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BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI

Year 2024, Volume: 26 Issue: 3, 269 - 275, 24.12.2024

Abstract

Amaç: Bu çalışmada gebelerin gebelik döneminde fiziksel egzersiz yapma konusundaki bilgileri ve davranışları değerlendirilmiştir.
Gereç ve Yöntem: Çalışma kesitsel tipte olup, Ocak-Mart 2023 tarihleri arasında Denizli il merkezindeki aile sağlığı merkezinde yapılmıştır ve çalışmaya 128 gebe katılmıştır. Veriler anket formu ile toplanmıştır. Anket formu sosyodemografik özellikler, gebenin obstetrik özelliklerini, gebelik egzersizleri konusundaki bilgilerini ve davranışlarını içeren 40 sorudan oluşmaktadır.
Bulgular: Çalışmaya katılan 128 gebenin %44.5’inin gebelik döneminde egzersiz yaptığı ve %84.2’sinin yürüme egzersizi yaptığı bulunmuştur. Gebelerin %50.8’i egzersizleri hakkında bilgilendirilmiş ve %55.4’ü bilgiyi doktordan, ebe/hemşireden aldığı bulunmuştur. Eğitim düzeyi yüksek ve gebelik öncesinde de egzersiz yapanların gebelik döneminde egzersiz yapma oranı yüksek bulunmuştur (p=0.002; p=0.001). Egzersiz yapmamanın nedenleri ise yorgunluk (%81.7), zaman yetersizliği (%47.9), yeterli bilgiye sahip olmama (%36.6) ve zararlı olduğunu düşünme (%18.3) olduğu saptanmıştır. Gebelerin %94.5’i gebelikte egzersizin düzenli ve sistemli yapılması gerektiğini, %89.8’i aşırı kilo alımını önlediğini bilirken, egzersizin kontrendikasyonlarından vajinal kanama olmasını (%62.5) ve erken doğum riski olmasını (%71.9) bildiği saptanmıştır.
Sonuç: Bu çalışmadaki gebelerin düşük düzeyde egzersiz yaptığı ve egzersiz yapanların çoğunluğunun gebelik öncesi dönemde de egzersiz yapanlar ve üniversite mezunları olduğu saptanmıştır. Yürüme egzersizinin en bilinen ve yapılan egzersiz türü olduğu tespit edilmiştir. Egzersiz yapmayan gebelerin ise yorgunluktan, yeterli zaman ve bilgiye sahip olmadıklarından yapmadığı görülmüştür. Ayrıca gebelerin egzersizin faydaları hakkında bilgiye sahip olduğu ama kontrendikasyonlarından çoğunlukla vajinal kanama olması ve erken doğum riski olmasını bildiği saptanmıştır.

Ethical Statement

Pamukkale Üniversitesi Tıp Fakültesi girişimsel olmayan klinik araştırmalar Etik Kurulu’ndan 10.01.2023 tarih ve 60116787-020-316047 sayılı etik kurulu kararı ile izin alınmıştır.

References

  • Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804. Obstet Gynecol. 2020;135(4):e178-e188.
  • World Health Organization (WHO). Physical activity. Erişim tarihi:19.01.2024. Erişim adresi: https://www.who.int/news-room/fact- sheets/detail/physical-activity
  • Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-1359.
  • Da Silva SG, Ricardo LI, Evenson KR, et al. Leisure-time physical activity in pregnancy and maternal-child health: A systematic review and meta-analysis of randomized controlled trials and cohort studies. Sports Med. 2017;47:295-317.
  • T.C. Sağlık Bakanlığı. Erişkin için kronik hastalıklarda fiziksel aktivite rehberi. Erişim tarihi:22.01.2024. Erişim adresi: https://hsgm.saglik.gov.tr/depo/birimler/saglikli- beslenme-ve-hareketli-hayat- db/Dokumanlar/Rehberler/Eriskin_Rehberi.pdf
  • Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020-2028.
  • Balsak D, Yıldırım Y, Avcı ME, et al. The evaluation of knowledge and behavior of pregnant women living in the aegean region about pregnancy exercises. Balkan Med J. 2007;2007(3):200-204.
  • Sönmez T, Tekgündüz S, Ağduman F, ve ark. Gebelerin egzersiz tutumlarının belirlenmesi. Anatolian J Health Res. 2023;4(3):76-81.
  • Göker A, Yanıkkerem E, Topsakal Ö. Gebelerin fiziksel aktivite düzeyleri ve yaşam kalitelerinin incelenmesi. Celal Bayar Üni Sağ Bil Enst Der. 2021;8(2):315-322.
  • Yalçın H, Tekin M. Assessing the knowledge level of pregnants about the exercises during pregnancy. Int J Hum Sci. 2013;(10)1:24-33.
  • Ribeiro CP, Milanez H. Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: A descriptive study. Reprod Health. 2011;8:31.
  • Beyene MM, Shimbre MS, Ukke GG, Gebremichael MA, Gurara MK. Factors associated with antenatal exercise in Arba Minch town, Southern Ethiopia: A community-based cross-sectional study. PLoS One. 022;17(2):e0260840.
  • Jahan AM, Anaiba SM. Exploring antenatal exercise: Knowledge, attitudes, practices, and influencing factors among pregnant women in Libya. Adv Rehabil Sci Pract. 2023;12:27536351231212132.
  • Wijesiriwardana W, Gunawardena N. Knowledge, attitudes and practices regarding antenatal exercises among pregnant mothers attending De Soyza Maternity Hospital Colombo. Sri Lanka J of Obst Gynaecol. 2016;37(4):65-71.
  • Janakiraman B, Gebreyesus T, Yihunie M, Genet MG. Knowledge, attitude, and practice of antenatal exercises among pregnant women in Ethiopia: A cross-sectional study. PLoS One. 2021;16(2):e0247533.
  • Mbada CE, Adebayo OE, Adeyemi AB, TO, et al. Knowledge and attitude of Nigerian pregnant women towards antenatal exercise: A cross-sectional survey. ISRN Obstet Gynecol. 2014;2014:260539.
  • Duncombe D, Wertheim EH, Skouteris H, Paxton SJ, Kelly L. Factors related to exercise over the course of pregnancy including women's beliefs about the safety of exercise during pregnancy. Midwifery. 2009;25:430-438.
  • Evenson KR, Moos MK, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009;13:364-375.

