Category: Sports Organisation Consultancy

  • Nutrition for Athletes in Pregnancy: (Beyond “Don’t Eat Sushi and Blue Cheese”)

    We have all heard the usual pregnancy nutrition advice:

    avoid alcohol, limit caffeine, steer clear of raw fish and blue cheese.

    But in reality, even these basics are often misunderstood by the general public.

     

    For athletes, the picture becomes far more complex.

    Standard advice like “you’re not eating for two” or

    “eat at maintenance until the third trimester, then add 300 calories”

    doesn’t translate well in a high-performance context.

    Most athletes do not know what their actual maintenance level is,

    especially once training volume, intensity, and energy demands are factored in.

    And for those at risk of Relative Energy Deficiency in Sport (RED-S),

    this lack of precision can become a serious concern — one I see time and again in practice.

     

    Pregnancy nutrition for athletes is not simply about eating enough.

    It is about adapting to a constantly shifting physiological state,

    while supporting performance, recovery, maternal health, and foetal development.

    I work closely with athletes to review their nutrition

    where appropriate — and make realistic, evidence-based adjustments.

    These plans consider everything from nausea, cravings, and food aversions to heartburn and changing energy needs.

    In some cases, especially with a history of disordered eating, tracking is not the right approach.

    That is where a clinically-informed, athlete-centred strategy becomes essential.

     

    By outsourcing the nutrition planning to someone who understands both obstetrics and high-performance sport,

    athletes can focus on thriving — without added mental strain or risk.

    And postnatal nutrition brings another layer.

    Metabolism changes again, and breastfeeding introduces entirely new requirements.

    (More on that in a future post.)

     

    If you are an athlete, coach, or member of a support team and want to understand how to optimise nutrition during pregnancy and after birth, I would love to hear from you. This is a conversation we need to be having more often.

  • The Hidden Toll of Postpartum Return in Elite Sport: What Athletes Are Really Saying

    Pregnancy and peak performance are no longer opposites.

    More elite athletes are choosing to have children and are coming back stronger

    winning medals, breaking records, and redefining what is possible.

     

    But behind those headlines, I keep hearing similar stories from athletes after birth:

    “It came down to luck.”

    “I had to figure it out on my own.”

    “It nearly broke me.”

    Some were lucky enough to have excellent support

    with performance teams that considered not just rehab and training,

    but also mental health, logistics, and recovery.

     

    Others had to carry the mental load alone,

    coordinating care, managing training, arranging childcare,

    and advocating for their own medical needs.

     

    Many have told me the strain was so great they considered early retirement just to start a family.

    Often, it was timing or chance

    such as the slower pace brought on by COVID or a generous coach

    that allowed them to return at all.

     

    But how many talented athletes are we losing

    simply because they do not have the right support system during and after pregnancy?

     

    There is a better way forward.

     

    Athletes deserve more than luck. They deserve a process.

     

    I work with athletes and organisations to bring clinical,

    performance-informed obstetric care into the heart of training.

     

    This way, pregnancy and postpartum become structured,

    supported phases — not periods of uncertainty or risk.

     

    Performance teams benefit from medically guided collaboration.

    Athletes receive tailored plans, clear timelines,

    and the reassurance that they are not alone in navigating this transition.

     

    No guesswork. No luck. Just a system that works.

     

    If you are an athlete,

    part of a high-performance team, or an organisation ready to build something better,

    let’s have that conversation.

  • Applying Guidelines in Pregnancy: The Missing Link in Women’s Sport

    It is encouraging to see more federations and governing bodies developing and adopting women’s health guidelines.

     

    It is a much-needed step forward in elite sport.

     

    The commitment to supporting female athletes is clear and genuinely commendable.

     

    But still, I keep hearing the same message from athletes:

    “I need support.”

    “I need help navigating pregnancy.”

    “I’m struggling with a women’s health issue that is affecting my performance.”

    What they are really saying is this:

     

    “I need practical, hands-on help that I can use right now.”

     

    As clinicians, we know that guidelines are only that — guidance.

     

    Even the most well-written document is only as effective as the team and tools in place to bring it to life.

     

    Without the right expertise, support, and systems on the ground, these guidelines risk sitting on shelves while athletes and their teams are left guessing how to apply them day to day.

     

    If your organisation is serious about putting women’s health guidelines into action

    in pregnancy,

    postpartum,

    or beyond

     

    I would love to explore how I can help close that gap between intention and implementation.

  • Why Fertility Isn’t Just a ‘Personal Matter’ in Elite Sport

    Athletes are curious, but understandably cautious.

     

    Many worry that asking about fertility could be seen as a sign they’re not fully committed to their sport.

     

    So what happens?

     

    They quietly put their fertility plans on hold until retirement.

     

    And that’s completely ok if it’s a conscious, informed decision.

     

    But what I hear far more often is that it feels like the only viable option.

     

    Then I meet athletes.

    Brilliant, disciplined, successful women who are now struggling with fertility.

     

    They tell me they wish they’d had better information or more open conversations earlier on.

     

    As a clinician, I believe deeply in informed consent and informed choices.

     

    We live in a time where women are told we can do anything, and we absolutely can.

    But we also need to recognise that biology still matters.

     

    One of the most powerful things a female athlete can do is take control of her fertility on her own terms.

     

    That’s why more athletes are now reaching out for:

    • Preconception counselling
    • A gynaecological health check
    • Fertility screening

     

    Not necessarily because they want to get pregnant now,

    but because they want clarity.

     

    They want confidence and a sense of control over their future.

     

    Fertility isn’t just a personal matter.

     

    It is a conversation about performance, planning, and long-term wellbeing.

     

    The sporting world needs to make space for it, because athletes already are.

     

    Some forward-thinking federations are beginning to invest in fertility education and support.

    It is long overdue.

     

    Here’s what progressive organisations can start doing:

    • Weave fertility education into existing athlete health programmes, rather than treating it as an afterthought
    • Equip staff, from coaches to physios to doctors, with the skills to discuss fertility with care and confidence
    • Offer screening and preconception counselling as an optional part of performance medicine
    • Foster a culture where athletes feel safe to ask questions early, not only when they’re facing a crisis

     

    Because the aim isn’t to push women towards a particular decision.

     

    It is to offer real options, and support them fully in whatever path they choose.

     

    If you’re an athlete, coach, or organisation ready to lead the way in this space, I’d love to talk.