Volume 7, Issue 4 (Autumn 2021)                   JCCNC 2021, 7(4): 245-254 | Back to browse issues page


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Ahmadi K, Amiri-Farahani L. The Perceived Barriers to Physical Activity in Pregnant Women: A Review Study. JCCNC. 2021; 7 (4) :245-254
URL: http://jccnc.iums.ac.ir/article-1-320-en.html
1- Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Reproductive Health and Midwifery, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , amirifarahani.l@iums.ac.ir
Abstract:   (2345 Views)
Background: Despite all the positive effects of physical activity on maternal and fetal health, its level is low among pregnant women. Various barriers seem to prevent physical activity during pregnancy. The aim of this study was to investigate and determine the barriers to physical activity during pregnancy based on a review of available literature. 
Methods: To review the available literature, the authors searched Persian databases, such as Iran Medex, Magiran, MedLib, and SID, and also English databases, including Scopus, PubMed, Elsevier, ScienceDirect, Web of Science, and ProQuest using the keywords of pregnant woman, physical activity, exercise, barriers, pregnancy, constraints, and attitudes individually or in combination between 2000 and 2020 and finally, 10 articles that met the inclusion criteria were reviewed. An ecological model was used to classify the reported barriers.
Results: Seven quantitative articles and three qualitative articles were included in the study. Obstacles related to the intrapersonal level of the ecological model were the most reported in these studies and were classified into five areas, including pregnancy symptoms and limitations, time constraints, misunderstanding the adequacy of daily activities, lack of motivation, and maternal and fetus safety concerns. Barriers at the interpersonal level included lack of consultation and information and lack of social support and at the environmental, organizational, and political levels, climate and lack of resources were the most reported barriers.
Conclusion: The present study outlined the perceived barriers to physical activity among pregnant women and highlighted the important factors that should be considered when planning interventions to increase the level of physical activity during pregnancy. Further studies are recommended to provide solutions to overcome these barriers and increase the activity of pregnant women. 
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● Despite all the positive effects of physical activity on maternal and fetal health, its level is low among pregnant women. 
● Various barriers seem to prevent physical activity during pregnancy. 
● Obstacles related to the intrapersonal level were the most reported in the reviewed studies. 
● Symptoms and limitations of pregnancy were the most reported barriers in some studies.
● Concerns about maternal and fetal safety, lack of counseling and information, and lack of social support were prominent barriers to pregnancy that need to be addressed in future studies.

Plain Language Summary 
This review study was conducted to identify the perceived barriers to physical activity in pregnant women among the literature that was published between 2000 and 2020. Obstacles related to the intrapersonal level of the ecological model were the most reported in these studies and were classified into five areas, including pregnancy symptoms and limitations, time constraints, misunderstanding the adequacy of daily activities, lack of motivation, and maternal and fetus safety concerns. Barriers at the interpersonal level included lack of consultation and information and lack of social support, and at the environmental, organizational, and political levels, climate and lack of resources were the most reported barriers.
Type of Study: Applicable | Subject: General
Received: 2021/08/5 | Accepted: 2021/09/14 | Published: 2021/11/1

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