Determinants of Facilitators, Barriers and Structural Factors on the Behavior to Physical Activity and Interventional Framework among Nulliparous Pregnant Women: A Qualitative Study Using Maxqda

Abstract BackgroundThe goal of this study was to recognize facilitators, barriers, and structural influences on behavior of physical activity among pregnant women.MethodsData analyses were done from 30 pregnant women (second and third trimester) and four of provider who were employed for this study (2020). Participants were answered to open-ended questions relating to the obstacles that deprived them of physical activity during pregnancy. ResultsThe barrier factors consist of lack of sufficient information about the advantages of physical activity, lack of suitable place, lack of access to economically and affordable classes. Social norms are pertinent to subjective norms and motivators. Facilitating factors included using the E-learning to educate pregnant women and awareness of the existence of sport classes.ConclusionIt is essential to comprehend why pregnant women meet obstacles for physical activity. Many of issues were raised: the need of sufficient information on the advantages of physical activity, the role of nurtures factors that need to be motivated in physical activity. Need for consultation to investigate structural problems in the community to provide facilities for pregnant women.

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Investigating the Effect of Positive, Intermediate and Negative Enabling and Training Factors Affecting Physical Activity in Pregnant Women

10.21203/rs.3.rs-151184/v1 ◽

2021 ◽

Author(s):

Leila Kianfard ◽

Farkhonde Amin SHokravi ◽

Sakineh Rakhshanderou ◽

Shamsaddin Niknami

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Control Group ◽

Control Groups ◽

Enabling Factors ◽

Factors Affecting ◽

Significant Difference ◽

E Learning ◽

And Control ◽

Experimental Group

Abstract BackgroundPhysical activity during pregnancy period is one of the issues with priority during pregnancy period. Researches show that women reduce their physical activity during this period and are unaware of the benefits on the health of the mother and embryology. Although researchers regarding physical activity during pregnancy have prepared many guidelines; it is not however clear why pregnant women do not perform physical activity and the effectiveness factors that facilitate the desired behavior. MethodsThe research population included all pregnant women aged 18 to 40 years with gestational age of 12-38 weeks referring to the healthcare centers in District 5 of Tehran Municipality, from 22 districts of the city who had eliminated their physical activity during pregnancy. Questionnaires of physical activity assessment questionnaire after educational intervention in pregnant women (PPAQ) and a questionnaire designed based on the results of the needs assessment and the dimensions of the PEN-3 model were used for assessment. This study is a Research Clinical Trial (RCT). Due to the nature, a quasi-experimental research design (pre-test, post-test) with the control group was used in this research. ResultsBased on the obtained results, the intervention based on E-learning has a significant effect of enabling factors to increase physical activity in pregnant women in the experimental group. In addition, the intervention based on E-learning has a significant effect on the training factors in order to increase physical activity in pregnant women in the experimental group. ConclusionBased on the research results, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from training factors in the pretest and the experimental group. Furthermore, it can be said that there is a statistically significant difference between the experimental and control groups in the scores obtained from the enabling factors in the pre-test and the experimental group.

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Pengaruh Peran Suami Terhadap Tingkat Kecemasan Ibu Hamil Dalam Menghadapi Proses Persalinan Di Puskesmas Harapan Raya Pekanbaru

Photon: Jurnal Sain dan Kesehatan ◽

10.37859/jp.v11i1.2144 ◽

2020 ◽

Vol 11 (1) ◽

pp. 32-44

Author(s):

Isnaniar Isnaniar ◽

Wiwik Norlita ◽

Salmi Gusrita

Keyword(s):

