May 2024

General practitioner perspectives on early antenatal care in Victoria: A descriptive qualitative study

Jenna Lyttle, Gary Rogers
 

Deakin University, School of Medicine, Geelong, Vic

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Background and objectives

Early antenatal care is important for a healthy pregnancy, with the local general practitioner (GP) often the first professional consulted. This study aimed to answer the following: (i) how do Victorian GPs manage early pregnancy?; and (ii) what are the facilitators and barriers to this process?

Methods

Using a descriptive qualitative design, four focus groups were conducted with 14 GPs. Inductive and deductive coding alongside reflexive thematic analysis was used to identify relevant themes.

Results

GPs used software adjuncts, written resources and time management skills to provide antenatal care. Barriers included lack of time, appropriate remuneration, socioeconomic factors, lack of support and difficult referral pathways. Facilitators included a prior relationship with the patient, lived experience of antenatal care and multidisciplinary assistance.

Discussion

GPs reported important factors for providing antenatal care in general practice. This information could inform improvements to ensure quality antenatal care across Victoria.