Low-Income African American Women’s Beliefs Regarding Exercise during Pregnancy

Exercise may decrease the incidence of obesity and obesity related complications during pregnancy including gestational diabetes
and preeclampsia. African American women are at higher risk for obesity and physical inactivity during pregnancy when compared
to other patient groups. The purpose of this qualitative study was to describe in detail the unique beliefs and perspectives
regarding exercise during pregnancy of African American women. A series of 6 focus groups discussions with pregnant African
American women were audio-recorded and transcribed verbatim. Focus group transcripts were qualitatively analyzed for major
themes and independently coded for beliefs regarding exercise during pregnancy. A total of 34 pregnant, African American women
participated in 6 focus group discussions. The majority of women were single (94%), had only a high school education (67%),
received Medicaid (100%) and had a mean BMI of 33 kg/m². Three major themes emerged regarding our subjects’ beliefs about exercise during pregnancy: (1) women had a broad definition
of what types of activities constituted exercise, (2) women believed exercise was generally beneficial during pregnancy and
(3) women believed certain types of activities or movements could cause problems with pregnancy. African American women overwhelmingly
believe that exercise positively impacts pregnancy. A lack of knowledge concerning the benefits of exercise during pregnancy
was not found to be a major contributor to inactivity in African American women. However, health care providers should be
aware of cultural myths that prevent many African American women from performing certain activities during pregnancy.