Data Collection ◽

Pregnant Women ◽

Third Trimester ◽

Chi Square ◽

Bivariate Data ◽

A Value ◽

The Family ◽

Chi Square Test ◽

Quantitative Descriptive

Labor is the final process of pregnancy that the mother and family have gone through during three trimester periods. When the labor process begins, the mother's role is to give birth to her baby, while the role of the health worker is to monitor childbirth to detect complications early and with the family to provide assistance and support for maternity mothers. The purpose of this study was to provide an effect on the role of the husband on the level of anxiety of pregnant women in dealing with the delivery process at the Harapan raya puskesmas. The research design used in this study was a quantitative descriptive method, at the Harapan Raya Puskesmas Pekanbaru. The population in this study amounted to 40 pregnant women in Harapan Raya Puskesmas Pekanbaru with a sample size of 33 respondents using the Accidental Sampling method. Data collection techniques using questionnaires and data analysis used were univariate and bivariate. Data collection was obtained using a questionnaire, then analyzed using the chi-square test. The results showed a significant influence between the role of the husband with the anxiety level of pregnant women in dealing with the delivery process with a value of p = 0.001. The conclusion is the influence of the role of the husband on the level of anxiety of pregnant women in dealing with the percentage of labor in the Harapan Raya Health Center Pekanbaru there is an influence between the role of your husband and the level of anxiety of pregnant women.hopefully the third trimester pregnant women can pay moor attention to their condition both phisically phisiologically and ask the husband to always provide suppore and particapate in taking care of the pragnancy as walk as in preparing the pragnancy.

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Physical Activity Monitor Accuracy for Overground Walking and Free-Living Conditions Among Pregnant Women

Journal for the Measurement of Physical Behaviour ◽

10.1123/jmpb.2019-0059 ◽

2020 ◽

Vol 3 (2) ◽

pp. 100-109

Author(s):

Christopher P. Connolly ◽

Jordana Dahmen ◽

Robert D. Catena ◽

Nigel Campbell ◽

Alexander H.K. Montoye

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Living Conditions ◽

Overground Walking ◽

Third Trimester ◽

Free Living ◽

Activity Monitors ◽

Step Counting ◽

Physical Activity Monitors ◽

Free Living Conditions

Purpose: We aimed to determine the step-count validity of commonly used physical activity monitors for pregnancy overground walking and during free-living conditions. Methods: Participants (n = 39, 12–38 weeks gestational age) completed six 100-step overground walking trials (three self-selected “normal pace”, three “brisk pace”) while wearing five physical activity monitors: Omron HJ-720 (OM), New Lifestyles 2000 (NL), Fitbit Flex (FF), ActiGraph Link (AG), and Modus StepWatch (SW). For each walking trial, monitor-recorded steps and criterion-measured steps were assessed. Participants also wore all activity monitors for an extended free-living period (72 hours), with the SW used as the criterion device. Mean absolute percent error (MAPE) was calculated for overground walking and free-living protocols and compared across monitors. Results: For overground walking, the OM, NL, and SW performed well (<5% MAPE) for normal and brisk pace walking trials, and also when trials were analyzed by actual speeds. The AG and FF had significantly greater MAPE for overground walking trials (11.9–14.7%). Trimester did affect device accuracy to some degree for the AG, FF, and SW, with error being lower in the third trimester compared to the second. For the free-living period, the OM, NL, AG, and FF significantly underestimated (>32% MAPE) actual steps taken per day as measured by the criterion SW (M [SD] = 9,350 [3,910]). MAPE for the OM was particularly high (45.3%). Conclusion: The OM, NL, and SW monitors are valid measures for overground step-counting during pregnancy walking. However, the OM and NL significantly underestimate steps by second and third trimester pregnant women in free-living conditions.

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Factors Influencing Dietary Patterns during Pregnancy in a Culturally Diverse Society

Nutrients ◽

10.3390/nu12113242 ◽

2020 ◽

Vol 12 (11) ◽

pp. 3242

Author(s):

Elisabet Fernández-Gómez ◽

Trinidad Luque-Vara ◽

Pablo José Moya-Fernández ◽

María López-Olivares ◽

Miguel Ángel Gallardo-Vigil ◽

...

