Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Level 1 264 Ferntree Gully Road, Notting Hill, Victoria 3168, Australia; Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, 41-52 Kanooka Grove, Clayton, Victoria 3168, Australia.
Department of Nutrition, Dietetics and Food, School of Clinical Sciences, Monash University, Level 1 264 Ferntree Gully Road, Notting Hill, Victoria 3168, Australia.
Women Birth. 2020 Jul;33(4):e363-e370. doi: 10.1016/j.wombi.2019.09.003. Epub 2019 Oct 4.
Maternal lifestyle in the months leading up to conception and throughout pregnancy has both immediate and transgenerational impacts on offspring health.
To explore how women's lifestyles change when they become pregnant, and their perspectives of the lifestyle advice they receive throughout pregnancy.
A descriptive qualitative approach was used. Semi-structured interviews with 17 childbearing women (mean gestational age, 30.2 ± 2.0 weeks) recruited from a large hospital network in Victoria, Australia between July and October 2018 were transcribed and analysed using an inductive process of thematic analysis.
Three themes and six sub-themes were identified. Lifestyle change during pregnancy was highly influenced by participants' preconception lifestyle, the physiological demands of pregnancy and the pressures of daily life. While participants proactively sought lifestyle advice from a range of sources, including the Internet, they were generally less proactive in seeking advice during routine maternity care visits. Participants appreciated the lifestyle advice they received from health professionals, including midwives, as part of their maternity care despite acknowledging that they often received it only if they asked. Overall, it seemed that the lifestyle advice received from health professionals was much less influential on maternal lifestyle behaviour change than the broader socio-ecological environment.
Childbearing women want lifestyle advice that supports positive lifestyle change during pregnancy and health professionals, including midwives, must be proactive as they provide it. Other factors that impact on childbearing women's capability and opportunity to make lifestyle change should be considered when providing advice that supports positive lifestyle behaviour change.
受孕前几个月和整个孕期的母体生活方式对后代的健康既有直接影响，也有跨代影响。
探索女性在怀孕时生活方式的变化，以及她们对整个孕期所接受的生活方式建议的看法。
采用描述性定性方法。2018 年 7 月至 10 月，在澳大利亚维多利亚州的一家大型医院网络中招募了 17 名孕龄妇女（平均妊娠周数为 30.2±2.0 周）进行半结构式访谈，使用归纳主题分析的过程对转录后的访谈进行分析。
确定了三个主题和六个子主题。怀孕期的生活方式改变受到参与者受孕前的生活方式、怀孕的生理需求和日常生活压力的高度影响。虽然参与者从各种来源（包括互联网）主动寻求生活方式建议，但他们在常规的产妇保健就诊中通常不太主动寻求建议。参与者欣赏他们从健康专业人员（包括助产士）那里获得的生活方式建议，尽管他们承认只有在询问时才会收到这些建议。总的来说，似乎健康专业人员提供的生活方式建议对产妇生活方式行为改变的影响远小于更广泛的社会生态环境。
产妇希望获得支持孕期积极生活方式改变的建议，健康专业人员（包括助产士）在提供建议时必须积极主动。在提供支持积极生活方式行为改变的建议时，应考虑其他影响产妇改变生活方式能力和机会的因素。
