Understanding providers' beliefs, knowledge and practices of prenatal physical activity endorsement for the prevention and management of hypertensive disorders of pregnancy: a qualitative study.
Background: Hypertensive disorders of pregnancy (HDP), including gestational hypertension and preeclampsia, increase risk of acute complications, later development of hypertension and coronary artery disease and maternal mortality. Prenatal physical activity (PPA) reduces the risk of HDP development...
| Publicado en: | Therapeutic Advances in Reproductive Health Vol. 20; pp. 1 - 21 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
5/27/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194090313&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194090313 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26334941 N9DZ jtl: Therapeutic Advances in Reproductive Health issn: 26334941 maglogo: N pubinfo: dt: 5/27/2026 vid: 20 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 194090313 194090313 194090313 10.1177/26334941261451342 194090313 ppf: 1 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Understanding providers' beliefs, knowledge and practices of prenatal physical activity endorsement for the prevention and management of hypertensive disorders of pregnancy: a qualitative study. aug: au: Ceman, Lauren Milidrag, Lana Brush, Cayla Simone, Kiara De Nguyen, Gabrielle Soucie, Kendall Loughead, Todd McGowan, Cheri affil: Conceptualization, Department of Kinesiology, Faculty of Human Kinetics, University of Windsor, 401 Sunset Avenue, Windsor, ON N9B 3P4, Canada sug: subj: Obstetric Care Obstetricians Psychosocial Factors Attitude of Health Personnel Physical Activity In Pregnancy Prenatal Care Hypertension Prevention and Control Hypertension Therapy Health Beliefs Health Knowledge Professional Practice Human Funding Source Ontario Pregnancy Female Adult Qualitative Studies Thematic Analysis Semi-Structured Interview Descriptive Statistics Data Analysis Software Patient Attitudes Health Personnel Education Adult: 19-44 years Female ab: Background: Hypertensive disorders of pregnancy (HDP), including gestational hypertension and preeclampsia, increase risk of acute complications, later development of hypertension and coronary artery disease and maternal mortality. Prenatal physical activity (PPA) reduces the risk of HDP development. Obstetric care providers (OCPs) are crucial in advising patients on safe PPA. Despite the belief among OCPs in other developed countries that PPA is beneficial, few are familiar with endorsed guidelines or discuss PPA with their patients. Objectives: This study aimed to explore what a subset of OCPs based in Southwestern Ontario believe, know and practice with respect to PPA and its endorsement for HDP prevention. Design: Virtual, qualitative interview-based study. Methods: Semi-structured virtual interviews were conducted with nurse practitioners (n = 2; 39.5 ± 4.9 (X ± SD) years of age) and midwives (n = 4; 39.5 ± 7.3 years of age) who were actively practising in Southwestern Ontario. Results: Four overarching themes were identified using reflexive thematic analysis: (1) Restricted Scope of PPA Practice for HDP, (2) PPA is Very Important for Health in and Beyond Pregnancy, (3) PPA is a Highly Individualized Patient Experience and (4) Lack of Training in PPA Among Providers. All participants strongly affirmed the benefits and importance of PPA in general, despite constraints imposed by referral protocols for those with HDP. This belief stemmed from experience, knowledge of Canadian PPA guidelines and evidence-based literature. PPA recommendations were individualized yet grounded in national guidelines. Participants identified a gap in PPA training and provided suggestions for improvement. Conclusion: PPA participation may assist in the prevention or management of HDP and promote comprehensive wellbeing for patients. Further exploration of OCP recommendation and patient uptake of PPA for HDP within a Southwestern Ontarian context and beyond is warranted. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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