Manchester Centre for Health Psychology, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Maternal and Fetal Health Research Centre, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Health Psychol Rev. 2021 Dec;15(4):613-632. doi: 10.1080/17437199.2021.1938632. Epub 2021 Jun 29.
Pregnancy is an opportune time for women to make healthy changes to their lifestyle, however, many women struggle to do so. Multiple reasons have been posited as to why this may be. This review aimed to synthesise this literature by identifying factors that influence women's health behaviour during pregnancy, specifically in relation to dietary behaviour, physical activity, smoking, and alcohol use. Bibliographic databases (MEDLINE, PsycINFO, CINAHL-P, MIDIRS) were systematically searched to retrieve studies reporting qualitative data regarding women's experiences or perceptions of pregnancy-related behaviour change relating to the four key behaviours. Based on the eligibility criteria, 30,852 records were identified and 92 studies were included. Study quality was assessed using the CASP tool and data were thematically synthesised. Three overarching themes were generated from the data. These were (1) A time to think about 'me', (2) Adopting the 'good mother' role, and (3) Beyond mother and baby. These findings provide an improved understanding of the various internal and external factors influencing women's health behaviour during the antenatal period. This knowledge provides the foundations from which future pregnancy-specific theories of behaviour change can be developed and highlights the importance of taking a holistic approach to maternal behaviour change in clinical practice.
怀孕是女性改变生活方式的好时机，但许多女性难以做到这一点。人们提出了多种原因来解释为什么会这样。本综述旨在通过确定影响女性在怀孕期间健康行为的因素来综合这些文献，特别是与饮食行为、身体活动、吸烟和饮酒有关的行为。系统地检索了书目数据库（MEDLINE、PsycINFO、CINAHL-P、MIDIRS），以检索报告与四项关键行为相关的女性怀孕相关行为改变的经验或看法的定性数据的研究。根据入选标准，确定了 30852 条记录，纳入了 92 项研究。使用 CASP 工具评估研究质量，并对数据进行主题综合。从数据中生成了三个总体主题。它们是：（1）“思考自己”的时间，（2）扮演“好妈妈”的角色，以及（3）超越母亲和婴儿。这些发现提供了对影响女性在产前期间健康行为的各种内部和外部因素的更好理解。这些知识为未来针对怀孕的行为改变理论的发展提供了基础，并强调了在临床实践中采取整体方法来改变母亲行为的重要性。
