can you travel with 5 month baby

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• Infant and toddler health

Is air travel safe for an infant?

Air travel is typically safe for most healthy, full-term infants after the first few weeks. Air travel may not be a good idea for babies born before their due date, called premature or pre-term.

Babies born early may still need time for their lungs to mature. So check with a healthcare professional before flying in a pressurized cabin or visiting high-altitude places.

And any infant with heart or lung problems should be cleared for air travel by a healthcare professional.

As you plan your trip, here are some things to keep in mind, such as the baby's age, your health and some basics of flying.

The baby's age, overall health

Experts caution against flying in the first seven days after a baby is born. Some healthcare professionals suggest not traveling for the first few months.

In general, babies and adults face the same risk of exposure to illness from travel. But a baby's immune system is still learning how to protect against germs. And in most cases, a baby's illness needs to be more closely watched by a healthcare professional.

Caregiver health and planning

It is important for caregivers to think about their own health too. Flying with a child can cause added sleep loss and stress. And adults are at risk for new germs and illness, as well.

Finding out what illnesses are spreading in your area and where you're going can help you prepare and take thoughtful action. And basic things like handwashing are even more important to prevent the spread of germs while traveling.

The baby's ears

Offering a baby something to suck on may help relieve the baby's ear discomfort. You can offer the baby a breast, bottle or pacifier to suck on during takeoff and the start of the landing process. It might help to try to time feedings so that your baby is hungry during these times.

Ask a healthcare professional when it's safe to fly with babies who have had ear surgery or an ear infection.

Also, airplane cabin noise levels are loud, mainly during takeoff. Cotton balls, noise-canceling headphones or small earplugs may limit your baby's exposure to this noise. This may help make it easier for your baby to sleep.

The baby's safety seat

Most infant car seats are certified for air travel. Airlines often allow infants to ride on a caregiver's lap during flight. But the Federal Aviation Administration recommends that infants ride in properly secured safety seats.

If you choose not to purchase a ticket for your infant, ask about open seats when you board the plane. It's possible an open seat could be assigned to your infant.

Don't be tempted to give your baby medicine, such as diphenhydramine (Benadryl, others), to help the baby sleep during the flight. The practice isn't recommended, and sometimes the medicine can have the opposite effect.

Jay L. Hoecker, M.D.

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• Jana LA, et al. Flying the family-friendly skies. In: Heading Home With Your Newborn: From Birth to Reality. 4th ed. American Academy of Pediatrics; 2020. https://www.aap.org/en/shopaap. Accessed Oct. 30, 2023.
• Newborn-flying and mountain travel. Pediatric Patient Education. https://publications.aap.org/patiented. Accessed Oct. 30, 2023.
• Centers for Disease Control and Prevention. Traveling safely with infants & children. In: CDC Yellow Book 2024. https://wwwnc.cdc.gov/travel/yellowbook/2024/family/infants-and-children. Accessed Oct. 30, 2023.
• AskMayoExpert. Infant Fever. Accessed Nov. 18, 2023.
• Schmitt BD. Pediatric Telephone Protocols: Office Version. 17th ed. American Academy of Pediatrics; 2021.
• Child safety on airplanes. Federal Aviation Administration. https://www.faa.gov/travelers/fly_children/. Accessed Nov. 18, 2023.

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• Section 7 - Travel & Breastfeeding
• Section 7 - Vaccine Recommendations for Infants & Children

Traveling Safely with Infants & Children

Cdc yellow book 2024.

Author(s): Michelle Weinberg, Nicholas Weinberg, Susan Maloney

Children increasingly are traveling and living outside their home countries. Although data about the incidence of pediatric illnesses associated with international travel are limited, the risks that children face when traveling are likely similar to those faced by their adult travel companions.

Compared with adults, however, children are less likely to receive pretravel advice. In a review of children with posttravel illnesses seen at clinics in the GeoSentinel Global Surveillance Network, 51% of all children and 32% of children visiting friends and relatives (VFRs) had received pretravel medical advice, compared with 59% of adults. The most commonly reported health problems among child travelers are dermatologic conditions, including animal and arthropod bites, cutaneous larva migrans, and sunburn; diarrheal illnesses; respiratory disorders; and systemic febrile illnesses, especially malaria.

Motor vehicle and water-related injuries, including drowning, are other major health and safety concerns for child travelers. See Box 7-03 for recommendations on assessing and preparing children for planned international travel.

Box 7-03 Assessing & preparing children for international travel: a checklist for health care providers

☐ Review travel-related and routine childhood vaccinations. The pretravel visit is an opportunity to ensure that children are up to date on their routine vaccinations.

☐ Assess all anticipated travel-related activities.

☐ Provide preventive counseling and interventions tailored to specific risks, including special travel preparations and any treatment required for infants and children with underlying health conditions, chronic diseases, or immunocompromising conditions.

☐ For children who require medications to manage chronic health conditions, caregivers should carry a supply sufficient for the trip duration.

☐ For adolescents traveling in a student group or program (see also Sec. 9, Ch. 8, Study Abroad & Other International Student Travel ), consider providing counseling on the following:

• Disease prevention
• Drug and alcohol use
• Empiric treatment and management of common travel-related illnesses
• Risks of sexually transmitted infections and sexual assault

☐ Give special consideration to travelers visiting friends and relatives in low- and middle-income countries and assess risks for malaria, intestinal parasites, and tuberculosis.

☐ Consider advising adults traveling with children and older children to take a course in basic first aid before travel.

☐ For coronavirus disease 2019 (COVID-19) safety measures for children—including mask use, testing, and vaccination—see Sec. 5, Part 2, Ch. 3, COVID-19 .

Travel-Associated Infections & Diseases

Arboviral infections.

