Elite and Sub-elite Athletes and Pregnancy: Training, Performance, Health and Psychological Aspects Across the Pre-, Peri-, and Postnatal Stages: A Scoping Review

While no consistent evidence of adverse pregnancy outcomes from high training loads has been reported, the existing studies are too limited and heterogeneous to allow firm conclusions. These gaps, along with an evidence base largely derived from endurance-focused sports and Western populations, highlight the ongoing need for more diverse, contemporary, and sport-specific research on training, return-to-sport, and mental health in pregnant elite athletes. Registration The protocol for this review was registered in the PROSPERO database (CRD420250651470).