{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T20:08:50Z","timestamp":1793822930420,"version":"4.6.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Oral Health"],"DOI":"10.1186\/s12903-025-06285-8","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T08:29:05Z","timestamp":1748680145000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Challenges in oral health referral during pregnancy: perspectives from antenatal and dental care providers"],"prefix":"10.1186","volume":"25","author":[{"given":"Sanaa","family":"Ahmed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hina","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Afreen","family":"Hussain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saba","family":"Riafat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Naz","family":"Shaheen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nauyaan Ahmed","family":"Qureshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,5,31]]},"reference":[{"issue":"4","key":"6285_CR1","first-page":"738","volume":"14","author":"A Riaz","year":"2020","unstructured":"Riaz A, Javed MQ, Chaudhary FA, Khan AM. Knowledge, attitude, and practices of pregnant women regarding oral health at railway hospital Rawalpindi, Pakistan. Pakistan J Med Health Sci. 2020;14(4):738\u201343.","journal-title":"Pakistan J Med Health Sci"},{"issue":"2","key":"6285_CR2","first-page":"104","volume":"42","author":"A Sadaf","year":"2022","unstructured":"Sadaf A, Khawaja H, Mehmood A. Oral health status of pregnant women & awareness about oral health among pregnant patients and gynaecologists. Pak Oral Dent J. 2022;42(2):104\u20138.","journal-title":"Pak Oral Dent J"},{"key":"6285_CR3","doi-asserted-by":"publisher","unstructured":"Xiao J, Fogarty C, Wu TT et al. Oral health and Candida carriage in socioeconomically disadvantaged US pregnant women. BMC Pregnancy Childbirth. 2019;19(1):480. Published 2019 Dec 5. https:\/\/doi.org\/10.1186\/s12884-019-2618-7","DOI":"10.1186\/s12884-019-2618-7"},{"key":"6285_CR4","doi-asserted-by":"publisher","unstructured":"Duarte da Silva K, Vargas-Ferreira F, D\u00e2maso Bertoldi A, Celso Lopes Fernandes, de Barros F, Fernando Demarco F, Britto Correa M, Beatriz Chaves Tarquinio S. Oral mucosal lesions in pregnant women: A population-based study. Oral Dis. 2022;28(7):1891\u20131900. https:\/\/doi.org\/10.1111\/odi.13981. Epub 2021 Aug 25. PMID: 34333827.","DOI":"10.1111\/odi.13981"},{"issue":"19","key":"6285_CR5","doi-asserted-by":"publisher","first-page":"7337","DOI":"10.3390\/ijerph17197337","volume":"17","author":"E Yunita Sari","year":"2020","unstructured":"Yunita Sari E, Saddki N, Yusoff A. Association between perceived oral symptoms and presence of clinically diagnosed oral diseases in a sample of pregnant women in Malaysia. Int J Environ Res Public Health. 2020;17(19):7337. https:\/\/doi.org\/10.3390\/ijerph17197337. PMID: 33049972; PMCID: PMC7579349.","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"6285_CR6","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1038\/s41405-023-00162-8","volume":"9","author":"NS Muhammad-Safwan","year":"2023","unstructured":"Muhammad-Safwan NS, Abdul-Mumin KH, Abdul Rahman H, Gharif R, Haji-Momin HM, Kisut R, Zielinski R, Dhaliwal JS. Knowledge, attitudes, and practices of healthcare professionals on oral care of pregnant women in Brunei Darussalam. BDJ Open. 2023;9(1):35. https:\/\/doi.org\/10.1038\/s41405-023-00162-8. PMID: 37524702; PMCID: PMC10390490.","journal-title":"BDJ Open"},{"issue":"1","key":"6285_CR7","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1186\/s12884-023-05654-x","volume":"23","author":"DE Al Agili","year":"2023","unstructured":"Al Agili DE, Khalaf ZI. The role of oral and prenatal healthcare providers in the promotion of oral health for pregnant women. BMC Pregnancy Childbirth. 2023;23(1):313. https:\/\/doi.org\/10.1186\/s12884-023-05654-x. PMID: 37138232; PMCID: PMC10157922.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"6285_CR8","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1186\/s12884-016-1163-x","volume":"16","author":"A George","year":"2016","unstructured":"George A, Dahlen HG, Reath J, Ajwani S, Bhole S, Korda A, Chok HN, Miranda C, Villarosa A, Johnson M. What do antenatal care providers understand and do about oral health care during pregnancy: a cross-sectional survey in new South Wales, Australia. BMC Pregnancy Childbirth. 