Behaviour change opportunities at mother and baby checks in primary care: a qualitative investigation of the experiences of GPs

Talbot, Hannah; Strong, Emily; Peters, Sarah; Smith, Debbie

doi:10.3399/bjgp18x695477

Cited by 9 publications

(12 citation statements)

References 20 publications

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“… 12 Talbot et al , in a study of GPs’ views of the mother and baby check as an opportunity to instigate and encourage health behaviour change, noted that one barrier to this was that many GPs felt the consultation should be patient-led, and that more research on women’s expectations and experiences was needed. 15 The findings of the present study corroborate GPs’ orientations towards parent-focused consultation styles for the 6-week baby check. The overwhelming expressed need was for reassurance, and this may not be the best moment for raising health behaviour issues not raised by parents themselves.…”

Section: Discussionsupporting

confidence: 82%

Parents’ expectations and experiences of the 6-week baby check: a qualitative study in primary care

et al. 2020

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Background: The Newborn and Infant Physical Examination (NIPE) programme requires all babies to have a comprehensive health-check at 6-8 weeks of age. These are typically completed by general practitioners (GPs). Although person-centred care has achieved prominence in maternity care policy in recent years there is limited empirical evidence on what parents/carers expect from the check, and how far experiences meet their needs. Aim: To explore the expectations and experiences of parents attending their GP for a baby check. Design and setting: Qualitative study in primary care in London. Method: Content analysis of transcripts of semi-structured interviews with 16 parents who had recently attended for a 6-week check for their baby. Results: Despite the availability of plentiful sources of general advice on infants’ health and development, a thorough check by a trusted GP was an important milestone for most parents. They had few specific expectations of the check in terms of what examinations were undertaken, but even experienced parents anticipated reassurance about their baby’s normal development. Many also hoped for reassurance about their own parenting. Parents appreciated: GPs who explained what they were doing during the examination; space to raise any concerns; and combined mother and baby checks. Referrals to secondary care were generally experienced as reassuring rather than a source of anxiety. Conclusion: The baby check meets needs beyond those of the NIPE screening programme; protecting the time for a thorough consultation is important for parents at what can be a vulnerable time.

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Section: Discussionsupporting

confidence: 82%

Parents’ expectations and experiences of the 6-week baby check: a qualitative study in primary care

et al. 2020

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“…Delivery of some aspects of women's health care in conjunction with the WBV is not meant to supersede the postpartum visit with a woman's prenatal care practitioner; however, for women who are not able to access their own PP care, the WBV practitioner can screen for women's health needs and appropriately refer back to the prenatal care/postpartum practitioner or other practitioners as needed. This general approach to care already exists with some variation in other high‐resource countries such as the United Kingdom and Australia 25,26 …”

Section: Discussionmentioning

confidence: 99%

A two‐generation approach to postpartum care: Building on the well‐baby visit

Handler

Bergo

Dominik

et al. 2021

Birth

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Background Although postpartum (PP) care is essential for the health and well‐being of women and their infants, many women in the United States do not receive PP care. In order to ensure that women's PP needs are met, it is essential to develop delivery models that address their barriers to care. The objective of the current study was to obtain women's feedback and perspectives about delivering women's health care at the well‐baby visit (WBV) using a modified mixed‐methods approach including open‐ended interviews and surveys. Methods Twenty brief open‐ended interviews were conducted with PP women at a large urban medical center in Chicago. The interviews were recorded, transcribed, and coded following a mixed deductive and inductive approach and analyzed using Dedoose. Following the interview analysis, surveys with 50 immediate PP women and 50 who were 2‐4 months PP were conducted. Statistical analyses included frequencies and chi‐square tests to determine differences between participants interviewed at the two time periods. Results Key themes that emerged from the open‐ended interviews include the tension between the desire for continuity of care (prenatal to PP) and the desire for convenient care. The surveys found that 86%‐94% of women would be interested in receiving PP care at the same clinic site and time as their new baby. Conclusions One approach to addressing women's PP health and need for convenient care is the provision of components of women's health care at the WBV. Therefore, we present an innovative two‐generation model for PP care focusing on needs of both the woman and infant.

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“…The National Institute for Health and Care Excellence recommends using the 6‐ to 8‐week postnatal check in primary care as a chance to initiate lifestyle changes to reduce cardiovascular risk . However, it is underutilised for this purpose …”

mentioning

confidence: 99%

“…We also explored their acceptance of using the Active 10 smartphone application to facilitate this process. Active 10 was created by Public Health England to promote and track brisk walking at 3–4 mph starting with a target of 10 minutes a day …”

mentioning

confidence: 99%

Re: Evaluation of a simple risk score to predict preterm pre‐eclampsia using maternal characteristics: a prospective cohort study

Al-Bedaery

Oakeshott

2019

BJOG

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Behaviour change opportunities at mother and baby checks in primary care: a qualitative investigation of the experiences of GPs

Cited by 9 publications

References 20 publications

Parents’ expectations and experiences of the 6-week baby check: a qualitative study in primary care

Parents’ expectations and experiences of the 6-week baby check: a qualitative study in primary care

A two‐generation approach to postpartum care: Building on the well‐baby visit

Re: Evaluation of a simple risk score to predict preterm pre‐eclampsia using maternal characteristics: a prospective cohort study

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