Poor lifestyle practices, combined with excess weight gain and weight retention during the preconception, pregnancy and postpartum periods can increase health risks for mothers and their children. Little is known about how workplaces impact the health and well-being of women of child-bearing age, particularly across work roles and settings. This qualitative descriptive study explored the enablers and barriers to the healthy lifestyle practices and well-being of women of reproductive age within an Australian community services organisation by capturing the perspectives of both the women and workplace executives. Eleven interviews were conducted with executives (n = 12), and three focus groups and three interviews were conducted with women (n = 16). Data were thematically analysed, and six main themes were identified: blurring of the role and work environment, clarity and equity in policy and entitlements, the nature of community services work, individual responsibility for health, tiered levels of support and a management-driven culture of awareness and support. Barriers included high-stress roles, work targets, sedentary work behaviours, lack of clarity around policies, funding and the emotional labour associated with community services work. Hands-on leadership, open communication, work relationships, resourcing and manager training were identified as facilitators. While findings indicate agreement between executives and the women, many executives focused on the challenges associated with pregnancy in the high-risk workplace environment and did not perceive specific barriers for those in non-frontline roles. Management education to generate an understanding of women's needs during this life stage and increased resourcing to facilitate workplace well-being would be beneficial.

中文翻译：

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“这只是工作的性质”：社区服务组织中孕前、孕期和产后职业女性的健康和福祉的障碍和促进因素

不良的生活方式，加上孕前、孕期和产后体重过度增加和体重滞留，会增加母亲及其孩子的健康风险。人们对工作场所如何影响育龄妇女的健康和福祉知之甚少，尤其是跨工作角色和环境。这项定性描述性研究通过捕捉女性和工作场所高管的观点，探讨了澳大利亚社区服务组织内育龄女性健康生活方式和福祉的推动因素和障碍。对高管进行了 11 次访谈（n  = 12），对女性进行了 3 次焦点小组访谈和 3 次访谈（n = 16). 对数据进行了专题分析，并确定了六个主要主题：角色和工作环境的模糊、政策和权利的明确性和公平性、社区服务工作的性质、个人对健康的责任、分层支持和管理驱动的文化的认识和支持。障碍包括高压力角色、工作目标、久坐不动的工作行为、政策不明确、资金以及与社区服务工作相关的情绪劳动。实践领导力、开放式沟通、工作关系、资源和经理培训被确定为促进因素。虽然调查结果表明高管和女性之间达成了共识，许多高管关注的是在高风险工作环境中与怀孕相关的挑战，并没有发现非一线人员面临的具体障碍。开展管理教育以了解妇女在这一生命阶段的需求，并增加资源以促进工作场所的福祉，将大有裨益。