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dc.contributor.authorSigurdardottir, Thorgerdur
dc.contributor.authorSteingrimsdottir, Thora
dc.contributor.authorGeirsson, Reynir Tomas
dc.contributor.authorHalldorsson, Thorhallur Ingi
dc.contributor.authorAspelund, Thor
dc.contributor.authorBø, Kari
dc.date.accessioned2019-06-25T14:49:12Z
dc.date.available2019-06-25T14:49:12Z
dc.date.issued2019-03
dc.date.submitted2019-06
dc.identifier.citationDo female elite athletes experience more complicated childbirth than non-athletes? A case-control study. 2019, 53(6):354-358 Br J Sports Meden_US
dc.identifier.issn1473-0480
dc.identifier.pmid30228171
dc.identifier.doi10.1136/bjsports-2018-099447
dc.identifier.urihttp://hdl.handle.net/2336/620960
dc.descriptionTo access publisher's full text version of this article click on the hyperlink belowen_US
dc.description.abstractOBJECTIVE: Previous studies have suggested that female athletes might be at higher risk of experiencing complications such as caesarean sections and perineal tears during labour than non-athletes. Our aim was to study delivery outcomes, including emergency caesarean section rates, length of the first and second stages of labour and severe perineal tears, in first-time pregnant elite athletes compared with non-athletes. METHODS: This is a retrospective case-control study comparing birth outcomes of primiparous female elite athletes engaging in high-impact and low-impact sports compared with non-athletic controls. The athletes had prior to birth competed at a national team level or equivalent. Participant characteristics and frequency of training for at least 3 years before a first pregnancy were collected via a self-administered questionnaire. Information on delivery outcome was retrieved from the Icelandic Medical Birth Registry. RESULTS: In total, 248 participated, 118 controls, 41 low-impact and 89 high-impact elite athletes. No significant differences were found between the groups with regard to incidence of emergency caesarean section or length of the first and second stages of labour. The incidence of third-degree to fourth-degree perineal tears was significantly higher (23.7%) among low-impact athletes than in the high-impact group (5.1%, p=0.01), but no significant differences were seen when the athletes were compared with the controls (12%; p=0.09 for low-impact and p=0.12 for high-impact athletes). CONCLUSION: Participation in competitive sports at the elite level was not related to adverse delivery outcome, including length of labour, the need for caesarean section during delivery and severe perineal tears.en_US
dc.description.sponsorshipUniversity of Iceland Research Fund Public Health Fund Icelandic Directorate of Health Icelandic Physiotherapy Association Science Fund Landspitali University Hospital Iceland Science Funden_US
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.urlhttps://bjsm.bmj.com/content/53/6/354en_US
dc.relation.urlhttps://search.proquest.com/docview/2187265305/B1DB406019BC4B3APQ/14?accountid=135775en_US
dc.subjectathleteen_US
dc.subjectfemaleen_US
dc.subjectobstetricsen_US
dc.subjectpelvic flooren_US
dc.subjectÍþróttaiðkunen_US
dc.subjectÍþróttafólken_US
dc.subjectKonuren_US
dc.subjectFæðingen_US
dc.subject.meshParturitionen_US
dc.subject.meshAthletesen_US
dc.subject.meshFemaleen_US
dc.subject.meshCesarean Sectionen_US
dc.titleDo female elite athletes experience more complicated childbirth than non-athletes? A case-control study.en_US
dc.typeArticleen_US
dc.contributor.department1 Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland. 2 Department of Obstetrics and Gynecology, Landspitali University Hospital, Reykjavik, Iceland. 3 Faculty of Food Sciences and Nutrition, School of Health Sciences, University of Iceland, Reykjavik, Iceland. 4 Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway. 5 Department of Obstetrics and Gynecology, Akershus University Hospital, Lørenskog, Norway.en_US
dc.identifier.journalBritish journal of sports medicineen_US
dc.rights.accessNational Consortium - Landsaðganguren_US
dc.departmentcodeOAG12
dc.departmentcodeAAA12
dc.source.journaltitleBritish journal of sports medicine


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