Medical Recommendations for Women Going to Altitude

Jean, Dominique; Leal, Conxita; Kriemler, Susi; Meijer, H.; Moore, Lorna G.

doi:10.1089/ham.2005.6.22

Cited by 40 publications

(24 citation statements)

References 33 publications

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“…For details about several other pre-existing conditions and individual risks (diseases, pregnancy, children, etc.) at altitude, see also Jean et al (2005Jean et al ( , 2008, Meijer and Jean (2008), Milledge and Küpper (2008), and Angelini and Giardini (2009).…”

Section: Work In Hypoxiamentioning

confidence: 90%

“…The main problem for this group may be the acute change of pressure, especially if a person is suffering from the common cold. Normally, everybody-including pregnant women (Jean et al, 2005 and children )-will feel well at these altitudes. Exceptions are people with severe pre-existing diseases (see specific paragraph below and Table 3).…”

Section: Extreme Short Exposurementioning

confidence: 99%

See 1 more Smart Citation

Work in Hypoxic Conditions-Consensus Statement of the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom)

Küpper

Milledge

Hillebrandt³

et al. 2011

The Annals of Occupational Hygiene

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Objectives: The Commission gives recommendations on how to provide health and safety for employees in different kinds of low oxygen atmospheres. So far, no recommendations exist that take into account the several factors we have outlined in this report.Methods: The health and safety recommendations of several countries were analysed for their strength and deficiencies. The scientific literature was checked (Medline, etc.) and evaluated for relevance of the topic. Typical situations of work in hypoxia were defined and their specific risks described. Specific recommendations are provided for any of these situations.Results: We defined four main groups with some subgroups (main risk in brackets): short exposure (pressure change), limited exposure (acute altitude disease), expatriates (chronic altitude disease), and high-altitude populations (re-entry pulmonary oedema). For healthy unacclimatized persons, an acute but limited exposure down to 13% O 2 does not cause a health risk. Employees should be advised to leave hypoxic areas for any break, if possible. Detailed advice is given for any other situation and pre-existing diseases.Conclusions: If the specific risk of the respective type of hypoxia is taken into account, a pragmatic approach to provide health and safety for employees is possible. In contrast to other occupational exposures, a repeated exposure as often as possible is of benefit as it causes partial acclimatization. The consensus statement was approved by written consent in lieu of a meeting in July 2009.

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Section: Work In Hypoxiamentioning

confidence: 90%

Section: Extreme Short Exposurementioning

confidence: 99%

Work in Hypoxic Conditions-Consensus Statement of the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom)

Küpper

Milledge

Hillebrandt³

et al. 2011

The Annals of Occupational Hygiene

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“…81 The effectiveness of contraception is not affected by high altitude. 66 However, irregular travel and sleep schedules may contribute to poor adherence with oral contraceptive regimens. Women might consider nonhormonal birth control or the NuvaRing if convenience of dosing and compliance are concerns.…”

Section: Menses and Contraceptionmentioning

confidence: 99%

Wilderness Preparticipation Evaluation and Considerations for Special Populations

Joy

Baak

Dec

et al. 2015

Clinical Journal of Sport Medicine

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Children, older adults, disabled and special needs athletes, and female athletes who participate in outdoor and wilderness sports and activities each face unique risks. For children and adolescents traveling to high altitude, the preparticipation physical evaluation should focus on risk assessment, prevention strategies, early recognition of altitude-related symptoms, management plans, and appropriate follow-up. As the risk and prevalence of chronic disease increases with age, both older patients and providers need to be aware of disease and medication-specific risks relative to wilderness sport and activity participation. Disabled and special needs athletes benefit from careful pre-event planning for the potential medical issues and equipment modifications that may affect their health in wilderness environments. Issues that demand special consideration for female adventurers include pregnancy, contraceptive use, menses, and ferritin levels at altitude. A careful preparticipation evaluation that factors in unique, population-specific risks will help special populations stay healthy and safe on wilderness adventures. The PubMed and SportDiscus databases were searched in 2014 using both MeSH terms and text words and include peer-reviewed English language articles from 1977 to 2014. Additional information was accessed from Web-based sources to produce this narrative review on preparticipation evaluation for special populations undertaking wilderness adventures. Key words include children, adolescent, pediatric, seniors, elderly, disabled, special needs, female, athlete, preparticipiation examination, wilderness medicine, and sports.

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“…There are data that some airlines operate even higher cabin altitude than the limit of 2,400 m given by ICAO, especially when using modern aircraft [16]. Nevertheless, normally everybody -including pregnant women [31,32] and children [33] -will feel well at these altitudes.…”

Section: Types Of Occupational Exposure To Hypoxic Conditionsmentioning

confidence: 99%

Occupational Aspects of Work in Hypoxic Conditions - The New Recommendation of the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom)

Küpper¹,

Milledge²,

Hillebrandt³

et al. 2010

Medicina Sportiva

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More and more persons are exposed to hypoxia while working at altitude, e.g. when working for cable cars or ski areas in the Alps, for business in South America or Asia, as airline crews, or in rooms with reduced oxygen pressure for hypoxia training or fire protection. Unfortunately, the different countries have a multitude of regulations for occupational health and safety concerning hypoxia -most of them with major deficiencies and a significant lack of knowledge about hypoxia and possible specific risks. So far, no national regulation differentiates the different types of hypoxia and the environment, both having significant influence on the specific risk profile of employees and consequences for occupational health and safety.As the world's umbrella body for preventive medicine at altitude / hypoxia, the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom) recently established a recommendation to enable the national bodies to establish knowledge-based pragmatic procedures for occupational health and safety [1]. The most important message is as follows: Any environment with oxygen concentration of 14.0% or more or an altitude of 3,000 m or less is safe for any non-acclimatized person without severe cardiopulmonary disease (10 g/dl) and an exposure limited to a few hours (one work shift). These environments include most alpine cable cars, ski areas, aircrafts flying on long-range distances, most towns or villages where businessmen might go to, and rooms for fire protection. For longer exposure (sleep at high altitude) or higher environments the persons should be acclimatized or exposed for a short time only. Details how to manage health and safety in such environments are given.

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Medical Recommendations for Women Going to Altitude

Cited by 40 publications

References 33 publications

Work in Hypoxic Conditions-Consensus Statement of the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom)

Work in Hypoxic Conditions-Consensus Statement of the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom)

Wilderness Preparticipation Evaluation and Considerations for Special Populations

Occupational Aspects of Work in Hypoxic Conditions - The New Recommendation of the Medical Commission of the Union Internationale des Associations d'Alpinisme (UIAA MedCom)

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