{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:24:14Z","timestamp":1791944654953,"version":"4.3.4"},"reference-count":27,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2015,7,28]]},"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Increased uptake of long-acting reversible contraception (LARC) postpartum could prevent more unintended pregnancies and short inter-birth intervals. General practitioners (GPs) play a pivotal role in providing postpartum contraception at the 6-week postnatal visit.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aim<\/jats:title>\n                  <jats:p>To explore how GPs view their role in delivering postpartum contraception at the 6-week visit and on providing LARC at this time.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In-depth, semi-structured interviews with a purposive sample of 13 GPs in Edinburgh and the surrounding region in Scotland. The interviews were audio recorded, transcribed and thematically analysed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>All GPs confirmed that contraception was routinely discussed at the postpartum visit, although this was usually the last item covered. Most felt that while 6-weeks postpartum was adequate for most women to commence contraception, it was often too late for young mothers (aged under 20\u2005years) or women from deprived areas. GPs provided prescriptions for oral contraception at this visit, but insertion of a contraceptive implant required a further appointment. For intrauterine contraception, women typically required two additional visits to the GP (for counselling and then insertion) or were referred to a local sexual health service. Some GPs saw their role as the main provider of postpartum contraception, whereas others felt they complemented the actions of midwives and health visitors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study demonstrated that although contraception is discussed at a routine 6-week postpartum visit with a GP, there are delays for women wishing to commence LARC that create scope for unintended pregnancy. Strategies to facilitate access to LARC postpartum should be explored.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2015-101198","type":"journal-article","created":{"date-parts":[[2015,8,26]],"date-time":"2015-08-26T22:19:00Z","timestamp":1440627540000},"page":"99-106","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":31,"title":["Views of general practitioners on providing contraceptive advice and long-acting reversible contraception at the 6-week postnatal visit: a qualitative study"],"prefix":"10.1136","volume":"42","author":[{"given":"Hannah","family":"Lunniss","sequence":"first","affiliation":[{"name":"Medical Student, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Cameron","sequence":"additional","affiliation":[{"name":"Consultant Gynaecologist, Chalmers Sexual and Reproductive Health Service, NHS Lothian, Edinburgh, UK"},{"name":"Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhong E","family":"Chen","sequence":"additional","affiliation":[{"name":"Clinical Researcher,Chalmers Sexual and Reproductive Health Service, NHS Lothian, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,8,26]]},"reference":[{"key":"2025090510421114000_42.2.99.1","unstructured":"Births in England and Wales 2013. http:\/\/www.ons.gov.uk [accessed 17 July 2014]."},{"key":"2025090510421114000_42.2.99.2","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1111\/1471-0528.12166","article-title":"Does method of birth make a difference to when women resume sex after childbirth?","volume":"120","author":"McDonald","year":"2013","journal-title":"BJOG"},{"key":"2025090510421114000_42.2.99.3","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31820ce18c"},{"key":"2025090510421114000_42.2.99.4","unstructured":"Information Services Division (ISD) Scotland. Breastfeeding Statistics. Financial Year 2011\/12. 2012. https:\/\/isdscotland.scot.nhs.uk\/Health-Topics\/Child-Health\/Publications\/2012-10-30\/2012-10-30-Breastfeeding-Summary.pdf?48888796568 [accessed 14 July 2014]."},{"key":"2025090510421114000_42.2.99.5","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2013-100770"},{"key":"2025090510421114000_42.2.99.6","unstructured":"British Pregnancy Advisory Service. Mumsnet\/bpas survey shows gaps in contraception care for new mums \u2013 unclear advice to breastfeeding women raises risk of unplanned pregnancy. 2012. http:\/\/www.bpas.org\/bpasknowledge.php?year=2012&npage=0&page=81&news=543 [accessed 19 April 2014]."},{"key":"2025090510421114000_42.2.99.7","unstructured":"Department of Health. Abortion Statistics, England and Wales: 2013. 