RT Journal Article
SR Electronic
T1 Content and timing of the 6–8 week maternal postnatal check: a mixed-methods study
JF BJGP Open
JO BJGP Open
FD Royal College of General Practitioners
SP BJGPO.2024.0229
DO 10.3399/BJGPO.2024.0229
A1 Macdonald, Clare
A1 Cross-Sudworth, Fiona
A1 Quinn, Laura
A1 MacArthur, Christine
A1 Bick, Debra
A1 Jones, Ellie
A1 Taylor, Beck
YR 2025
UL http://bjgpopen.org/content/early/2025/04/07/BJGPO.2024.0229.abstract
AB Background Since 2020, the General Medical Services contract requires GP practices in England to offer women a GP appointment 6–8 weeks after birth: the ‘6–8 week postnatal check’ or ‘consultation’. Historically, provision of checks was variable, and women still frequently report poor experiences.Aim To explore GPs’ and women’s perspectives of the 6–8 week postnatal check, including key components and timing.Design & setting A mixed-methods study was undertaken with focus groups of GPs and women, and an online survey of GPs in England.Method Focus groups explored GPs’ and women’s experiences of postnatal consultations. An online survey explored GPs’ clinical approach, organisation, and improvement potential. Quantitative analysis examined associations between demographics and clinical approach. Thematic framework analysis was used for qualitative data.Results In total, 18 women and 14 GPs participated in focus groups; 671 GPs completed the survey. Mental wellbeing and contraception were reported as important topics, although some women were not asked about mental health. GP survey responses indicated most recommendations from national guidance were ‘always’ or ‘very often’ covered by most, but not all GPs. Clinical coverage was higher for GPs who used clinical templates, had awareness of guidance, were female, or were a parent. Many GPs (n = 326/670, 49%) needed more time than they were allocated for the consultation (n = 524/670 [78%] allocated ≤15 minutes; n = 351/670 [52%] completed in ≤15 minutes).Conclusion This study suggests GPs are allocated insufficient time for postnatal consultations, with substantial variation in practice. Specifying consultation duration and consideration of template usage in policy may improve care and outcomes for women.