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General Practitioners' Knowledge, Attitudes and Views of Providing Preconception Care: A Qualitative Investigation

Ojukwu, O, Patel, D, Stephenson, J, Howden, B and Shawe, JA (2016) General Practitioners' Knowledge, Attitudes and Views of Providing Preconception Care: A Qualitative Investigation Upsala Journal of Medical Sciences.

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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 GP’s 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 1173 women attending maternity units and GP services in London and interviewed women and health professionals. Seven GPs were interviewed and 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; 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 pre-conception health was acknowledged but remains under-developed.

Item Type: Article
Subjects : Health Care
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Ojukwu, OUNSPECIFIEDUNSPECIFIED
Patel, DUNSPECIFIEDUNSPECIFIED
Stephenson, JUNSPECIFIEDUNSPECIFIED
Howden, BUNSPECIFIEDUNSPECIFIED
Shawe, JAUNSPECIFIEDUNSPECIFIED
Date : 20 September 2016
Identification Number : 10.1080/03009734.2016.1215853
Copyright Disclaimer : © 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.
Depositing User : Symplectic Elements
Date Deposited : 14 Sep 2016 08:09
Last Modified : 03 Oct 2016 08:04
URI: http://epubs.surrey.ac.uk/id/eprint/812164

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