{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:16:37Z","timestamp":1791810997042,"version":"4.3.4"},"reference-count":40,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T00:00:00Z","timestamp":1617840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Oral healthcare during pregnancy needs to be part of the assistance routine given to pregnant women by health professionals as a way to encourage self-care and strengthen the general health of the mother and the baby. The aim of this study was to evaluate the effectiveness of an integrated oral healthcare intervention for pregnant women and to analyze the association of sociodemographic, behavioral, oral health and general maternal and child health factors in prenatal care at usual risk in primary care in a city in the northeast of Brazil, in 2018\u20132019. A controlled, randomized, single-blinded community trial was conducted. The intervention group (IG) received dental assistance and collective health education actions in conversation circles, while the control group (CG) received the usual assistance. All pregnant women (146 in total, 58 from IG and 88 from CG) that took part in the trial answered a questionnaire and underwent a dental examination at the beginning of prenatal care and at the puerperal visit. To assess the effect of the intervention, a network analysis was used. The results have shown that being in the control group was associated with neonatal complications (0.89) and prematurity (0.54); the use of tobacco and alcohol are associated with high risk in initial and final oral health; lower educational level of the pregnant women implicates high risk for initial oral health (\u22120.19), final oral health (\u22120.26), pregnancy complications (\u22120.13), low birth weight (\u22120.23), prematurity (\u22120.19) and complications in the newborn (\u22120.14). Having a low family income (\u2264261.36 USD) has shown a high risk for initial oral health (\u22120.14), final oral health (\u22120.20) and prematurity (\u22120.15). The intervention based on integrated oral healthcare for pregnant women indicated that socioeconomic and behavioral factors must be considered as determinants for the quality of women and children\u2019s health and that multi-professional performance during prenatal care contributes to the positive outcomes of pregnancy.<\/jats:p>","DOI":"10.3390\/ijerph18083895","type":"journal-article","created":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T11:58:45Z","timestamp":1617883125000},"page":"3895","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Sociodemographic, Behavioral and Oral Health Factors in Maternal and Child Health: An Interventional and Associative Study from the Network Perspective"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7904-4828","authenticated-orcid":false,"given":"Juliana Ribeiro Francelino","family":"Sampaio","sequence":"first","affiliation":[{"name":"Faculty of CECAPE, Medicine College Est\u00e1cio of Juazeiro do Norte, Juazeiro do Norte, CE 63040-360, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4268-520X","authenticated-orcid":false,"given":"Suely Arruda","family":"Vidal","sequence":"additional","affiliation":[{"name":"Study Group on Health Management and Evaluation at IMIP\/Pernambuco, Institute of Integral Medicine Fernando Figueira\u2014IMIP, Recife, PE 50070-550, Brazil"},{"name":"Post-Graduation Stricto Sensu, Institute of Integral Medicine Professor Fernan-do Figueira\u2014IMIP, Recife, PE 50070-550, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6708-0450","authenticated-orcid":false,"given":"Paulo Savio Angeiras","family":"de Goes","sequence":"additional","affiliation":[{"name":"Child and Adolescent Health Program, Department of Clinic and Preventive Dentistry, Federal University of Pernambuco\u2014UFPE, Recife, PE 50670-901, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8260-0189","authenticated-orcid":false,"given":"Paulo Felipe R.","family":"Bandeira","sequence":"additional","affiliation":[{"name":"Center for Biological and Health Sciences, Regional University of Cariri-URCA\/Cear\u00e1, Northeastern Family Health Training Network\u2014RENASF, Crato, CE 63105-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Eul\u00e1lio","family":"Cabral Filho","sequence":"additional","affiliation":[{"name":"Post-Graduation Stricto Sensu, Institute of Integral Medicine Professor Fernan-do Figueira\u2014IMIP, Recife, PE 50070-550, Brazil"},{"name":"Brazilian Journal of Maternal and Child Health of IMIP, Recife, PE 50070-550, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1902\/jop.2013.1340016","article-title":"Periodontitis and adverse pregnancy outcomes: Consensus report of the Joint EFP\/AAP Workshop on Periodontitis and Systemic Diseases","volume":"84","author":"Sanz","year":"2013","journal-title":"J. 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