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ASSESSMENT OF PRENATAL AND POSTNATAL EXERCISES AMONG PREGNANT MOTHERS ATTENDING ASABA SPECIALIST HOSPITAL DELTA STATE

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Abstract

This quantitative survey research aimed to explore the patterns and impacts of prenatal and postnatal exercises among pregnant mothers attending Asaba Specialist Hospital in Delta State. A structured questionnaire was meticulously designed to gather data from a sample of 120 respondents, and a convenient sampling technique was adopted to select participants from the target population. The questionnaire delved into various aspects, including the prevalence, types, and perceived impacts of prenatal and postnatal exercises. SPSS27 was employed as the statistical tool to present and analyze the collected data, and a t-test was utilized to rigorously test the hypotheses formulated. The findings of the study revealed noteworthy insights into the exercise practices of pregnant women in the specified healthcare setting. A significant association between the frequency of prenatal exercises and maternal health outcomes was identified, indicating the potential benefits of regular exercise on the overall well-being of pregnant mothers. Furthermore, the types of postnatal exercises practiced by mothers were found to significantly influence postpartum recovery. Contrary to the third hypothesis, it was observed that mothers engaging in regular prenatal and postnatal exercises experienced reduced pregnancy-related complications, showcasing the positive impact of exercise interventions. In conclusion, this study contributes to the existing knowledge on maternal healthcare by offering detailed insights into exercise practices among pregnant women in Delta State. The findings underscore the importance of tailored exercise programs and cultural sensitivity in promoting maternal well-being. Recommendations include the development of accessible exercise facilities, continuous healthcare provider training, and community engagement programs to raise awareness. While acknowledging the limitations of the study, such as its cross-sectional design and reliance on self-reported data, these insights lay a foundation for future research endeavors in this critical area of maternal health.

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CHAPTER ONE

INTRODUCTION

1.1       Background to the Study

Pregnancy is a transformative period in a woman’s life, marked by numerous physical and emotional changes (Gynecologists ACONACoOa, 2020). It is a time of anticipation, joy, and preparation for the arrival of a new life. However, this period also poses unique challenges and risks to both the mother and the developing fetus. The well-being of both is of paramount importance during this crucial time, and healthcare interventions play a crucial role in ensuring a healthy pregnancy and childbirth (Rajabi et al., 2018). Several studies have emphasized the importance of physical activity and exercise during pregnancy and the postpartum period, highlighting their positive impacts on maternal and fetal health (Gynecologists ACONACoOa, 2020; Rajabi et al., 2018).

Research conducted by the Gynecologists ACONACoOa in 2020 emphasized the significance of physical activity and exercise during the prenatal and postnatal periods (Gynecologists ACONACoOa, 2020). Regular physical activity has been associated with improved cardiovascular health, better weight management, and enhanced mental well-being for pregnant women. This is particularly relevant in the context of Asaba Specialist Hospital in Delta State, where pregnant mothers seek antenatal care. The hospital serves as a vital institution catering to the diverse needs of pregnant mothers, making it an opportune setting to explore the patterns and effectiveness of prenatal and postnatal exercises (Rajabi et al., 2018).

Despite the potential benefits, studies such as the one conducted by Rajabi et al. in 2018 highlight that there is a need for a deeper understanding of the prevalence and types of exercises practiced by pregnant women (Rajabi et al., 2018). This study focused on nulliparous women and found that physical activities, including exercises and chores, during pregnancy could impact the mode of delivery. As such, exploring the specific exercises adopted by pregnant mothers attending Asaba Specialist Hospital becomes imperative for tailoring effective healthcare interventions.

Okafor and Goon’s research in 2020 sheds light on the global context of physical activity during pregnancy, emphasizing the need for region-specific insights (Okafor & Goon, 2020). Their review of literature on physical activity during pregnancy in Africa suggests that cultural, socioeconomic, and environmental factors play a significant role in shaping the exercise patterns of pregnant women. Understanding these factors is crucial for providing culturally sensitive advice and interventions, especially in the diverse cultural landscape of Delta State.

The study by Brik et al. in 2019 adds a valuable dimension by investigating the impact of exercise during pregnancy on maternal weight gain and fetal cardiac function (Brik et al., 2019). It underscores the importance of not only examining the prevalence and types of exercises but also evaluating their outcomes. Asaba Specialist Hospital, being a prominent antenatal care provider, can benefit from such insights to enhance its maternity care services and promote positive health outcomes for both mothers and infants.

Ngayimbesha Adrien BJB, Gakima Marie Stella, Nzisabira Félix’s exploration of an active lifestyle among pregnant women in Burundi in 2018 provides a perspective from another African context (Ngayimbesha et al., 2018). While the study’s focus is on lifestyle, it indirectly contributes to the broader understanding of physical activity patterns during pregnancy in different cultural settings. This diversity in cultural practices is essential to consider when assessing the patterns and effectiveness of prenatal and postnatal exercises among pregnant mothers in Delta State.

Muktabhant et al.’s Cochrane review in 2015 underscores the importance of considering both diet and exercise for preventing excessive weight gain during pregnancy (Muktabhant et al., 2015). This holistic approach aligns with the comprehensive care that antenatal services at Asaba Specialist Hospital aim to provide. Addressing various aspects of maternal health, including exercise, is crucial for promoting overall well-being during pregnancy.

