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Equestrian sport in Ireland is an extremely popular sport undertaken by many and considered by most to be a relatively safe pursuit. The aim of this study was to identify the incidence and severity of pelvic injuries in female amateur horse riders, referred to the Irish National Pelvic & Acetabular Referral Centre. The study was particularly focused on women of childbearing age, given the potentially catastrophic adverse outcomes associated with these injury patterns and the profound impact these injuries can have on both lifestyle and future childbirth. We conducted a retrospective review of all patients referred to the National Centre for Pelvic and Acetabular Trauma over a 30-month period from January 2018 through July 2020. Information was garnered from the national referral database, patient specific chart analysis and a review of images from the National Integrated Medical Imaging System (NIMIS). We identified a cohort of 16 females of childbearing age who sustained pelvic injuries while horse riding during this period. Four of these patients warranted surgical intervention, and with a minimum 6-month follow-up period, all were progressing satisfactorily. A review of the literature outlined the potential for profound adverse outcomes in young females suffering pelvic fractures, particularly in relation to genitourinary and pregnancy related complications. Caution should be exerted by all women of childbearing age engaging in recreational equine pursuits, and we would emphasise the importance of safety messaging and increased protective equipment for these athletes.