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“I am a Runner”: A qualitative analysis of women-runners’ pregnancy experiences

Published:August 11, 2018DOI:https://doi.org/10.1016/j.wombi.2018.07.021

      Abstract

      Background

      Women runners are a group with potential for health maintenance and health promotion in pregnancy. When providers counsel women to discontinue or cut back on running without cause, an opportunity for health benefits to both woman and baby may be lost.

      Aim

      This study aims to explicate the experience women runners have in pregnancy to further providers’ understanding of this population’s unique needs.

      Methods

      An online, qualitative inquiry was employed to explore the experiences of an online community of women runners in pregnancy (N = 22). The Doing Pregnancy framework provided guidance for final stages of the analysis.

      Findings

      Four themes emerged, explicating a process for “Doing Pregnancy” as a woman-runner: (1) I am a runner; (2) running tunes me into my pregnant body; (3) adjusting to pregnancy’s changes; and (4) trusting my instincts & knowledge vs. listening to others.

      Discussion

      Women’s sense of embodiment caused them to feel strongly tuned into the needs of their maternal-fetal dyad and to trust that they knew what was healthy regarding running during pregnancy. When provider advice was conflicting or was not evidence-based, women lost trust in their providers.

      Conclusion

      Providers caring for women runners should recognize running as a key piece of their identities and enter into shared partnership as women navigate changes in pregnancy. Women have a strong sense of embodiment and are tuned into the needs of their body as well as the needs of their baby.

