Article

Maternal Factors Influencing Infant Oral Health Knowledge and Beliefs among Pregnant Women in Saudi Arabia: A Cross-Sectional Study

Madiraju Guna Shekhar
1   Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
,
Abdulhakim Essa Alhowail
2   College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
,
Yousef Majed Almugla
1   Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
,
Sajith Abraham
1   Department of Preventive Dental Sciences, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia
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Abstract

Objective

This study aimed to assess the knowledge and beliefs regarding infant oral health care among Saudi pregnant women and identify influencing factors.

Materials and Methods

A cross-sectional study was conducted on 235 pregnant Saudi women attending prenatal clinics in AlAhsa, Eastern region of Saudi Arabia from November 2023 to March 2024. Data were collected using a validated, self-administered questionnaire assessing demographic information, infant oral health knowledge (IOK), and infant oral health beliefs (IOB). Data were analyzed using chi-squared tests and multiple linear regression.

Results

The mean age of participants was 29.27 ± 3.45 years, with 56.5% being multiparous. Most respondents (64.1%) had completed college or university education. Only 36.3% reported regular dental visits during pregnancy. Multiparous women demonstrated significantly higher IOK scores compared with primiparous women (p = 0.013), while IOB scores were comparable (p = 0.087). Regression analysis revealed that birth history and education significantly predicted IOK scores (R 2 = 0.561; p < 0.001), while education, maternal age, and dental visits during pregnancy significantly predicted IOB scores (R 2 = 0.266; p < 0.001).

Conclusion

This study highlights the significant influence of birth history, education, maternal age, and dental visits during pregnancy on maternal knowledge and beliefs regarding infant oral health. These findings underscore the need for targeted, culturally sensitive educational interventions and increased health care provider engagement to promote oral health awareness and behaviors among pregnant women in Saudi Arabia.

Keywords

infant oral health - pregnant women - knowledge - beliefs - birth history - parity

Ethical Approval

This study was reviewed and approved by the Institutional Review Board, Deanship of Scientific Research, King Faisal University, Alahsa, Saudi Arabia (Ref: KFU-REC-2023-OCT-ETHICS1566). Written informed consent was obtained from all the subjects involved in the study.


Authors' Contributions

The concept and design of the study were developed by M.G.S. and A.E.A. Data acquisition was done by A.E.A. Data analysis and interpretation were done by M.G.S. and A.E.A. Drafting of the article was done by M.G.S. Revising article for important intellectual content was done by S.A. and Y.M.A. All the authors have critically reviewed and approved the final version of the manuscript and are responsible for the similarity index of the manuscript.


Data Availability Statement

Data are available upon reasonable request from the corresponding author.


