ABSTRACT

Pregnancy is an opportune time for women to make healthy changes to their lifestyle, however, many women struggle to do so. Multiple reasons have been posited as to why this may be. This review aimed to synthesise this literature by identifying factors that influence women’s health behaviour during pregnancy, specifically in relation to dietary behaviour, physical activity, smoking, and alcohol use. Bibliographic databases (MEDLINE, PsycINFO, CINAHL-P, MIDIRS) were systematically searched to retrieve studies reporting qualitative data regarding women’s experiences or perceptions of pregnancy-related behaviour change relating to the four key behaviours. Based on the eligibility criteria, 30,852 records were identified and 92 studies were included. Study quality was assessed using the CASP tool and data were thematically synthesised. Three overarching themes were generated from the data. These were (1) A time to think about ‘me’, (2) Adopting the ‘good mother’ role, and (3) Beyond mother and baby. These findings provide an improved understanding of the various internal and external factors influencing women’s health behaviour during the antenatal period. This knowledge provides the foundations from which future pregnancy-specific theories of behaviour change can be developed and highlights the importance of taking a holistic approach to maternal behaviour change in clinical practice.

摘要

怀孕是女性对生活方式做出健康改变的好时机，然而，许多女性都在努力做到这一点。关于为什么会这样，已经提出了多种原因。本综述旨在通过确定影响女性怀孕期间健康行为的因素来综合这些文献，特别是与饮食行为、身体活动、吸烟和饮酒相关的因素。系统地搜索了书目数据库（MEDLINE、PsycINFO、CINAHL-P、MIDIRS），以检索报告关于妇女的经历或对与四种关键行为相关的妊娠相关行为变化的看法的定性数据的研究。根据资格标准，确定了 30,852 条记录，并纳入了 92 项研究。使用 CASP 工具评估研究质量，并按主题对数据进行综合。从数据中产生了三个总体主题。它们是 (1) 思考“我”的时刻，(2) 扮演“好妈妈”的角色，以及 (3) 超越妈妈和宝宝。这些发现有助于更好地了解影响妇女产前健康行为的各种内部和外部因素。这些知识为未来妊娠特定行为改变理论的发展奠定了基础，并强调了在临床实践中对孕产妇行为改变采取整体方法的重要性。这些发现有助于更好地了解影响妇女产前健康行为的各种内部和外部因素。这些知识为未来妊娠特定行为改变理论的发展奠定了基础，并强调了在临床实践中对孕产妇行为改变采取整体方法的重要性。这些发现有助于更好地了解影响妇女产前健康行为的各种内部和外部因素。这些知识为未来妊娠特定行为改变理论的发展奠定了基础，并强调了在临床实践中对孕产妇行为改变采取整体方法的重要性。