Manchester Centre for Health Psychology, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, The University of Manchester, Coupland 1 Building, Room G.3, Oxford Road, Manchester, M13 9PL, UK.
School of Social and Health Sciences, Leeds Trinity University, Leeds, England.
BMC Pregnancy Childbirth. 2020 Jan 31;20(1):54. doi: 10.1186/s12884-019-2707-7.
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.
尽管身体和心理方面都有好处，但孕妇的身体活动（PA）往往在孕期会下降，并在产后初期仍保持较低水平。本研究旨在探索：（1）女性在怀孕期间和产后的身体活动经历；（2）这期间与身体活动相关的决策过程。
对 16 名孕妇或刚分娩的女性进行了半结构化电话访谈。访谈记录逐字转录，并使用主题分析进行分析。
有两个总体主题：（1）身体所有权，包括以下子主题：他人试图控制身体、保持孕期和产后健康非常重要、对身体活动的期望以及符合规范的压力；（2）未知领域，包括以下子主题：谨慎从事身体活动和不清楚的建议。怀孕期间进行身体活动的决策受到以下因素的影响：他人认为有责任保护孕妇免受伤害的压力；社交媒体上产后减肥的压力；参与者对保持健康益处的信念以及他们对怀孕期间身体活动能力的期望。参与者认为，怀孕是一个“未知领域”，因为他们的身体会出现陌生的感觉，并且无法持续监测婴儿的健康状况以获得安慰。助产士提供的建议往往缺乏针对性，或者不符合个人情况。朋友和家人的建议往往被认为是不正确的，但仍然会引起疑虑和对怀孕期间身体活动的恐惧。
这些发现有助于理解女性在怀孕期间和产后的身体活动经历，以及她们在怀孕期间进行身体活动的决策过程。在助产护理中提供准确和个性化的建议，考虑到怀孕期间参与身体活动的身体和心理方面，将有助于确保女性能够获得支持，从而做出有关身体活动行为的明智决策。
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