Chronic periodontitis and pre-term labour in Brazilian pregnant women: an association to be analysed

J Clin Periodontol. 2007 Mar;34(3):208-13. doi: 10.1111/j.1600-051X.2006.01038.x.


Aim: To investigate the association between chronic periodontitis (CP) and pre-maturity in a group of Brazilian pregnant women from the State of São Paulo.

Materials and methods: One hundred and twenty-four women were investigated consecutively in a cross-sectional study, between December 2003 and May 2005. Sixty-eight women had pre-term labour (PTL) and 56 had term labour. A periodontal examination was carried out to identify the presence of CP. Statistical analysis used the Fisher's exact test or chi(2) for the discrete variables and the Mann-Whitney test for the non-parametric variables. Odds ratio (OR) was calculated with a 95% confidence interval (CI), to evaluate the relation between CP and pre-maturity.

Results: Periodontal indicators, such as clinical attachment loss (p<0.0001) and bleeding on probing (p=0.012), were observed more in the PTL group. The presence of CP increased the risk for PTL (OR: 4.7, 95% CI: 1.9-11.9), pre-term birth (PTB; OR: 4.9, 95% CI: 1.9-12.8) and low birth weight (<2500 g; OR: 4.2, 95% CI: 1.3-13.3). The pregnant women with PTL presented low levels of schooling (p=0.029) and the lowest number of pre-natal appointments (p=0.0001) when compared with those with term labour.

Conclusion: CP is strongly associated with PTL, PTB and low birth weight in a group of Brazilian pregnant women. These data point to the necessity of regularly investigating CP during pregnancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Birth Weight
  • Brazil
  • Chronic Disease
  • Epidemiologic Methods
  • Female
  • Humans
  • Obstetric Labor, Premature / etiology*
  • Periodontal Pocket / complications
  • Periodontitis / complications*
  • Pregnancy