European Journal of Midwifer
1
Short report
Published by European Publishing. © 2022 Hyvärinen M. et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0
International License.(http://creativecommons.org/licenses/by/4.0)
ABSTRACT
INTRODUCTION Despite scientifc evidence on health benefts of an active lifestyle during
and afer pregnancy, a gap still exists between current and recommended practice in
physical activity counselling. Undergraduate education in midwifer is fundamental for
physical activity promotion in professional practice. The aim of this article is to present
pedagogical aspects, preliminar results and discuss the relevance of the educational
program Move Your Baby.
METHODS Between 2018 and 2020, 23 midwifer students (BSc) participated in the
program at the School of Health Sciences (HESAV), HES-SO University of Applied Sciences
and Arts Western, Lausanne, Switzerland. Theoretical and practical workshops as well as
adapted physical activity sessions, in direct contact with pregnant women, were ofered
and supervised by professional midwives and one expert in adapted physical activity. Data
analysis based on an explorator self-administered questionnaire was performed to rate
pedagogical efectiveness, perceived skill level and identify barriers and facilitators to
promote physical activity in their future profession.
RESULTS Midwifery students perceived improvement in their knowledge, skills and
confdence to promote physical activity during pregnancy. They rated the program as
pedagogically efective. However, several barriers were identifed such as lack of time and
material resources to promote physical activity in professional practice.
CONCLUSIONS This community-oriented educational program based on interplay of
theor, hands-on experience and interprofessional collaboration was rated successful.
Teaching physical activity in real-life settings facilitates midwifer students to identify
with their professional role in the feld of health promotion. Midwifer students require
more opportunities to promote physical activity in their professional practice.
Eur J Midwifer 2022;6(May):32 https://doi.org/10.18332/ejm/146629
INTRODUCTION
Over the past three decades, rates of complications such as gestational diabetes, pre-
eclampsia, gestational hypertension, and macrosomia, have strongly increased, mainly due
to an increased sedentar lifestyle in pregnancy
1
and maternal obesity
2
. Physical activity
(PA) during pregnancy is strongly recommended. An active lifestyle improves health of both
mother and child, and notably reduces obstetrical complications and the risk of developing
non-communicable diseases in adulthood
3,4
. International guidelines recommend 150
minutes of moderate-intensity PA per week during pregnancy
5
. Pregnancy is an opportune
time for the promotion of healthy lifestyles because health behavioral determinants evolve
naturally; women are getting in regular contact with healthcare professionals (HCPs),
and are more likely to adopt a healthy lifestyle if recommended
6
. PA promotion should
be addressed in an interprofessional approach between gynecologist, midwives, nurses,
physiotherapist and exercise professional
3,7
. Midwives are ideally placed as they deliver
woman-centered care during pregnancy
8
. They can act as mediator between pregnant
women and other HCPs to promote PA and should be familiar with the content of PA
recommendations and basic exercise training. However, midwives lack either knowledge of
AFFILIATION
1 Department of Research,
HESAV School of Health
Sciences, HES-SO University
of Applied Sciences and Arts
Western Switzerland, Lausanne,
Switzerland
2 Department of Health
Promotion and Prevention,
University Center for Primar
Care and Public Health
(Unisanté), Lausanne,
Switzerland
3 Department of Midwifer,
HESAV School of Health
Sciences, HES-SO University
of Applied Sciences and Arts
Western Switzerland, Lausanne,
Switzerland
CORRESPONDENCE TO
Mathilde Hyvärinen. Department
of Research, HESAV School
of Health Sciences, HES-SO
University of Applied Sciences
and Arts Western Switzerland,
Lausanne, Switzerland. E-mail:
mathilde.hyvaerinen@hesav.ch
ORCID ID: https://orcid.
org/0000-0001-6137-5322
KEYWORDS
pregnancy, education, students,
physical activity, midwifer,
health promotion
Received: 22 December 2021
Revised: 18 Januar 2022
Accepted: 10 Februar 2022
Pedagogical innovation to promote physical activity in
pregnancy: Interprofessional and real-life settings on the
example of the educational program Move Your Baby
Mathilde Hyvärinen
1,2
, Franziska Schläppy
3
, Claire de Labrusse
3
, Jennifer Wegrzyk
1