Title: Knowledge, attitude and practice of physical exercises among pregnant women attending
prenatal care clinics of public health institutions in Hawassa city, Sidama, Ethiopia, in 2021: 
  Descriptive cross-sectional study
Version: 1 Date: 31 Mar 2023
Reviewer:  Daniel Belema Fekene
Reviewer's report:
Background
Exercise and physical exertion are crucial parts of leading a healthy lifestyle. Exercise during
pregnancy allows------- define  physical exercise during pregnancy first and list the importance
of it
Line 95 -97 ----- The studies which give sufficient evidence on knowledge, attitude and practice
of physical exercise during pregnancy is scarce in Ethiopia. So, the aim of the study was to
assess level of knowledge, attitude, and practice of physical exercise during pregnancy   --- what
about the study conducted in Gondar as you cited in the reference 29????? The gaps of the study
needs revision ,see the study conducted in Gondar and what was the limitation of that study and
what you want to fulfill with this study should be the gaps the study
Methods
Study area
In Hawassa City 369,908 peoples are living according to the city health department estimation
of 2017……insert citation and write it again in understandable manner
Include  number your study participants  in the town
Source population
All pregnant women during any trimester of pregnancy ………revise as All pregnant women
during were attending antenatal care in public health centers in Hawassa-town during the
study period since you are include all pregnant women what is the importance of saying any
trimester ?????
Study population:  re write again by considering the comment on source population
Sample size
The required sample size is-----rewrite it again there is grammatical error .it should be  The
required sample size was ------
Check line 121-125, there is inconsistence in the use of the same reference and also use the
same reference style
Line 126-127   should be placed in sampling procedures
Sampling procedure
The study population was selected by systematic random sampling technique using proportional
allocation------- it’s fallacious. please describe sampling procedure in detain by giving emphasis
on how many study participants in the selected health facilities, total study participants and  on
what  interval are you going to  interviews ----------
Eligibility criteria
Line 135 is unclear ,make it clear
Data collection tools and procedure
Questioner was developed by reviewing different relevant literatures-------- insert citation
The questioner will include information about socio-demographic data, health care seeking
behavior, reproductive health, and other relevant information-----include your main objective
also KAP -----
Data quality control
The questionnaire was first prepared in English by reviewing literatures and translated into
Amharic and Sidama Afoo version, which later back translated to the English version to check
its consistency and comparability of the finding -----its repetition
Line 146-151  re write it again
Data analysis
Chi-square test was used to show association between categorical variables and KAP variables
in the cross tabulation----- I didn’t find the result, please include it
Operational definitions
LINE 168-175 poor sentence construction and insert citation for each .re write it again
Result
Awareness about antenatal exercise
About two-third (63.1%) had never been advised about antenatal exercises----. Two third is not
appropriate tem hire ---
Knowledge about physical exercise during pregnancy
Regarding to  contraindication of antenatal exercise 41.3%,39.8% and 34.0% were correctly
identify that antenatal exercises are contraindicated when there is breathing difficult, chest pain
and premature labor respectively  not presented in  cited table ,and practice level is presented
hire was in appropriately presented   ,please clearly presented it and perform chi square for it also
Practice of antenatal exercise -------
Regarding practice of antenatal exercise about one third 123 (35.75%) of the study participants
practiced antenatal exercises in the current pregnancy. Out------------ the table cited hire doesn’t
show practice of antenatal ex----- please see it again and perform chi square for it also
Attitude towards antenatal exercise
Table 5 talks about knowledge   , do you think knowledge is similar with attitudes???? and
attitudes should be measured in likert scale .I think you used incorrect tools to measure attitudes
Discussion
The discrepancy may be due to, as the study was conducted in urban area the women’s may
have more information about the importance of physical exercise during pregnancy.------was
the study conducted Nigeria  in rural ????? JUSTIFICATION should be based on scientific
evidence  rather than personal views
This may be due to similarity of socio-demographic characteristics of respondents as both studies
are conducted at urban area-------its seems fallacious
The difference might be barrier in information dissemination regarding the positive outcome of
physical exercise during pregnancy. Please try to see the previously published paper   and re
write it again based on scientific evidence
Conclusion
Therefore, the responsible all stakeholders should consider about possible intervention of
this problems.----its unclear ,please use the rules of what ,who and how  when you write
recommendation