Insights from women and healthcare professionals about preventing pregnancy-related pelvic girdle pain: a qualitative content analysis

Problem: Pregnancy-related pelvic girdle pain (PPGP) is a common complication during pregnancy, affecting woman's physical, emotional, and occupational well-being. Despite this burden, there is limited evidence for prevention strategies. Background: PPGP prevention has received less attention compared to symptom management. Existing antenatal care lacks standardised prevention guidance for PPGP. Aim: This study aimed to explore the perceptions and beliefs of pregnant women and healthcare professionals (HCPs) on PPGP prevention, using the Health Belief Model (HBM) as a guiding framework. Methods: A qualitative content analysis study using semi-structured interviews with purposively sampled participants, including pregnant women (with and without PPGP) and HCPs (midwives, general practitioners, physiotherapists, and researchers) was conducted from May to August 2024. Data saturation was reached with 28 participants. Interview transcripts were analysed using directed content analysis to identify themes corresponding to HBM constructs. Findings: Eight key themes emerged. Women reported limited awareness and inconsistent guidance on PPGP prevention, however, they expressed willingness to engage in preventative behaviours. HCPs highlighted systemic gaps, including limited access to physiotherapy and insufficient information about PPGP prevention. Both groups identified physical activity, early education, and multidisciplinary care as critical to prevention. Barriers included occupational demands, cultural stigma, financial concerns, and lack of confidence in self-management. Discussion: This study highlighted the need for early, structured, and multidisciplinary interventions aligned with women's beliefs and needs to effectively prevent PPGP. Conclusion: Women and HCPs insights highlighted that addressing key barriers in antenatal care could reduce PPGP burden and promote PPGP prevention.