2016;16(1):382. https:\/\/doi.org\/10.1186\/s12884-016-1163-x. PMID: 27903257; PMCID: PMC5131399.","journal-title":"BMC Pregnancy Childbirth"},{"key":"6285_CR9","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/1472-6831-15-2","volume":"15","author":"M Johnson","year":"2015","unstructured":"Johnson M, George A, Dahlen H, Ajwani S, Bhole S, Blinkhorn A, Ellis S, Yeo A. The midwifery initiated oral health-dental service protocol: an intervention to improve oral health outcomes for pregnant women. BMC Oral Health. 2015;15:2. https:\/\/doi.org\/10.1186\/1472-6831-15-2. PMID: 25588410; PMCID: PMC4324677.","journal-title":"BMC Oral Health"},{"issue":"1","key":"6285_CR10","first-page":"16","volume":"93","author":"SB Hoerler","year":"2019","unstructured":"Hoerler SB, Jenkins S, Assad D. Evaluating oral health in pregnant women: knowledge, attitudes and practices of health professionals. J Dent Hyg. 2019;93(1):16\u201322. PMID: 30819842.","journal-title":"J Dent Hyg"},{"key":"6285_CR11","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1177\/2380084417731097","volume":"3","author":"L Daalderop","year":"2018","unstructured":"Daalderop L, et al. Periodontal disease and pregnancy outcomes: overview of systematic reviews. JDR Clin Transl Res. 2018;3:10\u201327. https:\/\/doi.org\/10.1177\/2380084417731097.","journal-title":"JDR Clin Transl Res"},{"key":"6285_CR12","doi-asserted-by":"publisher","first-page":"193","DOI":"10.3290\/j.qi.a34980","volume":"47","author":"S Corbella","year":"2016","unstructured":"Corbella S, et al. Adverse pregnancy outcomes and periodontitis: A systematic review and meta-analysis exploring potential association. Quintessence Int. 2016;47:193\u2013204. https:\/\/doi.org\/10.3290\/j.qi.a34980.","journal-title":"Quintessence Int"},{"key":"6285_CR13","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1902\/jop.1996.67.10s.1103","volume":"67","author":"S Offenbacher","year":"1996","unstructured":"Offenbacher S, et al. Periodontal infection as a possible risk factor for preterm low birth weight. J Periodontol. 1996;67:1103\u201313. https:\/\/doi.org\/10.1902\/jop.1996.67.10s.1103.","journal-title":"J Periodontol"},{"key":"6285_CR14","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1111\/j.1600-051X.2004.00630.x","volume":"32","author":"O Dortbudak","year":"2005","unstructured":"Dortbudak O, Eberhardt R, Ulm M, Persson GR. Periodontitis, a marker of risk in pregnancy for preterm birth. J Clin Periodontol. 2005;32:45\u201352. https:\/\/doi.org\/10.1111\/j.1600-051X.2004.00630.x.","journal-title":"J Clin Periodontol"},{"key":"6285_CR15","doi-asserted-by":"publisher","first-page":"931","DOI":"10.1177\/039463201302600411","volume":"26","author":"MA Cassini","year":"2013","unstructured":"Cassini MA, et al. Periodontal bacteria in the genital tract: are they related to adverse pregnancy outcome? Int J Immunopathol Pharmacol. 2013;26:931\u20139. https:\/\/doi.org\/10.1177\/039463201302600411.","journal-title":"Int J Immunopathol Pharmacol"},{"key":"6285_CR16","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1007\/s00404-013-2741-z","volume":"288","author":"C Ye","year":"2013","unstructured":"Ye C, et al. The anti-phospholipid antibody-dependent and independent effects of periodontopathic bacteria on threatened preterm labor and preterm birth. Arch Gynecol Obstet. 2013;288:65\u201372. https:\/\/doi.org\/10.1007\/s00404-013-2741-z.","journal-title":"Arch Gynecol Obstet"},{"key":"6285_CR17","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1186\/s12884-015-0536-x","volume":"15","author":"AY Heilbrunn-Lang","year":"2015","unstructured":"Heilbrunn-Lang AY, de Silva AM, Lang G, George A, Ridge A, Johnson M, Bhole S, Gilmour C. Midwives\u2019 perspectives of their ability to promote the oral health of pregnant women in Victoria, Australia. BMC Pregnancy Childbirth. 2015;15:110. https:\/\/doi.org\/10.1186\/s12884-015-0536-x. PMID: 25943399; PMCID: PMC4490712.