{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T08:01:31Z","timestamp":1780128091623,"version":"3.54.0"},"reference-count":55,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009154","name":"University of Windsor","doi-asserted-by":"publisher","award":["819392"],"award-info":[{"award-number":["819392"]}],"id":[{"id":"10.13039\/100009154","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med\ufffdInsights\ufffdReprod\ufffdHealth"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hypertensive disorders of pregnancy (HDP), including gestational hypertension and preeclampsia, increase risk of acute complications, later development of hypertension and coronary artery disease and maternal mortality. Prenatal physical activity (PPA) reduces the risk of HDP development. Obstetric care providers (OCPs) are crucial in advising patients on safe PPA. Despite the belief among OCPs in other developed countries that PPA is beneficial, few are familiar with endorsed guidelines or discuss PPA with their patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to explore what a subset of OCPs based in Southwestern Ontario believe, know and practice with respect to PPA and its endorsement for HDP prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Virtual, qualitative interview-based study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Semi-structured virtual interviews were conducted with nurse practitioners (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20092; 39.5\u2009\u00b1\u20094.9 (\n                      <jats:italic toggle=\"yes\">X<\/jats:italic>\n                      \u2009\u00b1\u2009SD) years of age) and midwives (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20094; 39.5\u2009\u00b1\u20097.3\u2009years of age) who were actively practising in Southwestern Ontario.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four overarching themes were identified using reflexive thematic analysis: (1) Restricted Scope of PPA Practice for HDP, (2) PPA is Very Important for Health in and Beyond Pregnancy, (3) PPA is a Highly Individualized Patient Experience and (4) Lack of Training in PPA Among Providers. All participants strongly affirmed the benefits and importance of PPA in general, despite constraints imposed by referral protocols for those with HDP. This belief stemmed from experience, knowledge of Canadian PPA guidelines and evidence-based literature. PPA recommendations were individualized yet grounded in national guidelines. Participants identified a gap in PPA training and provided suggestions for improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>PPA participation may assist in the prevention or management of HDP and promote comprehensive wellbeing for patients. Further exploration of OCP recommendation and patient uptake of PPA for HDP within a Southwestern Ontarian context and beyond is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26334941261451342","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T04:58:09Z","timestamp":1779944289000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding providers\u2019 beliefs, knowledge and practices of prenatal physical activity endorsement for the prevention and management of hypertensive disorders of pregnancy: a qualitative study"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3060-625X","authenticated-orcid":false,"given":"Lauren","family":"Ceman","sequence":"first","affiliation":[{"name":"Department of Kinesiology, Faculty of Human Kinetics, University of Windsor, 401 Sunset Avenue, Windsor, ON N9B 3P4, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lana","family":"Milidrag","sequence":"additional","affiliation":[{"name":"Faculty of Science, University of Windsor, Windsor, ON, Canada"},{"name":"Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cayla","family":"Brush","sequence":"additional","affiliation":[{"name":"Faculty of Human Kinetics, University of Windsor, Windsor, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiara De","family":"Simone","sequence":"additional","affiliation":[{"name":"Faculty of Human Kinetics, University of Windsor, Windsor, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Faculty of Science, University of Windsor, Windsor, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1645-2509","authenticated-orcid":false,"given":"Kendall","family":"Soucie","sequence":"additional","affiliation":[{"name":"Faculty of Arts, Humanities, and Social Sciences, University of Windsor, Windsor, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd","family":"Loughead","sequence":"additional","affiliation":[{"name":"Faculty of Human Kinetics, University of Windsor, Windsor, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8647-3543","authenticated-orcid":false,"given":"Cheri","family":"McGowan","sequence":"additional","affiliation":[{"name":"Faculty of Human Kinetics, University of Windsor, Windsor, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.117.10803"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.39.10.02"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.4037\/aacnacc2018710"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0929-6646(08)60126-6"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.semnephrol.2010.10.010"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.09.052"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00684-X"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-099355"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13151"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100056"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.1295"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.4236\/ojog.2012.24073"},{"issue":"8","key":"e_1_3_4_14_2","article-title":"Exercise during pregnancy: obstetricians\u2019 beliefs and recommendations compared to American Congress of Obstetricians and Gynecologists\u2019 2015 guidelines","volume":"10","author":"McGee LD","year":"2018","unstructured":"McGee LD, Cignetti CA, Sutton A, et al. 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