Supplementary Material



Publication History

Article published online:
25 April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Odeh ND, Binsaad SM, Gasim RA. et al. Why do women avoid dental visits during pregnancy? A cross-sectional survey in Al Madinah, Western Saudi Arabia. Pesqui Bras Odontopediatria Clin Integr 2018; 18 (01) e3934
    CrossrefSearch in Google Scholar
  • 2 Tenenbaum A, Azogui-Levy S. Oral health knowledge, attitudes, practices, and literacy of pregnant women: a scoping review. Oral Health Prev Dent 2023; 21: 185-198
    PubMedSearch in Google Scholar
  • 3 AlHumaid GA, Alshehri T, Alwalmani RM. et al. Assessment of oral health status and pregnancy outcomes among women in Saudi Arabia. Patient Prefer Adherence 2024; 18: 1027-1038
    PubMedSearch in Google Scholar
  • 4 Ramanauskaite E, Maciulskiene V, Baseviciene N, Anuzyte R. A survey of Lithuanian pregnant women's knowledge about periodontal disease, its prevalence and possible influence on pregnancy outcomes. Medicina (Kaunas) 2024; 60 (09) 1431
    PubMedSearch in Google Scholar
  • 5 Singhal A, Chattopadhyay A, Garcia AI, Adams AB, Cheng D. Disparities in unmet dental need and dental care received by pregnant women in Maryland. Matern Child Health J 2014; 18 (07) 1658-1666
    PubMedSearch in Google Scholar
  • 6 Rocha JS, Arima L, Chibinski AC, Werneck RI, Moysés SJ, Baldani MH. Barriers and facilitators to dental care during pregnancy: a systematic review and meta-synthesis of qualitative studies. Cad Saude Publica 2018; 34 (08) e00130817
    PubMedSearch in Google Scholar
  • 7 Kamalabadi YM, Campbell MK, Zitoun NM, Jessani A. Unfavourable beliefs about oral health and safety of dental care during pregnancy: a systematic review. BMC Oral Health 2023; 23 (01) 762
    CrossrefPubMedSearch in Google Scholar
  • 8 Albasry Z, Alhaddad B, Benrashed MA, Al-Ansari A, Nazir MA. A cross-sectional analysis of dental care utilization among pregnant women in Saudi Arabia. Open Access Maced J Med Sci 2019; 7 (23) 4131-4136
    PubMedSearch in Google Scholar
  • 9 Baker SD, Quiñonez RB, Boggess K, Phillips C. Pregnant women's infant oral health knowledge and beliefs: influence of having given birth and of having child in the home. Matern Child Health J 2016; 20 (06) 1288-1295
    PubMedSearch in Google Scholar
  • 10 Boggess KA, Urlaub DM, Moos MK, Polinkovsky M, El-Khorazaty J, Lorenz C. Knowledge and beliefs regarding oral health among pregnant women. J Am Dent Assoc 2011; 142 (11) 1275-1282
    PubMedSearch in Google Scholar
  • 11 Cagetti MG, Salerno C, Ionescu AC. et al. Knowledge and attitudes on oral health of women during pregnancy and their children: an online survey. BMC Oral Health 2024; 24 (01) 85
    CrossrefPubMedSearch in Google Scholar
  • 12 Barbieri W, Peres SV, Pereira CB, Peres Neto J, Sousa MDLR, Cortellazzi KL. Sociodemographic factors associated with pregnant women's level of knowledge about oral health. Einstein (Sao Paulo) 2018; 16 (01) eAO4079
    CrossrefPubMedSearch in Google Scholar
  • 13 Pattanshetti K, Kothari HP, Tiwari J, Malagi S, Pattanashetty S, Hinge K. Assessment of knowledge and attitude of expectant mothers regarding effect of their oral health and its influence on the infant oral health. Int J Clin Pediatr Dent 2020; 13 (05) 471-475
    PubMedSearch in Google Scholar
  • 14 Thomas A, Jacob A, Kunhambu D, Shetty P, Shetty S. Evaluation of the knowledge and attitude of expectant mothers about infant oral health and their oral hygiene practices. J Int Soc Prev Community Dent 2015; 5 (05) 400-405
    PubMedSearch in Google Scholar
  • 15 Wassihun B, Ayinalem A, Beyene K. Knowledge of oral health during pregnancy and associated factors among pregnant mothers attending antenatal care at South Omo Zone public hospitals, Southern Ethiopia, 2021. PLoS One 2022; 17 (08) e0273795
    CrossrefPubMedSearch in Google Scholar
  • 16 Assery MK, Al-Saif KM. A survey of dental knowledge in Al-Jubail antenatal clinic population. Saudi Dent J 1993; 5: 13-16
    Search in Google Scholar
  • 17 S Dhull K, Dutta B, M Devraj I, Samir PV. Knowledge, attitude, and practice of mothers towards infant oral healthcare. Int J Clin Pediatr Dent 2018; 11 (05) 435-439
    CrossrefPubMedSearch in Google Scholar
  • 18 Sayakhot P, Carolan-Olah M. Internet use by pregnant women seeking pregnancy-related information: a systematic review. BMC Pregnancy Childbirth 2016; 16: 65
    PubMedSearch in Google Scholar
  • 19 Hammad OA, Binsaad SM, Gasim RA. et al. Assessing expectant mothers' knowledge and beliefs about oral healthcare during infancy and pregnancy: a cross-sectional survey in Saudi Arabia. Pesqui Bras Odontopediatria Clin Integr 2018; 18 (01) e4027
    CrossrefSearch in Google Scholar
  • 20 Al Agili D. Trends in maternal oral health services at primary healthcare centers in Saudi Arabia: a cross-sectional study. BMC Oral Health 2023; 23 (01) 1031
    PubMedSearch in Google Scholar
  • 21 Rossato MDS, Fritola M, Rossato PH. et al. Knowledge and practices of mothers towards infant oral health care in their children's first year of life. J Health Sci 2021; 23 (03) 223-229
    Search in Google Scholar
  • 22 Desai J, Varkey IM, Lad D, Ghule KD, Mathew R, Gomes S. Knowledge and attitude about infant oral health: a paradox among pregnant women. J Contemp Dent Pract 2022; 23 (01) 89-94
    PubMedSearch in Google Scholar
  • 23 Al-Swuailem AS, Al-Jamal FS, Helmi MF. Treatment perception and utilization of dental services during pregnancy among sampled women in Riyadh, Saudi Arabia. Saudi J Dent Res. 2014; 5 (02) 123-129
    Search in Google Scholar
  • 24 Amin M, ElSalhy M. Factors affecting utilization of dental services during pregnancy. J Periodontol 2014; 85 (12) 1712-1721
    CrossrefPubMedSearch in Google Scholar
  • 25 Al Khamis S, Asimakopoulou K, Newton JT, Daly B. Oral health knowledge, attitudes, and perceptions of pregnant Kuwaiti women: a qualitative study. JDR Clin Trans Res 2016; 1 (03) 211-217
    PubMedSearch in Google Scholar