Views of General Practitioners on Indoor Environmental Health Risks in the Perinatal Period

Ibáñez, Gladys; Zabar, Jehan; Cadwallader, Jean-SÃ©bastien; Rondet, Claire; Lochard, Matthias; Magnier, Anne-Marie

doi:10.3389/fmed.2015.00032

Cited by 5 publications

(3 citation statements)

References 29 publications

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“…Studies included in this report were screened and two of these met eligibility criteria. Reasons for exclusion from the database searches were incorrect phenomenon of interest24 25 or incorrect perspective 26–30. Three studies from references or citations of eligible reports met the inclusion criteria and were also included.…”

Section: Resultsmentioning

confidence: 99%

Qualitative systematic review of general practitioners’ (GPs’) views and experiences of providing postnatal care

et al. 2023

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ObjectivesDevelop an understanding of the views and experiences of general practitioners (GPs) about their role in postnatal care, including barriers and facilitators to good care, and timing and content of planned postnatal checks.DesignQualitative systematic review.Data sourcesElectronic database searches of MEDLINE, EMBASE, CINAHL, PubMed, Web of Science, PsychINFO from January 1990 to September 2021. Grey literature and guideline references from National Institute of Health and Care Excellence, WHO, International Federation of Gynecology and Obstetrics, Royal College of General Practitioners, Royal College of Obstetrics and Gynaecology.Inclusion criteriaPapers reporting qualitative data on views and experiences of GPs about postnatal care, including discrete clinical conditions in the postnatal period. Papers were screened independently by two reviewers and disputes resolved by a third reviewer.Quality appraisalThe Critical Appraisal Skills Programme checklist was used to appraise studies.Data extraction and synthesisThematic synthesis involving line-by-line coding, generation of descriptive then analytical themes was conducted by the review team. The Capability, Opportunity, Motivation-Behaviour (COM-B) model was used to develop analytical themes.Results20 reports from 18 studies met inclusion criteria. Studies were published from 2008 to 2021, reporting on 469 GPs. 13 were from UK or Australia. Some also reported views of non-GP participants. The clinical focus of studies varied, for example: perinatal mental health, postnatal contraception. Five themes were generated, four mapped to COM-B: psychological capability, physical opportunity, social opportunity and motivation. One theme was separate from the COM-B model: content and timing of postnatal checks. Strong influences were in physical and social opportunity, with time and organisation of services being heavily represented. These factors sometimes influenced findings in the motivation theme.ConclusionsGPs perceived their role in postnatal care as a positive opportunity for relationship building and health promotion. Addressing organisational barriers could impact positively on GPs’ motivation to provide the best care.PROSPERO registration number268982.

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Section: Resultsmentioning

confidence: 99%

Qualitative systematic review of general practitioners’ (GPs’) views and experiences of providing postnatal care

et al. 2023

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“…Some HPs did not integrate environmental health in their preventive practices because this topic was poorly comprehended. Indeed, HPs could consider that health subjects are the prerogative of affluent populations [37,[68][69][70][71], a phenomenon which is described in the literature on stereotypes and discrimination [72].…”

Section: Acceptabilitymentioning

confidence: 99%

A Clinical Preventive Strategy Based on a Digital Tool to Improve Access to Endocrine Disruptors Exposure Prevention: The MEDPREVED Study

Albouy

Parthenay

Nogues

et al. 2022

IJERPH

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Introduction: The digitalized PREVED (PREgnancy, PreVention, Endocrine Disruptor) questionnaire was used in the clinical practices of health professionals (HP) who adhered to the MEDPREVED strategy. The objectives were to assess the strategy and to determine if it could improve access to endocrine disruptor (ED) exposure prevention. Methods: After having filled in the digital questionnaire in HP waiting rooms, patients were invited to talk about ED exposure during the consultation. HPs were previously trained in ED and had received a prevention kit for their patients. After the seven-month implementation phase, the evaluation phase consisted of five mixed assessments: interviews with: (i) patients who were young children’s parents; (ii) patients in the general population; (iii) paediatricians; (iv) midwives; and a quantitative study on GPs. Assessment concerned feasibility, accessibility, and usefulness of the strategy; we then used the Levesque model to evaluate how it could improve access to ED exposure prevention. Results: The study included 69 participants. The strategy appeared feasible for the filling-out step due to digital and environment access. However, it depended on patient and HP profiles. The strategy seemed useful insofar as it facilitated reflexive investment, an intention to healthy behaviour and, rather rarely, talk about ED exposure. The beginning of this discussion depended on time, prioritizing of the topic and HP profile. The strategy has confirmed the Levesque model’s limiting factors and levers to access ED prevention. Conclusions: The MEDPREVED strategy is feasible, accessible, and useful in clinical prevention practice. Further study is needed to measure the impact on knowledge, risk perception and behavior of beneficiaries of the MEDPREVED strategy in the medium and long term.

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“…Primary care health professionals intervene at a privileged moment to prevent environmental risks to the child's health. Nonetheless, although they consider they have a role to play in the prevention of environmental risks, the lack of evidence about the health effects of some pollutants and the lack of validated tools together with their lack of training and of time does not encourage them to do so 39–41 …”

Section: Introductionmentioning

confidence: 99%

Domestic Exposure to Chemicals in Household Products, Building Materials, Decoration, and Pesticides: Guidelines for Interventions During the Perinatal Period from the French National College of Midwives

Rousseau¹,

Rouzeau

Bainvel

et al. 2022

J Midwife Womens Health

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Introduction We are exposed to numerous pollutants inside our homes. The perinatal period represents a particular window of vulnerability during which these exposures can have negative health effects over a more or less long term. The objective of this article is to formulate guidelines for health care professionals and intended for parents to reduce exposure to chemical pollutants at home, based on the scientific literature and already existing guidelines. Methods We have followed the methodological procedures set forth by the French authority for health (HAS) to establish guidelines to limit exposure to pollutants in homes. This narrative review of the scientific literature was conducted with two principal objectives: (1) to identify priority substances emitted within homes and that have a reprotoxic potential and (2) to identify measures to limit exposure to these residential pollutants. The guidelines were developed from the data in the literature and from advice already made available by diverse institutions about environmental health during the perinatal period. Results Domestic pollutants are numerous and come from both common (that is, shared, eg, painting, cleaning, and maintenance work) and specific (use of household pesticides) sources. Numerous pollutants are suspected or known to produce developmental toxicity, that is, to be toxic to children during developmental stages. Removing some products from the home, protecting the vulnerable (ie, pregnant women and young children) from exposure, and airing the home are among the preventive measures proposed to limit exposure to these chemical substances. Conclusion Health care professionals can provide advice to parents during the perinatal period to diminish exposure to household pollutants. The lack of interventional studies nonetheless limits the level of evidence for most of these recommendations.

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Views of General Practitioners on Indoor Environmental Health Risks in the Perinatal Period

Cited by 5 publications

References 29 publications

Qualitative systematic review of general practitioners’ (GPs’) views and experiences of providing postnatal care

Qualitative systematic review of general practitioners’ (GPs’) views and experiences of providing postnatal care

A Clinical Preventive Strategy Based on a Digital Tool to Improve Access to Endocrine Disruptors Exposure Prevention: The MEDPREVED Study

Domestic Exposure to Chemicals in Household Products, Building Materials, Decoration, and Pesticides: Guidelines for Interventions During the Perinatal Period from the French National College of Midwives

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