{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T08:09:57Z","timestamp":1773734997379,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T00:00:00Z","timestamp":1761782400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify and prioritize pressing issues related to access and quality of oral healthcare during preconception, pregnancy, and postpartum in Portugal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ethical approval (number 8\/2024) and data protection clearance (R\u201012\/2024) were granted. Twelve stakeholders, including healthcare professionals, policymakers, representatives of nongovernmental organizations, and recent mothers, were recruited through snowball sampling. The Nominal Group Technique structured a four\u2010step process: (1) online discussions at policy, community, and practice levels; (2) initial voting to screen pressing issues; (3) plenary discussion; and (4) final voting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At the policy level, the highest\u2010ranked pressing issues were the lack of a mandatory oral health diagnostic appointment for early detection, limited coverage of the\n                      <jats:italic>Cheque\u2010Dentista<\/jats:italic>\n                      program, which excludes the preconception period, and the absence of oral health education in childbirth and parenting courses. At the community level, pressing issues included the absence of oral health in family planning consultations, insufficient oral health training for midwives and nurses, and weak direct engagement with pregnant women through targeted promotion strategies. At the practice level, the most pressing issues were the exclusion of dentists from maternal healthcare teams, the lack of structured oral health appointments in primary healthcare centers, and the omission of oral health modules from childbirth preparation programs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Nominal Group Technique enabled consensus\u2010building and prioritization of concrete pressing issues, producing actionable strategies to strengthen maternal oral healthcare in Portugal. Literacy, accessibility, and collaboration have emerged as foundational elements for integrating oral health into maternal care pathways.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jphd.70014","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T07:06:36Z","timestamp":1761894396000},"page":"464-472","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pressing Issues for Oral Health Care Access and Quality Improvement During Pregnancy in Portugal\u2014A Qualitative Study"],"prefix":"10.1111","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1571-0924","authenticated-orcid":false,"given":"Leonor","family":"Frey\u2010Furtado","sequence":"first","affiliation":[{"name":"EPIUnit of Instituto de Sa\u00fade P\u00fablica da Universidade do Porto  Porto Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR) of Instituto de Sa\u00fade P\u00fablica da Universidade do Porto  Porto Portugal"},{"name":"Faculdade de Medicina Dent\u00e1ria Universidade do Porto  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3590-4926","authenticated-orcid":false,"given":"Paulo","family":"Melo","sequence":"additional","affiliation":[{"name":"EPIUnit of Instituto de Sa\u00fade P\u00fablica da Universidade do Porto  Porto Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR) of Instituto de Sa\u00fade P\u00fablica da Universidade do Porto  Porto Portugal"},{"name":"Faculdade de Medicina Dent\u00e1ria Universidade do Porto  Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8176-3397","authenticated-orcid":false,"given":"Stefan","family":"Listl","sequence":"additional","affiliation":[{"name":"Department of Dentistry\u2014Quality and Safety of Oral Healthcare Radboud University Medical Center\u2014Radboud Institute for Health Sciences (RIHS)  Nijmegen Gelderland the Netherlands"},{"name":"Section for Oral Health Heidelberg Institute of Global Health, Heidelberg University Hospital  Heidelberg Baden\u2010W\u00fcrttemberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4076-6014","authenticated-orcid":false,"given":"Maria Lurdes","family":"Pereira","sequence":"additional","affiliation":[{"name":"EPIUnit of Instituto de Sa\u00fade P\u00fablica da Universidade do Porto  Porto Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR) of Instituto de Sa\u00fade P\u00fablica da Universidade do Porto  Porto Portugal"},{"name":"Faculdade de Medicina Dent\u00e1ria Universidade do Porto  Porto 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