Jones Paris A T, Brockwell Emma, Dufour Sinéad, Hassan Amal, Matenchuk Brittany A, Davenport Margie H
Program for Pregnancy and Postpartum Health, Physical Activity and Diabetes Laboratory, Faculty of Kinesiology, Sport and Recreation, Alberta Diabetes Institute, Women and Children's Health Research Institute, University of Alberta, 1-059D Li Ka Shing Centre for Health Research Innovation, 8602-112 St, Edmonton, AB, T6G 2E1, Canada.
Private Practice, Physiomum, Oxted, Surrey, UK.
Sports Med. 2025 Jun 27. doi: 10.1007/s40279-025-02262-x.
Current guidelines recommend avoiding activities with the risk of contact during pregnancy, despite a lack of empirical data to support this recommendation. As a result, individuals who participate in contact and collision sports such as football or rugby are often confronted with difficult decisions and, in the absence of clear guidance, may resort to making choices based on personal experience, limited advice, or fear.
We aimed to examine the impact of continued participation in contact sport during pregnancy on maternal and fetal health outcomes.
We conducted an online survey study of individuals (≥ 18 years of age) who participated in contact or collision sports during pregnancy. The survey collected self-reported information on participant demographics, sport participation (type, hours, and contact exposure) from pre-conception to postpartum, maternal and infant health outcomes, feelings towards continuing/stopping participation in sport, and medical advice received during the perinatal period. Odds ratios or relative risk ratios with 95% confidence intervals were calculated for all categorical outcomes using regression adjusted for relevant covariates to compare outcomes in individuals who stopped participating in contact sport ≤ 12 weeks and > 12 weeks gestation as well as individuals who did and did not sustain a hit (contact) during pregnancy.
Between September 2023 and February 2024, 395 participants (age 34.6 ± 5.0, months postpartum 27.2 ± 34.3; primarily from Australia, Canada, the UK, and the USA) were recruited to participate in the survey. Participants participated in contact sports for an average of 12.8 ± 6.4 weeks of pregnancy with 84 individuals sustaining hard hits and 114 individuals sustaining cumulative low impact contact. Participants reported partaking in a total of 11,687.2 h of contact exposure during pregnancy and the rate of adverse events was 1.11 per 1000 h of exposure. Overall, continued participation in contact sport during pregnancy was associated with better mental health status. Over half of participants stated that they had concerns about participating in contact sports during their pregnancy; however, 90% felt "happy" or "very happy" about continuing their sport during pregnancy.
Pregnant individuals continue to participate in contact sports during pregnancy. Participants who continued participating in contact sports were more likely to report decreased depression. Continued participation in contact activities was not associated with the odds of other maternal or fetal complications during pregnancy or the postpartum period. Further investigation is required to direct safe participation in contact sports during pregnancy.
尽管缺乏实证数据支持，但现行指南建议孕期应避免从事有接触风险的活动。因此，参与足球或橄榄球等接触性和碰撞性运动的人常常面临艰难抉择，且由于缺乏明确指导，他们可能会基于个人经验、有限的建议或恐惧来做出选择。
我们旨在研究孕期持续参与接触性运动对母婴健康结局的影响。
我们对孕期参与接触性或碰撞性运动的个体（≥18岁）进行了一项在线调查研究。该调查收集了关于参与者人口统计学信息、从孕前到产后的运动参与情况（类型、时长和接触程度）、母婴健康结局、对继续/停止参与运动的感受以及围产期所接受的医学建议等自我报告信息。对于所有分类结局，使用针对相关协变量进行调整的回归分析计算比值比或相对风险比及95%置信区间，以比较妊娠≤12周和>12周时停止参与接触性运动的个体，以及孕期遭受和未遭受撞击（接触）的个体的结局。
在2023年9月至2024年2月期间，招募了395名参与者（年龄34.6±5.0岁，产后27.2±34.3个月；主要来自澳大利亚、加拿大、英国和美国）参与调查。参与者孕期平均参与接触性运动12.8±6.4周，其中84人遭受重击，114人遭受累积低强度接触。参与者报告孕期总共接触时长为11687.2小时，不良事件发生率为每1000小时接触1.11起。总体而言，孕期持续参与接触性运动与更好的心理健康状况相关。超过半数的参与者表示他们在孕期对参与接触性运动有所担忧；然而，90%的人对孕期继续运动感到“开心”或“非常开心”。
孕期个体继续参与接触性运动。继续参与接触性运动的参与者更有可能报告抑郁程度降低。孕期继续参与接触性活动与孕期或产后其他母婴并发症的发生几率无关。需要进一步研究以指导孕期安全参与接触性运动。
