Department of Clinical Nursing, Faculty of Nursing, University of Colombo, Colombo, Western Province, Sri Lanka
Department of Obstetrics and Gynaecology, Faculty of Medicine, University of Peradeniya, Peradeniya, Central Province, Sri Lanka.
BMJ Open. 2024 Nov 5;14(11):e086105. doi: 10.1136/bmjopen-2024-086105.
Even if promoting antenatal exercises is an evolving concept worldwide, there is a scarcity of qualitative exploratory studies which directly focus on pregnant mothers' views about exercises. So, this study was designed to (1) explore pregnant women's perceptions, attitudes and beliefs about antenatal exercises, and (2) provide significant annotations prior to constituting interventions for antenatal exercises.
A qualitative survey was carried out with 19 primiparous pregnant women using stratified purposive sampling at the antenatal clinic, in a tertiary care hospital, Sri Lanka. In-depth interviews were conducted through a predesigned, semistructured interview guide from January to April 2021. Data were transcribed, examined and organised, then subjected to thematic analysis using inductive approach.
Most of the pregnant women described numerous benefits and had optimistic views on exercises. However, the absence of a comprehensive understanding on the impact of exercise on a healthy pregnancy is apparent, primarily caused by a dearth of health education and reliable information sources. Also, they were unlikely to initiate exercises in their pregnancy period due to a lack of guidance through the antenatal clinic and/or health professionals. Concerning beliefs, main stream-believed exercises provide assistance for normal labour process and exercises advantageous in both antenatal and post-partum periods. Besides, few of them restricted their conversations on the drawbacks of exercises by illuminating erroneous beliefs.
The majority of participants realised the importance of exercises and had positive attitudes while the minority presenting misconceptions. The need for healthcare providers' support and guidance is highly anticipated by pregnant women to engage in antenatal exercises.
即使在全球范围内推广产前运动是一个不断发展的概念，但缺乏直接关注孕妇对运动看法的定性探索性研究。因此，本研究旨在：(1) 探讨孕妇对产前运动的看法、态度和信念；(2) 在制定产前运动干预措施之前提供重要注释。
采用分层目的抽样法，于 2021 年 1 月至 4 月在斯里兰卡一家三级保健医院的产前诊所，对 19 名初产妇进行了一项定性调查。通过预先设计的半结构化访谈指南进行深入访谈。将数据转录、检查和组织，然后使用归纳法进行主题分析。
大多数孕妇描述了许多益处，并对运动持乐观态度。然而，对运动对健康妊娠的影响缺乏全面了解，这主要是由于缺乏健康教育和可靠的信息来源。此外，由于缺乏产前诊所和/或卫生专业人员的指导，她们不太可能在怀孕期间开始运动。关于信念，主流观点认为运动有助于正常分娩过程，并且在产前和产后都有好处。此外，她们中的少数人通过阐明错误的信念来限制她们关于运动缺点的讨论。
大多数参与者意识到运动的重要性，并持积极态度，而少数人则存在误解。孕妇非常希望得到医疗保健提供者的支持和指导，以参与产前运动。
