Gilworth Gill, Milton Sarah, Chater Angel, Nazareth Irwin, Roposch Andreas, Green Judith
Department of Population Health Sciences, King's College London, London, UK.
Department of Population Health Sciences, King's College London, London, UK
BJGP Open. 2020 Dec 15;4(5). doi: 10.3399/bjgpopen20X101110. Print 2020 Dec.
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 GPs. Although person-centred care has achieved prominence in maternity care policy in recent years, there is limited empirical evidence on what parents and/or carers expect from the check, and how far experiences meet their needs.
To explore the expectations and experiences of parents attending their GP for a baby check.
DESIGN & SETTING: A qualitative study was undertaken in primary care in London.
Content analysis was undertaken of transcripts of semi-structured interviews. Interviews were conducted with a total of 16 participants (14 mothers and two fathers) who had recently attended for a 6-week check for their baby.
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.
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.
新生儿及婴儿体检（NIPE）项目要求所有婴儿在6至8周龄时进行全面的健康检查。这些检查通常由全科医生完成。尽管近年来以患者为中心的护理在产科护理政策中备受关注，但关于父母和/或照顾者对该检查的期望以及体验在多大程度上满足他们需求的实证证据有限。
探讨带婴儿找全科医生做检查的父母的期望和体验。
在伦敦的初级医疗保健机构进行了一项定性研究。
对半结构化访谈的文字记录进行内容分析。共对16名参与者（14名母亲和2名父亲）进行了访谈，他们最近带着婴儿参加了6周龄检查。
尽管有大量关于婴儿健康和发育的一般性建议来源，但由值得信赖的全科医生进行全面检查对大多数父母来说是一个重要的里程碑。他们对检查具体进行哪些项目的期望很少，但即使是有经验的父母也期望得到关于婴儿正常发育的安心保证。许多人还希望得到关于自己育儿方式的安心保证。父母们欣赏在检查过程中解释自己在做什么的全科医生；有提出任何担忧的空间；以及将母亲和婴儿的检查结合起来。转诊到二级医疗保健机构通常被认为是令人安心的，而不是焦虑的来源。
婴儿检查满足的需求超出了NIPE筛查项目的需求。在这个可能脆弱的时期，为父母保护好进行全面咨询的时间很重要。