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Dietary Patterns ◽

Dietary Pattern ◽

Dietary Quality ◽

Third Trimester ◽

Related Factors ◽

Factors Influencing ◽

Diverse Society ◽

Mixed Pattern

The aim of this study was to identify dietary patterns in pregnant women and to assess the relationships between sociodemographic, lifestyle-related, and pregnancy-related factors. This is a descriptive, correlational study involving 306 pregnant women in Melilla (Spain) in any trimester of pregnancy. A validated food frequency questionnaire was used. Dietary patterns were determined via exploratory factor analysis and ordinal logistic regression using the proportional odds model. Three dietary patterns were identified: Western, mixed, and prudent. Sociodemographic, lifestyle-related, and pregnancy-related factors influencing dietary quality were established. The Western dietary pattern was considered the least recommended despite being the most common among women who live in Melilla (p = 0.03), are Christian (p = 0.01), are primiparous women (p < 0.001), and are in their first or second trimester (p = 0.02). Unemployed pregnant women were also more likely to have a less healthy dietary pattern (β = −0.716; p = 0.040). The prudent dietary pattern, the healthiest of the three, was most commonly observed among Muslim women (p = 0.01), women with more than two children (p < 0.001), and women in the third trimester of pregnancy (p = 0.02). Pregnant women who engaged in no physical activity or a low level of physical activity displayed a mixed pattern (p < 0.001). This study provides evidence on the factors influencing dietary patterns during pregnancy and suggests that more specific nutrition programmes should be developed to improve the nutritional status of pregnant women.

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Laying the Foundation for Pregnancy Physical Activity Profiling: A Framework for Providing Tailored Physical Activity Advice and Guidance to Pregnant Women

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115996 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5996

Author(s):

Marlize De Vivo ◽

Hayley Mills

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Theory Of Planned Behaviour ◽

Healthcare Professionals ◽

Predictive Utility ◽

Activity Profiling ◽

Physical Activity Advice ◽

Tailored Advice ◽

Activity Questionnaire

The aim of this study was to examine the predictive utility of the theory of planned behaviour (TPB) in explaining pregnant women’s physical activity (PA) intentions and behaviour and to scrutinise the role of past behaviour within this context. Pregnant women (n = 89) completed the pregnancy physical activity questionnaire (PPAQ) and newly developed TPB questionnaire on two separate occasions during their pregnancy. Analyses were carried out in relation to three scenarios. Firstly, when considering the original TPB, intention emerged as the strongest determinant of pregnant women’s PA behaviour. Secondly, controlling for past behaviour attenuated the influence of intention and perceived behavioural control on behaviour, with neither of the original variables providing a unique influence. Finally, the addition of past behaviour added significantly to the prediction of intention with the model as a whole, explaining 85% of the variance in pregnant women’s PA intention, and with past behaviour uniquely contributing 44.8% of the variance. Pregnancy physical activity profiling based on intention and behaviour status is subsequently introduced as a novel and practical framework. This provides healthcare professionals with the opportunity and structure to provide tailored advice and guidance to pregnant women, thereby facilitating engagement with PA throughout motherhood.

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The Knowledge and Perceptions of Florida Pharmacists in Administering Inactivated Influenza Vaccines to Pregnant Women

Pharmacy ◽

10.3390/pharmacy9020083 ◽

2021 ◽

Vol 9 (2) ◽

pp. 83

Author(s):

Oluyemisi Falope ◽

Cheryl Vamos ◽

Ricardo Izurieta ◽

Ellen Daley ◽

Russell S. Kirby

Keyword(s):

Pregnant Women ◽

Risk Groups ◽

Subjective Norms ◽

Vaccine Uptake ◽

Influenza Vaccines ◽

Healthcare Organizations ◽

Standing Order ◽

Immunization Services ◽

Depth Interviews

Background: Influenza vaccine rates in pregnant women remain suboptimal despite the recommendations from healthcare organizations. Though pharmacists can provide immunization services as a result of the standing order, few studies have examined the role of the pharmacist in providing immunization to pregnant women or explored their perspective on their role in providing influenza vaccines among pregnant women. Purpose: This study explored the perceptions and knowledge of Florida pharmacists in administering inactivated influenza vaccines (IIV) to pregnant women. Methods: Semi-structured in-depth interviews guided by the theory of planned behavior were conducted with 18 licensed Florida pharmacists, including clinical and retail pharmacists. A thematic analysis was conducted. Results: The majority of pharmacists (94%) were knowledgeable about the IIV in pregnant women. Participants expressed mixed attitudes, identified barriers and facilitators, and subjective norms influencing vaccine administration in pregnant women. Participants expressed the importance of trust and how that influenced vaccine uptake. Participants also expressed their position not to only provide immunization services but also to counsel and educate patients. Conclusion: There is a need to strengthen immunization services, provided by pharmacists to more individuals, including high-risk groups such as pregnant women.

