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Barriers and possibilities of physical exercises in pregnant Tanzanian women attending antenatal care
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
2018 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Introduktion: Fysisk träning under graviditeten kan förbättra kvinnors mentala hälsa, begränsa viktuppgång, minska ryggsmärta, underlätta värkarbete, begränsa antalet kejsarsnitt och underlätta återhämtning efter graviditet.

 

Syfte: Syftet med studien var att utforska den upplevda kunskapen om och praktiken av fysisk träning under graviditeten, hos gravida kvinnor i förlossningsvård, i Tanzania.

 

Metod: Genom ändamålsenligt urval rekryterades 25 kvinnor till studien, i åldern 19-41 år (median 24 år), med 1-5 graviditeter. Vid intervjutillfället var sex kvinnor i första trimestern, tolv var i andra trimestern och sju i den tredje trimestern. Data samlades in med fokusgruppsdiskussioner och analyserades med kvalitativ innehållsanalys.

 

Resultat: Resultatet sammanfattas i temat ”en resa mot en säker och bekväm graviditet” med de fyra kategorierna; ”begränsad kunskap om fysisk träning”, ”bemästra bäckensmärta”, ”lågt stöd för fysisk träning från andra i samhället”, och ”förstärkt smärtsam sexuell relation”.

 

Slutsats: Studie visar att det finns en kunskapslucka om vikten av fysisk träning under en graviditet. De gravida kvinnorna kämpade för att hantera utmaningar under graviditeten. De fick lite stöd och uppmuntran till fysisk träning. Bäckensmärta medförde att de inte tränade eller att de tränade i lägre grad. De hade inte tillgång till fysioterapeutiskt stöd i förlossningsvården, i frågor om fysisk träning.

Abstract [en]

Introduction: Exercise during pregnancy can improve women’s mental health, reduce gestational weight gain, reduce back pain, reduce length of labor, decrease caesarean section rates and reduce recovery times.

Aim: The aim of the current study was to explore barriers and possibilities of physical exercises in pregnant Tanzanian women attending antenatal care.

Methods: The study recruited twenty five participants through purposive sampling strategy. They were aged between 19- 41 years (median 24 years), 6 first trimester, 12 second trimester and 7 third trimester; with number of birth (gravida) ranging between 1-5. Focus group interviews were used during data collection and analyzed with qualitative content analysis.

Results: The result comprises of a theme: ‘A journey towards a safe and comfortable pregnancy’ and four categories ‘limited knowledge on physical exercises’ ‘fueling a painful sexual relationship’ ‘coping with pelvic pain’ ‘poor support of physical exercises the from community members’ and. These findings revealed the efforts and struggle to have a pain-free pregnancy especially when the women were involved in physical exercises.

Conclusion

This present study has shown a knowledge gap on pregnant women towards exercising during pregnancy. There was also little support from the community members in terms of participation to physical exercise. Pain was the main reason for either not to participate or practicing less physical exercise with great consciousness and care. Pregnant women struggled to cope with all challenges throughout pregnancy. Physiotherapy services were not provided to pregnant women especially when visiting an antenatal clinic.

Place, publisher, year, edition, pages
2018.
Keywords [sv]
Fysisk aktivitet, graviditet, kunskap
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-154476OAI: oai:DiVA.org:umu-154476DiVA, id: diva2:1272310
External cooperation
Department of Physiotherapy,Kilimanjaro Christian Medical University College, Tanzania
Educational program
Master's Programme in Physiotherapy
Supervisors
Examiners
Available from: 2019-02-13 Created: 2018-12-18 Last updated: 2019-02-13Bibliographically approved

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CiteExportLink to record
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