Pediatric VFR travelers with frequent or prolonged travel to areas where arboviruses (e.g., chikungunya, dengue, Japanese encephalitis, yellow fever, and Zika viruses) are endemic or epidemic could be at increased risk for infection. Children traveling to areas with arboviruses should use the same mosquito protection measures described elsewhere in this chapter (also see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods ). Unlike mosquitoes that transmit malaria, the Aedes mosquitoes that transmit chikungunya, dengue, yellow fever, and Zika are aggressive daytime biters; they also bite at night, especially in areas with artificial light. Consider dengue or other arboviral infections in children with fever if they recently returned from travel in endemic areas. Vaccination against dengue, tick-borne encephalitis, and yellow fever could be indicated for some children (see Sec. 7, Ch. 4, Vaccine Recommendations for Infants & Children , for details).

Diarrhea & Vomiting

Diarrhea and associated gastrointestinal illnesses are among the most common travel-related problems affecting children. Infants and children with diarrhea can become dehydrated more quickly than adults. The etiology of travelers’ diarrhea (TD) in children is similar to that in adults (see Sec. 2, Ch. 6, Travelers’ Diarrhea ).

Adults traveling with children should ensure the children follow safe food and water precautions and frequently wash their hands to prevent foodborne and waterborne illness. For infants, breastfeeding is the best way to reduce the risk for foodborne and waterborne illness (see Sec. 7, Ch. 2, Travel & Breastfeeding ). Infant formulas available abroad might not have the same nutritional composition or be held to the same manufacturing safety standards as in the traveler’s home country; parents feeding their child formula should consider whether they need to bring formula from home. If the infant is fed with formula, travelers should consider using liquid formula, which is sterile. Use of powdered infant formula has been associated with Cronobacter infection; infants <3 months old, infants born prematurely, and infants with weakened immune systems are at greatest risk. Parents should take extra precautions for preparing powdered infant formula .

Travelers should disinfect water served to young children, including water used to prepare infant formula (see Sec. 2, Ch. 8, Food & Water Precautions , and Sec. 2, Ch. 9, Water Disinfection , for details on safety practices). In some parts of the world, bottled water could be contaminated and should be disinfected to kill bacteria, viruses, and protozoa before consumption.

Similarly, travelers with children should diligently follow food precautions and ensure foods served to children are cooked thoroughly and eaten while still hot; caregivers should peel fruits typically eaten raw immediately before consumption. Additionally, adults should use caution with fresh dairy products, which might not be pasteurized or might be diluted with untreated water. For short trips, parents might want to bring a supply of safe snacks from home for times when children are hungry and available food might not be appealing or safe (see Sec. 2, Ch. 8, Food & Water Precautions , for more information).

Adult travelers with children should pay scrupulous attention that potable water is used for handwashing and cleaning bottles, pacifiers, teething rings, and toys that fall to the floor or are handled by others. After diaper changes, especially for infants with diarrhea, parents should be particularly careful to wash hands well to avoid spreading infection to themselves and other family members. When proper handwashing facilities are not available, hand sanitizer containing ≥60% alcohol can be used as a disinfecting agent. Because alcohol-based hand sanitizers are not effective against certain pathogens, however, adults and children should wash hands with soap and water as soon as possible. In addition, alcohol does not remove organic material, and people should wash visibly soiled hands with soap and water.

Chemoprophylaxis with antibiotics is not generally used in children; typhoid vaccine might be indicated, however (see Sec. 5, Part 1, Ch. 24, Typhoid & Paratyphoid Fever ).

Antibiotics

Azithromycin.

Few data are available regarding empiric treatment of TD in children. Antimicrobial options for empiric treatment of TD in children are limited. In practice, when an antibiotic is indicated for moderate to severe diarrhea, some clinicians prescribe azithromycin as a single daily dose (10 mg/kg) for 3 days. Clinicians can prescribe unreconstituted azithromycin powder before travel, with instructions from the pharmacist for mixing it into an oral suspension prior to administration. Although resistance breakpoints have not yet been determined, elevated minimum inhibitory concentrations for azithromycin have been reported for some gastrointestinal pathogens. Therefore, counsel parents to seek medical attention for their children if they do not improve after empiric treatment. Before prescribing azithromycin for empiric TD treatment, review possible contraindications and the risks for adverse reactions (e.g., QT prolongation and cardiac arrhythmias).

Fluoroquinolones

Although fluoroquinolones frequently are used for empiric TD treatment in adults, these medications are not approved by the US Food and Drug Administration (FDA) for this purpose in children aged <18 years because of cartilage damage seen in animal studies. The American Academy of Pediatrics (AAP) suggests that fluoroquinolones be considered for treatment of children with severe infections caused by multidrug-resistant strains of Campylobacter jejuni , Salmonella species, Shigella species, or Vibrio cholerae .

Fluoroquinolone resistance in gastrointestinal organisms has been reported from some countries, particularly in Asia. In addition, use of fluoroquinolones has been associated with tendinopathies, development of Clostridioides difficile infection, and central nervous system side effects including confusion and hallucinations. Routine use of fluoroquinolones for prophylaxis or empiric treatment for TD among children is not recommended.

Rifaximin is approved for use in children aged ≥12 years but has limited use for empiric treatment since it is only approved to treat noninvasive strains of Escherichia coli . Children with bloody diarrhea should receive medical attention, because antibiotic treatment of enterohemorrhagic E. coli , a cause of bloody diarrhea, has been associated with increased risk for hemolytic uremic syndrome (see Sec. 5, Part 1, Ch. 7, Diarrheagenic Escherichia coli ).

Antiemetics & Antimotility Drugs

Antiemetics generally are not recommended for self- or family-administered treatment of children with vomiting and TD. Because of the association between salicylates and Reye syndrome, bismuth subsalicylate (BSS), the active ingredient in both Pepto-Bismol and Kaopectate, is not generally recommended to treat diarrhea in children <12 years old. In certain circumstances, however, some clinicians use it off-label, with caution. Care should be taken if administering BSS to children with viral infections (e.g., influenza, varicella), because of the risk for Reye syndrome. BSS is not recommended for children aged <3 years.

