Skip to main content
Top
Published in: BMC Pregnancy and Childbirth 1/2016

Open Access 01-12-2016 | Research article

Perceived barriers and enablers of physical activity in postpartum women: a qualitative approach

Authors: Maryam Saligheh, Beverley McNamara, Rosanna Rooney

Published in: BMC Pregnancy and Childbirth | Issue 1/2016

Login to get access

Abstract

Background

Postpartum women’s recovery from birth can be assisted through increased physical activity (PA). However, women face substantial barriers to participating in exercise and require support to enable them to benefit from increased PA.

Methods

This study sought to explore women’s beliefs about and experiences of PA and exercise during the 6 weeks to 12 months postpartum period. A cohort of 14 postpartum women from a survey study of the barriers and enablers to exercise participation agreed to take part in interview sessions to provide an in-depth understanding of the women’s perceptions of the postpartum period and their physical activity during this time.

Results

Findings are presented with reference to the social ecological framework and indicate postpartum women face substantial personal and environmental barriers to PA and exercise participation: fatigue, a lack of motivation and confidence, substantial time constraints, lack of access to affordable and appropriate activities and poor access to public transport. In contrast, enablers such as possessing greater social support, in particular partner support, improved PA and exercise participation.

Conclusions

The findings encourage facilitation of exercise through mothers’ groups, mothers’ exercise clubs or postnatal classes suggesting behavioral and social change is needed. Interaction between individuals, community, organizations and policy makers is required. In addition, the provision of specifically tailored and appropriate exercise programs could potentially enable increased PA in postpartum women, thereby improving their health.
Appendix
Available only for authorised users
Literature
5.
go back to reference Albright C, Maddock J, Nigg C. Physical activity before pregnancy and following childbirth in a multiethnic sample of healthy women in Hawaii. J Women’s Health. 2006;42(3):95–110. doi:10.1300/J013v42n03_06. Albright C, Maddock J, Nigg C. Physical activity before pregnancy and following childbirth in a multiethnic sample of healthy women in Hawaii. J Women’s Health. 2006;42(3):95–110. doi:10.​1300/​J013v42n03_​06.
6.
go back to reference Van Raaij J, Schonk C, Vermaat-Miedema S, Peek M, Hautvast J. Energy cost of physical activity throughout pregnancy and the first year postpartum in Dutch women with sedentary lifestyles. AJCN. 1990;52(2):234–9. Van Raaij J, Schonk C, Vermaat-Miedema S, Peek M, Hautvast J. Energy cost of physical activity throughout pregnancy and the first year postpartum in Dutch women with sedentary lifestyles. AJCN. 1990;52(2):234–9.
7.
go back to reference Hegaard H, Damm P, Hedegaard M, Henrisken T, Ottesen B, Dykes A, Kjaergaard H. Sports amd leisure time physical activity during pregnancy in nulliparous women. Matern Child Health J. 2011;15(6):806–13. doi:10.1007/s10995-010-0647-y. Hegaard H, Damm P, Hedegaard M, Henrisken T, Ottesen B, Dykes A, Kjaergaard H. Sports amd leisure time physical activity during pregnancy in nulliparous women. Matern Child Health J. 2011;15(6):806–13. doi:10.​1007/​s10995-010-0647-y.
14.
go back to reference Adachi-Mejia A, Drake K, MacKenzie T, Titus-Ernstoff L, Longacre M, Hendricks K, Dalton M. Perceived intrinsic barriers to physical activity among rural mothers. J Women's Health. 2010;19(12):2179–202. doi:10.1089/jwh.2009.1879.CrossRef Adachi-Mejia A, Drake K, MacKenzie T, Titus-Ernstoff L, Longacre M, Hendricks K, Dalton M. Perceived intrinsic barriers to physical activity among rural mothers. J Women's Health. 2010;19(12):2179–202. doi:10.​1089/​jwh.​2009.​1879.CrossRef
16.
go back to reference Perez GK, Cruess D. The impact of familism on physical and mental health among Hispanics in the United States. Health Psychol Rev. 2011; 1(33). Examines the impact of this important social influence on various health outcomes in Latinos. doi:10.1080/17437199.2011.569936. Perez GK, Cruess D. The impact of familism on physical and mental health among Hispanics in the United States. Health Psychol Rev. 2011; 1(33). Examines the impact of this important social influence on various health outcomes in Latinos. doi:10.​1080/​17437199.​2011.​569936.
17.
go back to reference King A, Castro C, Wilcox S, Eyler A, Sallis J, Brownson R. Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S middle-aged women. J Health Psychol. 2000;19(4):354–6. doi:10.1037/AB78^133.19,4.354.CrossRef King A, Castro C, Wilcox S, Eyler A, Sallis J, Brownson R. Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S middle-aged women. J Health Psychol. 2000;19(4):354–6. doi:10.​1037/​AB78^133.​19,4.​354.CrossRef
