DEVELOPMENT OF PHYSICAL ACTIVITIES MODULE FOR POSTPARTUM MOTHERS

Abstract

Background: The rising prevalence of obesity among Malaysian women, particularly during reproductive age, highlights the need for effective interventions during the postpartum period. Postpartum mothers (PPMs) face unique challenges that hinder their participation in physical activity (PA), including cultural practices, lack of support, and time constraints. This study aims to develop a PA module tailored for PPMs to support postpartum weight management and overall health while considering cultural and contextual factors within Malaysia's healthcare system. Methods: This qualitative study used purposive sampling and recruited nine healthcare workers (HCWs) and six PPMs from Negeri Sembilan, Malaysia. Semi-structured in-depth interviews were conducted to explore the current practices of HCWs and the challenges faced by PPMs during the postpartum period. Thematic analysis was employed to analyses the data, and the findings were used to guide the development of a PA module tailored to the needs of postpartum mothers in the Malaysian context. Result: Through document analysis and thematic evaluation of in-depth interviews, five key components were identified in the formulation of the PA module: (1) The module incorporates types of PA that resonate with traditional beliefs, featuring gentle movements and flexibility exercises tailored to the physical conditions of PPMs, (2) Cultural and practical adaptations were made to ensure the module aligns with local postpartum practices, considering postpartum restrictions, (3) Safety considerations were prioritized, focusing on hydration, physical recovery, and the customization of PA according to different stages of the postpartum period to prevent injuries, (4) Strategies for social support were integrated to actively involve partners, family members, and communities in encouraging PPMs to maintain an active lifestyle throughout the postpartum phase, and 5) digital platforms were harnessed to enhance motivation and adherence to PA by providing continuous access to information and support. Conclusion: This study provides a structured approach to creating a PA module for PPMs by methodically incorporating practical tactics, cultural adjustments, and evidence-based recommendations. The module offers a thorough framework for HCWs and PPMs to support safe and sustainable postpartum PA by addressing obstacles and integrating customised PA suggestions. This ensures that PA involvement is flexible, accessible, and efficiently promotes postpartum recuperation and general well-being.