INTEGRATING ORAL HEALTH CARE ACROSS NON-DENTAL PROFESSIONALS
PART 2: CASE STUDY Integrated oral health care in midwifery practice
SEGMENT
Filmed in Melbourne, Liverpool, NSW and Sydney | February 2025
INTERVIEWS
Associate Professor Rachel Martin, Adjunct Associate Professor,
University of Melbourne & Western Sydney University &
Director, Australian Network for the Integration of Oral Health (NIOH) & Director, Australian Dental Research Foundation
Dr Ajesh George, Professor of Interprofessional Oral Health,
School of Nursing and Midwifery, Western Sydney University &
Co-Founder & Director, Australian Centre for Integration of Oral Health (ACIOH)
Alison Weatherstone, Chief Midwife
Australian College of Midwives
Bonnie Morrison, Health Promotion Team Lead
Dental Health Services Victoria
Cindy Scott, Endorsed Midwife & Registered Nurse
Growing Great Babies and Kids Program, Tweddle &
Early Parenting Centre, Barwon Health, Victoria
Following the Australian Health Journal segment, “Integrating oral health care across non-dental professionals: Part 1 How oral health and cardiovascular health, diabetes and cognitive decline are related”, Part 2 is a Case Study on an integrated oral health care in midwifery practice called the midwifery initiated oral health model, or MIOH for short.
There is limited emphasis being placed on perinatal oral health by prenatal care providers in Australia. Pregnant women have no system in place that can offer them regular oral assessment during pregnancy and prompt dental treatment at minimal or no cost as experienced in other countries. To address the oral health needs of pregnant women, a unique midwifery initiated oral health (MIOH) model was developed to promote and maintain maternal oral health.
The model equips midwives with the skills and confidence to include oral health promotion in the first antenatal care booking visit. Commenced in 2008 in Campbelltown Hospital in South Western Sydney, MIOHis succeeding in improving the oral health knowledge, behaviours and oral health outcomes of pregnant women.
This widely researched online education program was prepared by the Australian Centre for Integration of Oral Health, in collaboration with various partners including Western Sydney University, Sydney & South Western Sydney Local Health District, Sydney Dental Hospital, Dental Health Services Victoria, and the Australian College of Midwives. It was supported by funding from the NSW Centre for Oral Health Strategy, Western Sydney University and the Australian College of Midwives.
Australian Health Journal spoke with some of the key representatives of the organisations involved in the establishment, support and involvement in the program.
To see the Australian Health Journal segment, “Integrating oral health care across non-dental professionals: PART 1 How oral health and cardiovascular health, diabetes and cognitive decline”, click here
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Streamlining and centralising training for gastroenterologists
Dr Amit Saha is a Paediatric Gastroenterologist and Hepatologist and trained paediatric endoscopist based in Perth. He underwent his higher specialist training in Paediatrics within the NHS in the UK, and sub-specialised in Paediatric Gastroenterology Hepatology & Nutrition at busy and prestigious centres in London including The Kings College Hospital.
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Improved access to technology needed for people with Type 2 Diabetes needing insulin
The National Diabetes Services Scheme (NDSS) provides subsidised products for diabetes management; however, disparities exist in access to technology between those with Type 1 and Type 2 diabetes. While continuous glucose monitoring (CGM) devices are subsidised for Type 1, they are not available for Type 2 diabetes. ADEA advocates for equitable access to these essential tools, emphasising that all individuals with diabetes deserve the resources necessary for optimal management and reduced risk of complications. Without such technologies, many are forced to rely on finger pricking, which can be inconvenient and unsafe in settings such as the workplace and in higher education.
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Expansion of specialist training in regional & rural areas
Associate Professor Sanjay Jeganathan, Chair of the Council of Presidents of Medical Colleges (CPMC) states, ”Our rural and regional communities deserve the same access to specialist care as our cities. We’re seeing real results from our colleges’ commitment to rural training.”
