Yuqing Guo, PhD, RN, Priscilla Kehoe, PhD, Pamela Pimentel, RN, Julie Rousseau, PhD, RN, CNM, Anna Axelin, PhD, RN, Amir M. Rahmani, MBA, PhD, and Nikil Dutt, PhD; First published Aug. 1 2021; DOI:10.1097/NMC.0000000000000722



We aimed to understand the relationship between exercise and stress among socioeconomically at-risk women who participated in a home visitation service during pregnancy and postpartum.


A mixed-methods design was used to support and supplement quantitative data using qualitative data. Convenience sampling was used to collect data from at-risk women via questionnaires and follow-up interviews. The Perceived Stress Scale was used to assess stress. Frequency and duration of exercise were assessed based on the American College of Obstetricians and Gynecologists exercise guidelines. Regression analyses examined the association between stress and exercise controlling for covari- ates. Content analysis was used to understand women’s stress management experiences.


N = 114 women completed the questionnaire and a sub-group of 11 received follow-up interviews. Greater frequency of exercise was significantly associated with lower levels of stress. Approximately one-third of women reported experiencing significant stress. Talking to their husband or partner was the most used and exercise was the least used coping strategy. Many women recognized the importance of managing stress and benefits of exercise, but were hindered by barriers such as feeling tired, preventing them from exercising.

Clinical Implications

A personalized and safe exercise program has the potential to be a low-cost stress management strategy for women during pregnancy and postpartum.

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