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General practitioners and gestational weight management.

Diana Fieldwick1, Alesha Smith2, Helen Paterson3

  • 1a Wellington Hospital , Wellington , New Zealand.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
|January 13, 2019
PubMed
Summary
This summary is machine-generated.

New Zealand general practitioners (GPs) infrequently discuss recommended gestational weight gain (GWG) with pregnant patients, despite its importance for obstetric outcomes. Barriers include time, funding, and poor communication with lead maternity carers.

Keywords:
BMINew ZealandPregnancygeneral practitionerobesityweight

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Area of Science:

  • Obstetrics and Gynecology
  • General Practice
  • Public Health

Background:

  • Excess gestational weight gain (GWG) is a significant risk factor for obstetric complications.
  • Current antenatal advice on GWG is often insufficient.
  • In New Zealand, general practitioners (GPs) are funded for one first-trimester appointment, where they are expected to provide health education.

Purpose of the Study:

  • To explore New Zealand GPs' knowledge and practices concerning GWG.
  • To identify GPs' involvement in early pregnancy care.
  • To understand barriers affecting GPs' role in maternity care.

Main Methods:

  • A mixed-methods survey was distributed to a random sample of 470 New Zealand GPs.
  • Survey responses were analyzed using descriptive statistics and qualitative inductive analysis.
  • A response rate of 42.5% (200 GPs) was achieved.

Main Results:

  • Half of responding GPs regularly saw women in early pregnancy, but discussions about recommended GWG were uncommon.
  • GPs' knowledge and practices regarding GWG did not align with national guidance.
  • Identified barriers included time pressures, funding issues, skill loss, and poor communication with lead maternity carers (LMCs).

Conclusions:

  • There is a need to improve GP knowledge and management of GWG within the maternity care team.
  • Addressing GP concerns regarding funding and enhancing communication between GPs and LMCs are critical.
  • Improved gestational weight management is essential given the current obesity climate.