Use of antiemetics for children with acute gastroenteritis is controversial; some clinical practice guidelines include the use of antiemetics, others do not. A Cochrane Collaboration Review of the use of antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents showed some benefits with dimenhydrinate, metoclopramide, or ondansetron. Guidelines from the Infectious Diseases Society of America suggest that an antinausea and antiemetic medication (e.g., ondansetron) can facilitate tolerance of oral rehydration in children >4 years of age, and in adolescents with acute gastroenteritis.

A recent systematic review and network meta-analysis comparing several antiemetics in acute gastroenteritis in children showed that ondansetron was the best intervention to reduce vomiting and prevent hospitalization and the need for intravenous rehydration. Routine use of these medications as part of self-treatment for emesis associated with TD in children has not yet been studied, however, and is not generally recommended.

Antimotility drugs (e.g., the opioid receptor agonists loperamide and diphenoxylate), generally should not be given to children <18 years of age with acute diarrhea. Loperamide is particularly contraindicated for children aged <2 years because of the risks for respiratory depression and serious cardiac events. Diphenoxylate and atropine combination tablets should not be used for children aged <2 years, and should be used judiciously in older children because of potential side effects (see Sec. 2, Ch. 6, Travelers’ Diarrhea ).

Fluid & Nutrition Management

The biggest threat to an infant with diarrhea and vomiting is dehydration. Fever or increased ambient temperature increases fluid loss and accelerates dehydration. Advise adults traveling with children about the signs and symptoms of dehydration and the proper use of oral rehydration solution (ORS). Advise adults traveling with children to seek medical attention for an infant or young child with diarrhea who has signs of moderate to severe dehydration, bloody diarrhea, body temperature >101.3°F (38.5°C), or persistent vomiting (unable to maintain oral hydration). Adequate hydration is the mainstay of TD management.

Oral Rehydration Solution: Use & Availability

Counsel parents that dehydration is best prevented and treated by ORS in addition to the infant’s usual food. While seeking medical attention, caregivers should provide ORS to infants by bottle, cup, oral syringe (often available in pharmacies), or spoon. Low-osmolarity ORS is the most effective agent in preventing dehydration, although other formulations are available and can be used if they are more palatable to young children. Homemade sugar-salt solutions are not recommended.

Sports drinks are designed to replace water and electrolytes lost through sweat, and do not contain the same proportions of electrolytes as the solution recommended by the World Health Organization for rehydration during diarrheal illness. Drinks with a high sugar content (e.g., juice, soft drinks) can worsen diarrhea. If ORS is not readily available, however, offer children whatever safe liquid they will take until ORS is obtained. Breastfed infants should continue to breastfeed (for more details, see Sec. 7, Ch. 2, Travel & Breastfeeding ).

ORS can be made from prepackaged glucose and electrolytes packets available at stores or pharmacies in almost all countries. Some pharmacies and stores that specialize in outdoor recreation and camping supplies also sell ORS packets.

ORS is prepared by adding 1 packet to boiled or treated water (see Sec. 2, Ch. 9, Water Disinfection ). Advise travelers to check packet instructions carefully to ensure that the contents are added to the correct volume of water. Once prepared, ORS should be consumed or discarded within 12 hours if held at room temperature, or within 24 hours if kept refrigerated. A dehydrated child will usually drink ORS avidly and should continue to receive ORS if dehydration persists.

As dehydration lessens, the child might refuse the salty-tasting ORS, and adults can offer other safe liquids. An infant or child who has been vomiting will usually keep ORS down if it is offered by spoon or oral syringe in small sips; adults should offer these small sips frequently, however, so the child can receive an adequate volume of ORS. Older children will often drink well by sipping through a straw. Severely dehydrated children often will be unable to drink adequately. Severe dehydration is a medical emergency that usually requires administration of fluids by intravenous or intraosseous routes.

In general, children weighing <22 lb (10 kg) who have mild to moderate dehydration should be administered 2–4 oz (60–120 mL) of ORS for each diarrheal stool or vomiting episode. Children who weigh ≥22 lb (10 kg) should receive 4–8 oz (120–240 mL) of ORS for each diarrheal stool or vomiting episode. AAP provides detailed guidance on rehydration for vomiting and diarrhea.

Diet Modification

Breastfed infants should continue nursing on demand. Formula-fed infants should continue their usual formula during rehydration and should receive a volume sufficient to satisfy energy and nutrient requirements. Lactose-free or lactose-reduced formulas usually are unnecessary. Diluting formula can slow resolution of diarrhea and is not recommended.

Older infants and children receiving semisolid or solid foods should continue to receive their usual diet during the illness. Recommended foods include cereals, fruits and vegetables, starches, and pasteurized yogurt. Travelers should avoid giving children food high in simple sugars (e.g., undiluted apple juice, presweetened cereals, gelatins, soft drinks) because these can exacerbate diarrhea by osmotic effects. In addition, foods high in fat tend to delay gastric emptying, and thus might not be well tolerated by ill children.

Travelers should not withhold food for ≥24 hours. Early feeding can decrease changes in intestinal permeability caused by infection, reduce illness duration, and improve nutritional outcome. Although highly specific diets (e.g., the BRAT [bananas, rice, applesauce, toast] diet) or juice-based and clear fluid diets commonly are recommended, such severely restrictive diets have no scientific basis and should be avoided.

Malaria is among the most serious and life-threatening infections acquired by pediatric international travelers. Pediatric VFR travelers are at particularly high risk for malaria infection if they do not receive prophylaxis. Among people reported with malaria in the United States in 2017, 17% were children <18 years old; 89% had traveled to Africa. Seventy percent of the children who were US residents also were VFR travelers, and 61% did not take malaria chemoprophylaxis.

