# Exploring the postpartum return to sport and performance in Canadian elite athletes

**Authors:** Chloe M. Hewitt, M. Karen Campbell, Yun-Hee Choi, Jane S. Thornton

PMC · DOI: 10.3389/fspor.2025.1665212 · Frontiers in Sports and Active Living · 2025-10-07

## TL;DR

This study explores how Canadian elite athletes return to sport after childbirth and highlights the need for better support during pregnancy and postpartum.

## Contribution

The study provides new insights into the challenges and successes of postpartum return to sport among Canadian elite athletes.

## Key findings

- Most athletes trained during pregnancy but received unsatisfactory advice.
- Nine out of ten athletes resumed training postpartum, with five returning to competitive sport.
- Participants highlighted the need for better childcare support and resources.

## Abstract

Athlete-mothers in elite sport were viewed as anomalies until very recently. Perhaps as a consequence of limited research, support and resources available for pregnant and postpartum athletes may be inadequate.

To explore the experiences of athletes returning to sport and performance postpartum.

Ten elite Canadian athletes who became pregnant during their sporting career and attempted to return to competitive sport after childbirth completed an online questionnaire.

Most participants reported that timing of conception was planned around competition schedule. During pregnancy, most athletes trained through pregnancy, but found the advice they received unsatisfactory. Lack of support for childcare within sport and balancing breastfeeding with training were commonly identified challenges. Nine of the 10 athletes reported resuming training after childbirth and five returned to competitive sport, of which four reported improved performance.

Elite athletes in our sample were able to return to a high level of sport after childbirth, however many expressed the need for improved support through pregnancy and the postpartum period. This exploratory study reveals promising findings of how experiences are improving for pregnant and postpartum elite athletes. This sets the stage for more research to promote sport participation by athlete mothers.

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382), preterm labour (MESH:D047928), gestational hypertension (MESH:D046110), numbness (MESH:D006987), vaginal bleeding (MESH:D014592), rectus abdominis diastasis (MESH:D000070631), Achilles and quadriceps tendinopathies (MESH:D052256), nutrient deficiency (MESH:D007153), pelvic/uterine prolapse (MESH:D014596), prolonged labour (MESH:D008133), incontinence (MESH:D014549), stress fractures (MESH:D015775), perineal tear (MESH:D009437), depression (MESH:D003866), symphysis pubis dysfunction (MESH:D059388), postpartum hemorrhage (MESH:D006473), muscle loss (MESH:D009135), shoulder tightness (MESH:D020069), irritability (MESH:D001523), postpartum depression (MESH:D019052), anxiety (MESH:D001007), Injuries (MESH:D014947), childbirth complications (MESH:D008107), sciatica (MESH:D012585), pain (MESH:D010146), sleep disturbances (MESH:D012893), Achilles tear (MESH:D012167), vomiting (MESH:D014839), nausea (MESH:D009325), ankle sprain (MESH:D016512), musculoskeletal pain (MESH:D059352), stress/urge incontinence (MESH:D053202), fatigue (MESH:D005221)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12537676/full.md

## References

47 references — full list in the complete paper: https://tomesphere.com/paper/PMC12537676/full.md

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Source: https://tomesphere.com/paper/PMC12537676