Knowledge and Behavior of Pregnant Women Followed in Primary Care about Exercises During Pregnancy

Year 2024, Volume: 26 Issue: 3, 269 - 275, 24.12.2024

Abstract

Objective: This study assessed pregnant women's knowledge and behaviour about physical activity during pregnancy.
Material and Methods: The study is cross-sectional and was conducted at the family health center in Denizli city center between January and March 2023 and 128 pregnant women participated in the study. Data were collected with a survey form. The survey form consists of 40 questions including sociodemographic characteristics, obstetric characteristics of the pregnant woman, knowledge and behavior about pregnancy exercises.
Results: It was found that 44.5% of the 128 pregnant women participating in the study did exercise during pregnancy and 84.2% did walking exercise. 50.8% of the pregnant women were informed about their exercises and 55.4% received information from the doctor or midwife/nurse. The rate of exercising during pregnancy was found to be higher among those with higher education levels and those who exercised before pregnancy (p=0.002; p=0.001). The reasons for not exercising were fatigue (81.7%), lack of time (47.9%), not having enough information (36.6%) and thinking it was harmful (18.3%). While 94.5% of pregnant women know that exercise should be done regularly and systematically during pregnancy, 89.8% know that it prevents excessive weight gain, they know that the contraindications to exercise were vaginal bleeding (62.5%) and the risk of premature birth (71.9%) has been detected.
Conclusion: It was determined that the pregnant women in this study exercised at a low level and the majority of those who exercised were those who exercised during the pre-pregnancy period and were university graduates. It has been determined that walking exercise is the most known and performed type of exercise. It has been observed that pregnant women who do not exercise do not do so because they are tired or do not have enough time and knowledge. It has also been determined that pregnant women have information about the benefits of exercise, but they mostly know that the contraindications are vaginal bleeding and the risk of premature birth.