Children with malaria can rapidly develop high levels of parasitemia and are at increased risk for severe complications of malaria, including seizures, coma, and death. Initial symptoms can mimic many other common causes of pediatric febrile illness, which could delay diagnosis and treatment. Among 33 children with imported malaria diagnosed at 11 medical centers in New York City, 11 (32%) had severe malaria and 14 (43%) were initially misdiagnosed. Counsel adults traveling with children to malaria-endemic areas to use preventive measures, be aware of the signs and symptoms of malaria, and seek prompt medical attention if symptoms develop.

Antimalarial Drugs

Pediatric doses for malaria prophylaxis are provided in Table 5-27 . Calculate dosing based on body weight. Medications used for infants and young children are the same as those recommended for adults, except atovaquone-proguanil, which should not be used for prophylaxis in children weighing <5 kg because of lack of data on safety and efficacy. Doxycycline should not be recommended for malaria prophylaxis for children aged <8 years. Although doxycycline has not been associated with dental staining when given as a routine treatment for some infections, other tetracyclines might cause teeth staining.

Atovaquone-proguanil, chloroquine, and mefloquine have a bitter taste. Mixing pulverized tablets in a small amount of food or drink can facilitate the administration of antimalarial drugs to infants and children. Clinicians also can ask compounding pharmacists to pulverize tablets and prepare gelatin capsules with calculated pediatric doses. A compounding pharmacy can alter the flavoring of malaria medication tablets so that children are more willing to take them. The Find a Compounder section on the Alliance for Pharmacy Compounding website (281-933-8400) can help with finding a compounding pharmacy. Because overdose of antimalarial drugs, particularly chloroquine, can be fatal, store medication in childproof containers and keep out of the reach of infants and children.

Personal Protective Measures & Repellent Use

Children should sleep in rooms with air conditioning or screened windows, or sleep under mosquito nets when air conditioning or screens are not available. Mosquito netting should be used over infant carriers. Children can reduce skin exposed to mosquitoes by wearing long pants and long sleeves while outdoors. Clothing and mosquito nets can be treated with an insect repellent/insecticide (e.g., permethrin) that repels and kills ticks, mosquitoes, and other arthropods. Permethrin remains effective through multiple washings. Clothing and mosquito nets should be retreated according to the product label. Permethrin should not be applied to the skin.

Although permethrin provides a longer duration of protection, recommended repellents that can be applied to skin also can be used on clothing and mosquito nets (see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods , for more details about these protective measures). The Centers for Disease Control and Prevention (CDC) recommends using US Environmental Protection Agency (EPA)–registered repellents containing one of the following active ingredients: DEET ( N,N -diethyl- m -toluamide); picaridin; oil of lemon eucalyptus (OLE); PMD (para-menthane-3,8-diol); IR3535; or 2-undecanone (methyl nonyl ketone). Repellent products must state any age restriction; if no age restriction is provided, EPA has not required a restriction on the use of the product. Most EPA-registered repellents can be used on children aged >2 months, except products containing OLE or PMD that specify they should not be used on children aged <3 years. Insect repellents containing DEET, picaridin, IR3535, or 2-undecanone can be used on children without age restriction.

Many repellents contain DEET as the active ingredient. DEET concentration varies considerably between products. The duration of protection varies with DEET concentration; higher concentrations protect longer; products with DEET concentration >50% do not, however, offer a marked increase in protection time.

The EPA has approved DEET for use on children without an age restriction. If used appropriately, DEET does not represent a health problem. The AAP states that the use of products with the lowest effective DEET concentrations (i.e., 20%–30%) seems most prudent for infants and young children, on whom it should be applied sparingly. For more tips on protecting babies and children from mosquito bites , see  Box 7-04 .

Combination products containing repellents and sunscreen are generally not recommended because instructions for use are different, and sunscreen might need to be reapplied more often and in larger amounts than repellent. In general, apply sunscreen first, and then apply repellent. Mosquito coils should be used with caution in the presence of children to avoid burns and inadvertent ingestion. For detailed information about repellent use and other protective measures, see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods .

Box 7-04 Protecting infants & children from mosquito bites: recommendations for travelers

Dress children in clothing that covers arms and legs.

Cover strollers and baby carriers with mosquito netting.

Properly use insect repellent

• Always follow all label instructions.
• In general, do not use products containing oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD) on children <3 years old.
• Do not apply insect repellent to a child’s hands, eyes, mouth, cuts, or irritated skin.
• Adults should spray insect repellent onto their hands and then apply to a child’s face.

Depending on travel destination and activities, animal exposures and bites might be a health risk for pediatric travelers. Worldwide, rabies is more common in children than adults. In addition to the potential for increased contact with animals, children also are more likely to be bitten on the head or neck, leading to more severe injuries. Counsel children and their families to avoid all stray or unfamiliar animals and to inform adults of any animal contact or bites. Bats throughout the world have the potential to transmit rabies virus.

Travelers should clean all bite and scratch wounds as soon as possible after the event occurs by using soap and water, or povidine iodine if available, for ≥20 minutes to prevent infections, (e.g., rabies). Wounds contaminated with necrotic tissue, dirt, or other foreign materials should be cleaned and debrided promptly by health care professionals, where possible. A course of antibiotics might be appropriate after animal bites or scratches, because these can lead to local or systemic infections. For mammal bites and scratches, children should be evaluated promptly to assess their need for rabies postexposure prophylaxis (see Sec. 4, Ch. 7, Zoonotic Exposures: Bites, Stings, Scratches & Other Hazards ; and Sec. 5, Part 2, Ch. 18, Rabies ).

Because rabies vaccine and rabies immune globulin might not be available in certain destinations, encourage families traveling to areas with high risk for rabies exposure to seriously consider preexposure rabies vaccination and to purchase medical evacuation insurance, depending on their destination and planned travel activities (see Sec. 7, Ch. 4, Vaccine Recommendations for Infants & Children , and Sec. 6, Ch. 1, Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance ).

