{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T05:49:22Z","timestamp":1782107362056,"version":"3.54.5"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T00:00:00Z","timestamp":1782086400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study investigated the knowledge, attitude, and practice (KAP) of obstetrician-gynecologists (OB-GYNs), nurses, and family physicians regarding oral healthcare for pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted in Shanghai, China, using an electronic questionnaire distributed to 770 OB-GYNs, obstetrics\/gynecology nurses, and family physicians in Huangpu District.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 459 respondents (59.6% response rate) showed suboptimal knowledge, especially about medication and fluoride safety during pregnancy, and inconsistent oral health practices such as infrequent fluoride toothpaste recommendations and limited comprehensive counseling, despite generally positive attitudes toward integrating oral care into routine antenatal services. Over 80% of OB-GYNs and family physicians reported routinely giving oral health advice, and over 82% of nurses and family physicians advised on specific hygiene practices, such as brushing and rinsing. A key finding was that a minority of participants across all professions (19.2\u201334.5%) considered oral care solely the duty of dentists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study identified knowledge gaps and limitations in specific oral health practices among antenatal care providers in Shanghai, especially among non-OB-GYN providers, despite generally positive attitudes. These findings indicate that strengthening providers\u2019 knowledge and selected practice behaviors may be necessary to better support perinatal oral health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1807833","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T05:38:43Z","timestamp":1782106723000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, attitude, and practice of antenatal care providers about oral health care for pregnant women: a cross-sectional survey study in Shanghai"],"prefix":"10.3389","volume":"14","author":[{"given":"Tingting","family":"Pan","sequence":"first","affiliation":[{"name":"Dental Disease Prevention and Treatment Institute of Huangpu District","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenqi","family":"Hu","sequence":"additional","affiliation":[{"name":"Dental Disease Prevention and Treatment Institute of Huangpu District","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1002\/ijgo.14703","article-title":"Knowledge, attitudes, and practices of prenatal care practitioners regarding oral health in pregnancy-a systematic review","volume":"162","author":"Anunciacao","year":"2023","journal-title":"Int J Gynaecol Obstet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"3635","DOI":"10.3390\/jcm12113635","article-title":"Adverse pregnancy outcomes and maternal periodontal disease: an overview on Meta-analytic and methodological quality","volume":"12","author":"Machado","year":"2023","journal-title":"J Clin Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"799740","DOI":"10.3389\/fped.2022.799740","article-title":"Periodontal disease and adverse neonatal outcomes: a systematic review and Meta-analysis","volume":"10","author":"Zhang","year":"2022","journal-title":"Front Pediatr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1111\/prd.12436","article-title":"Oral bacteria, oral health, and adverse pregnancy outcomes","volume":"89","author":"Xu","year":"2022","journal-title":"Periodontol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"100539","DOI":"10.1016\/j.medj.2024.10.016","article-title":"A cluster randomized trial of xylitol chewing gum for prevention of preterm birth: the PPaX trial","volume":"6","author":"Valentine","year":"2025","journal-title":"Theor Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"173","DOI":"10.14219\/jada.archive.2011.0061","article-title":"Assessing the relationship between children's oral health status and that of their mothers","volume":"142","author":"Dye","year":"2011","journal-title":"J Am Dent Assoc"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1159\/000495187","article-title":"Prenatal Oral health care and early childhood caries prevention: a systematic review and Meta-analysis","volume":"53","author":"Xiao","year":"2019","journal-title":"Caries Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1620\/tjem.240.303","article-title":"Antenatal health care and postnatal dental check-ups prevent early childhood caries","volume":"240","author":"Nakai","year":"2016","journal-title":"Tohoku J Exp Med"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"945","DOI":"10.3760\/cma.j.cn113903-20210416-00356","article-title":"Oral health care during pregnancy: current status and future perspectives","volume":"24","author":"Huang","year":"2021","journal-title":"Chin J Perinat Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1159\/000481407","article-title":"Determinants of dental care attendance during pregnancy: a systematic review","volume":"52","author":"Rocha","year":"2018","journal-title":"Caries