U.S. Air Force (USAF) personnel are required to take periodic fitness assessments with minimum requirements to earn satisfactory performance evaluations. Active duty women are exempt from fitness testing during pregnancy and until 6 months postpartum. Although there is evidence that many women do not achieve prepregnancy fitness levels by 6 months postpartum, no published studies were found that evaluated changes in fitness measurements and assessment pass rates in active duty USAF women after childbirth. The purpose of this study was to compare USAF fitness assessment component measurements and overall pass rates at 6 months postpartum to prepregnancy measurements. A paired t-test analysis of fitness component measurements of 107 active duty women showed significantly larger abdominal circumferences, fewer push-up repetitions, and longer run times at 6 months postpartum when compared to prepregnancy assessments. No significant difference was found in sit-up measurements. Secondly, there was a significantly lower pass rate at 6-months postpartum compared to the prepregnancy time frame. Results from this study indicate that women may struggle to achieve prepregnant fitness levels and pass their fitness test by 6 months postpartum. More research is needed to discover which factors impact women's ability to successfully meet fitness standards postpartum.
Active duty personnel in the U.S. Air Force (USAF) are required to pass periodic fitness assessments in order to facilitate and evaluate physical readiness. Pregnant women are exempt from testing but must take the fitness test 6 months after childbirth. However, evidence from prior research indicates that in the first 6 months postpartum, women may not achieve prepregnancy fitness levels and may be more vulnerable to mental and physical health problems. It is important for health care clinicians to understand how training for the USAF fitness test after childbirth may impact health and well-being. The purpose of this study was to develop a deep understanding of the experiences of postpartum USAF women as they train for their fitness assessment. Understanding was sought through a phenomenological study by interpreting the meaning of the lived experiences of 17 active duty women at two USAF bases. Two overarching patterns emerged from this analysis: "Striving to Perform under Pressure through Profound Life Transitions of Childbirth" and "Seeking Understanding from Others." These results provide insight into the challenges postpartum women encounter while training for their fitness assessments, and they can inform practices that facilitate efforts of women in returning to optimal fitness and well-being.
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