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Sports Medicine Handbook - NCAA

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84<br />

Pregnancy in the<br />

Student-Athlete<br />

January 1986 • Revised June 2009<br />

Pregnancy Policies<br />

Pregnancy places unique challenges<br />

on the student-athlete. Each<br />

member institution should have a<br />

policy clearly outlined to address<br />

the rights and responsibilities of<br />

the pregnant student-athlete. The<br />

policy should address:<br />

• Where the student-athlete can<br />

receive confidential counseling;<br />

• Where the student-athlete can<br />

access timely medical and<br />

obstetrical care;<br />

• How the pregnancy may affect<br />

the student-athlete’s team standing<br />

and institutional grants-in-aid;<br />

• That pregnancy should be<br />

treated as any other temporary<br />

health condition regarding receipt<br />

of institutional grants-in-aid; and<br />

• That <strong>NCAA</strong> rules permit a oneyear<br />

extension of the five-year<br />

period of eligibility for a female<br />

student-athlete for reasons of<br />

pregnancy.<br />

Student-athletes should not be<br />

forced to terminate a pregnancy<br />

because of financial or<br />

psychological pressure or fear of<br />

losing their institutional grants-inaid.<br />

See Bylaw 15.3.4.3, which<br />

specifies that institutional financial<br />

GUIDELINE 2q<br />

The <strong>NCAA</strong> Committee on Competitive Safeguards and Medical Aspects of <strong>Sports</strong> acknowledges the<br />

significant input of Dr. James Clapp, FACSM, in the revision of this guideline.<br />

aid based in any degree on athletics<br />

ability may not be reduced or<br />

canceled during the period of its<br />

award because of an injury, illness<br />

or physical or mental medical<br />

condition.<br />

The team’s certified athletic trainer<br />

or team physician is often<br />

approached in confidence by the<br />

student-athlete. The sports<br />

medicine staff should be wellversed<br />

in the athletics department’s<br />

policies and be able to access the<br />

identified resources. The sports<br />

medicine staff should respect the<br />

student-athlete’s requests for<br />

confidentiality until such time<br />

when there is medical reason to<br />

withhold the student-athlete from<br />

competition.<br />

Exercise in Pregnancy<br />

Assessing the risk of intense,<br />

strenuous physical activity in<br />

pregnancy is difficult. There is some<br />

evidence that women who exercise<br />

during pregnancy have improved<br />

cardiovascular function, limited<br />

weight gain and fat retention,<br />

improved attitude and mental state,<br />

easier and less complicated labor,<br />

and enhanced postpartum recovery.<br />

There is no evidence that increased<br />

activity increases the risk of

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