18.
go back to reference Gaston A, Cramp A, Prapavessis H. Enhancing self-efficacy and exercise readiness in pregnant women. Psychol Sport Exerc. 2012;13(5):550–7.CrossRef Gaston A, Cramp A, Prapavessis H. Enhancing self-efficacy and exercise readiness in pregnant women. Psychol Sport Exerc. 2012;13(5):550–7.CrossRef
19.
go back to reference Spence JC, Lee RE. Toward a comprehensive model of physical activity. Psychol Sport Exerc. 2003;4(1):7–24.CrossRef Spence JC, Lee RE. Toward a comprehensive model of physical activity. Psychol Sport Exerc. 2003;4(1):7–24.CrossRef
20.
go back to reference Giles-Corti B, Donovan RJ. Relative influences of individual, social environmental, and physical environmental correlates of walking. Am J Public Health. 2003;93(9):1583–9. PubMed: 12948984.CrossRefPubMedPubMedCentral Giles-Corti B, Donovan RJ. Relative influences of individual, social environmental, and physical environmental correlates of walking. Am J Public Health. 2003;93(9):1583–9. PubMed: 12948984.CrossRefPubMedPubMedCentral
21.
go back to reference Larsen BA, Pekmezi D, Marquez B, Benitez TJ, Marcus BH. Physical activity in Latinas: social and environmental influences. Women’s health (London, England). 2013;9(2). doi:10.2217/whe.13.9. Larsen BA, Pekmezi D, Marquez B, Benitez TJ, Marcus BH. Physical activity in Latinas: social and environmental influences. Women’s health (London, England). 2013;9(2). doi:10.​2217/​whe.​13.​9.
24.
go back to reference Adeniyi AF, Ogwumike O, Bamikefa TR. Postpartum exercise among Nigerian women: issues relating to exercise performance and self-efficacy. ISRN Obst and Gyn. 2013. doi:10.1155/2013/294518. Adeniyi AF, Ogwumike O, Bamikefa TR. Postpartum exercise among Nigerian women: issues relating to exercise performance and self-efficacy. ISRN Obst and Gyn. 2013. doi:10.​1155/​2013/​294518.
26.
go back to reference Goulding C. Analysis, interpretation and the writing process. In: Goulding C, editor. Grounded theory. London: SAGE Publications Ltd; 2002. p. 74–101. Goulding C. Analysis, interpretation and the writing process. In: Goulding C, editor. Grounded theory. London: SAGE Publications Ltd; 2002. p. 74–101.
27.
go back to reference Sandelowski M. The problem of rigour in qualitative research. Adv Nurs Sci. 1986;8(3):27–37.CrossRef Sandelowski M. The problem of rigour in qualitative research. Adv Nurs Sci. 1986;8(3):27–37.CrossRef
29.
go back to reference Blanchard CM, Reid RD, Morrin RI. Barrier self-efficacy and physical activity over a 12-month period in men and women who do and do not attend cardiac rehabilitation. Rehab Psychol. 2007;52:65–73.CrossRef Blanchard CM, Reid RD, Morrin RI. Barrier self-efficacy and physical activity over a 12-month period in men and women who do and do not attend cardiac rehabilitation. Rehab Psychol. 2007;52:65–73.CrossRef
32.
go back to reference Martin Ginis K, Burke S, Gauvin L. Exercising with others exacerbates the negative effects of mirrored environments on sedentary women's feeling state. Psychol Health. 2007;22(8):945–62. doi:10.1080/14768320601070571.CrossRef Martin Ginis K, Burke S, Gauvin L. Exercising with others exacerbates the negative effects of mirrored environments on sedentary women's feeling state. Psychol Health. 2007;22(8):945–62. doi:10.​1080/​1476832060107057​1.CrossRef
33.
go back to reference Smith B, Cheung N, Bauman A, Zehle K, McLean M. Postpartum physical activity and related psychosocial factors among women with recent gestational diabetes mellitus. Diabetes Care J. 2005;28(11):2650–4. doi:10.2337/diacare.28.11.2650.CrossRef Smith B, Cheung N, Bauman A, Zehle K, McLean M. Postpartum physical activity and related psychosocial factors among women with recent gestational diabetes mellitus. Diabetes Care J. 2005;28(11):2650–4. doi:10.​2337/​diacare.​28.​11.​2650.CrossRef
35.
go back to reference Koh D, Miller Y, Marshall A, Brown W, McIntyre D. Health enhancing physical activity behaviour and related factors in postpartum women with recent gestational diabetes mellitus. J Sci Med Spor. 2010;13(1):42–5. doi:10.1016/j.jsams.2008.10.00.CrossRef Koh D, Miller Y, Marshall A, Brown W, McIntyre D. Health enhancing physical activity behaviour and related factors in postpartum women with recent gestational diabetes mellitus. J Sci Med Spor. 2010;13(1):42–5. doi:10.​1016/​j.​jsams.​2008.​10.​00.CrossRef
Metadata
Title
Perceived barriers and enablers of physical activity in postpartum women: a qualitative approach
Authors
Maryam Saligheh
Beverley McNamara
Rosanna Rooney
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2016
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-016-0908-x

Other articles of this Issue 1/2016

BMC Pregnancy and Childbirth 1/2016 Go to the issue