关键词: 生育文化, 体力活动, 孕妇, 产前保健, 扎根理论, 产科护理

Abstract:

Objective Based on the perspective of Chinese fertility culture，the study explored the impact of cultural factors on the decision-making of pregnant women regarding physical activity. It aimed to provide insights into the underlying mechanisms behind the insufficient physical activity of pregnant women in China and promote higher levels of physical activity during pregnancy. Methods The research method of grounded theory was adopted，and a purposive sampling approach was employed to select 15 pregnant women from a tertiary hospital in Nantong City as research subjects between December 2024 and March 2025. Semi-structured interviews were conducted from the perspective of fertility culture，using the proceduralized grounded theory to analyze the data through 3 levels of coding. Results The analysis revealed that fertility culture influenced pregnant women’s physical activity decision-making in 4 aspects：the implicit norms of intergenerational fertility culture on decision-making，the risk-avoidance decision logic in traditional fertility culture，the reshaping of decision-making among working women under modern fertility culture，and the decision-making strategies for physical activity amid the cultures integration. Conclusion Fertility culture deeply participates in pregnant women’s physical activity decision-making by influencing their cognitive beliefs，behavioral choices，and activity patterns. Healthcare professionals should pay attention to the impact of cultural factors on pregnant women’s physical activity. They should enhance support for pregnant women through diverse channels and create a reproductive-friendly social atmosphere to improve the quality of prenatal care.

Key words: Fertility Culture, Physical Activity, Pregnant Women, Prenatal Care, Grounded Theory, Obstetrical Nursing