Exploring the Experiences of Health Promoting Behavior in the Workplace among Thai Pregnant Women: A Phenomenological Approach

Sasitara Nuampa, Pornnapa Tangsuksan, Crystal L. Patil

Abstract


Background: Inappropriate working conditions during pregnancy can negatively affect health‑promoting behaviors and pregnancy outcomes. This study aimed to explore the experiences of health‑promoting behavior in the workplace among Thai pregnant women.

Materials and Methods: Giorgi’s phenomenological methodology was used, and data were gathered through semi‑structured interviews with 21 working‑pregnant women in large industries in two regions of Thailand. Data were collected from December 2019 to June 2020. Purposive and snowball sampling were used to recruit pregnant women at 13–42 weeks of gestation. To analyze the data, three steps of Giorgi’s phenomenological approach were employed.

Results: The pregnant women described their lived experiences with health‑promoting behaviors in the workplace into four major categories. Firstly, “positive attitude toward work in promoting health behaviors” contained three subcategories (“self‑discipline,” “social interaction,” and “self‑esteem”). Secondly, the idea that “changing temporary health behaviors is worthwhile for infants” was expressed into two subcategories (“eating adaptation” and “managing negative emotions”). Thirdly, “insufficient support from workplace policy” had three subcategories (“inconvenient accommodations,” “inflexible break times,” and “lack of healthcare support”). Finally, “negative perception of new work positions” consisted of two subcategories (“stress” and “low self‑efficacy”).

Conclusions: Positive attitudes toward work and infant health may encourage pregnant women to engage in healthy behaviors, while workplace support and policies are important in promoting healthy behavior and avoiding negative emotions. Health promotion interventions should encourage the value of work, promote maternal– fetal attachment, and increase health support policy to avoid mental health issues and promote healthy behaviors among working‑pregnant women.


Keywords


Health promotion, pregnant women, workplace

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References


Ortiz Ospina E, Tzvetkova S. Working women: Key facts and trends in female labor force participation. Available from: https:// ourworldindata.org/female-labor-force-participation-key-fact. [Last accessed on 2020 Feb].

Cai C, Vandermeer B, Khurana R, Nerenberg K, Featherstone R, Sebastianski M, et al. The impact of occupational shift work and working hours during pregnancy on health outcomes: A systematic review and meta analysis. Am J Obstet Gynecol 2019;221:563 76.

Lojewski J, Flothow A, Harth V, Mache S. Employed and expecting in Germany: A qualitative investigation into pregnancy related occupational stress and coping behavior. Work 2018;59:183 99.

Kazemi AF, Hajian S, Ebrahimi Mameghani M, Khob MK. The perspectives of pregnant women on health promoting behaviors: An integrative systematic review. Health Promot 2016;8:1995.

World Health Organization. 9th Global Conference on Health Promotion, Shanghai 2016 The Future of Public Health Lies in Cities. 2019. Available form: https://www.who.int/teams/healthpromotion/enhanced-wellbeing/ninth-global-conference. [Last accessed on 2023 Jan 21].

Pender NJ, Murdaugh CL, Parsons MA. Health Promotion in Nursing Practice. Pearson Prentice Hall; 2011.

Thompson EL, Vamos CA, Daley EM. Physical activity during pregnancy and the role of theory in promoting positive behavior change: A systematic review. J Sport Health Sci 2017;6:198 206.

The World Bank. Labor force participation rate, female. 2020. Available from: https://data.worldbank.org/indicator/SL.TLF. CACT.FE.ZS. [Last accessed on 2021 Apr 01].

The Office of Permanent Secretary, Ministry of Labour. Labour Statistics Yearbook 2019. 2019. https://www.mol.go.th/en. [Last accessed on 2021 Feb 13].

Department of Labor. Employment Characteristics of Families 2019. 2019. Available from: https://www.bls.gov/news. release/famee.toc.htm. [Last accessed on 2021 Mar 28].

Creswell JW. Qualitative Inquiry and Research Design: Choosing among Five Approaches. SAGE Publications; 2016.

Giorgi A. The theory, practice, and evaluation of the phenomenological method as a qualitative research procedure. J Phenome Psych 1997;28:235 60.

Holloway I, Wheeler S. Qualitative Research in Nursing and Healthcare. 4th ed. Blackwell Publishing; 2016.

Urizar GG Jr, Murillo J, Miller K. Factors associated with prenatal health behaviors among low income, ethnic minority women. Int J Environ Res Public Health 2023;17;20:1695.

Cyphers NA, Clements AD, Lindseth G. The relationship between religiosity and health promoting Behaviors in pregnant women. West J Nurs Res 2017;39:1429 46.

Krueger RA, Casey MA. Focus Groups: A Practical Guide for Applied Research. 5th ed. Sage Publications; 2015.

Lincoln YS, Guba EG. Naturalistic Inquiry. Sage Publications; 1985.

