With increased participation in sport by female athletes, there has been a concomitant rise in the number of female athletes aiming to return to activity (RTA) and/or return to sport (RTS) postpartum. However, almost one in two female participants stops exercising/playing sport due to pelvic floor symptoms.1 Additionally, a lack of female athlete-specific research and clinical practice guidelines make it difficult for both athletes and clinicians to navigate a safe and successful RTA/RTS.2 Furthermore, female athletes have specific biological, sociocultural and environmental considerations that could impact sport and health outcomes.3

A recent scoping review was undertaken to evaluate recommendations for RTA/RTS postpartum.4 We concluded that while some recommendations exist,5–7 evidence informed guidelines are needed …