Parents’ expectations and experiences of the 6-week baby check: a qualitative study in primary care

Abstract

Background: The Newborn and Infant Physical Examination (NIPE) programme requires all babies to have a comprehensive health-check at 6-8 weeks of age. These are typically completed by general practitioners (GPs). Although person-centred care has achieved prominence in maternity care policy in recent years there is limited empirical evidence on what parents/carers expect from the check, and how far experiences meet their needs. Aim: To explore the expectations and experiences of parents attending their GP for a baby check. Design and setting: Qualitative study in primary care in London. Method: Content analysis of transcripts of semi-structured interviews with 16 parents who had recently attended for a 6-week check for their baby. Results: Despite the availability of plentiful sources of general advice on infants’ health and development, a thorough check by a trusted GP was an important milestone for most parents. They had few specific expectations of the check in terms of what examinations were undertaken, but even experienced parents anticipated reassurance about their baby’s normal development. Many also hoped for reassurance about their own parenting. Parents appreciated: GPs who explained what they were doing during the examination; space to raise any concerns; and combined mother and baby checks. Referrals to secondary care were generally experienced as reassuring rather than a source of anxiety. Conclusion: The baby check meets needs beyond those of the NIPE screening programme; protecting the time for a thorough consultation is important for parents at what can be a vulnerable time.