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Ohio Infant Mortality: The Dental Connection

Ohio Infant Mortality: The Dental Connection. Cindy Leverich EFDA, RDH, MSAH. Public Health Crisis in Ohio. Why is this happening ?. What is a preterm birth?. Factors associated with preterm births. Maternal smoking/drug use Low maternal body mass index Low socioeconomic factors

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Ohio Infant Mortality: The Dental Connection

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  1. Ohio Infant Mortality:The Dental Connection Cindy Leverich EFDA, RDH, MSAH

  2. Public Health Crisis in Ohio

  3. Why is this happening ?

  4. What is a preterm birth?

  5. Factors associated with preterm births • Maternal smoking/drug use • Low maternal body mass index • Low socioeconomic factors • Maternal Nutrition • Maternal infections

  6. Factors associated with preterm births • Diabetes • African American ancestry • High or Low Maternal Age • Multiply Pregnancies • Hypertension

  7. Percent of Preterm Births By County, 2010-2012 Preterm births are more likely to occur in Southern Ohio

  8. Ohio Counties Above 13.4% Preterm Births • Erie • Cuyahoga • Summit • Allen • Hardin • Marion • Franklin • Montgomery • Hamilton • Adams • Ross • Pike • Scioto • Vinton • Jackson • Lawrence • Meigs • Morgan

  9. Lets Review Infection Bacteria Immune Responses Inflammatory Mediators Preterm labor

  10. Inflammatory Mediators:The Culprits • Cytokines • Prostaglandins • Matrix metalloproteinases

  11. The Facts

  12. “However”

  13. “A prime time to reduce the risk of prematurity is prior to pregnancy. The management of chronic health conditions and smoking cessation will reduce risk. Preconception physicals, as well as early prenatal care, can identify women who may need special care before or early in pregnancy.” (2014)

  14. Health Care Providers • Physicians • Obstetricians • Dental Professionals • Dieticians • Midwives

  15. What can we do?

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