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"6285_CR18","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/adj.12505","volume":"62","author":"A George","year":"2017","unstructured":"George A, Ajwani S, Bhole S, Dahlen HG, Reath J, Korda A, Ng Chok H, Miranda C, Villarosa A, Johnson M. Knowledge, attitude and practises of dentists towards oral health care during pregnancy: A cross-sectional survey in new South Wales, Australia. Aust Dent J. 2017;62(3):301\u201310. https:\/\/doi.org\/10.1111\/adj.12505. Epub 2017 May 22. PMID: 28188656.","journal-title":"Aust Dent J"},{"key":"6285_CR19","doi-asserted-by":"publisher","first-page":"707","DOI":"10.3390\/jcm13030707","volume":"13","author":"MP Pecci-Lloret","year":"2024","unstructured":"Pecci-Lloret MP, Linares-P\u00e9rez C, Pecci-Lloret MR, Rodr\u00edguez-Lozano FJ, O\u00f1ate-S\u00e1nchez RE. Oral manifestations in pregnant women: A systematic review. J Clin Med. 2024;13:707. https:\/\/doi.org\/10.3390\/jcm13030707.","journal-title":"J Clin Med"},{"issue":"1","key":"6285_CR20","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1111\/adj.12024","volume":"58","author":"A George","year":"2013","unstructured":"George A, Johnson M, Blinkhorn A, Ajwani S, Bhole S, Yeo AE, Ellis S. The oral health status, practices and knowledge of pregnant women in south-western Sydney. Aust Dent J. 2013;58(1):26\u201333. https:\/\/doi.org\/10.1111\/adj.12024. Epub 2013 Jan 30. PMID: 23441789.","journal-title":"Aust Dent J"},{"key":"6285_CR21","doi-asserted-by":"crossref","unstructured":"Ayaz A, Mureed S, Abbasi ZA, Ayaz N, Farooq N, PERCEPTIONS OF ANTENATAL S, CARE PROVIDERS ABOUT ORAL HEALTH OF PREGNANT WOMEN AT THE HOSPITALS OF KARACHI. Pak J Public Health. 2019;9(2):64\u2013\u20098. Available from: https:\/\/pjph.org\/pjph\/article\/view\/306","DOI":"10.32413\/pjph.v9i2.306"},{"key":"6285_CR22","doi-asserted-by":"publisher","unstructured":"Javed MQ, Bhatti UA, Riaz A, Chaudhary FA. Predictors of periodontal and caries related perinatal oral healthcare, investigation of dentists\u2019 practices: across-sectional study. PeerJ9. 2021: e12080. https:\/\/doi.org\/10.7717\/peerj.12080","DOI":"10.7717\/peerj.12080"},{"issue":"1","key":"6285_CR23","doi-asserted-by":"publisher","first-page":"16870","DOI":"10.1038\/s41598-021-96495-1","volume":"11","author":"H Jang","year":"2021","unstructured":"Jang H, Patoine A, Wu TT, Castillo DA, Xiao J. Oral microflora and pregnancy: a systematic review and meta-analysis. Sci Rep. 2021;11(1):16870. https:\/\/doi.org\/10.1038\/s41598-021-96495-1. PMID: 34413437; PMCID: PMC8377136.","journal-title":"Sci Rep"},{"key":"6285_CR24","doi-asserted-by":"crossref","unstructured":"Han YW. Oral health and adverse pregnancy outcomes - what\u2019s next? J Dent Res. 2011;90(3):289\u2013\u200993. doi: 10.1177\/0022034510381905. Epub 2010 Nov 1. PMID: 21041548; PMCID: PMC3144105.","DOI":"10.1177\/0022034510381905"},{"key":"6285_CR25","doi-asserted-by":"crossref","unstructured":"Xu B, Han YW. Oral bacteria, oral health, and adverse pregnancy outcomes. Periodontol 2000. 2022;89(1):181\u2013189. doi: 10.1111\/prd.12436. Epub 2022 Mar 4. PMID: 35244963.","DOI":"10.1111\/prd.12436"},{"key":"6285_CR26","doi-asserted-by":"publisher","first-page":"799740","DOI":"10.3389\/fped.2022.799740","volume":"10","author":"Y Zhang","year":"2022","unstructured":"Zhang Y, Feng W, Li J, Cui L, Chen ZJ. Periodontal disease and adverse neonatal outcomes: A systematic review and Meta-Analysis. Front Pediatr. 2022;10:799740. https:\/\/doi.org\/10.3389\/fped.2022.799740. PMID: 35601423; PMCID: PMC9114501.","journal-title":"Front Pediatr"}],"container-title":["BMC Oral Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-025-06285-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12903-025-06285-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-025-06285-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T08:29:08Z","timestamp":1748680148000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcoralhealth.biomedcentral.com\/articles\/10.1186\/s12903-025-06285-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["6285"],"URL":"https:\/\/doi.org\/10.1186\/s12903-025-06285-8","relation":{},"ISSN":["1472-6831"],"issn-type":[{"value":"1472-6831","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,31]]},"assertion":[{"value":"20 March 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 May 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethics approval for this study was obtained from the Institutional Review Board (IRB) of Jinnah Sindh Medical University (Approval No: JSMU\/IRB\/2023\/824). The study was conducted in accordance with the principles of the Declaration of Helsinki and informed consent to participate was obtained from all of the participants in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable as this study does not include any individual person\u2019s data in any form (including images, videos, or case details) that requires consent for publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}}],"article-number":"858"}}