Hiking at Altitude While Pregnant
Saturday, March 17, 2007
Paul Auerbach, M.D.
If someone is pregnant and wishes to hike for a few days at high altitude, is this safe?
There is not a tremendous amount of information available about the effects of a brief sojourn to altitude during pregnancy. A significant decrease in the amount of oxygen available to the baby (fetus) would only be expected at extreme altitude or if the mother were to suffer from high altitude pulmonary edema (fluid in the lungs), a severe asthma attack, or something else that would serously affect her ability to breathe and transfer oxygen into her bloodstream. If a woman has a complicated preganancy in which her obstetrician has advised caution or restrictions beyond those associated with a normal pregnancy, she should probably not hike higher than an altitude of 12,000 feet. If for any reason a pregnant woman suffers from high blood pressure, she may be at increased risk for suffering preeclampsia (a very serious affliction in which accelerated high blood pressure is associated with premature labor), although this has not been proven definitely (this caution derives from the observation that pregnancy-induced high blood pressure is more common in women who live at high altitude than in "lowland" women).
A real risk is that of being remote from medical care, if your journey will take a pregnant woman into the wilderness where she cannot seek immediate attention should she need to do so. It would probably be wise for any pregnant woman to visit her obstetrician immediately prior to any extended or unusual travels in order to be certain that all is well with her pregnancy.
Tags: high altitude, hiking, medical, pregnancy, health, wilderness medicine, outdoor medicine, healthline
photo by Terry Johnson
1 Comments:
At Sun Nov 18, 08:03:00 PM 2007,
Anonymous said…
Might also be worth mentioning that during pregnancy you want to avoid anaerobic exercise, and that with a significant increase in altitude, you can tolerate much much less in terms of strenuous activity and must be cautious in not getting yourself exausted and stranded somewhere. Also with your increased respiratory rate and thinner, low-humidity air, you really have to work to not get dehyrated just from breathing, let alone sweat from exercise.
I went from near sea level to almost 2 miles elevation at 30 weeks, and even though I was expecting all of the above I was still impressed by how out of breath I could get snowshoeing up a very small hill. I took it very easy, was careful to stay fed and hydrated, and never went too far from shelter. I was glad for those precautions. I had a really great time and have some great memories and pictures!
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