Evins Connor, Dennis Jasmine, Mostert Karson, Patel Shiv, Enyart David, Eichelberger Kacey, Ewing Joseph, Tan Xiyan, Trilk Jennifer L
University of South Carolina School of Medicine, Greenville, South Carolina.
Prisma Health System Upstate-Greenville, South Carolina.
Am J Lifestyle Med. 2021 Feb 16;15(4):441-452. doi: 10.1177/1559827621991851. eCollection 2021 Jul-Aug.
The American College of Obstetricians and Gynecologists recommends that women exercise throughout pregnancy unless they have a condition-related contraindication. This study's purpose was to determine if pregnant women perceive receiving exercise counseling by their providers with details of frequency, intensity, type, and time (FITT principle). Women in 2 postpartum care units of a large health care system were invited to complete a voluntary, anonymous survey regarding whether they received exercise counseling during their prenatal care. Survey results were descriptively reported, stratified by demographic variables, and analyzed using Fisher's exact tests. Of 224 postpartum women surveyed, 130 (58.0%) perceived receiving exercise counseling during pregnancy; 119 (91.5%) did not recall receiving counseling on exercise frequency. Though 165 (73.6%) exercised before becoming pregnant, 64 (38.8%) ceased exercise during pregnancy. Eighty-eight (39.3%) received advice from other sources/non-health care professionals. Privately insured women reported receiving exercise counseling at a higher rate (70.1%) than those on Medicaid (44.8%) or uninsured (40.0%; = .004). A disproportionate number of pregnant women perceived not receiving adequate prenatal exercise counseling or received incomplete counseling. Women at a socioeconomic disadvantage may be vulnerable. As social determinants of health, structural barriers, and socioeconomic status likely contribute, women may benefit from more targeted inclusive and equitable messaging.
美国妇产科医师学会建议，除非有与疾病相关的禁忌证，女性在整个孕期都应进行锻炼。本研究的目的是确定孕妇是否感觉到从医护人员那里获得了关于锻炼频率、强度、类型和时间（FITT原则）细节的锻炼咨询。邀请了一个大型医疗保健系统的2个产后护理单元的女性完成一项关于她们在产前护理期间是否接受锻炼咨询的自愿、匿名调查。调查结果以描述性方式报告，按人口统计学变量分层，并使用Fisher精确检验进行分析。在接受调查的224名产后女性中，130名（58.0%）感觉在孕期接受了锻炼咨询；119名（91.5%）不记得接受过关于锻炼频率的咨询。虽然165名（73.6%）女性在怀孕前进行锻炼，但64名（38.8%）在孕期停止了锻炼。88名（39.3%）从其他来源/非医疗保健专业人员那里获得了建议。有私人保险的女性报告接受锻炼咨询的比例（70.1%）高于医疗补助覆盖的女性（44.8%）或未参保女性（40.0%；P = 0.004）。有相当数量的孕妇感觉未得到充分的产前锻炼咨询或接受的咨询不完整。处于社会经济劣势的女性可能易受影响。作为健康的社会决定因素、结构性障碍和社会经济地位可能起了作用，女性可能会从更有针对性的包容性和公平性信息中受益。