References

  • Physical Activity and Exercise During Pregnancy and the Postpartum Period: ACOG Committee Opinion, Number 804. Obstet Gynecol. 2020;135(4):e178-e188.
  • World Health Organization (WHO). Physical activity. Erişim tarihi:19.01.2024. Erişim adresi: https://www.who.int/news-room/fact- sheets/detail/physical-activity
  • Garber CE, Blissmer B, Deschenes MR, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: Guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-1359.
  • Da Silva SG, Ricardo LI, Evenson KR, et al. Leisure-time physical activity in pregnancy and maternal-child health: A systematic review and meta-analysis of randomized controlled trials and cohort studies. Sports Med. 2017;47:295-317.
  • T.C. Sağlık Bakanlığı. Erişkin için kronik hastalıklarda fiziksel aktivite rehberi. Erişim tarihi:22.01.2024. Erişim adresi: https://hsgm.saglik.gov.tr/depo/birimler/saglikli- beslenme-ve-hareketli-hayat- db/Dokumanlar/Rehberler/Eriskin_Rehberi.pdf
  • Piercy KL, Troiano RP, Ballard RM, et al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020-2028.
  • Balsak D, Yıldırım Y, Avcı ME, et al. The evaluation of knowledge and behavior of pregnant women living in the aegean region about pregnancy exercises. Balkan Med J. 2007;2007(3):200-204.
  • Sönmez T, Tekgündüz S, Ağduman F, ve ark. Gebelerin egzersiz tutumlarının belirlenmesi. Anatolian J Health Res. 2023;4(3):76-81.
  • Göker A, Yanıkkerem E, Topsakal Ö. Gebelerin fiziksel aktivite düzeyleri ve yaşam kalitelerinin incelenmesi. Celal Bayar Üni Sağ Bil Enst Der. 2021;8(2):315-322.
  • Yalçın H, Tekin M. Assessing the knowledge level of pregnants about the exercises during pregnancy. Int J Hum Sci. 2013;(10)1:24-33.
  • Ribeiro CP, Milanez H. Knowledge, attitude and practice of women in Campinas, São Paulo, Brazil with respect to physical exercise in pregnancy: A descriptive study. Reprod Health. 2011;8:31.
  • Beyene MM, Shimbre MS, Ukke GG, Gebremichael MA, Gurara MK. Factors associated with antenatal exercise in Arba Minch town, Southern Ethiopia: A community-based cross-sectional study. PLoS One. 022;17(2):e0260840.
  • Jahan AM, Anaiba SM. Exploring antenatal exercise: Knowledge, attitudes, practices, and influencing factors among pregnant women in Libya. Adv Rehabil Sci Pract. 2023;12:27536351231212132.
  • Wijesiriwardana W, Gunawardena N. Knowledge, attitudes and practices regarding antenatal exercises among pregnant mothers attending De Soyza Maternity Hospital Colombo. Sri Lanka J of Obst Gynaecol. 2016;37(4):65-71.
  • Janakiraman B, Gebreyesus T, Yihunie M, Genet MG. Knowledge, attitude, and practice of antenatal exercises among pregnant women in Ethiopia: A cross-sectional study. PLoS One. 2021;16(2):e0247533.
  • Mbada CE, Adebayo OE, Adeyemi AB, TO, et al. Knowledge and attitude of Nigerian pregnant women towards antenatal exercise: A cross-sectional survey. ISRN Obstet Gynecol. 2014;2014:260539.
  • Duncombe D, Wertheim EH, Skouteris H, Paxton SJ, Kelly L. Factors related to exercise over the course of pregnancy including women's beliefs about the safety of exercise during pregnancy. Midwifery. 2009;25:430-438.
  • Evenson KR, Moos MK, Carrier K, Siega-Riz AM. Perceived barriers to physical activity among pregnant women. Matern Child Health J. 2009;13:364-375.
There are 18 citations in total.

Details

Primary Language Turkish
Subjects Health Services and Systems (Other)
Journal Section Özgün Araştırma
Authors

Hanife İnal 0009-0009-5395-1380

Nilüfer Emre 0000-0002-6519-0920

Aysun Özşahin 0000-0002-5768-4146

Tamer Edirne 0000-0001-9683-5624

Publication Date December 24, 2024
Submission Date March 11, 2024
Acceptance Date August 1, 2024
Published in Issue Year 2024 Volume: 26 Issue: 3

Cite

APA İnal, H., Emre, N., Özşahin, A., Edirne, T. (2024). BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI. The Journal of Kırıkkale University Faculty of Medicine, 26(3), 269-275.
AMA İnal H, Emre N, Özşahin A, Edirne T. BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI. Kırıkkale Uni Med J. December 2024;26(3):269-275.
Chicago İnal, Hanife, Nilüfer Emre, Aysun Özşahin, and Tamer Edirne. “BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI”. The Journal of Kırıkkale University Faculty of Medicine 26, no. 3 (December 2024): 269-75.
EndNote İnal H, Emre N, Özşahin A, Edirne T (December 1, 2024) BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI. The Journal of Kırıkkale University Faculty of Medicine 26 3 269–275.
IEEE H. İnal, N. Emre, A. Özşahin, and T. Edirne, “BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI”, Kırıkkale Uni Med J, vol. 26, no. 3, pp. 269–275, 2024.
ISNAD İnal, Hanife et al. “BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI”. The Journal of Kırıkkale University Faculty of Medicine 26/3 (December 2024), 269-275.
JAMA İnal H, Emre N, Özşahin A, Edirne T. BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI. Kırıkkale Uni Med J. 2024;26:269–275.
MLA İnal, Hanife et al. “BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI”. The Journal of Kırıkkale University Faculty of Medicine, vol. 26, no. 3, 2024, pp. 269-75.
Vancouver İnal H, Emre N, Özşahin A, Edirne T. BİRİNCİ BASAMAKTA TAKİP EDİLEN GEBELERİN GEBELİK DÖNEMİNDEKİ EGZERSİZLER HAKKINDA BİLGİLERİ VE DAVRANIŞLARI. Kırıkkale Uni Med J. 2024;26(3):269-75.

This Journal is a Publication of Kırıkkale University Faculty of Medicine.