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Interconception care in Australian general practice: a qualitative study.

Sharon James1, Cathy Watson2, Elodie Bernard1

  • 1National Health and Medical Research Council Centre of Research Excellence, School of Public Health and Preventive Medicine, Monash University, Victoria; Head, Department of General Practice, Monash University, Victoria.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|October 30, 2023
PubMed
Summary
This summary is machine-generated.

Interconception care (ICC) is not well established in general practice, with GPs finding it unfamiliar and challenging to implement. Further research is needed to develop effective ICC models for improved maternal and infant health outcomes.

Keywords:
family practicegeneral practicepostpartumpreconception careprimary health carewomen

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Area of Science:

  • Women's Health
  • Primary Care
  • Public Health

Background:

  • General Practitioners (GPs) provide essential care for women throughout their lives, including preconception and postpartum periods.
  • Interconception care (ICC) focuses on women's health between pregnancies, addressing risks that impact maternal and infant outcomes.
  • Currently, ICC is not a well-established component of general practice services.

Purpose of the Study:

  • To explore General Practitioners' (GPs) perspectives on providing interconception care (ICC).

Main Methods:

  • Qualitative interviews were conducted with 18 GPs in South-Eastern Australia.
  • Interviews were semi-structured, audio-recorded, transcribed verbatim, and thematically analyzed using the Framework Method.

Main Results:

  • Most GPs were unfamiliar with ICC, viewing its components as part of routine care rather than a distinct intervention.
  • Key challenges identified include unclear guidelines, low patient engagement, and time constraints.
  • Care continuity and patient education materials were noted as facilitators for ICC delivery.

Conclusions:

  • GPs perceive limited capacity and familiarity to deliver ICC effectively.
  • Further research is required to understand patient perspectives and develop potential models for ICC.
  • Future models may involve multidisciplinary services and integration with well-child visits to enhance ICC delivery.