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There is limited evidence behind many opinion-based recommendations on participation in wilderness activities in pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>As a result, remote or adventurous activities may be considered unsafe or restricted without significant medical literature to support these opinions. The authors reviewed the literature for the best available evidence, including observational studies, case series, limited controlled trials, and extrapolations from physiological data, as well as evaluating expert consensus statements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This narrative review discusses pregnancy-specific medical concerns related to participation in outdoor adventure activities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10806032251398833","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T15:06:03Z","timestamp":1764860763000},"page":"311-322","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Practical Considerations for Participating in Wilderness Activities During Pregnancy"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4983-763X","authenticated-orcid":false,"given":"Sarah M","family":"Schlein","sequence":"first","affiliation":[{"name":"University of Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine M","family":"Reno","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5515-4443","authenticated-orcid":false,"given":"Christanne H","family":"Coffey","sequence":"additional","affiliation":[{"name":"University of California San Diego"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5658-7507","authenticated-orcid":false,"given":"Leslie","family":"Casper","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan S","family":"Claypool","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6314-8457","authenticated-orcid":false,"given":"David A","family":"Klein","sequence":"additional","affiliation":[{"name":"University of California San Diego"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen L","family":"Wiitala","sequence":"additional","affiliation":[{"name":"University of Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2770-5954","authenticated-orcid":false,"given":"Linda E","family":"Keyes","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003772"},{"issue":"8","key":"e_1_3_2_3_2","first-page":"1846","article-title":"Exercise during pregnancy","volume":"57","author":"Wang TW","year":"1998","unstructured":"Wang TW, Apgar BS. 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