Experiences of Physical Activity During Pregnancy: A Phenomenological Study among Sri Lankan Primigravid Women

Background: Physical activity (PA) during pregnancy improves maternal and fetal outcomes, yet cultural factors may influence behavior. Despite its advantages, majority of pregnant women do not follow pregnancy PA recommendations. So, this study was aimed at exploring experiences of PA among Sri Lankan pregnant women. Methods: A qualitative phenomenological study was conducted with 19 primigravid pregnant women attending antenatal clinics. A pre-designed semi-structured interview guide was used to collect qualitative data through in-depth interviews. Thematic analysis was done adopting inductive approach. Results: Five themes emerged (1) Modification of PA with some restrictions (2) Avoidance of PA other than self-care activities (3) Increasing sedentary period (4) Focusing on psychological relaxation and (5) Time allocation for leisure activities with number of sub themes. Majority showed declining their PA amount and transitioning towards more inactive lifestyle when compared to pre pregnancy period. Cultural norms and family influence played dominant roles in changes of PA. Conclusion: Differences in PA patterns and activity limitations are common during pregnancy driven by socio-cultural factors and women’s safety perception. The findings emphasize the importance of culturally sensitive antenatal education to encourage safe physical activity among Sri Lankan primigravid women.