Abstract：
Pregnancy and childbirth involve substantial physical, physiological and psychological changes. As such, postpartum rugby players should be supported and appropriately prepared to return to the demands of rugby alongside the additional demands of motherhood. This review aims to discuss specific perinatal considerations that inform a rugby player\'s readiness to return-to-sport postpartum and present an approach to rehabilitation. Before engaging in full rugby training and matchplay, postpartum players should have progressed through the initial phases of rehabilitation and graded sports-specific training to prepare them for the loads they will be exposed to. Additional rehabilitation considerations include minimising deconditioning during pregnancy; medical concerns; the abdominal wall; the pelvic floor; perinatal breast changes, breastfeeding and risk of contact breast injury; body mass; nutritional requirements; hormonal considerations; athlete identity and psychological considerations; joining team training; return to contact and tackle training; evaluating player load tolerance and future research, policy and surveillance needs. A whole-systems, biopsychosocial approach following an evidence informed return-to-sport framework is recommended when rehabilitating postpartum rugby players. Health and exercise professionals are encouraged to use the perinatal-specific recommendations in this review to guide the development of postpartum rehabilitation protocols and resources.
摘要：
怀孕和分娩涉及大量的身体，生理和心理变化。因此，产后橄榄球运动员应该得到支持，并做好适当的准备，以恢复橄榄球的需求以及母亲的额外需求。这篇综述旨在讨论围产期的具体考虑因素，这些因素为橄榄球运动员产后重返运动做好准备，并提出一种康复方法。在进行全面的橄榄球训练和比赛之前，产后运动员应该已经通过康复和分级运动特定训练的初始阶段取得进展，以使他们为将要承受的负荷做好准备。其他康复考虑因素包括最大限度地减少怀孕期间的营养;医疗问题;腹壁;盆底;围产期乳房变化，母乳喂养和接触乳房损伤的风险;体重;营养需求;激素考虑;运动员身份和心理考虑;加入团队训练;返回接触和解决训练;评估球员负荷耐受性和未来的研究，政策和监督需求。一个完整的系统，在恢复产后橄榄球运动员时，建议采用有证据的重返运动框架后的生物心理社会方法。鼓励健康和运动专业人员使用本综述中针对围产期的建议来指导产后康复方案和资源的开发。
