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'Weighty issues' in GP-led antenatal care: a qualitative study
Ruth Walker1, Tammie S T Choi2, Karyn Alexander3
1Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Level 1, 264 Ferntree Gully Road, Notting Hill, VIC, 3168, Australia. ruth.walker@monash.edu.
BMC Family Practice
|October 31, 2019
Summary
General practitioners (GPs) often provide gestational weight gain (GWG) advice despite low guideline awareness. Systemic barriers like limited time and funding hinder optimal GWG support for pregnant women.
Area of Science:
- Obstetrics and Gynecology
- Primary Care Medicine
- Public Health
Background:
- Excessive gestational weight gain (GWG) affects maternal and fetal health, perpetuating obesity.
- General practitioner (GP)-led antenatal care is crucial, especially in regional Australia where obesity rates are high.
Purpose of the Study:
- To explore GPs' perceptions and experiences implementing GWG recommendations in primary care antenatal settings.
Main Methods:
- Qualitative exploratory study using semi-structured interviews with 20 GPs in Victoria, Australia.
- Interviews were informed by the Theoretical Domains Framework (TDF).
- Deductive thematic analysis was used to identify key themes.
Main Results:
- GPs provide GWG advice despite low guideline awareness, prioritizing other pregnancy issues.
- Enablers included GPs' professional role and patient relationships; barriers were systemic (time, pay, referrals).
Conclusions:
- Support is needed for GPs to adhere to GWG guidelines.
- Strategies include guideline dissemination, policy changes, and improved funding for longer consultations and allied health referrals.
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