Physical Activity: An Accessible Prescription for Perinatal Mental Health

Area of Science:

• Obstetrics and Gynecology
• Maternal Mental Health
• Public Health

Background:

• Perinatal mood and anxiety disorders (PMADs) affect up to 20% of individuals, impacting maternal and infant well-being.
• Moderate-to-vigorous physical activity (MVPA) is a proven, cost-effective intervention for reducing PMADs, comparable to psychotherapy.
• Low adherence to MVPA recommendations (<15%) stems from safety concerns, lack of guidance, and social barriers.

Purpose of the Study:

• To highlight the underutilization of MVPA in perinatal mental health.
• To emphasize the role of obstetrical care providers in promoting safe physical activity.
• To advocate for evidence-based counseling and tools to increase MVPA participation.

Main Methods:

• Review of evidence on MVPA benefits for PMADs.
• Analysis of barriers to MVPA adherence in the perinatal period.
• Identification of strategies for healthcare providers to promote physical activity.

Main Results:

• MVPA offers significant benefits for reducing PMAD risk and severity.
• Safety concerns and limited guidance are primary barriers to MVPA.
• Obstetrical providers can effectively promote MVPA through counseling and validated tools.

Conclusions:

• Increased MVPA participation can improve perinatal mental health outcomes.
• Evidence-based counseling and tools like the Get Active Questionnaire are crucial.
• Healthcare providers play a vital role in overcoming barriers to perinatal physical activity.