Barriers and enablers encountered by elite athletes during preconception and pregnancy: a mixed-methods systematic review.

Objective: To synthesise the existing literature relating to barriers and enablers encountered by elite athletes during preconception and pregnancy for the purpose of identifying key recommendations and actionable steps to inform the development of pregnancy guidelines to support preconception and pregnancy in national sporting organisations.

Design: Mixed-methods systematic review with thematic analysis.

Data Sources: Four databases (Medline, SPORTDiscus, PsycINFO and CINAHL) were systematically searched to identify relevant studies, along with reference lists of included studies until 3 April 2023.