Evidence map›Paper›PMID 40481470›Full record

SynthesisBMC oral health2025

Oral health knowledge, perceptions and attitudes of pregnant women in Sub-Saharan Africa: a systematic review.

Torojah Mayaline Williams, Adetola Emmanuel Babalola, Olubusayo Bolarinwa, Victor Adeyanju Somoye, Oluwaseun Akinola Azeez, Olayinka Julianah Onasanya, Victor Miracle Johnson, Adaeze Favour Egemonye

Abstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. 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
  3. 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

8 authors.

Torojah Mayaline WilliamsInstitute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID http://orcid.org/0009-0008-0373-8218
Adetola Emmanuel BabalolaFaculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria. adetolababalola5@gmail.com.ORCID http://orcid.org/0000-0002-5660-4917
Olubusayo BolarinwaJohns Hopkins University, Maryland, USA.ORCID http://orcid.org/0009-0007-2578-2888
Victor Adeyanju SomoyeFaculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID http://orcid.org/0009-0000-0176-0544
Oluwaseun Akinola AzeezFaculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID http://orcid.org/0000-0002-9262-5854
Olayinka Julianah OnasanyaFaculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID http://orcid.org/0009-0007-6473-3624
Victor Miracle JohnsonFaculty of Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.ORCID http://orcid.org/0009-0001-1243-1356
Adaeze Favour EgemonyeCollege of Medicine, University of Lagos, Lagos, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis systematic review aimed to assess pregnant women's knowledge, perceptions, and attitudes toward oral health changes in sub-Saharan Africa (SSA) and examine their oral health-seeking behavior during pregnancy.

methodsA comprehensive search was conducted across PubMed, Google Scholar, African Journals Online (AJOL), the Directory of Open Access Journals (DOAJ), and the Cochrane Library. Both Medical Subject Headings (MeSH) and free-text terms related to oral health, knowledge, attitudes, perceptions, antenatal care, pregnancy, and Africa were used. Boolean operators ("AND," "NOT," and "OR") refined the search strategy. Two independent reviewers screened studies and extracted data using Rayyan software, with a third reviewer resolving conflicts. The Robins-E tool assessed the risk of bias.

resultsFifteen of seventy-five studies initially identified met the inclusion criteria after full-text screening. Most employed a cross-sectional design. Findings revealed low oral health-seeking behavior among pregnant women in Africa, attributed to factors such as negative dental experiences, concerns about harm to the unborn child, and the belief that dental care is unnecessary. Many women visited dental clinics only when they noticed significant oral health changes.

conclusionsThe reviewed studies demonstrated a low risk of bias and consistent findings. Pregnancy is a critical period, and poor oral health can adversely affect birth outcomes. Insufficient knowledge and misconceptions deter women from seeking dental care during pregnancy. To address this, targeted oral health education must improve awareness and overcome barriers to seeking care.

Indexed as

Health Knowledge, Attitudes, PracticeOral HealthPregnant PeopleAfrica South of the SaharaFemaleHumansPregnancyPrenatal CareAfricaAttitudeKnowledgeOral healthPerceptionPregnancyWomen

Identifiers

PMID40481470
PMCPMC12144732

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.