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Practical Considerations for Participating in Wilderness Activities During Pregnancy.

Sarah M Schlein1, Elaine M Reno2, Christanne H Coffey3

  • 1Larner College of Medicine, University of Vermont, Burlington, VT, USA.

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|December 4, 2025
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Summary

Pregnant individuals can safely enjoy outdoor activities, but adventure and wilderness pursuits require careful consideration due to limited evidence. This review examines pregnancy-specific concerns for outdoor adventurers.

Keywords:
exercisefemaleguidelinespregnantprenatal careskiingsportstrail running

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Area of Science:

  • Sports Medicine
  • Wilderness Medicine
  • Obstetrics

Background:

  • Outdoor activities offer psychological and physical benefits for pregnant individuals.
  • Recommendations for wilderness activities during pregnancy often lack robust scientific evidence.
  • Existing guidelines may overly restrict participation without sufficient medical literature.

Purpose of the Study:

  • To conduct a narrative review of the literature regarding pregnancy considerations for wilderness adventurers.
  • To identify and evaluate the available evidence on the safety of outdoor adventure activities during pregnancy.
  • To address the gap between opinion-based recommendations and medical literature.

Main Methods:

  • A narrative review of existing literature was performed.
  • Included observational studies, case series, limited controlled trials, and physiological data extrapolations.
  • Expert consensus statements were also evaluated.

Main Results:

  • Limited medical literature supports many common recommendations regarding pregnancy and wilderness activities.
  • Remote or adventurous activities may be deemed unsafe without strong supporting evidence.
  • The review synthesizes available evidence on pregnancy-specific medical concerns for outdoor activities.

Conclusions:

  • This review highlights the need for evidence-based guidance for pregnant individuals participating in outdoor adventure.
  • It discusses crucial medical considerations unique to pregnancy in wilderness settings.
  • Further research is needed to inform safer practices for pregnant adventurers.