Soil & Water Contact: Infections & Infestations

Children are more likely than adults to have contact with soil or sand, and therefore could be exposed to diseases caused by infectious stages of parasites in soil, including ascariasis, hookworm, cutaneous or visceral larva migrans, strongyloidiasis, and trichuriasis. Children and infants should wear protective footwear and play on a sheet or towel rather than directly on the ground. Clothing should not be dried on the ground. In countries with a tropical climate, clothing or diapers dried in the open air should be ironed before use to prevent infestation with fly larvae.

Schistosomiasis is a risk to children and adults in endemic areas. While in schistosomiasis- endemic areas (see Sec. 5, Part 3, Ch. 20, Schistosomiasis ), children should not bathe, swim, or wade in fresh, unchlorinated water (e.g., lakes, ponds).

Noninfectious Hazards & Risks

Although air travel is safe for most newborns, infants, and children, people traveling with children should consider a few issues before departure. Children with chronic heart or lung problems might be at risk for hypoxia during flight, and caregivers should consult a clinician before travel.

Ear pain can be troublesome for infants and children during descent. Pressure in the middle ear can be equalized by swallowing or chewing; thus, infants should nurse or suck on a bottle, and older children can try chewing gum. Antihistamines and decongestants have not been shown to be of benefit. No evidence suggests that air travel exacerbates the symptoms or complications associated with otitis media.

Travel to different time zones, jet lag, and schedule disruptions can disturb sleep patterns in infants and children, just as in adults (Sec. 8, Ch. 4, Jet Lag ).

Safety Restraints

Travelers also should ensure that children can be restrained safely during a flight. Severe turbulence or a crash can create enough momentum that an adult cannot hold onto a child. The safest place for a child on an airplane is in a government-approved child safety restraint system (CRS) or device. The Federal Aviation Administration (FAA) strongly urges travelers to secure children in a CRS for the duration of the flight. Car seats cannot be used in all seats or on all planes, and some airlines might have limited safety equipment available. Travelers should check with the airline about specific restrictions and approved child restraint options. FAA provides additional information .

Altitude Illness & Acute Mountain Sickness

Children are as susceptible to the deleterious effects of high elevation travel as adults (see Sec. 4, Ch. 5, High Elevation Travel & Altitude Illness ). Slow ascent is the preferable approach for avoiding acute mountain sickness (AMS). Young children unable to talk can show nonspecific symptoms (e.g., loss of appetite or irritability, unexplained fussiness, changes in sleep and activity patterns). Older children might complain of headache or shortness of breath. If children demonstrate unexplained symptoms after an ascent, descent could be necessary.

Acetazolamide is not approved for pediatric use in children aged <12 years for altitude illness but is generally safe for use in children for other indications. Some providers prescribe acetazolamide to prevent AMS in pediatric travelers <12 years of age when a slow ascent is not feasible. The dose is 2.5 mg/kg every 12 hours, up to a maximum of 125 mg per dose, twice a day. No liquid formulation is available, but tablets can be crushed or packaged by a compounding pharmacy for a correct dose.

Drinking Water Contaminants

Drinking water disinfection does not remove environmental contaminants (e.g., lead or other metals). Travelers might want to carry specific filters designed to remove environmental contaminants, particularly for travel where the risk for exposure is greater due to larger amounts of water consumed (e.g., long-term travel or when living abroad). Filters should meet National Science Foundation (NSF) and American National Standards Institute (ANSI) standards 53 or 58 .

Accommodations: Hotels & Other Lodgings

Conditions at hotels and other lodgings abroad might not be as safe as those in the United States; adults traveling with children should carefully inspect accommodations for paint chips, pest poisons, inadequate balcony or stairway railings, or exposed wiring.

Adult caregivers should plan to provide a safe sleeping environment for infants during international travel. Caregivers should follow general recommendations from the AAP task force on preventing sudden infant death syndrome (SIDS) and other sleep-related causes of infant death. Cribs in some locations might not meet US safety standards. Additional information about crib safety is available from the US Consumer Product Safety Commission .

Motor Vehicles

Vehicle-related injuries are the leading cause of death in children who travel. Whenever traveling in an automobile or other vehicle, children should be properly restrained in a car seat, booster seat, or with a seat belt, as appropriate for their age, height, and weight. See information about child passenger safety . Car seats often must be brought from home because well-maintained and approved seats might not be available (or limited in availability) in other countries.

In general, children ≤12 years of age are safest when properly buckled in the rear seat of the car while traveling; no one should ever travel in the bed of a pickup truck. Advise families that cars might lack front or rear seatbelts in many low- and middle-income countries. Traveling families should attempt to arrange transportation or rent vehicles with seatbelts and other safety features.

All family members should wear helmets when riding bicycles, motorcycles, or scooters. Pedestrians should take caution when crossing streets, particularly in countries where cars drive on the left, because children might not be used to looking in that direction before crossing.

Water-Related Injuries & Drowning

Drowning is the second leading cause of death in young travelers. Children might not be familiar with hazards in the ocean or in rivers. Swimming pools might not have protective fencing to keep toddlers and young children from accessing pool areas unattended. Adults should closely supervise children around water. An adult with swimming skills should be within an arm’s length when infants and toddlers are in or around pools and other bodies of water; even for older children and better swimmers, the supervising adult should focus on the child and not be engaged with any distracting activities.

Water safety devices (e.g., personal flotation devices [lifejackets]) might not be available abroad, and families should consider bringing these from home. In addition, adults should ensure children wear protective footwear to avoid injury in many marine environments.

Sun Exposure

Sun exposure, and particularly sunburn before age 15 years, is strongly associated with melanoma and other forms of skin cancer (see Sec. 4, Ch. 1, Sun Exposure ). Exposure to ultraviolet (UV) light is greatest near the equator, at high elevations, during midday (10 a.m.–4 p.m.), and where light is reflected off water or snow.

Physical, also known as inorganic, UV filters (sunscreens) generally are recommended for children aged >6 months. Less irritating to children’s sensitive skin than chemical sunscreens, physical UV filters (e.g., titanium oxide, zinc oxide) should be applied as directed and reapplied as needed after sweating and water exposure. Babies aged <6 months require extra protection from the sun because of their thinner and more sensitive skin; severe sunburn in young infants is considered a medical emergency.