      Keywords

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      References

      1. Running USA. National Runner Survey. Retrieved from: http://www.runningusa.org/statistics. 25 July 2017.

        • McGannon K.R.
        • Curtin K.
        • Schinke R.J.
        • Schweinbenz A.N.
        (De)constructing Paula Radcliffe: exploring media representations of elite running, pregnancy and motherhood through cultural sport psychology.
        Psychol Sport Exerc. 2012; 13: 820-829https://doi.org/10.1016/j.psychsport.2012.06.005
        • McGannon K.R.
        • Gonsalves C.A.
        • Schinke R.
        • Busanich R.
        Negotiating motherhood and athletic identity: a qualitative analysis of Olympic athlete mother representations in media narratives.
        Psychol Sport Exerc. 2015; 20: 51-59https://doi.org/10.1016/j.psychsport.2015.04.010
        • Hespanhol Jr., L.C.
        • Pillay J.D.
        • van Mechelen W.
        • Verhagen E.
        Meta-analyses of the effects of habitual running on indices of health in physically inactive adults.
        Sports Med. 2015; 45: 1455-1468https://doi.org/10.1007/s40279-015-0359-y
        • Williams Paul T.
        Greater weight loss from running than walking during a 6.2-year prospective follow-up.
        Med Sci Sports Exerc. 2013; 45: 706-713https://doi.org/10.1249/MSS.0b013e31827b0d0a
        • Bø K.
        • Ellstrøm Engh G.
        • Hilde G.
        Regular exercisers have stronger pelvic floor muscles than non-regular exercisers at midpregnancy.
        Am J Obstet Gynecol. 2018; 218 (427.e1–427.e5)https://doi.org/10.1016/j.ajog.2017.12.220
        • Institute of Medicine
        Weight gain during pregnancy: reexamining the guidelines.
        2009 (Retrieved from)
        • Muktabhant B.
        • Lawrie T.A.
        • Laopaiboon M.
        Diet or exercise, or both, for preventing excessive weight gain in pregnancy.
        Cochrane Database Syst Rev. 2015; 6https://doi.org/10.1002/14651858.CD007145.pub3
        • McGannon K.R.
        • McMahon J.
        • Gonsalves C.A.
        Mother runners in the blogosphere: a discursive psychological analysis of online recreational athlete identities.
        Psychol Sport Exerc. 2017; 28: 125-135https://doi.org/10.1016/j.psychsport.2016.11.002
        • Whipple K.
        • Combs S.
        • Dowd D.
        • Elliot S.
        Using the dimensions of health to assess motivation among running moms.
        Health Care Women Int. 2011; 32: 384-401https://doi.org/10.1080/07399332.2010.508132
        • Downs D.S.
        • Chasan-Taber L.
        • Evenson K.R.
        • Leiferman J.
        • Yeo S.
        Physical activity and pregnancy: past and present evidence and future recommendations.
        Res Q Exerc Sport. 2012; 83: 485-502
        • Davies G.A.L.
        • Wolfe L.A.
        • Mottola M.F.
        • MacKinnon C.
        ACOG Committee No. Opinion 650: physical activity and exercise during pregnancy and the postpartum period.
        Obstet Gynecol. 2015; 126 (Reaffirmed 2017. https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Physical-Activity-and-Exercise-During-Pregnancy-and-the-Postpartum-Period)e135
        • Davies G.A.L.
        • Wolfe L.A.
        • Mottola M.F.
        • MacKinnon C.
        Joint SOCG/CSEP Clinical Practice Guideline. Exercise in pregnancy and the postpartum period.
        J Obstet Gynecol Canada. 2003; : 129
        • Evenson K.R.
        • Barakat R.
        • Brown W.J.
        • et al.
        Guidelines for physical activity during pregnancy: comparisons from around the world.
        Am J Lifestyle Med. 2014; 8: 102
        • Baron R.
        • Martin L.
        • Gitsels-van der Wal J.T.
        • Noordman J.
        • Heymans M.W.
        • Spelten E.R.
        • et al.
        Health behaviour information provided to clients during midwife-led prenatal booking visits: findings from video analyses.
        Midwifery. 2017; 54: 7-17https://doi.org/10.1016/j.midw.2017.07.007
        • Ferran R.M.
        • Siega-Riz A.M.
        • Evenson K.R.
        • Moos M.-K.
        • Carrier K.
        A qualitative study of women’s perceptions of provider advice about diet and physical activity during pregnancy.
        Patient Educ Couns. 2013; 91: 372-377https://doi.org/10.1016/j.pec.2013.01.011
        • Stengel M.R.
        • Kraschnewski J.L.
        • Hwang S.W.
        • Kjerulff K.H.
        • Chuang C.H.
        “What my doctor didn’t tell me”: examining health care provider advice to overweight and obese pregnant women on gestational weight gain and physical activity.
        Womens Health Issues. 2012; 22: e535-e540https://doi.org/10.1016/j.whi.2012.09.004
        • Ohlendorf J.M.
        Postpartum weight self-management: A concept analysis.
        Research and Theory for Nursing Practice. 2013; 27: 35-52https://doi.org/10.1891/1541-5677.27.1.35
        • Johnson S.A.
        ‘Intimate mothering publics’: comparing face-to-face support groups and internet use for women seeking information and advice in the transition to first-time motherhood.
        Cult Health Sex. 2015; 17: 237-251https://doi.org/10.1080/13691058.2014.968807
        • Young I.M.
        Pregnant embodiment: subjectivity and alienation.
        in: Young I.M. Throwing like a girl: essays in feminist philosophy and social theory. Indiana University Press, Bloomington, IN1990: 160-174
        • Lupton D.
        Configuring maternal, preborn and infant embodiment.
        Sydney Health Society Group, 2012 (Working Paper No. 2)
        • Schmied V.
        • Lupton D.
        The externality of the inside: body images of pregnancy.
        Nurs Inq. 2001; 8: 32-40
        • Lupton D.
        Risk and the ontology of pregnant embodiment.
        in: Lupton D. Risk and sociocultural theory. Cambridge University Press, Cambridge (UK)1999: 59-85
        • Lupton D.
        • Schmied V.
        Splitting bodies/selves: women’s concepts of embodiment at the moment of birth.
        Sociol Health Illn. 2013; 35: 828-841https://doi.org/10.1111/j.1467-9566.2012.01532.x
        • Lupton D.
        ‘Precious cargo’: foetal subjects, risk and reproductive citizenship.
        Crit Public Health. 2012; 22: 329-340https://doi.org/10.1080/09581596.2012.657612
        • Parratt J.A.
        • Fahy K.M.
        A feminist critique of foundational nursing research and theory on transition to motherhood.
        Midwifery. 2017; 27: 445-451https://doi.org/10.1016/j.midw.2010.02.012
        • Rubin R.
        Maternal identity and maternal tasks.
        in: Rubin R. Maternal identity and the maternal experience. Springer Publishing Company, New York1984: 38-69
        • Neiterman E.
        Doing Pregnancy: pregnant embodiment as performance.
        Womens Stud Int Forum. 2012; 35: 372-383https://doi.org/10.1016/j.wsif.2012.07.004
        • Meurk C.
        • Broom A.
        • Adams J.
        Relative bodies of knowledge: therapeutic dualism and maternal-foetal individuation.
        Soc Theory Health. 2014; 12: 159-178https://doi.org/10.1057/sth.2013.26
        • Hamilton R.J.
        • Bowers B.J.
        Internet recruitment and e-mail interviews in qualitative studies.
        Qual Health Res. 2006; 16: 821-835https://doi.org/10.1177/1049732306287599
        • Narasimhulu D.N.
        • Karakash S.
        • Weedon J.
        • Minkoff H.
        Patterns of internet use by pregnant women, and reliability of internet searches.
        Matern Child Health J. 2016; 20: 2502-2509https://doi.org/10.1007/s10995-016-2075-0
        • Meho L.I.
        E-mail interviewing in qualitative research: a methodological discussion.
        J Am Soc Inf Sci Technol. 2006; 57: 1284-1294https://doi.org/10.1002/asi.20416
        • McCarthy R.
        • Choucri L.
        • Ormandy P.
        • Brettle A.
        Midwifery continuity: the use of social media.
        Midwifery. 2017; 52: 34-41https://doi.org/10.1016/j.midw.2017.05.012
        • Neville S.
        • Adams J.
        • Cook C.
        Qualitative data from vulnerable groups: reflections from the field.
        Contemp Nurs. 2015; 52: 657-668https://doi.org/10.1080/10376178.2015.1095056
      2. Shea, SB. Another Mother Runner: the podcast [audio podcast]. A. Ward, Producer; 26 January 2018. Retrieved from: https://anothermotherrunner.com/another-mother-runner-podcast/.

