“They turn to you first for everything”: insights into midwives’ perspectives of providing physical activity advice and guidance to pregnant women.
De Vivo, M. and Mills, H. 2019. “They turn to you first for everything”: insights into midwives’ perspectives of providing physical activity advice and guidance to pregnant women. BMC Pregnancy and Childbirth.
|Authors||De Vivo, M. and Mills, H.|
Background: The antenatal period is associated with a decline in physical activity among women. Midwives are viewed central to the dissemination of information during pregnancy, however, there is little research relating to their promotion of physical activity. The purpose of this study was to gain insight into midwives’ perspectives of providing physical activity advice and guidance to pregnant women.
Methods: Community midwives (N = 10) from ten randomly selected antenatal clinics in England took part in semi-structured interviews which were audio recorded, transcribed and analysed thematically.
Results: In relation to perceived role and responsibilities in providing physical activity advice and guidance, midwives emphasised the extent to which their profession has evolved, the perceived burden of responsibility, and the tick box approach to physical activity discussion. Midwives identified a lack of training, knowledge, confidence, time, resources, and perceptions of vulnerability as barriers to effective physical activity promotion. Despite these issues midwives proposed eight opportunities to facilitate pregnant women’s physical activity engagement: (1) recognising and addressing barriers in the uptake and maintenance of physical activities, (2) professional development, (3) inter-professional collaboration, (4) communicating effectively through simple, reliable resources, (5) improved access, availability, and awareness of suitable activities in the local community, (6) encouraging a support network, (7) “selling” physical activity by challenging misconceptions and focusing on benefits, and (8) suitable motivation, incentives and reward.
|Keywords||Midwife; pregnancy; maternal; physical activity; exercise; qualitative; thematic analysis; England|
|Journal||BMC Pregnancy and Childbirth|
|Online||03 Dec 2019|
|Publication process dates|
|Accepted||15 Nov 2019|
|Deposited||05 Dec 2019|
|Accepted author manuscript|
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