Advise parents that babies should be kept in the shade and dressed in clothing that covers the entire body. A minimal amount of sunscreen can be applied to small, exposed areas, including the infant’s face and hands. For older children, sun-blocking shirts made for swimming preclude having to apply sunscreen over the entire trunk. Hats and sunglasses also reduce sun injury to skin and eyes.

If both sunscreen and a DEET-containing insect repellent are used, apply the sunscreen first and the insect repellent second (i.e., over the sunscreen). Because insect repellent can diminish the level of UV protection provided by the sunscreen by as much as one-third, children should also wear sun-protective clothing, reapply sunscreen, or decrease their time in the sun, accordingly.

Other Considerations

Identification.

In case family members become separated, each infant or child should carry identifying information and contact numbers in their clothing or pockets. Because of concerns about illegal transport of children across international borders, parents traveling alone with children should carry relevant custody papers or a notarized permission letter from the other parent.

As with adult travelers, verify insurance coverage for illnesses and injuries while abroad before departure. Travelers should consider purchasing special medical evacuation insurance for an airlift or air ambulance transport to facilities capable of providing adequate medical care (see Sec. 6, Ch. 1, Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance ).

Travel Stress

Changes in schedule, activities, and environment can be stressful for children. Travelers can help decrease these stresses by including children in planning for the trip and bringing along familiar toys or other objects. For children with chronic illnesses, make decisions regarding timing and itinerary in consultation with the child’s health care providers.

The following authors contributed to the previous version of this chapter: Michelle S. Weinberg, Nicholas Weinberg, Susan A. Maloney

Bibliography

Ashkenazi S, Schwartz E. Traveler’s diarrhea in children: new insights and existing gaps. Travel Med Infect Dis. 2020;34:101503.

Fedorowicz Z, Jagannath VA, Carter B. Antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents. Cochrane Database Syst Rev. 2011;2011(9):CD005506.

Goldman-Yassen AE, Mony VK, Arguin PM, Daily JP. Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. Pediatr Emerg Care. 2016;32(4):227–31.

Hagmann S, LaRocque R, Rao S, Jentes E, Sotir M, Brunette G, et al.; Global TravEpiNet Consortium. Pre-travel health preparation of pediatric international travelers: analysis from the Global TravEpiNet Consortium. J Pediatric Infect Dis Soc. 2013;2(4):327–34.

Hagmann S, Neugebauer R, Schwartz E, Perret C, Castelli F, Barnett ED, et al. Illness in children after international travel: analysis from the GeoSentinel Surveillance Network. Pediatrics. 2010;125(5):e1072–80.

Han P, Yanni E, Jentes E, Hamer D, Chen L, Wilson M, et al. Health challenges of young travelers visiting friends and relatives compared with those traveling for other purposes. Pediatr Infect Dis J. 2012;31(9):915–9.

Herbinger KH, Drerup L, Alberer M, Nothdurft HD, Sonnenburg F, Loscher T. Spectrum of imported infectious diseases among children and adolescents returning from the tropics and subtropics. J Travel Med. 2012;19(3):150–7.

Hunziker T, Berger C, Staubli G, Tschopp A, Weber R, Nadal D, et al. Profile of travel-associated illness in children, Zurich, Switzerland. J Travel Med. 2012;19(3):158–62.

Mace K, Lucchi N, Tan K. Malaria surveillance—United States, 2017. MMWR Surveill Summ. 2021;70(2):1–40.

Niño-Serna LF, Acosta-Reyes J, Veroniki AA, Florez ID. Antiemetics in children with acute gastroenteritis: a meta-analysis. Pediatrics. 2020;145(4):e20183696.

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Safety & Prevention

Flying with Baby: Parent FAQs

By: Claire McCarthy, MD, FAAP & Jennifer Shu, MD, FAAP

Taking a baby on a plane is something that most parents approach with caution. Infants and air travel can both be unpredictable, and they don't always mix well. But some advanced planning and preparation can help make for a better experience for your baby, for you, and for everyone else on the plane.

Here are answers to some questions you may have before traveling with an infant, along with tips for a smoother and safer flight.

When is my baby old enough to fly on an airplane?

Generally, you should avoid flying with your newborn until they are at least 7 days old. Ideally, wait until your baby is two or three months old to fly. Air travel (and being in crowded airports) can increase a newborn's risk of catching an infectious disease.

Should my baby sit on my lap during the flight?

Ideally, no. The Federal Aviation Administration (FAA) doesn't require a ticket for children under the age of 2 years. But that means your baby will be on your lap. If there is turbulence, or worse, it may not be physically possible to protect your baby in your arms. Turbulence is the number one cause of children's injuries on an airplane.

If you do not buy a ticket for your child, you may want to ask if your airline will let you use an empty seat where you can install a car seat for your baby. If your airline's "lap baby" policy allows this, avoid the busiest travel days and times to increase your odds of finding an empty seat next to you.

The safest way for baby to fly

The safest way for your baby to fly is in a child safety restraint ―an FAA-approved car seat or airplane harness device . It should be approved for your child's age and size, and installed with the airplane's seat belt. Booster seats cannot be used on airplanes during flight.

• Infants weighing less than 20 pounds should be bucked into a rear-facing car seat during airplane travel.
• Children who weigh 20 to 40 pounds should be restrained in a car seat. They should not be switched to using just the airplane's lap belt until they reach at least 40 pounds.

There is an FAA-approved alternative to using a car seat on an airplane called the Child Aviation Restraint System ( CARES ). This airplane safety harness is not meant for infants, however. It is designed for use by toddlers (22 to 44 pounds) and only on airplanes.

Should I bring our car seat on the plane with us? Does that count as luggage?