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Physical activity profiling during pregnancy: Application of the Theory of Planned Behaviour by scrutinising the role of past behaviour.

10.31236/osf.io/x4tbw ◽

2019 ◽

Author(s):

Marlize DE VIVO ◽

Hayley Mills

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Repeated Measures ◽

Theory Of Planned Behaviour ◽

Predictive Utility ◽

Planned Behaviour ◽

Repeated Measures Design ◽

Activity Profiling ◽

Novel Concept

Objectives: To examine the predictive utility of the Theory of Planned Behaviour (TPB) in explaining pregnant women’s physical activity intentions and behaviour and to scrutinise the role of past behaviour within this context. Method: A repeated measures design required pregnant women to complete the Pregnancy Physical Activity Questionnaire (PPAQ) and TPB questionnaires on two occasions. Using published guidance, both formative and definitive stages were implemented as part of a comprehensive and robust approach to the construction of a TPB questionnaire. Results: Firstly, when considering the original TPB, intention emerged as the strongest determinant of pregnant women’s PA behaviour. Secondly, controlling for past behaviour attenuated the influence of intention and PBC on behaviour with neither of the original variables providing a unique influence. Finally, the addition of past behaviour led to an increase in the predictive utility of the TPB. Conclusion: Utilising the TPB as a flexible framework revealed the importance of contextual changes in the explanation of PA intention and behaviour during pregnancy. Physical activity profiling of pregnant women is proposed as a novel concept to present healthcare professionals and researchers with the opportunity to introduce tailored support based on motivation and behaviour status.

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Maternal Leisure-time Physical Activity and Risk of Preterm Birth: A Systematic Review of the Literature

Journal of Physical Activity and Health ◽

10.1123/jpah.2015-0495 ◽

2016 ◽

Vol 13 (7) ◽

pp. 796-807 ◽

Cited By ~ 2

Author(s):

Mira Kahn ◽

Kim Robien ◽

Loretta DiPietro

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Preterm Birth ◽

Pregnant Women ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Quality Reporting ◽

Gestational Age At Delivery ◽

Study Designs

Background:Preterm birth is a leading cause of infant death and the role of maternal physical activity on this risk remains unclear. This systematic review examined low, moderate and vigorous leisure-time physical activity (LTPA) during pregnancy and the outcome of preterm birth.Methods:Key words related to preterm birth and physical activity were used to search relevant databases (Medline, Cochrane, CINAHL, Sports Discuss and Scopus). Studies were excluded if they did not measure physical activity as an exposure in pregnant women, did not provide information on gestational age at delivery, and were not published in English. All study designs and sample sizes were considered.Results:The search generated 1472 studies. There were 27 studies included in this review of which 23 received high quality reporting scores. Eleven studies reported a lower risk of preterm birth for women who performed LTPA during pregnancy, while 14 studies reported null findings. Only 2 studies detected a significantly higher risk of preterm birth with LTPA during pregnancy.ConclusionThis review of literature up to 2014 provides additional evidence to support the assertion that healthy pregnant women can engage in low, moderate, and even some vigorous levels of LTPA without risk for preterm birth.