In the local context, the study by B A J.I., D A E., S U O., O V, O S.O. in 2018 explores the perception and practice of exercise during pregnancy by antenatal women in Southeastern Nigeria (B A J.I. et al., 2018). This study, conducted in a region with cultural similarities to Delta State, provides valuable insights into the factors influencing exercise practices among pregnant women. Understanding local perceptions and practices is essential for tailoring interventions that resonate with the pregnant mothers attending Asaba Specialist Hospital.

1.2       Statement of Problem

The statement of the problem revolves around the gaps and challenges in understanding and implementing prenatal and postnatal exercises among pregnant mothers attending Asaba Specialist Hospital in Delta State. Despite the recognized benefits of physical activity during pregnancy, there is a lack of detailed knowledge about the specific exercises adopted by pregnant women in this region (Rajabi et al., 2018). This gap is evident in the studies conducted by Gynecologists ACONACoOa in 2020, which emphasize the need for a deeper understanding of exercise patterns during the prenatal and postnatal periods (Gynecologists ACONACoOa, 2020).

Furthermore, research by Rajabi et al. in 2018 highlights the necessity of exploring the prevalence and types of exercises practiced by pregnant women, especially considering their potential impact on the mode of delivery (Rajabi et al., 2018). The lack of region-specific insights into the exercise practices of pregnant women in Delta State, as highlighted by Okafor and Goon’s study in 2020, is a significant gap (Okafor & Goon, 2020). This study emphasizes the importance of considering cultural, socioeconomic, and environmental factors in shaping exercise patterns during pregnancy, which is crucial for tailoring interventions to the local context.

Additionally, the existing literature provides limited information on the outcomes of prenatal and postnatal exercises in terms of maternal weight gain and fetal cardiac function, as indicated by the study conducted by Brik et al. in 2019 (Brik et al., 2019). Understanding the effectiveness of these exercises is essential for optimizing maternity care services at Asaba Specialist Hospital.

The lack of comprehensive insights into the perception and practice of exercise during pregnancy in the local context, as evidenced by the study of B A J.I. et al., 2018), further underscores the need to address the existing gaps in knowledge (B A J.I. et al., 2018). This study emphasizes the significance of understanding local factors influencing exercise practices among pregnant women in Southeastern Nigeria, which has implications for similar regions, including Delta State.

In summary, the statement of the problem centers on the need to fill the gaps in understanding the specific exercises adopted by pregnant women attending Asaba Specialist Hospital, considering cultural, socioeconomic, and environmental factors. It also highlights the necessity of evaluating the outcomes of these exercises to optimize maternity care services and enhance the overall well-being of both mothers and infants in the region.

 

1.3       Objectives of the Study

The study aimed to achieve the following objectives:

  1. To assess the prevalence of prenatal and postnatal exercises among pregnant mothers attending Asaba Specialist Hospital in Delta State.
  2. To identify the types of exercises commonly practiced by pregnant mothers during prenatal and postnatal periods.
  3. To evaluate the perceived impact and benefits of prenatal and postnatal exercises on the health and well-being of pregnant mothers.

1.4       Research Questions

The study sought to answer the following research questions:

  1. What is the prevalence of prenatal and postnatal exercises among pregnant mothers attending Asaba Specialist Hospital in Delta State?
  2. What types of exercises are commonly practiced by pregnant mothers during prenatal and postnatal periods?
  3. What are the perceived impacts and benefits of prenatal and postnatal exercises on the health and well-being of pregnant mothers?

1.5       Research Hypotheses

The following hypotheses were formulated for the study:

  1. There is no significant association between the frequency of prenatal exercises and maternal health outcomes.
  2. The types of postnatal exercises practiced by mothers do not significantly influence postpartum recovery.
  3. Mothers who engage in regular prenatal and postnatal exercises do not experience reduced pregnancy-related complications.

1.6       Significance of the Study

This research carries profound implications for healthcare practitioners and expectant mothers alike. Through an exploration of the prevalence, types, and effects of prenatal and postnatal exercises, healthcare providers can enhance the precision of their guidance and interventions, potentially resulting in heightened maternal and neonatal well-being. This study serves as an invaluable resource for practitioners, offering insights into the diverse exercise practices adopted by pregnant women attending Asaba Specialist Hospital in Delta State.

Healthcare providers can leverage the findings to tailor their advice based on the specific exercise patterns prevalent in the region, ensuring cultural and contextual relevance. By understanding the nuances of exercise preferences among pregnant women, practitioners can contribute to the optimization of antenatal and postnatal care services at Asaba Specialist Hospital. The knowledge gained from this study empowers healthcare professionals to offer personalized recommendations that align with the local sociocultural landscape, fostering a more effective and sensitive approach to maternal healthcare.

For pregnant mothers, the study provides a unique opportunity to deepen their comprehension of the significance of incorporating suitable exercises into their prenatal and postnatal routines. Armed with this knowledge, expectant mothers can make informed decisions about their physical activity, recognizing the potential benefits for their own well-being and that of their babies. The research acts as an educational resource, encouraging pregnant women to actively engage in exercises that align with their cultural context and personal preferences.

Ultimately, the study bridges the gap between research findings and practical implications for healthcare stakeholders and pregnant mothers. It serves as a catalyst for refining healthcare practices, promoting a holistic understanding of the role of exercises during pregnancy, and fostering a collaborative environment where healthcare providers and expectant mothers work together towards optimal maternal and neonatal outcomes.

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