Centre of Adolescent Medicine, Juliane Marie Centre, Rigshospitalet, Copenhagen University Hospital, Denmark.
Women Birth. 2013 Sep;26(3):190-4. doi: 10.1016/j.wombi.2013.04.004. Epub 2013 May 25.
A decrease in the level of physical activity from pre-pregnancy to pregnancy seems to be a general problem, despite the obvious health benefits of physical activity. Quantitative studies indicate that pregnant women's fears might explain why they reduce their level of physical activity, but still no qualitative research has investigated the experiences influencing these women.
To explore healthy women's perceptions of risk associated with physical activity during pregnancy.
An interpretive narrative approach was used to gain insight into pregnant women's personal stories and lived experiences. Five Danish pregnant women aged 26-36 years participated in semi-structured, in-depth interviews between September and December 2010. The analysis method was based on two types of narrative inquiry: (1) a narrative analysis to cover the story, and (2) a paradigmatic analysis to cover the themes.
Most of the pregnancy stories highlighted a specific experience, which made the women anxious. These experiences were: previous miscarriages, fertility treatment and shortened cervix. Also bodily challenges and pain scared the women, such as hypertonic pelvic muscles, Braxton Hicks contractions, abdominal pain, exhaustion, and shortness of breath. The stories also described the impacts of women's relatives and friends on their perceptions of risk.
Special consideration should be given to pregnant women who have had negative experiences in previous pregnancies and bodily challenges, which make them anxious and discourage them from being physically active. Healthcare professionals could also pay attention to the fact that women's relatives and friends play a major role in women's perceptions of risk.
尽管身体活动对健康有明显益处，但孕妇在妊娠期间身体活动水平下降似乎是一个普遍问题。定量研究表明，孕妇的恐惧可能可以解释她们为何会减少身体活动量，但仍没有定性研究调查影响这些女性的经历。
探究健康女性对妊娠期间身体活动相关风险的认知。
采用解释性叙事方法深入了解孕妇的个人故事和生活经历。2010 年 9 月至 12 月，5 名年龄在 26-36 岁的丹麦孕妇参与了半结构式深入访谈。分析方法基于两种叙事探究：（1）叙事分析，涵盖故事；（2）典范分析，涵盖主题。
大多数妊娠故事都突出了一个让女性感到焦虑的特定经历。这些经历包括：先前流产、不孕治疗和宫颈缩短。孕妇还会因身体挑战和疼痛感到恐惧，例如骨盆肌肉紧张、假性宫缩、腹痛、疲惫和呼吸急促。这些故事还描述了女性亲属和朋友对其风险认知的影响。
对于有负面妊娠经历和身体挑战的孕妇，应给予特别关注，因为这些经历会让她们感到焦虑，并阻止她们积极参与身体活动。医疗保健专业人员还应注意到，女性亲属和朋友在女性对风险的认知中起着重要作用。