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Relationships between Physical Activity and Quality of Life in Pregnant Women in the Second and Third Trimester

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15122745 ◽

2018 ◽

Vol 15 (12) ◽

pp. 2745 ◽

Cited By ~ 5

Author(s):

Justyna Krzepota ◽

Dorota Sadowska ◽

Elżbieta Biernat

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Pregnant Women ◽

Occupational Activity ◽

Second Trimester ◽

Third Trimester ◽

The Third ◽

Exercise Activity ◽

Physical Health Domain

Background: The problem of an inadequate level of physical activity (PA) is important in the context of its relationship with the quality of life (QoL) of pregnant women. The aim of this study was to analyze the relationships between PA and QoL among pregnant women. Methods: The study analyzed 346 questionnaires filled in by pregnant women (157 in the second trimester and 189 in the third). The tool used for assessment of PA was the Pregnancy Physical Activity Questionnaire-Polish version (PPAQ-PL). The quality of life (QoL) was assessed by the World Health Organization Quality of Life Questionnaire-short form (WHOQoL-Bref). The results obtained from the PPAQ-PL and WHOQoL-Bref questionnaires for women in the second and third trimesters of pregnancy and intergroup differences were analyzed. Results: There was a significant correlation in the group of women in the second trimester of pregnancy between quality of life in the physical health domain and the intensity and type of physical activity. The women who rated their quality of life higher in this domain declared higher energy expenditures (EE) associated with vigorous activity (R = 0.159, p ≤ 0.05), as well as with occupational activity (R = 0.166; p ≤ 0.05) and sport/exercise activity (R = 0.187; p ≤ 0.05). In women in the third trimester, higher EE related to sport/exercise activity coincided with higher assessments of the overall quality of life (R = 0.149, p ≤ 0.05) and general health (R = 0.170, p ≤ 0.05). In the case of the psychological domain (R = 0.161, p ≤ 0.05) and social relationship domain (R = 0.188; p ≤ 0.05) of QoL, positive correlations occurred with EE related to vigorous activity. In contrast, high assessment of physical health domain coincided with higher EE related to occupational activity (R = 0.174; p ≤ 0.05). Conclusions: Our study makes an important contribution to knowledge concerning the correlations between PA and QoL in pregnancy. The results suggest the need for improvement in prenatal care and promotion of PA programs for pregnant women.

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The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy

Therapeutic Advances in Reproductive Health ◽

10.1177/26334941211031866 ◽

2021 ◽

Vol 15 ◽

pp. 263349412110318

Author(s):

Mahnaz Bahri Khomami ◽

Ruth Walker ◽

Michelle Kilpatrick ◽

Susan de Jersey ◽

Helen Skouteris ◽

...

Keyword(s):

Physical Activity ◽

Weight Gain ◽

Pregnant Women ◽

Healthy Eating ◽

Healthcare Professionals ◽

Healthy Lifestyle ◽

Healthy Lifestyles ◽

Gestational Weight ◽

Healthy Lifestyle Promotion

Women with maternal obesity, an unhealthy lifestyle before and during pregnancy and excess gestational weight gain have an increased risk of adverse pregnancy and birth outcomes that can also increase the risk of long-term poor health for them and their children. Pregnant women have frequent medical appointments and are highly receptive to health advice. Healthcare professionals who interact with women during pregnancy are in a privileged position to support women to make lasting healthy lifestyle changes that can improve gestational weight gain and pregnancy outcomes and halt the intergenerational nature of obesity. Midwives and obstetrical nurses are key healthcare professionals responsible for providing antenatal care in most countries. Therefore, it is crucial for them to build and enhance their ability to promote healthy lifestyles in pregnant women. Undergraduate midwifery curricula usually lack sufficient lifestyle content to provide emerging midwives and obstetrical nurses with the knowledge, skills, and confidence to effectively assess and support healthy lifestyle behaviours in pregnant women. Consequently, registered midwives and obstetrical nurses may not recognise their role in healthy lifestyle promotion specific to healthy eating and physical activity in practice. In addition, practising midwives and obstetrical nurses do not consistently have access to healthy lifestyle promotion training in the workplace. Therefore, many midwives and obstetrical nurses may not have the confidence and/or skills to support pregnant women to improve their lifestyles. This narrative review summarises the role of midwives and obstetrical nurses in the promotion of healthy lifestyles relating to healthy eating and physical activity and optimising weight in pregnancy, the barriers that they face to deliver optimal care and an overview of what we know works when supporting midwives and obstetrical nurses in their role to support women in achieving a healthy lifestyle.

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