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"Longing for individual recognition" - Pregnant women's experiences of midwives' counselling on physical activity during pregnancy.
Sex Reprod Healthc. 2018 Mar; 15:46-53.SR

Abstract

OBJECTIVE

The aims to explore among pregnant women were their experiences of lifestyle counselling provided by a midwife in antenatal care, addressing health promotion with special focus on physical activity during pregnancy, and factors influencing the trustworthiness of counselling conducted by a midwife.

METHODS

This qualitative study collected data from 14 pregnant, primiparous or multiparous women in gestational week 35-36 using in-depth interviews. The data were collected in Sweden in 2015. Qualitative content analysis was applied.

RESULTS

The theme "Longing for fulfilment of individual needs and expectations" emerged during analysis, including four categories; "Being exposed to unsatisfying counselling"; "Appreciating supportive and trustworthy counselling"; "Wrestling with cultures", and "Dealing with physical activity in daily life". The results indicated that some participants experienced limited counselling that was characterized by lack of knowledge, support, and trustworthiness in the midwife. Other participants reported valuable encouragement and support by the midwife. Participants were longing for individual recognition instead of receiving general advice on physical activity that was designed for all pregnant women.

CONCLUSIONS

Individual counselling on physical activity during pregnancy based on the participant's individual needs was desired. On the contrary, the participants could experience the midwife as having her own agenda, insufficient knowledge and primarily focusing on medical surveillance. There is a need of increased level of knowledge among midwives in antenatal care, regarding lifestyle and lifestyle change during pregnancy. This may enhance promotion of a healthy lifestyle for the pregnant woman during counselling.

Authors+Show Affiliations

Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, 901 87 Umeå, Sweden. Electronic address: maria.lindqvist@umu.se.Department of Nursing, Umeå University, 901 87 Umeå, Sweden. Electronic address: margareta.persson@umu.se.Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, 901 87 Umeå, Sweden. Electronic address: ingrid.mogren@umu.se.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29389501

Citation

Lindqvist, Maria, et al. ""Longing for Individual Recognition" - Pregnant Women's Experiences of Midwives' Counselling On Physical Activity During Pregnancy." Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives, vol. 15, 2018, pp. 46-53.
Lindqvist M, Persson M, Mogren I. "Longing for individual recognition" - Pregnant women's experiences of midwives' counselling on physical activity during pregnancy. Sex Reprod Healthc. 2018;15:46-53.
Lindqvist, M., Persson, M., & Mogren, I. (2018). "Longing for individual recognition" - Pregnant women's experiences of midwives' counselling on physical activity during pregnancy. Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives, 15, 46-53. https://doi.org/10.1016/j.srhc.2017.12.003
Lindqvist M, Persson M, Mogren I. "Longing for Individual Recognition" - Pregnant Women's Experiences of Midwives' Counselling On Physical Activity During Pregnancy. Sex Reprod Healthc. 2018;15:46-53. PubMed PMID: 29389501.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - "Longing for individual recognition" - Pregnant women's experiences of midwives' counselling on physical activity during pregnancy. AU - Lindqvist,Maria, AU - Persson,Margareta, AU - Mogren,Ingrid, Y1 - 2017/12/11/ PY - 2016/06/30/received PY - 2017/09/26/revised PY - 2017/12/09/accepted PY - 2018/2/2/entrez PY - 2018/2/2/pubmed PY - 2018/8/23/medline KW - Counselling KW - Midwife KW - Physical activity KW - Pregnancy KW - Qualitative study SP - 46 EP - 53 JF - Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives JO - Sex Reprod Healthc VL - 15 N2 - OBJECTIVE: The aims to explore among pregnant women were their experiences of lifestyle counselling provided by a midwife in antenatal care, addressing health promotion with special focus on physical activity during pregnancy, and factors influencing the trustworthiness of counselling conducted by a midwife. METHODS: This qualitative study collected data from 14 pregnant, primiparous or multiparous women in gestational week 35-36 using in-depth interviews. The data were collected in Sweden in 2015. Qualitative content analysis was applied. RESULTS: The theme "Longing for fulfilment of individual needs and expectations" emerged during analysis, including four categories; "Being exposed to unsatisfying counselling"; "Appreciating supportive and trustworthy counselling"; "Wrestling with cultures", and "Dealing with physical activity in daily life". The results indicated that some participants experienced limited counselling that was characterized by lack of knowledge, support, and trustworthiness in the midwife. Other participants reported valuable encouragement and support by the midwife. Participants were longing for individual recognition instead of receiving general advice on physical activity that was designed for all pregnant women. CONCLUSIONS: Individual counselling on physical activity during pregnancy based on the participant's individual needs was desired. On the contrary, the participants could experience the midwife as having her own agenda, insufficient knowledge and primarily focusing on medical surveillance. There is a need of increased level of knowledge among midwives in antenatal care, regarding lifestyle and lifestyle change during pregnancy. This may enhance promotion of a healthy lifestyle for the pregnant woman during counselling. SN - 1877-5764 UR - https://www.unboundmedicine.com/medline/citation/29389501/"Longing_for_individual_recognition"___Pregnant_women's_experiences_of_midwives'_counselling_on_physical_activity_during_pregnancy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1877-5756(16)30058-1 DB - PRIME DP - Unbound Medicine ER -