Skip to main content
Log in

Physical Activity Patterns and Maternal Well-Being in Postpartum Women

  • Published:
Maternal and Child Health Journal Aims and scope Submit manuscript

Abstract

Objective: To examine changes in activity prepregnancy to postpartum; examine postpartum activity and sociodemographic predictors of maternal well-being; and, examine maternal well-being in subjects on the basis of sport/exercise activity prepregnancy to postpartum. Methods: Ninety-one postpartum women completed a Kaiser Physical Activity Survey (KPAS) Ainsworth BE, Sternfeld B, Richardson MT, Jackson K. Evaluation of the Kaiser Physical Activity Survey in women. Med Sci Sports Exerc 2000; 32:1327–38. and the Lederman Postpartum Questionnaire (PPQ) Lederman RP, Weingarten CT, Lederman E. Postpartum self-evaluation questionaire: Measures of maternal adaptation. In: Raff BS, Carrol P, editors. Perinatal parental behaviour: Nursing research and implications for newborn health. New York: Alan R. Liss, 1981:201–31. Subjects recalled activity prepregnancy and postpartum for the KPAS indexes that included household/care giving (HC), active living habits (AL), occupation (O), and sports/exercise (SE). The PPQ has seven well-being subscales. Results: Subjects with older infants or no other children increased HC and decreased O prepregnancy to postpartum compared to subjects with younger infants or ≥1 other child. Predictors of the variance in the PPQ subscales included SE and AL (21% in subscale one), SE (6.0% in subscale two), HC (5.3% in subscale three), socioeconomic status (19.7% in subscale four), O (5.0% in subscale five), education (5.2% in subscale seven). Subjects who maintained or increased SE showed better well-being as compared to subjects who reported no SE or decreased SE prepregnancy to postpartum. Conclusions: In this group of women, subjects with older infants or no other children reported higher HC and lower O prepregnancy to postpartum. Postpartum SE, education, and socioeconomic status were predictors of maternal well-being. In general, better maternal well-being was found among subjects maintaining or increasing SE compared to no SE or decreased SE prepregnancy to postpartum. Support from partner/husband, family, and friends were significant factors in maintaining or increasing SE.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  1. U.S. Department of Health and Human Services. Physical activity and health:Areport of the Surgeon General. Atlanta,GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996;81–184.

    Google Scholar 

  2. Brown W. The benefits of physical activity during pregnancy. J Sci Med Sports 2002;5:37–45.

    Google Scholar 

  3. Ezmerli NM. Exercise in pregnancy. Prim Care Update Ob Gyns 2000;7:260–65.

    Google Scholar 

  4. South-Paul JE, Rajagopal KR, Tenholder MF. Exercise responses prior to pregnancy and in the postpartum state. Med Sci Sports Exerc 1992;24:410–14.

    Google Scholar 

  5. MillerYD, Trost SG, Brown WJ.Mediators of physical activity behavior change among women with young children. Am J Prev Med 2002;23:98–103.

    Google Scholar 

  6. American College of Obstetricians and Gynecologists Exercise during pregnancy and the postpartum period (Committee Opinion No. 267). Obstet Gynecol 2002;99:171–73.

    Google Scholar 

  7. Boardley DJ, Sargent RG, Coker AL, Hussey JR, Sharpe PA. The relationship between diet, activity, and other factors, and postpartum weight change by race. Obstet Gynecol 1995;86:834–38.

    Google Scholar 

  8. Larson-Meyer DE. Effect of postpartum exercise on mothers and their offspring: A review of the literature. Obes Res 2002;10:841–53.

    Google Scholar 

  9. Ohlin A, Rossner S. Trends in eating patterns, physical activity and sociodemographic factors in relation to postpartum body weight development. Br J Med 1994;71:457–70.

    Google Scholar 

  10. Walker LO. Predictors of weight gain at 6 and 18 months after childbirth: A pilot study. J Obstet Gynecol Neonatal Nurs 1996;25:39–48.

    Google Scholar 

  11. Koltyn KF. Mood changes in pregnant women following an exercise session and a prenatal information session. Women's Health Issues 1994;4:91–195.

    Google Scholar 

  12. Stephens T. Physical activity and mental health in the United States and Canada: Evidence from four population surveys. Prev Med 1988;17:35–47.

    Google Scholar 

  13. Ainsworth BE. Challenges in measuring physical activity in women. Exerc Sport Sci Reviews 2000;28:93–6.

    Google Scholar 

  14. Ainsworth BE, Sternfeld B, Richardson MT, Jackson K. Evaluation of the Kaiser Physical Activity Survey in women. Med Sci Sports Exerc 2000;32:1327–38.

    Google Scholar 

  15. Sternfeld B, Ainsworth BE, Quesenberry CP. Physical activity patterns in a diverse population of women. Prev Med 1999;28:313–23.

    Google Scholar 

  16. Lederman RP, Weingarten CT, Lederman E. Postpartum selfevaluation questionnaire: Measures of maternal adaptation. In: RaffBS, CarrolP, editors.Perinatal parental behavior: Nursing research and implications for newborn health.New York: Alan R. Liss, 1981;201–31.

    Google Scholar 

  17. Lederman RP, Lederman E. Dimensions of post-partum adaptation: Comparisons of multiparas 3 days and 6 weeks after delivery. J Psycho Obstet Gyn 1987;7:193-203}.

    Google Scholar 

  18. Hinton PS, Olsen CM. Predictors of pregnancy-associated change in physical activity in a rural white population. Matern Child Health J 2001;5:7–14.

    Google Scholar 

  19. Beilock SL, Feltz DL, Pivarnik JM. Training patterns of athletes during pregnancy and postpartum. Res Q Exerc Sport 2001;72:39–46.

    Google Scholar 

  20. Clapp JF, Dickstein S. Endurance exercise and pregnancy outcome. Med Sci Sports Exerc 1984;16:556–62.

    Google Scholar 

  21. Crowell DT. Weight change in the postpartum period. Nurse Midwifery 1995;40:418–23.

    Google Scholar 

  22. Fischman SH, Rankin EA, Soeken KL, Lenz ER. Changes in sexual relationships in postpartum couples. J Obstet Gynecol Neonatal Nurs 1986;15:58–63.

    Google Scholar 

  23. Sampselle CM, Seng J, Yeo S, Killion C, OakleyD. Physical activity and postpartum well-being. J Obstet Gynecol Neonatal Nurs 1999;28:41–9.

    Google Scholar 

  24. Clapp JF. Exercise during pregnancy. Clin Sports Med 2000;19:273–86.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Blum, J.W., Beaudoin, C.M. & Caton-Lemos, L. Physical Activity Patterns and Maternal Well-Being in Postpartum Women. Matern Child Health J 8, 163–169 (2004). https://doi.org/10.1023/B:MACI.0000037649.24025.2c

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/B:MACI.0000037649.24025.2c

Navigation