TERM Pregnancy Grant
Recent findings indicate that periodontal disease - an infection of the gums and bone caused by plaque, a sticky film of bacteria that adheres to teeth - may be a risk factor for preterm birth and low birth weight. , Studies suggest that premature labor is often triggered by the body's natural immune response to certain bacterial infections. Even infections far away from the reproductive organs, such as periodontal (gum) disease, may contribute to premature delivery. Studies also indicate that periodontal disease may cause pre-eclampsia. The risk may be reduced with treatment. Poor oral health, including periodontal disease, is higher among low-income women who often lack access to dental care despite having coverage by Medicaid.

The Treatment, Education and Resources for Mothers (TERM) project, funded by the March of Dimes in 2004 and in 2005, has allowed Spokane Regional Health District's (SRHD) Public Health Nurses to screen the mouth and gums of low-income pregnant women participating in the SRHD's First Steps Program. Women with suspected periodontal disease are referred to dental care. All women in the First Steps Program receive educational messages on the importance of oral health, pregnancy, and periodontal disease. The women and their partners receive oral health supplies to help improve their home care. Beyond this, the entire family should benefit from the oral health messages delivered through the TERM project. Gaining this information should influence the oral health status of families involved and also future pregnancy outcomes.

Oral Health and Pregnancy
Hormone levels change during pregnancy. Sometimes pregnant women experiences swollen gums which tend to bleed during brushing. The increase in hormones exaggerates the way gum tissue reacts to plaque (a sticky film of bacteria that sticks to teeth). It is not the hormone levels that cause gum disease. It is the plaque. To prevent gum disease during pregnancy, you must What can be done to prevent gum disease and decay?

1. Brush thoroughly with a fluoride toothpaste, twice a day
2. Floss once a day
3. Eat a balanced diet and if you snack, do so in moderation
4. Schedule regular dental checkups and have your teeth cleaned professionally as recommended