      3. Shea, SB, McDowell, D. Another Mother Runner; n.d. Retrieved from: https://anothermotherrunner.com/

      4. Running USA. State of the sport—part I “core runner” profiles; 2013. Retrieved from: http://www.runningusa.org/index.cfm?fuseaction=news.details&ArticleId=1539. 29 July 2017.

        • Nowell L.S.
        • Norris J.M.
        • White D.E.
        • Moules N.J.
        Thematic analysis: striving to meet the trustworthiness criteria.
        Int J Qual Methods. 2017; 16: 1-13https://doi.org/10.1177/1609406917733847
        • Fereday J.
        • Muir-Cochrane E.
        Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development.
        Int J Qual Methods. 2006; 5: 80-92https://doi.org/10.1177/160940690600500107
        • Hennink M.M.
        • Kaiser B.N.
        • Marconi V.C.
        Code saturation versus meaning saturation: how many interviews are enough?.
        Qual Health Res. 2016; 27: 591-608https://doi.org/10.1177/1049732316665344
        • Lupton D.
        The digitally engaged patient: self-monitoring and self-care in the digital health era.
        Soc Theory Health. 2013; 11: 256-270https://doi.org/10.1057/sth.2013.10
        • McGannon K.R.
        • McMahon J.
        • Gonsalves C.A.
        Mother runners in the blogosphere: a discursive psychological analysis of online recreational athlete identities.
        Psychol Sport Exerc. 2017; 28: 125-135https://doi.org/10.1016/j.psychsport.2016.11.002
        • Frisette J.
        The marathon journey of my body-self and performing identity.
        Sociol Sport J. 2015; 32: 68-88https://doi.org/10.1123/ssj.2014-0015
        • Shipway R.
        • Holloway I.
        Health and the running body: notes from an ethnography.
        Int Rev Sociol Sport. 2016; 52: 78-96https://doi.org/10.1177/1012690213509807
        • Hockey J.
        Injured distance runners: a case of identify work as self-help.
        Soc Sport J. 2016; 21: 38-58https://doi.org/10.1123/ssj.22.1.38
        • Ronkainen N.J.
        • Shuman A.
        • Ding T.
        • You S.L.
        • Xy L.
        ‘Running fever’: understanding runner identities in Shanghai through turning point narratives.
        Leis Stud. 2018; 37: 211-222https://doi.org/10.1080/02614367.2017.1324513
        • Collinson J.A.
        • Hockey J.
        ‘Working out’ identity: distance runners and the management of disrupted identity.
        Leis Stud. 2007; 26: 381-398https://doi.org/10.1080/02614360601053384
        • Griffin M.
        Setting the scene: hailing women into a running identity.
        Qual Res Sport Exerc Health. 2010; 2: 153-174https://doi.org/10.1080/13573322.2015.1066770
        • Darroch F.
        • Hillsburg H.
        Keeping pace: mother versus athlete identity among elite long distance runners.
        Womens Stud Int Forum. 2017; 62: 61-68
        • Ronkainen N.J.
        • Kavoura A.
        • Ryba T.V.
        Narrative and discursive perspectives on athletic identity: past, present, and future.
        Psychol Sport Exerc. 2016; 27: 128-137https://doi.org/10.1016/j.psychsport.2016.08.010