The purpose of the present study was to examine pregnancy and delivery
among Finnish endurance athletes al the national top level. A questio
nnaire concerning first pregnancy was sent to 30 Finnish endurance ath
letes who had been at national top level in cross-country skiing, runn
ing, speed-skating or orienteering. Data on labour were collected retr
ospectively through a questionnaire and from the diaries in the hospit
al concerned. The next primipara in the diaries formed a member of the
control group. Twenty-three athletes (77%) had regular menstrual cycl
es, seven (23%) had irregularities, and four of them had received horm
onal treatment fur this. Seven athletes (23%) had experienced spontane
ous abortion during the first trimester in previous pregnancy. Sixteen
(53%) did not notice any change in their exercise performance, three
(10%) subjectively felt themselves to be in a better physical conditio
n, and seven (23%) felt themselves to be in a worse condition than bef
ore the pregnancy. Four did not respond on the question. After deliver
y, IS athletes continued to compete, the median interval being 8.2 mon
ths (range 2-24 months). Two of them (11%) achieved a better condition
than before the pregnancy, 11 (61%) reached the same level and five (
28%) did not achieve the same performance level. There were no signifi
cant differences in labour parameters between the athletes and control
s. Endurance training had no harmful side-effects on the pregnancies o
r deliveries of the athletes. The effect of pregnancy on exercise perf
ormance is individual.