Female athletes’ fertility is still a blind spot | Letter

Dr Mireia Galian argues that paid, protected time off for fertility assessment and treatment should be standard across women’s sports

As you report, changes to insurance cover for female athletes following the Carney review are welcome (Landmark changes to insurance cover for female athletes to be implemented, 30 March). Addressing contraception, pregnancy, menopause and other health conditions disproportionately affecting women is long overdue.

Yet one crucial blind spot remains: fertility. Elite athletes push their bodies to extremes, often with low body fat and intense training, which can disrupt hormones and menstrual cycles. Nearly two-thirds experience irregular or absent periods, which can affect fertility.

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Trying to conceive? Welcome to the worry-filled world of ‘trimester zero’

An army of ‘pregnancy prep’ influencers is offering would-be parents everything from sensible advice to quackery and questionable supplements. What’s really needed?

Anything to do with pregnancy can sometimes feel like a crash course in withstanding uncertainty. From getting pregnant in the first place to avoiding complications later on, any parent-to-be is forced to reckon with the limits of their own control.

The stats around this are worth emphasising: about one in seven couples in the UK will have difficulty conceiving. About one in eight known pregnancies will end in a loss. And as many as 29% of low-risk pregnancies will experience some kind of unforeseen complication. Often there’s no rhyme or reason to any of this. “You can do everything ‘right’ and still face delays. That’s biology, not failure,” says Dr Linda Farahani, a consultant gynaecologist and specialist in reproductive medicine at the Lister Fertility Clinic in Chelsea, London.

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Native birth workers are guiding Alaskan mothers through pregnancy once again: ‘I felt really supported and honored’

Indigenous doulas are creating support networks for mothers who are at the highest risk of pregnancy-related death

Mary Sherbick found out she was pregnant at the height of the pandemic in 2020. Although she and her partner had planned it, the pandemic was anxiety-inducing and isolating. While scrolling on social media, she came across online talking circles for Alaska Native women, organized by Alaska Native Birthworkers Community (ANBC), who were pregnant or postpartum. Sherbick, who is Yupik, immediately signed up.

“A lot of us were also just concerned about the way that we would be treated, and some of our concerns of pain or our birth plans within a hospital setting,” Sherbick said. “I think a lot of the women that I talked to just were aware of the history of how Indigenous women, Indigenous people in general, have been treated, and the sterilization programs that have been done unknowingly to Indigenous people.”

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US company to pay $22.5m over newborn’s death after denying woman remote work

Chelsea Walsh prematurely gave birth after firm rejected work from home request in 2021 amid high-risk pregnancy

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An Ohio freight-brokerage firm must pay $22.5m in damages to a woman whom the company denied permission to work from home as she tried managing pregnancy complications – and then endured her newborn’s death after prematurely giving birth, a state court jury has decided.

The case centering on Chelsea Walsh, her late daughter Magnolia, and Total Quality Logistics (TQL) unfolded as many employers increasingly allowed remote work during the Covid-19 pandemic – but then pushed to get workers physically back into the office.

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Lords urged to ensure women criminalised for abortion are ‘not left behind’

House to consider amendment that would pardon women in England and Wales affected by prior ‘unjust’ laws

Women who have been arrested, investigated and convicted under abortion legislation in England and Wales “must not be left behind” if the law is changed to prevent women being criminalised in future, campaigners have said.

Last summer, the House of Commons voted to end the criminalisation of women who terminate their pregnancies outside the legal framework, through a new clause in the crime and policing bill.

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Women feel coerced during maternity care in England, charity says

Exclusive: Birthrights report says women are being told they are ‘not allowed’ and are being denied genuine choice

Women feel put under pressure to have medical procedures such as caesareans during their maternity care, according to a report.

The charity Birthrights collated the experiences of 300 people in England who said they had felt or witnessed coercion within a maternity setting.

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Officials ‘missed 99% of data’ on Covid vaccines before making recommendation, memos reveal

US based Covid vaccine recommendations for children and pregnant people on ideology instead of evidence, critics say

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There was scant data behind ending the Covid vaccine recommendation for pregnant people and children, according to internal memos made public because of a lawsuit against the US Department of Health and Human Services (HHS).

The memos overlooked hundreds of studies on the benefits and safety of Covid vaccination and set the precedent for making changes to vaccine recommendations based on ideology instead of evidence, critics say.

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