Longitudinal observation of health guidance on physical activity during pregnancy

DOI
  • Soyama Saori
    Department of Maternal-Child Health Nursing, Ishikawa Prefectural Nursing University Doctoral Course, Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University
  • Yoneda Masayo
    Department of Maternal-Child Health Nursing, Ishikawa Prefectural Nursing University

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Other Title
  • 妊婦の身体活動に対する保健指導の縦断的観察

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Abstract

This study longitudinally clarified the content of health guidance practices for physical activity during pregnancy and pregnant women’s compliance with the guidance. Health examinations for women at 20 to 40 weeks of pregnancy were video-or tape-recorded, and narrative records were created. Conversations related to health guidance on physical activity were analyzed using the 5A’s model and the Roter interaction analysis system. The subject was 1 primigravida aged 45. The mean speech times of the doctor, nurse, and pregnant woman were 41, 58, and 46 seconds, respectively. The pregnant woman had a habit of walking for an hour on holidays. During health guidance, the medical professionals instructed her to extend her walking time, increase the load by walking uphill, and exercise every day. She implemented these in the last trimester of her pregnancy. The medical professionals collected information about her lifestyle and medical condition each time, but they could not elicit the fact that she had joint pain from the conversations. Lacking relevant indicators, they were unable to sufficiently assess her physical activity and determine whether the health guidance was suitable for her. The results indicate the necessity of improving conversation skills and developing indicators for physical activity assessment.

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