The American College of Obstetricians and Gynecologists (ACOG) recommends not participating in downhill skiing during pregnancy1 due to the risk of falling, which can be harmful for you and your baby. Cross-country skiing may be a safe alternative.
Even if you’re an experienced downhill skier, you still have to worry about other skiers running into you while on the slopes. Falling, especially directly on the abdomen, could lead to preterm labor, placental abruption, hemorrhage, or premature rupture of membranes.2 Accidents while skiing could also lead to ankle and knee sprains, muscle strains, fractures, dislocations, or concussions. If you’re an experienced skier and would like to continue skiing, it would be worth a discussion with your healthcare provider to determine if it’s appropriate for you.
Cross-country skiing or snowshoeing are usually good alternatives for downhill skiing during pregnancy, just keep in mind that pregnant people are more at risk of falls3 due to the physical, hormonal, and physiological changes that occur during pregnancy.
ACOG does recommend avoiding activities above 6,000 feet elevation (unless you already live at high altitude), so you would want to talk with your healthcare provider prior to participating in any activity if traveling.