Pregnant person sea swimming
Cold water swimming has increased in popularity in recent years, with risks and benefits increasingly well documented. Now a first-of-its-kind study has focused specifically on the safety of the pastime during pregnancy – and is taking steps to fill the gap in evidence.
Led by the University of Plymouth, the research aimed to answer questions related to the impact of water temperature on the mother and fetal development, as well as whether water quality could impact the baby.
Comprising a group of cold water and exercise physiologists, and specialists in fertility, obstetrics, neonatology, midwifery, water epidemiology and public health, the research team set about finding evidence from existing studies to answer questions that women had asked.
They found just six published studies worldwide relating to pregnant people and cold water swimming and of that number, no study had taken place in a large enough group to offer significant insight, with the studies highlighting large gaps in knowledge.

Expert recommendations

The new research, published in the journal Lifestyle Medicine, contains a list of expert-led recommendations for pregnant people, based on the expertise of the authors involved.
This includes advice to only swim in cold water during pregnancy if a person is a regular cold water swimmer before pregnancy; do not swim alone; and avoid cold water swimming altogether if blood pressure is raised or very low. The authors highlight that these are informed, consensus-led expert opinions in the absence of specific studies, and underline the need for further research.

“I felt guilty and irresponsible”

Carmel Lawless, who lives in Plymouth, enjoyed cold water swimming, and planned to continue the pastime when she became pregnant in 2022. However, the lack of research meant she felt guilt every time she went – so she welcomes the new study and future plans.
Carmel Lawless at Tinside
Carmel Lawless on beach

There are so many physical and mental health benefits to sea swimming that I didn’t want to stop but I felt guilty and irresponsible every time I entered the water.

It was reassuring yet frustrating that I – along with others seeking to swim outdoors during pregnancy – were all being told to abstain not necessarily because it was too dangerous but because there wasn’t enough evidence of what the risks might be.
More research would enable us to have open conversations with healthcare professionals, make informed decisions and minimise the risk to ourselves and our children. 
Carmel Lawless
The experiences of Carmel and other pregnant people who enjoy outdoor swimming was part of Immersion Maternal, an exhibition at The Box in Plymouth. The exhibition delves into why people choose to swim outdoors during pregnancy, with an academic study set to accompany it later this year.

What the researchers say

Getting pregnant can lead to a mum-to-be to stop or start certain pastimes to support her health and the baby’s development. However, there’s so little out there about cold water swimming in pregnancy that women are left in the dark when it comes to making a decision on whether to continue swimming or not.

Last year, I was part of a study specific to women’s experiences of cold water swimming ( read more about the study ). 
Now, with this new study in pregnant women as a launchpad, we have meetings planned to look at next steps, including prioritising studies working with pregnant women to ascertain their experiences, and directly measuring the impact of cold water swimming on the fetus too. 
We know the impact of water quality is also a concern, and we’re in touch with various agencies to look at this. 

Jill ShaweProfessor Jill Shawe
Professor of Maternal and Family Healthcare at the University of Plymouth, and the new study’s lead author

The research was co-authored by experts from: Bournemouth University; University College London; University of Portsmouth; Royal Sussex County Hospital; University Hospitals Sussex; Scottish Environment Protection Agency; Brighton and Sussex Medical School; the Bluetits Chill Swim Ltd, and Chelsea and Westminster NHS Foundation Trust.

As a free, inclusive activity, cold water swimming is a fantastic activity to take part in and anecdotally we have people share regularly with us about health improvements both physically and mentally.

Once people have experienced the benefits of cold water they generally don’t want to stop. Many people ask about the risks associated with cold water and pregnancy but are finding their GPs and healthcare providers just don’t know. Any research is welcome as it provides people with the information they need. 
Gail Bainbridge, from the Bluetits Chill Swim group 

Understanding the effects of cold water swimming on women throughout different stages of life is crucial.

This includes its impact during menstruation, while trying to conceive, pregnancy and through perimenopause and beyond. 
More research is needed to address the many questions women have about these experiences.
Professor Joyce Harper, from the Institute for Women’s Health at University College London 

‘Is it safe to swim in cold water when pregnant?’ is one of the most frequent questions I’m asked in my role.

As more and more women enjoy the benefits of outdoor swimming, it is understandable that they want to continue the activity should they become pregnant. During this time, the body is put under physiological stress so the feeling of wellbeing and weightlessness can be even more welcome. 
Although there are many anecdotal reports of the activity being both beneficial and safe, there is a dearth of clinical research. This study is therefore important and timely because, by amalgamating the perspectives of both researchers and participants, it will ensure further studies are relevant to all involved in outdoor swimming.
Mark Harper, from Royal Sussex County Hospital and Medical Advisor to the Outdoor Swimming Society 
The full study, entitled Cold Water Swimming and Pregnancy: A Scoping Review and Consensus Recommendations, is available to view in Lifestyle Medicine (DOI: 10.1002/lim2.70009).