Evidence map›Paper›PMID 29747592›Full record

ArticleBMC pregnancy and childbirth2018

Qualitative exploration of barriers and facilitators of dental service utilization of pregnant women: A triangulation approach.

Hoda Bahramian, Simin Z Mohebbi, Mohammad Reza Khami, Rocio Beatriz Quinonez

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Knowledge and Attitudes of Dental Students Towards Treatment of Pregnant Women: A Cross-Sectional Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
    Article
  6. Article
  7. Changes, Desire, Fear and Beliefs: Women's Feelings and Perceptions About Dental Care During Pregnancy.International journal of environmental research and public health · 2025
    Article
  8. Article
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  10. Clinical considerations of emergent oral manifestations during pregnancy.Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2024
    Review
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  18. Oral Health and Knowledge among Postpartum Women.Children (Basel, Switzerland) · 2022
    Article
  19. Oral Healthcare during Pregnancy: Its Importance and Challenges in Lower-Middle-Income Countries (LMICs).International journal of environmental research and public health · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Hoda BahramianResearch Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Simin Z MohebbiResearch Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran. smohebbi@tums.ac.ir.
Mohammad Reza KhamiResearch Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Rocio Beatriz QuinonezDepartments of Pediatric Dentistry and Pediatrics, Schools of Dentistry and Medicine, University of North Carolina at Chapel Hill, Chapel Hill, N C, USA.
Tehran University of Medical Sciences · IRUniversity of North Carolina at Chapel Hill · US

Funding

Research Center for Caries Prevention, Dental Research Institute, Tehran University of Medical ‎Sciences‎ ‎94-02-194-27561‎
6 · The paper itself

Abstract

backgroundPregnant women are vulnerable to a wide range of oral health conditions that could be harmful to their own health and future child. Despite the usefulness of regular dental service utilization in prevention and early detection of oral diseases, it is notably low among pregnant women. In this qualitative study, we aimed to explore barriers and facilitators influencing pregnant women's dental service utilization.

methodsUsing a triangulation approach, we included pregnant women (n = 22) from two public health centers, midwives (n = 8) and dentists (n = 12) from 12 other public centers in Tehran (Iran). Data was gathered through face-to-face semi-structured interviewing and focus group discussion methods. The analysis of qualitative data was performed using conventional content analysis with MAXQDA10 software.

resultsReported barriers of dental service utilization among pregnant women were categorized under emerging themes: Lack of knowledge and misbelief, cost of dental care, physiological changes, fear and other psychological conditions, time constraint, dentists' unwillingness to accept pregnant women treatment, cultural taboos and lack of interprofessional collaboration. Solutions proposed by dentists, midwives and pregnant women to improve dental care utilization during pregnancy were categorized under three themes: Provision of knowledge, financial support and establishing supportive policies.

conclusionsUnderstanding perceived barriers of dental service utilization during pregnancy can serve as baseline information for planning and formulating appropriate oral health education, financial support, and legislations tailored for lower income pregnant women, midwives and dentists in countries with developing oral health care system.

Indexed as

Health Services AccessibilityAdultAttitude of Health PersonnelDental CareDentistsFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHumansIranOral HealthPatient Acceptance of Health CarePregnancyPregnant PeoplePrenatal CareQualitative ResearchDental health perceptionsOral healthPregnant womenQualitative research

Identifiers

PMID29747592
PMCPMC5946421
OpenAlexW2806291881

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.