Exploring womens' experiences and decision making about physical activity during pregnancy and following birth: a qualitative study.
Decision making
Physical activity
Postpartum
Pregnancy
Qualitative
Thematic analysis
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
31 Jan 2020
31 Jan 2020
Historique:
received:
23
07
2019
accepted:
26
12
2019
entrez:
1
2
2020
pubmed:
1
2
2020
medline:
3
11
2020
Statut:
epublish
Résumé
Physical activity (PA) tends to decline during pregnancy, and remains low in the early postpartum period, despite the known physical and psychological benefits. This study aimed to explore: (1) women's experiences of PA during pregnancy and following birth; and (2) decision-making processes related to PA during this time. Semi-structured telephone interviews were conducted with 16 women who were either pregnant or had recently given birth. Interviews were transcribed verbatim and analysed using thematic analysis. There were two over-arching themes: (1) ownership of body, which consisted of the sub-themes: others try to take ownership, important to maintain fitness into pregnancy and motherhood, expectations of PA, and pressure to conform; and (2) unknown territory, which consisted of the sub-themes: engaging in PA with caution, and unclear advice. Decision-making about PA during pregnancy was influenced by: pressure from others who felt responsible to protect the woman from coming to harm; pressure from social media to lose weight postpartum; participant's beliefs about the benefits of maintaining fitness and participants expectations of how active they thought they would be able to be during pregnancy. Participants felt that pregnancy was an 'unknown territory' in terms of the unfamiliar feelings in their body and the inability to continually monitor their baby for reassurance of baby's health. Advice received from midwives was often lacking, or not tailored to the individual. Advice from friends and family was often regarded as incorrect, but still caused doubt and fear of PA during pregnancy. These findings contribute to the understanding of women's experiences of PA during pregnancy and post-partum, and their decision-making processes about PA during pregnancy. Developing accurate and tailored advice as part of midwifery care, that considers the physical and psychological aspects of engaging in PA during pregnancy, will help to ensure that women are supported to make informed decisions about their PA behaviour.
Sections du résumé
BACKGROUND
BACKGROUND
Physical activity (PA) tends to decline during pregnancy, and remains low in the early postpartum period, despite the known physical and psychological benefits. This study aimed to explore: (1) women's experiences of PA during pregnancy and following birth; and (2) decision-making processes related to PA during this time.
METHODS
METHODS
Semi-structured telephone interviews were conducted with 16 women who were either pregnant or had recently given birth. Interviews were transcribed verbatim and analysed using thematic analysis.
RESULTS
RESULTS
There were two over-arching themes: (1) ownership of body, which consisted of the sub-themes: others try to take ownership, important to maintain fitness into pregnancy and motherhood, expectations of PA, and pressure to conform; and (2) unknown territory, which consisted of the sub-themes: engaging in PA with caution, and unclear advice. Decision-making about PA during pregnancy was influenced by: pressure from others who felt responsible to protect the woman from coming to harm; pressure from social media to lose weight postpartum; participant's beliefs about the benefits of maintaining fitness and participants expectations of how active they thought they would be able to be during pregnancy. Participants felt that pregnancy was an 'unknown territory' in terms of the unfamiliar feelings in their body and the inability to continually monitor their baby for reassurance of baby's health. Advice received from midwives was often lacking, or not tailored to the individual. Advice from friends and family was often regarded as incorrect, but still caused doubt and fear of PA during pregnancy.
CONCLUSIONS
CONCLUSIONS
These findings contribute to the understanding of women's experiences of PA during pregnancy and post-partum, and their decision-making processes about PA during pregnancy. Developing accurate and tailored advice as part of midwifery care, that considers the physical and psychological aspects of engaging in PA during pregnancy, will help to ensure that women are supported to make informed decisions about their PA behaviour.
Identifiants
pubmed: 32000706
doi: 10.1186/s12884-019-2707-7
pii: 10.1186/s12884-019-2707-7
pmc: PMC6993510
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
54Références
J Midwifery Womens Health. 2010 Sep-Oct;55(5):455-61
pubmed: 20732667
Midwifery. 2017 Jun;49:40-46
pubmed: 28238351
BMC Pregnancy Childbirth. 2016 Jul 22;16(1):182
pubmed: 27448657
Br J Sports Med. 2017 Nov;51(21):1511-1512
pubmed: 28219943
BMC Pregnancy Childbirth. 2010 Jun 29;10:33
pubmed: 20584333
Health Commun. 2018 Jul;33(7):851-859
pubmed: 28467123
Res Q Exerc Sport. 2009 Sep;80(3):403-11
pubmed: 19791626
J Womens Health (Larchmt). 2017 Sep;26(9):951-956
pubmed: 28525293
Matern Child Health J. 2009 May;13(3):364-75
pubmed: 18478322
Cult Health Sex. 2016 Aug;18(8):921-35
pubmed: 26967357
Br J Gen Pract. 2017 Oct;67(663):460
pubmed: 28963415
J Sport Health Sci. 2017 Jun;6(2):198-206
pubmed: 30356571
Midwifery. 2018 Apr;59:23-26
pubmed: 29348051
BMC Pregnancy Childbirth. 2019 Dec 3;19(1):462
pubmed: 31795961
J Midwifery Womens Health. 2011 Jan-Feb;56(1):33-40
pubmed: 21323848
BMC Womens Health. 2009 Nov 19;9:32
pubmed: 19925650
Women Birth. 2013 Sep;26(3):190-4
pubmed: 23711581
Br J Health Psychol. 2019 Sep;24(3):571-592
pubmed: 30977291
Sociol Health Illn. 2015 May;37(4):594-609
pubmed: 26094706
BMC Pregnancy Childbirth. 2015 Apr 22;15:100
pubmed: 25896111
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
BMC Pregnancy Childbirth. 2013 Dec 11;13:231
pubmed: 24330402
Patient Educ Couns. 2013 Jun;91(3):372-7
pubmed: 23399436
Am J Obstet Gynecol. 2010 Feb;202(2):135.e1-8
pubmed: 19683692
PLoS One. 2013 Jun 14;8(6):e66385
pubmed: 23799096
Prev Med. 2010 Mar;50(3):123-8
pubmed: 20053370
BMC Fam Pract. 2012 Apr 23;13:31
pubmed: 22524484