Supporting postpartum physical activity in maternity care: a co-creation study in Denmark

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-07-15 DOI:10.1016/j.midw.2025.104523

Solvej Videbæk Bueno , Julie Sandell Jacobsen , Rasmus Oestergaard Nielsen , Per Kallestrup , Knud Ryom

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引用次数: 0

Abstract

Background

Physical activity (PA) contributes to maternal health. The postpartum period presents a window of opportunity to influence health behaviours, including establishing sound PA routines. Interdisciplinary coordination across the maternity care system is essential for timely, contextually relevant, and equitable postpartum PA support.

Aim

To co-create strategies for supporting postpartum PA in maternity care in Denmark.

Methods

The “PRODUCES+ framework” guided this two-phase co-creation study. Phase 1 involved three expert interviews and insights from scientific literature on postpartum PA. Phase 2 comprised two co-creation workshops with stakeholders representing postpartum women and various healthcare professionals (HCPs) from Danish maternity care. Data from both phases were analysed thematically.

Findings

Expert interviews (phase 1) revealed three themes: (i) approaches to discussing PA with postpartum women, (ii) roles and competencies of various HCPs in postpartum PA support, and (iii) interdisciplinary collaboration. In the workshops (phase 2), stakeholders identified two optimal time points for delivering PA support: during the third trimester and at two months postpartum. PA barriers were identified at the structural, interpersonal, and individual levels. Co-created strategies included (i) screening and early identification of needs, (ii) varying competencies and roles of HCPs, (iii) PA support arenas, (iv) motivation and engagement, and (v) national postpartum PA guidelines.

Conclusion

The findings of this study offer insight into embedding PA support in existing maternity healthcare touchpoints. Interdisciplinary coordination, targeted support for those most in need, and a shared professional understanding of postpartum PA are highlighted as important to strengthen postpartum PA support in maternity care.

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在产妇护理中支持产后体育活动：丹麦的一项共同创造研究

体育活动有助于孕产妇健康。产后时期是影响健康行为的机会之窗，包括建立良好的护理程序。跨产科护理系统的跨学科协调对于及时，情境相关和公平的产后PA支持至关重要。目的共同制定支持丹麦产妇护理中的产后PA策略。方法“生产+框架”指导了两阶段的共同创造研究。第一阶段包括三次专家访谈，并从产后PA的科学文献中获得见解。第二阶段包括与代表产后妇女的利益攸关方和来自丹麦妇产保健的各种保健专业人员（HCPs）共同举办两次讲习班。对这两个阶段的数据进行了专题分析。专家访谈（第一阶段）揭示了三个主题：(i)与产后妇女讨论PA的方法，（ii）各种hcp在产后PA支持中的角色和能力，以及（iii）跨学科合作。在研讨会（第二阶段）中，利益相关者确定了提供PA支持的两个最佳时间点：妊娠晚期和产后两个月。在结构、人际和个人层面确定了PA障碍。共同制定的战略包括(i)筛查和早期识别需求，（ii）卫生保健提供者的不同能力和角色，（iii） PA支持领域，（iv）动机和参与，以及(v)国家产后PA指南。结论本研究的结果为在现有的产妇保健接触点中嵌入PA支持提供了见解。强调跨学科协调，有针对性地支持最需要的人，以及对产后PA的专业理解是加强产后PA在产科护理中的重要支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.