Res"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"70","DOI":"10.4103\/nmj.NMJ_151_18","article-title":"Awareness, attitude and knowledge regarding Oral health among pregnant women: a comparative study","volume":"59","author":"Penmetsa","year":"2018","journal-title":"Niger Med J"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"504","DOI":"10.3760\/cma.j.issn.1674-0815.2019.06.007","article-title":"Analysis of oral health care behavior and associated factors among women in the 1st trimester","volume":"13","author":"Wu","year":"2019","journal-title":"Chin J Health Manage"},{"key":"ref13","first-page":"494","article-title":"A network survey on oral health knowledge and behavioral influencing factors among pregnant women","volume":"39","author":"Xie","year":"2023","journal-title":"J Clin Stomatol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1016\/j.identj.2022.06.005","article-title":"Oral health status and literacy\/knowledge amongst pregnant women in Shanghai","volume":"73","author":"Hu","year":"2023","journal-title":"Int Dent J"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1177\/0253717620946111","article-title":"Designing and conducting knowledge, attitude, and practice surveys in psychiatry: practical guidance","volume":"42","author":"Andrade","year":"2020","journal-title":"Indian J Psychol Med"},{"key":"ref16","year":"2008"},{"key":"ref17","first-page":"15","article-title":"Efficacy of a prenatal Oral health program follow-up with mothers and their children","volume":"82","author":"Larsen","year":"2016","journal-title":"N Y State Dent J"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"293","DOI":"10.11852\/zgetbjzz2021-0034","article-title":"Application of interdisciplinary cooperation in oral health promotion in the early 1000 days of life","volume":"30","author":"Yang","year":"2022","journal-title":"Chin J Child Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s12903-019-0862-x","article-title":"Effectiveness of preventive dental programs offered to mothers by non-dental professionals to control early childhood dental caries: a review","volume":"19","author":"George","year":"2019","journal-title":"BMC Oral Health"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"120","DOI":"10.5603\/GP.a2018.0021","article-title":"The role of the gynaecologist in the promotion and maintenance of oral health during pregnancy","volume":"89","author":"Kobylinska","year":"2018","journal-title":"Ginekol Pol"},{"key":"ref21","volume-title":"Oral Health Care during Pregnancy: A National Consensus Statement","year":"2012"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"185","DOI":"10.3290\/j.ohpd.b4100965","article-title":"Oral health knowledge, attitudes, practices, and literacy of pregnant women: a scoping review","volume":"21","author":"Tenenbaum","year":"2023","journal-title":"Oral Health Prev Dent"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"420","DOI":"10.25122\/jml-2019-0095","article-title":"Oral health knowledge, attitude, and practice of pregnant women in Deccan, South India: a cross-sectional prenatal survey","volume":"15","author":"Javali","year":"2022","journal-title":"J Med Life"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"e823","DOI":"10.1002\/cre2.823","article-title":"Perceptions, knowledge, and practices related to oral health in a group of pregnant women: a qualitative study","volume":"10","author":"Velosa-Porras","year":"2024","journal-title":"Clin Exp Dental Res"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"261","DOI":"10.3290\/j.ohpd.a30481","article-title":"KAP assessment of oral health and adverse pregnancy outcomes among pregnant women in Hyderabad, India","volume":"11","author":"Avula","year":"2013","journal-title":"Oral Health Prev Dent"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"332","DOI":"10.4103\/jioh.jioh","article-title":"Pregnant mothers knowledge, attitude, and practice toward oral health: a cross-sectional study","volume":"17","author":"Bhandari","year":"2025","journal-title":"J Int Oral Health"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"5399","DOI":"10.2147\/ijwh.s560628","article-title":"Factors influencing knowledge, attitudes, and practices (KAP) regarding dental diagnosis and treatment during pregnancy among pregnant women in Harbin, China: a cross-sectional study","volume":"17","author":"Wang","year":"2025","journal-title":"Int J Women's Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"e47098","DOI":"10.7759\/cureus.47098","article-title":"Knowledge, attitude, and practice regarding periodontal and dental diseases during pregnancy among obstetricians and dentists in King Saud University Medical City","volume":"15","author":"AlHalal","year":"2023","journal-title":"Cureus"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1186\/s12903-026-07827-4","article-title":"Dental practitioners' knowledge, attitudes, practices, and perceived barriers regarding oral health care of women during pregnancy: a cross-sectional study","volume":"26","author":"Wang","year":"2026","journal-title":"BMC Oral Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e105602","DOI":"10.7759\/cureus.105602","article-title":"Physician perceptions of Oral health for pregnant women: a Bangladesh