Alhajiri Donna N, Kitsantas Panagiota, Weinstein Ali A, Oh Kyeung M
Fundamentals of Nursing Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, KSA.
Department of Health Administration and Policy (HAP) at George Mason University, 4400 University Dr, Fairfax, VA, USA.
J Taibah Univ Med Sci. 2025 May 28;20(3):318-329. doi: 10.1016/j.jtumed.2025.04.005. eCollection 2025 Jun.
Sedentary behavior during pregnancy may have adverse effects, such as an increased risk of operative deliveries. In alignment with the health transformation in KSA, exploring antenatal exercises among pregnant Saudi women can help promote individual well-being, emphasize preventive care, and improve primary maternity healthcare services. This study aimed to assess levels of knowledge, attitudes, and adherence to the American College of Obstetricians and Gynecologists (ACOG) antenatal exercise recommendations among pregnant women in KSA, and their associations.
An exploratory cross-sectional study was conducted using a self-reported questionnaire. Between April 1 and August 3, 2023, a convenience sampling method was used to recruit 254 pregnant Saudi women who attended outpatient clinics or inpatient wards at a university hospital and family and community medicine center, Dammam, KSA. Inclusion criteria were pregnant Saudi women, aged 18-45 years, with a single live fetus at any gestational age in pregnancy.
The response rate was 94.4 %. Only 15.5 % of the participants adhered to ACOG antenatal exercise guidelines. The mean antenatal exercise total knowledge scale score was 20.4 ± 5.1 (0-30) and the mean attitude scale score was 10.4 ± 2.7 (0-15). Adherence to ACOG exercise guidelines was associated with higher mean total knowledge, general and benefit knowledge, and attitude scale scores compared with those who did not adhere. Logistic regression analysis showed that an increased likelihood of adherence to antenatal exercise guidelines was positively correlated with higher scores for attitude toward antenatal exercise.
Adherence to ACOG antenatal exercise guidelines was low and influenced by the attitudes of women, highlighting the need for educational programs.
孕期久坐行为可能产生不利影响，如手术分娩风险增加。为配合沙特阿拉伯王国的健康转型，探索沙特孕妇的产前运动有助于促进个人福祉、强调预防保健并改善初级孕产妇医疗服务。本研究旨在评估沙特孕妇对美国妇产科医师学会（ACOG）产前运动建议的知识水平、态度及依从性，以及它们之间的关联。
采用自我报告问卷进行探索性横断面研究。2023年4月1日至8月3日期间，采用便利抽样方法招募了254名在沙特达曼的一家大学医院以及家庭与社区医学中心的门诊或住院病房就诊的沙特孕妇。纳入标准为年龄在18 - 45岁之间、孕期任何孕周单活胎的沙特孕妇。
应答率为94.4%。只有15.5%的参与者遵循ACOG产前运动指南。产前运动总知识量表的平均得分是20.4 ± 5.1（满分0 - 30分），态度量表的平均得分是10.4 ± 2.7（满分0 - 15分）。与未遵循者相比，遵循ACOG运动指南者的平均总知识、一般知识和益处知识以及态度量表得分更高。逻辑回归分析表明，遵循产前运动指南可能性的增加与对产前运动态度的更高得分呈正相关。
对ACOG产前运动指南的依从性较低，且受女性态度影响，这凸显了开展教育项目的必要性。
