In Bangladesh, over 95% of pregnant women suffer from gum disease (gingivitis or periodontitis), yet oral health is rarely included in standard pregnancy check-ups. This study tests a new "Integrated Oral Health Promotion Package" to see if teaching oral hygiene during routine prenatal visits can improve the health of mothers. Pregnant women (ages 18-45) will be divided into two groups. The intervention group will receive two face-to-face education sessions with a dental assistant, learn a specific tooth-brushing technique, and receive weekly SMS text reminders to brush their teeth. The control group will receive the standard pregnancy care currently offered in Bangladesh. Researchers will track the participants for 12 weeks to see if the education and reminders lead to better brushing habits (twice-daily) and cleaner teeth and gums compared to the standard care group.
Pregnant women attending ANC services at participating UHCs
Gestational age ≤24 weeks at enrolment to allow follow-up
Age 18 years or older
Willing and able to provide informed consent
Presence of severe medical or obstetric complications requiring immediate referral
Current participation in another behavioural or oral health intervention study
Conditions preventing participation in oral examination procedures