{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T09:46:39Z","timestamp":1791452799445,"version":"4.3.3"},"reference-count":62,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100013921","name":"Wilderness Medical Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p> Women increasingly participate in outdoor activities in wilderness and remote environments. We performed a literature review to address diagnostic and therapeutic considerations during first-trimester pregnancy for remote multiday travel. Pretrip planning for pregnant patients traveling outside access to advanced medical care should include performing a transvaginal ultrasound to confirm pregnancy location and checking D rhesus status. We discuss the risk of potential travel-related infections and recommended vaccinations prior to departure based on destination. Immediate evacuation to definitive medical care is required for patients with a pregnancy of unknown location and vaginal bleeding. We propose algorithms for determining the need for evacuation and present therapeutic options for nausea and vomiting, urinary tract infections, and candidiasis in the field. <\/jats:p>","DOI":"10.1016\/j.wem.2022.12.001","type":"journal-article","created":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T01:05:17Z","timestamp":1677287117000},"page":"201-210","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["First-Trimester Pregnancy: Considerations for Wilderness and Remote Travel"],"prefix":"10.1177","volume":"34","author":[{"given":"Christanne H.","family":"Coffey","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, University of California, San Diego, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie M.","family":"Casper","sequence":"additional","affiliation":[{"name":"Mammoth Lakes, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine M.","family":"Reno","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Colorado, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sierra J.","family":"Casper","sequence":"additional","affiliation":[{"name":"Mammoth Hospital, San Diego Fire-Rescue Department, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Hillis","sequence":"additional","affiliation":[{"name":"Yale School of Medicine, New Haven, CT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Diego, San Diego, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Schlein","sequence":"additional","affiliation":[{"name":"Larner College of Medicine, University of Vermont, Burlington, VT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda E.","family":"Keyes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Colorado, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,1]]},"reference":[{"key":"bibr1-j.wem.2022.12.001","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taw052"},{"key":"bibr2-j.wem.2022.12.001","unstructured":"Outdoor Foundation. 2021 outdoor participation trends report. 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