The first women's world championship tournament, albeit unofficial, was held in 1987 in Toronto, Ontario, Canada. This was followed by the first IIHF World Championship in 1990 in Ottawa. Women's ice hockey was added as a medal sport at the 1998 Winter Olympics in Nagano, Japan. The United States won the gold, Canada won the silver and Finland won the bronze medal. Canada won in 2002, 2006, 2010, and 2014, and also reached the gold medal game in 2018, where it lost in a shootout to the United States, their first loss in a competitive Olympic game since 2002.