Medical issues for female athletes returning to competition after childbirth

Nose‐Ogura, Sayaka; Yokosuka, Osamu; Nakamura-Kamoto, Hiroe; Kanatani, Mayuko; Harada, Miyuki; Wada-Hiraike, Osamu; Saito, Shigeru; Fujii, Tomoyuki; Osuga, Yutaka

doi:10.1080/00913847.2023.2188395

Cited by 4 publications

(13 citation statements)

References 26 publications

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“…A significant positive correlation was observed between the frequency of PFMT per week and return-to-sport rates, indicating that a higher frequency of PFMT was associated with higher rates of return. This finding aligns with previous research that highlights the effectiveness of PFMT in improving PFM strength and control [ 3 - 5 , 18 - 20 ]. Regular and consistent PFMT sessions likely restore urinary continence and subsequent return to sports activities [ 3 , 18 - 20 ].…”

Section: Discussionsupporting

confidence: 92%

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Analysis of Predictive Factors for Return to Sports in Female Athletes With Stress Urinary Incontinence

Okui,

Erel,

Okui

2023

Cureus

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Introduction This study aimed to identify predictive factors for successful return to sports among elite female athletes (EFAs) experiencing stress urinary incontinence (SUI). We used machine learning to analyze these predictors. Methods This study was conducted at Yokosuka Urogynecology and Urology Clinic, located in Yokosuka City, Kanagawa, Japan. A total of 153 EFAs with postpartum SUI were included in this retrospective cohort study. Information regarding the frequency of pelvic floor muscle training (PFMT), treatment approaches, rates of return to sports after one year, and one-hour pad test (1HrPadtest) at three months were collected. Results At three months, 26.8% of the EFAs improved in SUI; after one year, 28.1% returned to their respective sports successfully. The equation for predicting return to sports (logit(p)) involved several factors: (a) serum total testosterone, (b) PFMT frequency per week, (c) 1HrPadtest at three months, and (d) vaginal erbium-doped yttrium aluminum garnet laser (VEL) + urethral EL (UEL) treatment. The equation was as follows: -126 - 0.07276a + 25.98b - 1.947c - 25.32d, with a logit(p) cutoff point at 0.5. The optimal cutoff values and the four influential factors were determined through a receiver operating characteristic (ROC) analysis and the random forest model, respectively. Conclusions For EFAs with severe SUI to successfully return to their sports activities, the PFMT frequency was paramount. Patients who exhibited unsatisfactory results in the 1HrPadtest at the three-month mark benefited from the VEL+UEL treatment. Serum total testosterone proved to be an effective discerning criterion.

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Section: Discussionsupporting

confidence: 92%

“…In our study, we focused on PFMT as the intervention method, which is known to be effective in managing SUI in EFAs [ 18 ]. Our findings provide valuable insights into the relationship between predictive factors and successful return rates in EFAs with severe SUI.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Predictive Factors for Return to Sports in Female Athletes With Stress Urinary Incontinence

Okui,

Erel,

Okui

2023

Cureus

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“…Physiological barriers comprised of factors pertaining to pregnancy, childbirth and athlete involvement in sport postpartum that impaired athletic or breastfeeding ability. This included conditions such as pelvic organ prolapse15; rectus abdominal separation37; fatigue15 38; muscle weakness39 40; increased body weight15 41 42; musculoskeletal injury15 42 43; and reduced lactation 15 37 39. Athletes also experienced psychological barriers including postpartum depression15 44 and behavioural barriers such as lack of sleep 15 43 45.…”

Section: Resultsmentioning

confidence: 99%

Barriers and enablers influencing female athlete return-to-sport postpartum: a scoping review

Tighe,

Williams,

Porter

et al. 2023

Br J Sports Med

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ObjectiveMotherhood within sport has become more common with many female athletes seeking to return-to-sport (RTS) postpartum; yet few sport organisations possess policies that support female athletes to RTS postpartum. Our aim was to synthesise existing literature to identify the barriers and enablers that influence female athlete RTS postpartum to help guide the development of evidence-based policies to support postpartum athlete RTS.DesignScoping review.Data sourcesOvid-Medline, Embase, SportDiscus and Scopus were systematically searched. Reference lists of eligible studies were also searched to identify additional studies of relevance.Eligibility criteriaOriginal, empirical, peer-reviewed, English-language studies reporting on female athletes and their RTS postpartum. Reviews, book chapters and grey literature were excluded.ResultsTwenty-two studies were included in this review. Identified barriers and enablers reflected 11 categories which occurred within and/or across three domains of the socioecological model. Five key factors were found to significantly influence female athlete RTS postpartum including (1) postpartum recovery time; (2) time to manage motherhood and sport demands; (3) sport organisation policies; (4) stereotypes; and (5) social support.ConclusionVarious barriers and enablers exist that influence successful RTS postpartum. These factors present opportunities for clinicians and sport organisations to improve their support of postpartum athletes. Paid maternity leave, offering job security, travel support for carer and child and affordable and accessible childcare are critical policy inclusions to appropriately support female athletes in their RTS postpartum.

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“…The relative risk for anaemia in postpartum athlete is unknown but most likely explained by blood loss during labour and delivery. Perinatal anaemia is the most common perinatal complication identified in athletes returning to competition 12. Three stages of iron deficiency have been proposed in athletic populations determined by levels of serum ferritin (sFer), haemoglobin concentration (Hb) and transferrin saturation (TSAT).…”

Section: Haematological Factorsmentioning

confidence: 99%

Infographic. Head to toe considerations for the postpartum endurance athlete

Afifi,

Barrack,

Casey

et al. 2024

Br J Sports Med

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Medical issues for female athletes returning to competition after childbirth

Cited by 4 publications

References 26 publications

Analysis of Predictive Factors for Return to Sports in Female Athletes With Stress Urinary Incontinence

Analysis of Predictive Factors for Return to Sports in Female Athletes With Stress Urinary Incontinence

Barriers and enablers influencing female athlete return-to-sport postpartum: a scoping review

Infographic. Head to toe considerations for the postpartum endurance athlete

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