Hamilton K, Fleig L, Henderson J, Hagger MS. Being active in pregnancy: Theory based factors associated with physical activity among pregnant women. Women Health 2019;59:213 28.

Van Scheppingen MA, Denissen J, Chung JM, Tambs K, Bleidorn W. Self esteem and relationship satisfaction during the transition to motherhood. J Pers Soc Psychol 2018;114:973.

Olander EK, Smith DM, Darwin Z. Health behaviour and pregnancy: A time for change. J Reprod Infant Psychol 2018;36:1 3.

Bulgakov AV, Babieva NS, Levanova EA, Gridyaeva LN, Erofeeva MA, Sokolovskaya IE, et al. Specific features of psycho emotional states of working women during pregnancy. Electron J Gen Med 2018;15:em86.

Arghavanian FE, Roudsari RL, Heydari A, Bahmani M. Pregnant women’s experiences of social roles: An ethnophenomenological study. Iran J Nurs Midwifery Res 2019;25:31–9.

Ramchand R, Ahluwalia SC, Xenakis L, Apaydin E, Raaen L, Grimm G. A systematic review of peer supported interventions for health promotion and disease prevention. Prev Med 2017;101:156 70.

Alstveit M, Severinsson E, Karlsen B. Health resources and strategies among employed women in Norway during pregnancy and early motherhood. Nurs Res Pract 2015;2015:705892.

Suzumori N, Ebara T, Matsuki T, Yamada Y, Kato S, Omori T, et al. Effects of long working hours and shift work during pregnancy on obstetric and perinatal outcomes: A large prospective cohort study—Japan environment and children’s study. Birth 2020;47:67 79.

Darwin ZJ, Walsh J. The maternal fetal relationship: Conceptualisation, measurement, and application in practice. In: Edozien LC, O’Brien PMS, editors. Biopsychosocial Factors in Obstetrics and Gynaecology. Cambridge University Press; 2017.

Maddahi MS, Dolatian M, Talebi A. Correlation of maternal fetal attachment and health practices during pregnancy with neonatal outcomes. Electron Physician 2016;8:2639.

Atashi V, Kohan S, Salehi Z, Salehi K. Maternal fetal emotional relationship during pregnancy, its related factors and outcomes in Iranian pregnant women: A panel study protocol. Reprod Health 2018;15:1 7.

Rossen L, Hutchinson D, Wilson J, Burns L, A Olsson C, Allsop S, et al. Predictors of postnatal mother infant bonding: The role of antenatal bonding, maternal substance use and mental health. Arch Women’s Ment Health 2016;19:609 22.

Rossen L, Hutchinson D, Wilson J, Burns L, Allsop S, Elliott EJ, et al. Maternal bonding through pregnancy and postnatal: Findings from an Australian Longitudinal Study. Am J Perinatol 2017;34:808–17.

Lee A, Belski R, Radcliffe J, Newton M. What do pregnant women know about the healthy eating guidelines for pregnancy? A web based questionnaire. Maternal Child Health J 2016;20:2179 88.

Rockliffe L, Smith DM, Heazell AE, Peters S. A qualitative exploration of influences on eating behaviour throughout pregnancy. BMC Pregnancy Childbirth 2022;22:939.

Karkowsky CE, Morris L. Pregnant at work: Time for prenatal care providers to act. Am J Obstet Gynecol 2016;215:306.e1 5.

Lavaysse LM, Probst TM. Pregnancy and workplace accidents: The impact of stereotype threat. Work Stress 2021;35:93 109.

Walker RE, Choi TST, Quong S, Hodges R, Truby H, Kumar A. ‘It’s not easy’ – A qualitative study of lifestyle change during pregnancy. Women Birth 2020;33:e363–70.

Dewidar O, Saad A, Baqar A, John JC, Riddle A, Ota E, et al. PROTOCOL: Effectiveness of nutrition counselling for pregnant women in low-and middle-income countries to improve maternal, infant and child behavioural, nutritional and health outcomes: A systematic review. Campbell Syst Rev 2021;17:e1202.

Bahri Khomami M, Walker R, Kilpatrick M, de Jersey S, Skouteris H, Moran LJ. The role of midwives and obstetrical nurses in the promotion of healthy lifestyle during pregnancy. Ther Adv Reprod Health 2021;15:26334941211031866.

Little L, Hinojosa A, Paustian-Underdahl S, Zipay KP. Working while pregnant: how women cope with unsupportive organisations. 2018. Available from: https://blogs.lse.ac.uk/ businessreview/2018/09/12/working-while-pregnant-howwomen-cope-with-unsupportive-organisations/. [Last accessed on 2022 Dec].

Madden SK, Blewitt CA, Ahuja KD, Skouteris H, Bailey CM, Hills AP, et al. Workplace healthy lifestyle determinants and wellbeing needs across the preconception and pregnancy periods: A qualitative study informed by the COM B model. Int J Environ Res Public Health 2021;18:4154.


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