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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Thyroid health into pregnancy
‘Without an adequate amount of thyroid hormone mothers can be exposed to hypertensive disorders of pregnancy, including gestational hypertension and preeclampsia or eclampsia, which affect around 10% of pregnant women and are the leading causes of maternal and neonatal mortality worldwide. Mothers who suffer from hypertensive disorders during pregnancy are at increased risk of long-term cardiovascular consequences and hypertensive disorders in subsequent pregnancies. Evidence also indicates a risk of reduced cognitive ability to their offspring.
‘Knowing if you are genetically predisposed to Hashimoto’s or Graves’ Diseases, which are both thyroid autoimmune disorders is important to be aware of, to ensure all appropriate tests are ordered. Autoimmune disorders may predispose mothers to a thyroid problem during pregnancy’, says Professor Creswell Eastman, who also serves as the ATF’s Principal Medical Advisor.
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Future of minimally invasive surgery
Macquarie University Hospital is the first hospital in Australia to have three robotic surgical systems. It remains the busiest centre for robotic urology in New South Wales and has rapidly growing programs in other areas. What is behind the Hospital’s success?
Conjoint Associate Professor Walter Kmet, CEO of Macquarie University Hospital, says that the story of robotics at the Hospital is driven by its academic health sciences identity.
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Landmark Australian-led study revises thresholds to diagnose and treat anaemia
In 2014, WEHI researchers began a study at the request of the World Health Organization (WHO), to formally review its global anaemia guidelines that were last updated in 1968.
Study lead and Acting WEHI Deputy Director, Professor Sant-Rayn Pasricha, speaking to Australian Health Journal said while anaemia can be diagnosed by measuring the amount of haemoglobin in the blood, there is currently no consensus on the thresholds that should be used to define the condition.
