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

Author:

Macdonald ClareORCID,MacGregor BeckyORCID,Hillman SarahORCID,MacArthur ChristineORCID,Bick DebraORCID,Taylor BeckORCID

Abstract

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.

Funder

NIHR ARC West Midlands

Publisher

BMJ

Subject

General Medicine

Reference53 articles.

1. The national health service (general medical services contracts) regulations. 2015. Available: https://www.legislation.gov.uk/uksi/2015/1862/regulation/3 [Accessed 10 2022].

2. NHS England BMA . Investment and evolution - update to the GP contract agreement 2021-23/24 2020. Available: https://www.england.nhs.uk/publication/investment-and-evolution-update-to-the-gp-contract-agreement-20-21-23-24 [Accessed 10 2022].

3. The national federation of women’s institutes N. support overdue: women’s experiences of maternity services. 2017. Available: https://www.thewi.org.uk/__data/assets/pdf_file/0009/187965/NCT-nct-WI-report-72dpi.pdf [Accessed 10 2022].

4. Cumberlege J. Better Births . Improving outcomes of maternity services in england. A five year forward. view for maternity care. 2016. Available: https://www.england.nhs.uk/wp-content/uploads/2016/02/national-maternity-review-report.pdf [Accessed 10 2022].

5. Public Health England . Breastfeeding prevalence at 6 to 8 weeks after birth: annual data statistical commentary 2019 to 2020. 2021. Available: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/957253/OFF_SEN_Annual_Breastfeeding_Statistical_Commentary_2019_2020.pdf [Accessed 10 2022].

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