• Determining The Recreational Health Practices By Pregnant Women In Selected Antenatal Clinics

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    • According to Hoeger and Hoger (2010) during pregnancy the body experiences dramatic physiological and psychological changes which is natural, inorder to remain healthy, the pregnant woman must indulge in regular physical activities called exercise. According to Hornby (2010), exercise is an activity requiring physical effort done to improve health, it is a physical or mental activity that is done to stay healthy or become stronger. Exercise session in antenatal clinic should be designed to stimulate interest in the physical changes occurring to promote body awareness and to facilitate physical and mental relaxation.
      According, to Makinde, Adeyemo and Ogundele (2014), the professional health workers need to carefully design recreational and physical exercise programme to enable the pregnant woman remain healthy. Recreational health practices do wonders for the woman during pregnancy. It helps to prepare her for childbirth by strengthening her muscles and building endurance (Ministry of Health, Brazil 2001). Green (1993) also discussed about breathing and relaxation exercises that were widely used and were most successful for the relief of labour pain and to enhance better emotional wellbeing. The health of the mother and that of the fetus is improved when the mother performs some simple exercises during pregnancy. Exercise has been known scientifically and physically to promote blood circulation to the mother and the fetal vital organs such as the brain, liver and heart etc., exercise also improves pelvic bone and muscle tone thus enhancing normal safe delivery of the baby during labour (Dianne & Myles, 2004). Shrock (2008) observed that as more pregnant women engage in demanding occupations, physical activities, and sports, the obstetrician and midwives who take care of them must become knowledgeable about the physical changes of pregnancy and the effects of exercise on the mother and fetus. Because prevention is the best approach to health care, understanding both the bodily stresses that may result from pregnancy changes and the means to prevent unnecessary problems enables health care to be instituted early in pregnancy and continued through the postpartum period. Therefore a properly organized antenatal care classes would have a physiotherapist or midwife teach pregnant women the rudiment of recreation during pregnancy, telling them the benefits derivable and the limits they should go. Such benefits include that recreational exercise improves blood circulation, strengthens the pelvic floor muscles and prevent backaches (Dianne & Myle, 2004).
      Recreational Health activities according to McLean, Hurd and Rogers (2005) are activities often done for enjoyment, amusement, or pleasure and which are considered to be of health benefit to the individual undergoing it. Recreation as defined by Boye (2009) is any form of free activity that an individual performs at his or her leisure hours. It could be done indoors or outdoors and it could be passive or active. Recreation can be done for mental, physical, emotional and social development, recreational health activities have been found to be of immense benefit to both the pregnant woman and the unborn child.
      It is one aspect for the care givers to recommend the recreational practices and it is another for pregnant women to adhere to it. Adherence would depend on several factors of which an awareness of the benefits is one. A study carried out among pregnant women attending antenatal clinic by Sarfraz, Islami, Hammed, Hasan and Ahmad (2013) showed that 95.2% of the women agreed that physiotherapy has positive role in ante-natal care although only 30% were currently following the exercise programme. Where awareness is lower, adherence to the exercise would be very much lower.
      Another very important aspect of recreational practices by pregnant women undergoing antenatal care clinics is that of monitoring. Makinde et al (2014) found that 294 (58.8%) of respondents in their study wanted prenatal exercise to be performed by the expert while 116 representing 23.3% of the total respondents did not prefer expert to perform exercise for them.
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