perspective","volume":"18","author":"Binte Islam","year":"2026","journal-title":"Cureus"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1186\/s12884-016-1163-x","article-title":"What do antenatal care providers understand and do about oral health care during pregnancy: a cross-sectional survey in New South Wales, Australia","volume":"16","author":"George","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"986","DOI":"10.14219\/jada.archive.2010.0312","article-title":"Dental care for pregnant women: an assessment of North Carolina general dentists","volume":"141","author":"Da Costa","year":"2010","journal-title":"J Am Dent Assoc"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"14","DOI":"10.22037\/ghfbb.v6i1.332","article-title":"Sample size calculation in medical studies","volume":"6","author":"Pourhoseingholi","year":"2013","journal-title":"Gastroenterol Hepatol Bed Bench"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"41","DOI":"10.3290\/j.ohpd.a34376","article-title":"Oral infections and pregnancy: knowledge of gynecologists\/obstetricians, midwives and dentists","volume":"14","author":"Boutigny","year":"2016","journal-title":"Oral Health Prev Dent"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"105","DOI":"10.25121\/NewMed.2019.23.3.105","article-title":"Dental care in pregnancy-the state of knowledge among polish dentists and gynaecologists, and factors affecting knowledge about dental management in pregnancy","volume":"23","author":"Kobylinska","year":"2019","journal-title":"New Med"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1089\/jwh.2019.8007","article-title":"Obstetrician-gynecologist views of pregnancy-related medication safety","volume":"29","author":"SteelFisher","year":"2020","journal-title":"J Women's Health (Larchmt)"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"4242","DOI":"10.21037\/apm-20-1520","article-title":"A cross-sectional study of the knowledge, attitudes, and behaviors of obstetricians, gynecologists, and dentists regarding oral health care during pregnancy","volume":"10","author":"Lyu","year":"2021","journal-title":"Ann Palliat Med"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"S331","DOI":"10.4103\/JPBS.JPBS_24_19","article-title":"Evaluation of gynecologists' awareness about Oral health condition during pregnancy in Chennai City","volume":"11","author":"Paneer","year":"2019","journal-title":"J Pharm Bioallied Sci"},{"key":"ref39","volume-title":"Pregnancy","year":"2024"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1016\/j.adaj.2020.12.009","article-title":"Pregnancy and oral health","volume":"152","author":"Mark","year":"2021","journal-title":"J Am Dent Assoc"},{"key":"ref41","first-page":"217","article-title":"Cross-sectional survey on primary care medical doctors' practices on oral health care in pregnancy and its association with knowledge and attitude","volume":"77","author":"Then Moli","year":"2022","journal-title":"Med J Malaysia"},{"key":"ref42","first-page":"56","article-title":"A survey of barriers to oral health care services during pregnancy among stomatologists and obstetricians and gynecologists in Beijing, China","volume":"38","author":"Tan","year":"2020","journal-title":"J Prev Med Chin PLA"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"e0272238","DOI":"10.1371\/journal.pone.0272238","article-title":"Factors influencing adoption of oral health promotion by antenatal care providers in Moyo district, North-Western Uganda","volume":"18","author":"Lulu","year":"2023","journal-title":"PLoS One"},{"key":"ref44","year":"2021"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1186\/s12884-023-05654-x","article-title":"The role of oral and prenatal healthcare providers in the promotion of oral health for pregnant women","volume":"23","author":"Al Agili","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"145","DOI":"10.3760\/cma.j.issn.0529-567x.2018.01.003","article-title":"Chinese Society of Obstetrics and Gynecology and Chinese Medical Association: guideline of preconception and prenatal care","volume":"21","year":"2018","journal-title":"Chin J Obstet Gynecol"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1177\/1049732319889354","article-title":"\"Everything is perfect, and we have no problems\": detecting and limiting social desirability Bias in qualitative research","volume":"30","author":"Bergen","year":"2020","journal-title":"Qual Health Res"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/j.addbeh.2017.05.005","article-title":"The relationship between social desirability bias and self-reports of health, substance use, and social network factors among urban substance users in Baltimore, Maryland","volume":"73","author":"Latkin","year":"2017","journal-title":"Addict Behav"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1807833\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T05:38:50Z","timestamp":1782106730000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1807833\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,22]]},"references-count":48,"alternative-id":["10.3389\/fpubh.2026.1807833"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1807833","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,22]]},"article-number":"1807833"}}