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380 513: 380 389 2013 2 1 129 1 1 1 1 16.5 1 29.5 Key words 1 14 14 1 2 3 23 2-1-1 2013 3 21 2013 6 3 4 1 5 1 1 22 9 23 5 A A 129

513 2013 381 1 5 2 3 2 1.63 4 1 0.8 1 0.8 5 25 16.5 5 15 33 14.4 16 25 93 17.2 1 30 67 51.9 20 60 46.540 2 1.6 0 1 114 88.41 2 11 8.5 2 3 a b

382 3 1 3 58 45.0 64 49.6 6 4.7 1 0.7 2 3 9.1 3 3.2 97 75.2 32 24.8 3 a 10 30.3 22 23.7 4 48 23 22 11 6 4 3b 11 6 3 1 74 57.4 54 41.91 0.7 4 14 42.4 19 57.6 59 63.4 34 36.6 81 62.8 48 37.2 5a 14 42.431 33.3 23 22 2 1 5b 1 75 58.1 42 32.6 12 9.3 6a 10 30.3 5 a b

513 2013 383 31 33.3 32 30 17 5 5 5 2 6b 115 89.1 14 10.9 7a 28 84.8 85 89.7 52 46 16 12 7b 104 80.6 8 6.2 17 13.2 829 6 a b 7 a b

384 8 9 87.9 72 72.4 78 60.5 15 11.6 36 27.9 9 23 69.752 55.9 1 1 30 20 9 0 1 1 2012 28.8 1980 25.2 3.6 1 29.9 1980 26.4 3.5 6 35 1990 105,188 2009 239,608 7 8 2 1 29.5 13 16.5 14.4 17.2 1 501.1 4.7 1 9 1 89.6 9.9 24.8 30.3 23.7 1 70.3 57.4 42.4 63.4 A 47 4 1216 5090 9

513 2013 385 10 5 25 16 A 57 1 2 4 3 1 2 1 2 30 0 1 1 2006 11 Prevotella intermedia Aligne 12 13 Mutans Streptococci MS 4 1 9 1 14, 15 5 1 88.5 89.1 9 17 16 1 42.43 38.0 17

386 1 9 23 18 25 39 16 20 5 30 11 30 6 2008 19 9.6 3,006 g 37 5.8 1 84.6 80.6 1996 Offenbacher 20 60 7.5 2007 2.83 2.27 4.03 21 22 SIDS 23 96 22 22.9 24 74.6 79.5 67.7 67.5 2008 25 20 83.5 90.4 1973 Jones 26 FAS 2004 88 77 9 A

513 2013 387 7 1 73.1 60.5 27 10 52.310 97.1 1 13 16.5 MS MS 28 MS 29, 30 MS MS A 6 8 1 6 10 1 A 49 2011 http : //www.mhlw.go.jp/bunya/kodomo/ boshi hoken13/2013. 3. 10 http : //www.mhlw.go.jp/seisakunitsuite/bunya/kodomo/kodomo_kosodate/boshi hoken/kenkou 04.html2013. 5. 2 32 : 480 494, 2012. http : //www.mhlw.go.jp/seisakunitsuite/ bunya/kenkou_iryou/kenkou/shikakoukuuhoken/ 2013. 3. 10 1 50 : 229 236, 2012. http : //www8.cao.go.jp/shoushi/whitepaper/w 2012/24pdfhonpen/24honpen.html2013. 3. 9 22 2011. 103 : 333 339, 2011. 2004, 40 44. 23 : 2 8, 2009.

388 53 : 40 49, 2011. Aligne CA, Moss ME, Auinger P, Weitzman M : Association of pediatric dental caries with passive smoking. J Amer Dent Assoc, 289 : 1258 1264, 2003. 45 : 584 592, 2007. 66 : 576 582, 2007. 47 : 738 745, 2009. 17 http : //www.mhlw.go.jp/houdou/2006/06/h0629 1.html2012. 10. 29 47 : 31 33, 2003. 23 http : //www.stat.go.jp/data/roudou/sokuhou/nen/ft /index.htm2012. 9. 11 2008, http : //www.mhlw.go.jp/ toukei/saikin/hw/jinkou/suikei 08/index.html2013. 3. 11 Offenbacher S, et al. : Periodontal infection as a possible risk factor for a preterm birth and low birth eight, J periodontal, 67 : 1103 1113, 1996. Vergnes JN, Sixou M : Preterm low birth weight and maternal periodontal status : a metaanalysis. Am J Obstet Gynecol, 196 : 135, 2007. 19 33 35, 2007. WHS, 9 : 93 102, 2010. 1 6 68 : 482 488, 2009. 20 2009. Jones KL, Smith DW, Ulleland CN, Streissguth P : Pattern of malformation in offspring of chronic alcoholic mothers. Lancet, 1 : 1267 1271, 1973. 56 : 709 713, 2006. 58 : 168 176, 2008. Brambilla E, Felloni A, Gagliani M, Malerba A, Garcia GF, Strohmenger L. : Caries prevention durning pregnancy : Result of a 30-month study. J Amer Dent Assoc, 129 : 871 877, 1998. Functional Food, 4 : 120 123, 2010.

513 2013 389 Oral Health Awareness among Pregnant Women Second Report : Survey of Beginning to Middle Pregnancy Period Hisae Oka, Mariko Kogawa, Yuko Shimano, Mari Fujioka and Mitsuko Inoue Department of Pediatric Dentistry, School of Dentistry, Showa University (Chief : Prof. Mitsuko Inoue) This report describes results of a survey of 129 pregnant women who attended a prenatal class lecture. Those at the beginning to middle term of their pregnancy responded to a questionnaire about consciousness of personal oral health and that of their unborn babies, and the responses were compared with those obtained in a previous report. We found no differences in answers to questions regarding age, birthing history, smoking experience, anxiety about oral health of the child, intentions about breast-feeding, or recognition of the relationship among periodontitis, smoking, alcohol consumption, and premature and low birth-weight infants as compared with the prior responses. A present poor condition and present difficulties with tooth brushing showed a greater number of responses than in the first report, while responses noting having a family dentist and understands mother-to-child transmission of cariogenic bacteria were fewer than in the first report. Poor condition and mental instability caused by morning sickness were evident at an average of 16.5 weeks of pregnancy. Our results imply that these differences were influenced by increased consciousness of personal health as a result of pregnancy. Furthermore, it seems that pregnant women have inadequate knowledge regarding dentistry and its relationship to health after childbirth. Thus, advice about oral health from the beginning of pregnancy by a community medical organization is considered important improve the health consciousness of pregnant women. Key words : Pregnancy, Oral health awareness, Beginning to middle pregnancy period