A standardised individual unsupervised water exercise intervention for healthy pregnant women. A qualitative feasibility study

• Motivation for participation was a desire to continue being physically active during pregnancy. It was important for them to be able to continue an active lifestyle during their pregnancy.
• A sense of safety, the feeling of not overloading the body or doing something damaging by exercising in water was, experienced by the women.
• The women felt that the requirement to exercise two times a week for 12 weeks was appropriate and realistic, but not all women ended up doing so.
• The main barrier was crowded swimming pools, and this must be addressed in a future RCT.

IntroductionLow back pain during pregnancy is common and associated with sick leave. Studies suggest that exercise may reduce low back pain during pregnancy. Before carrying out a randomised controlled trail with individual water exercise as intervention a qualitative feasibility study was done.ObjectiveTo explore women's views and experiences of the acceptability and benefits of and possible barriers to the standardised individual unsupervised water exercise intervention.Materials and MethodsEleven women were interviewed after participating in a water exercise intervention. Content analysis was used.ResultsFour main categories emerged: motivation to participate, attitudes towards the exercise programme, perception of benefits, and acceptability of supportive components. The women had a desire to stay physically active during pregnancy and found water exercise a suitable, type of exercise to perform during pregnancy. The intervention was experienced to have benefits on both their physical health and their mental well-being. Crowded swimming pools were perceived as the greatest barrier.ConclusionIt is feasible to perform a RCT using the described intervention. The intervention was accepted by the participants because it supported their desire to be physically active during pregnancy. The main barrier was crowded swimming pools and this issue must be addressed in a future RCT.