Experiences of physical activity during pregnancy resulting from in vitro fertilisation: an interpretative phenomenological analysis

Abstract

Objective: To explore the qualitative experiences and decision-making processes surrounding physical activity (PA) for women who have undergone IVF treatment.

Background: PA during pregnancy is safe for both mother and fetus in the majority of cases, including for women who have undergone in vitro fertilisation (IVF) treatment; however, there is a paucity of research into decision-making and PA in this population.

Methods: Eight women, who had undergone successful IVF treatment and were currently pregnant or had given birth within the last two years, participated in semi-structured interviews about their experiences of infertility and PA during pregnancy. Interview transcripts were analysed using interpretative phenomenological analysis.

Results: Three superordinate themes emerged from the data: ‘navigating away from childlessness and towards motherhood’, ‘negotiating a safe passage’ and ‘balancing the challenges of pregnancy with the needs of the self’. Ten subthemes indicated the processes adopted to navigate experiences of infertility, the IVF process, and subsequent decision-making about PA during pregnancy.

Conclusion: PA during pregnancy was experienced as a way to soothe the self and control the experience of pregnancy; however, this was mediated by concerns about safety and physical limitations on PA. Limitations of the study are considered, as well as implications for clinical practice and directions for future research.

Keywords:

• Pregnancy
• infertility
• physical activity
• in vitro fertilisation
• qualitative

Notes

1. Techniques mainly differ in terms of the number of sperm the egg has the opportunity to fertilise with; therefore, the term ‘IVF’ will be used to refer to both IVF and ICSI treatment.