Car seats, booster seats, and strollers generally don't count as luggage, but policies vary by airline; check with yours before flying. In most cases they can be checked at the gate, where the risk of damage may be lower, at no cost. Consider packing the car seat in a protective bag or box. If your baby has their own airplane seat, bring your car seat with you.

Not all car seats are certified for use in airplanes.

Make sure a label on the car seat says: "This restraint is certified for use in motor vehicles and aircraft."

Which seat on the plane is best for a baby?

Look for rows on the plane with more space , like the bulkhead. Exit rows are out, for safety reasons.

Choose a seat closer to the window, if possible . Aisle seats can be risky for babies during beverage service. Hot drinks being passed to passengers can spill and cause burns , and their little arms and legs can be caught by passing carts. Aisle seats are also closer to falling overhead bin items. If you use a car seat, most airlines require that they be installed in a window seat.

Ensure that your baby's seat is next to you on the plane. Visit the U.S. Department of Transportation Airline Family Seating Dashboard for tips. It shows which airlines guarantee adjacent seats for children under age 13 traveling with an adult at no extra fee.

Is there a way my baby can lie down flat on long flights?

Buckling your baby into a car seat or safety restraint remains the safest option. However, there are other options available to help baby sleep comfortably, especially on long-haul flights.

Airline bassinets. Some airlines offer airline bassinets attached to the plane's bulkhead wall―the wall behind the galley, or toilets or another cabin. In some premium cabins, they can be built into the seat compartment to use in bulkhead rows. Most airline bassinets require the baby to be under 6 months old and/or 20 pounds, and not yet able to sit up unassisted. These bassinets are sometimes called "skycots" or baskets.

Sleeper seat . For an added fee, some international airlines let you book three seats in a row with locking seat extensions. This creates a "sky couch" or sleeper-seat big enough for both parent and child. Some airlines also offer "lie-flat" and "flat-bed" seats.

Inflatable seat extenders . Some airlines let you bring your own inflatable, individual seat extension for your baby to snooze on lying down. Not all airlines permit these to be used, though, so check ahead of time. Your child will need their own seat to use one.

Note: For all options above, your baby would still need to be buckled into a car seat or held on your lap during takeoff, turbulence and landing.

Safe sleep practices still apply on the airplane.

• If your baby sleeps on your lap during the flight: stay alert and check on your baby often. Make sure they can breathe easily, and their face is uncovered.
• If your baby sleeps on another device during the flight: check that it is firm and flat, with no soft bedding. (See, " How to Keep Your Sleeping Baby Safe .")

Will I be able to get liquid formula or expressed breast milk through security?

Yes, but you have to follow the reasonable quantities rules. This means you're exempt from the 3-1-1 rule limiting liquids to 3.4 ounces (100 mL).

Pack formula, expressed breastmilk, or water for mixing with powder separately and be ready to let the TSA know you have it. You may ask that they not go through the x-ray machine (although this shouldn't cause a health problem). Visit the TSA website for more information.

Any tips for keeping my baby comfortable and content on the plane?

Dress your baby in layers. The temperature in a plane can vary widely, especially if you are stuck waiting on a runway. So, dress your baby in layers of clothing. As you pick out clothing , choose outfits that make diaper changing in a small space easier. Also, pack a change of clothes or two, in case turbulence hits during a diaper change or when you are feeding. Bring plastic bags for soiled clothing.

Be ready for ear pain during take-off and landing. During takeoff and landing, changes in pressure between the outer ear and middle ear can cause discomfort. If your baby has had ear surgery or an ear infection in the past two weeks, ask their doctor if it's OK to fly. Having babies drink from the breast or a bottle, or suck on a pacifier, can help. If your child has a cold or ear infection, a dose of acetaminophen or ibuprofen may help; check with your doctor for the right amount to give your child.

Reduce jet engine noise exposure . Airplane cabin noise hovers around 100 decibels, and is even louder during takeoff. Using cotton balls, small earplugs, or noise-canceling headphones may help to decrease the decibel level your baby is exposed to, and also make it easier for them to sleep or relax.

Keep in mind that sleeping babies are easier for everyone. If possible, travel at a time when your baby naturally sleeps. Or, onsider trying to put off a nap until it's time to fly. Flight delays can cause this to backfire if your exhausted baby decides to scream instead of sleep. But it may be worth a try.

Do not use diphenhydramine, or Benadryl, to help your baby sleep without talking to your doctor.

This medication can have serious side effects , especially if repeated doses are given on long flights. If you get the go-ahead and appropriate dose from your doctor, try it at home first. Some children react to the medicine by getting more awake instead of sleepy.

Consider a diaper change right before boarding the plane. A dry baby is a happy baby. Fortunately, when you do need to change a diaper in-flight, many planes have restroom changing tables . If yours doesn't, ask a flight attendant if there is a spot where you can spread out your changing pad. Some parents resort to diaper-changing on the closed toilet seat. If you try this, be sure to have a hand on your baby at all times and pack a disposable changing pad. Plan for delays; pack plenty of supplies.

Bring distractions . Pack some toys and books and be ready to play with your baby the entire time. A tablet with videos can be a good backup if the toys and books aren't helping anymore (we don't encourage entertainment media for children under the age of 2 , but desperate times can sometimes call for desperate measures).

Don't let the glares get to you . Despite the best advanced planning and efforts, babies cry sometimes. Know that you did, and are doing, all you can. At that point, one of the best ways you can calm your baby may be to stay calm yourself. And remember that for every person who is glaring at you, there are plenty of people who have been through it themselves and have lots of sympathy.

Ask for help . Arrange for your airline to help you if you need help making a connecting flight. Carrying a child safety restraint, your baby and luggage through a busy airport can be challenging.

Does my baby need a passport for international travel?

Yes. All U.S. citizens, including infants, need a current passport to travel internationally. Parents or guardians need to apply with their baby in person using the form DS-11 . Be sure to bring your baby's birth certificate and a photo taken within the last 6 months.