2014. https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/319460\/Abortion_Statistics__England_and_Wales_2013.pdf [accessed 14 July 2014]."},{"key":"2025090510421114000_42.2.99.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62071-1"},{"key":"2025090510421114000_42.2.99.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69737-7"},{"key":"2025090510421114000_42.2.99.10","doi-asserted-by":"crossref","first-page":"321","DOI":"10.2307\/2676350","article-title":"Unwanted childbearing, health and mother-child relationships","volume":"40","author":"Barber","year":"1999","journal-title":"J Health Soc Behav"},{"key":"2025090510421114000_42.2.99.11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7410.313"},{"key":"2025090510421114000_42.2.99.12","unstructured":"McLoone P . Carstairs Scores for Scottish Postcode Sectors from the 2001 Census. Glasgow, UK: University of Glasgow, 2004."},{"key":"2025090510421114000_42.2.99.13","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"2025090510421114000_42.2.99.14","unstructured":"Holloway I , Wheeler S . Qualitative Research in Nursing and Healthcare (3rd edn). Oxford, UK: Wiley-Blackwell, 2013."},{"key":"2025090510421114000_42.2.99.15","unstructured":"National Institute for Health and Care Excellence (NICE). Routine Postnatal Care of Women and Their Babies. NICE Clinical Guideline 37. 2006. https:\/\/www.nice.org.uk\/guidance\/cg37 [accessed 15 July 2014]."},{"key":"2025090510421114000_42.2.99.16","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/0010-7824(96)00040-6","article-title":"Who gives advice about postpartum contraception?","volume":"53","author":"Glasier","year":"1996","journal-title":"Contraception"},{"key":"2025090510421114000_42.2.99.17","unstructured":"Scottish Government. Sexual Health and BBV Framework 2011\u20132015. 2011. http:\/\/www.scotland.gov.uk\/Resource\/Doc\/356286\/0120395.pdf [accessed 15 July 2014]."},{"key":"2025090510421114000_42.2.99.18","unstructured":"Department of Health. A Framework for Sexual Health Improvement in England. 2013. http:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/142592\/9287\u20132900714-TSO-SexualHealthPolicyNW_ACCESSIBLE.pdf [accessed 15 July 2014]."},{"key":"2025090510421114000_42.2.99.19","unstructured":"National Institute for Health and Clinical Excellence. Contraceptive Services with a Focus on Young People up to the Age of 25. NICE Guideline PH51. 2014. http:\/\/www.nice.org.uk\/guidance\/PH51 [accessed 15 July 2014]."},{"key":"2025090510421114000_42.2.99.20","unstructured":"Lader D . Opinions Survey Report No. 41. Contraception and Sexual Health, 2008\/09. London, UK: Office for National Statistics, 2009."},{"key":"2025090510421114000_42.2.99.21","unstructured":"Trussell J . Contraceptive efficacy. In: Hatcher RA , Trussell J , Stewart F , et al . (eds), Contraceptive Technology (20th revised edn). New York, NY: Ardent Media, 2007:22\u201334."},{"key":"2025090510421114000_42.2.99.22","unstructured":"Faculty of Sexual & Reproductive Healthcare. UK Medical Eligibility Criteria for Contraceptive Use (UKMEC 2009). 2009. http:\/\/www.fsrh.org\/pdfs\/UKMEC2009.pdf [accessed 6 June 2014]."},{"key":"2025090510421114000_42.2.99.23","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(01)00308-0"},{"key":"2025090510421114000_42.2.99.24","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.contraception.2005.05.016","article-title":"Barriers to intrauterine device insertion in postpartum women","volume":"72","author":"Ogburn","year":"2005","journal-title":"Contraception"},{"key":"2025090510421114000_42.2.99.25","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101165"},{"key":"2025090510421114000_42.2.99.26","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.04.015"},{"key":"2025090510421114000_42.2.99.27","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.contraception.2009.12.006","article-title":"Implanon as a contraceptive choice for teenage mothers: a comparison of contraceptive choices, acceptability and repeat pregnancy","volume":"81","author":"Lewis","year":"2010","journal-title":"Contraception"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2015-101198","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:05:15Z","timestamp":1757095515000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2015-101198"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,26]]},"references-count":27,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2016,4,11]]},"published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1136\/jfprhc-2015-101198"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2015-101198","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8,26]]}}}