Periodontal disease and bacterial vaginosis increase the risk for adverse pregnancy outcome.
OBJECTIVE
To determine whether periodontal disease or bacterial vaginosis (BV) diagnosed before pregnancy increase the risk for adverse pregnancy outcome.


METHODS
We enrolled a total of 252 women who had discontinued contraception in order to become pregnant. The first 130 pregnant women were included in the analyses.


RESULTS
Multivariate analysis showed a strong association between periodontal disease and adverse pregnancy outcome (OR 5.5, 95% confidence interval 1.4-21.2; p = 0.014), and a borderline association between BV and adverse pregnancy outcome (OR 3.2, 95% confidence interval 0.9-10.7; p = 0.061).


CONCLUSIONS
Our study suggests that pre-pregnancy counseling should include both oral and vaginal examinations to rule out periodontal disease and BV. This may ultimately have an impact on antenatal healthcare, and decrease the risk for adverse pregnancy outcome.
Oittinen
Juha
J
Institute of Dentistry, Oral and Maxillofacial Diseases, University of Helsinki, Biomedicum Helsinki, Helsinki, Finland.
Kurki
Tapio
T
Kekki
Minnamaija
M
Kuusisto
Minna
M
Pussinen
Pirkko
P
Vilkuna-Rautiainen
Tiina
T
Nieminen
Anja
A
Asikainen
Sirkka
S
Paavonen
Jorma
J
D000328:Adult; D005260:Female; D006801:Humans; D010510:Periodontal Diseases / Q000150:complications*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000503:physiopathology*; D011256:Pregnancy Outcome; D018570:Risk Assessment; D016585:Vaginosis, Bacterial / Q000150:complications*