Women's experiences with the barriers and facilitators to physical activity throughout the course of pregnancy

Abstract

Physical activity levels adopted during pregnancy can impact future exercise behaviours post partum, resulting in long term physiological and psychological effects (Hausenblas et al., 2008). The purpose of this study was to qualitatively examine women's perceptions of change in barriers and facilitators of physical activity during pregnancy. Nine previously active expecting women participated in a series of two semi-structured interviews in early second trimester and mid to late third trimester. Data was analyzed using interpretative phenomenological analysis. Results revealed that barriers to physical activity changed throughout pregnancy. Commonly identified barriers during the first and second trimester included fear of miscarriage, nausea/vomiting, fatigue, and weather, while changes in the body, fear of injury, pain and discomfort, and work demands were prominent in the third trimester. Despite these barriers, participants were motivated to engage in physical activity throughout pregnancy to maintain physical fitness, health of the baby and themselves, and to relieve stress. Physical activity behaviours were supported by the participants' partners; however, the majority of participants sought out prenatal exercise classes to create a social network with other expecting mothers. The need to examine pregnant women's experiences with physical activity from a holistic approach beyond the biomedical model will be discussed.