Ojukwu, O;
Patel, D;
Stephenson, J;
Howden, B;
Shawe, J;
(2016)
General practitioners' knowledge, attitudes and views of providing preconception care: a qualitative investigation.
Upsala Journal of Medical Sciences
, 121
(4)
pp. 256-263.
10.1080/03009734.2016.1215853.
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Abstract
Background: Preconception health and care aims to reduce parental risk factors before pregnancy through health promotion and intervention. Little is known about the preconception interventions that general practitioners (GPs) provide. The aim of this study was to examine GPs’ knowledge, attitudes, and views towards preconception health and care in the general practice setting. Methods: As part of a large mixed-methods study to explore preconception care in England, we surveyed 1,173 women attending maternity units and GP services in London and interviewed women and health professionals. Seven GPs were interviewed, and the framework analysis method was used to analyse the data. Findings: Seven themes emerged from the data: Knowledge of preconception guidelines; Content of preconception advice; Who should deliver preconception care?; Targeting provision of preconception care; Preconception health for men; Barriers to providing preconception care; and Ways of improving preconception care. A lack of knowledge and demand for preconception care was found, and although reaching women before they are pregnant was seen as important it was not a responsibility that could be adequately met by GPs. Specialist preconception services were not provided within GP surgeries, and care was mainly targeted at women with medical conditions. GPs described diverse patient groups with very different health needs. Conclusion: Implementation of preconception policy and guidelines is required to engage women and men and to develop proactive delivery of care with the potential to improve pregnancy and neonatal outcomes. The role of education and of nurses in improving preconception health was acknowledged but remains under-developed.
| Type: | Article |
|---|---|
| Title: | General practitioners' knowledge, attitudes and views of providing preconception care: a qualitative investigation |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1080/03009734.2016.1215853 |
| Publisher version: | http://dx.doi.org/10.1080/03009734.2016.1215853 |
| Language: | English |
| Additional information: | © 2016 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/Licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, General practice, preconception care, pregnancy, pre-pregnancy, qualitative, MALE REPRODUCTIVE FUNCTION, HEALTH-PROMOTION, CHRONIC DISEASE, PREGNANCY, MEN, WOMEN, CHALLENGES, BEHAVIORS, SERVICES, MODELS |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health UCL > Provost and Vice Provost Offices > UCL BEAMS UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1516527 |
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