Passport photos must be taken with nobody else in the photo, which can be tricky with infants. To do this safely if your baby can't sit up yet , lay them on their back on a plain white blanket or sheet to ensure head support without having to hold them. Another option is covering a car seat with the sheet and taking a picture with your child in it.

What about domestic flights?

A valid passport is usually the only identification your baby will need to fly on a domestic flight, unless you need to show proof of age for a discounted child fare. Check with your airline before you leave. Note: Children under age 18 will not be required to get a Real ID .

What is the best time of day to fly with a baby?

It is hard to say whether flying during the day or night with a baby is better. After the first few weeks, some infants may sleep more reliably at nighttime than they do during naptime travel. If you and your baby can sleep on the plane, a late-night flight may be the way to go.

More information

Travel Safety Tips

Holiday Travel Tips

Flying With Children Safely (FAA.gov)

Tips for Families and Links to Airline Webpages (U.S. Department of Transportation)

Destination-Specific Vaccine Recommendations for Travelers—Including Travelers with Children (CDC.gov)

37 Best Travel Tips for Traveling With an Infant, Older Baby, or Toddler

Family travel is exciting for you and your kids and can create special memories that last a lifetime, whether you’re off on an adventure abroad or simply going to visit Grandma. But traveling with an infant, older baby, or toddler requires a little extra preparation to ensure a safe and comfortable trip. We’ve got the answers to common questions surrounding baby travel—short and long—plus a list of all the essentials and 37 tips for traveling with the little ones!

How Soon Can You Travel With a Newborn Baby?

When is it safe to travel with a newborn? It’s always wise to check with your healthcare provider before traveling with an infant. Your provider will likely offer specific guidance on whether you should or shouldn’t travel with your little newborn, depending on your little’s one's age and health status, as well as more general advice on when you can travel with a baby or older child. Whenever you do end up traveling with your little one, keep some safety precautions in mind. Your child is still developing their immune system, so it’s important to take protective measures, especially when flying or in crowded locations, such as

frequently washing hands

using hand sanitizer

avoiding visibly ill travelers.

Besides these basic safety precautions, keep reading for more tips on traveling with infants, plus older babies and toddlers, which include additional measures that will help keep your little one healthy, safe, and comfortable.

37 Tips for Traveling With an Infant, Older Baby, or Toddler

There are many ways you can help keep your infant, older baby, or toddler safe while traveling, and ensure that the trip is comfortable for all involved. It’s best to always consult with your child’s healthcare provider before traveling, especially with newborns or infants. Younger babies are more vulnerable than older babies and toddlers, so consider the provider’s advice and tips for traveling with an infant. Knowing how to travel with an infant isn’t much different from knowing how to travel with an older baby or toddler, but age can impact strategy. For example, traveling with a toddler opens up more opportunities for activities on your trip! You’ll probably notice that traveling with a 2-year-old is a lot more interactive than when your little one was just 3 or 6 months old. To cover all the bases, we’ve included 37 tips for traveling with babies of any age, but some apply more to younger babies, like infants and newborns, whereas others are more geared toward older babies and toddlers. However, all are worth considering when traveling with kids of any age and whether you’re flying to Paris or hopping in the car for a day trip.

1. Update Immunizations

Before you travel, including by car, on an airplane, or anywhere abroad, ensure your baby has had all the necessary immunizations. Following an immunization schedule is key to keeping your little one healthy throughout their life and, of course, when traveling. If you plan to travel abroad, be aware that some countries require additional vaccinations. You’ll want to consult your child’s healthcare provider for specific advice before planning any overseas trips, and you can contact the U.S. State Department for general information. As children will need immunizations and boosters throughout their early years, this tip also applies to travel with infants, older babies, and toddlers.

2. Consult Your Child’s Healthcare Provider

Remember that your baby’s healthcare provider is your ally and a great source of information. Don’t hesitate to be in touch if you have any questions about traveling with an infant or how to best travel with a baby of any age. If you’re thinking of traveling with a newborn, the provider may suggest waiting in some cases, such as if your little one has an underlying health condition or was born prematurely.

3. Collect Medications and Important Documents

Before setting off on your adventure, remember to pack any medication your child will need while away from home. You can also purchase a sturdy folder to keep any important documents, such as your baby’s vaccination record, copies of recent medical reports, passport, etc. When traveling with an infant, older baby, or toddler, it’s always best to err on the side of caution and bring everything you might need!

4. Do Some Research

One of the best tips for traveling with newborns or older babies and toddlers is to hunt for and gather relevant information ahead of time. Besides things like looking up vaccination requirements, you can also research details about accommodations and activities. Some hotels offer amenities that may come in handy when traveling. For example, if you’re breastfeeding your baby , you might want a refrigerator in your hotel room to store extra milk.

5. Allow Extra Time

Always remember that traveling with an infant or baby of any age means everything will take a little more time (or sometimes a lot more time!). Be sure to start early and allow extra time when packing the car or getting to the airport, going through security, checking into your accommodation, eating out, etc. This additional time makes for a smooth trip and also helps keep stress to a minimum.

6. Bring Those Baby Essentials

Although your research may reveal that hotels or accommodations offer some basic baby necessities, it’s best to bring as much as you can with you. For example, if a hotel offers cribs, unless you can guarantee that their baby cribs are up to date on safety requirements, it’s better to bring your own travel crib if you’re able to do so. Other travel essentials for your baby include bottles, bibs, diapers and wipes , pacifiers, etc. Keep these in a separate diaper bag for easy access! Our baby travel checklist below includes all these items and more.

7. Don’t Forget Favorite Toys or Blankets

Your little one is still getting used to the world around them, so bring some reminders of home to soothe any discomfort when in unfamiliar places. A favorite plush toy, a familiar rattle, or a blanket with home scents can do wonders in keeping your babies and toddlers comfortable when traveling, so be sure not to leave Mr. Rabbit (or any other "lovey") at home!

8. Double Check Car Seats

Whether traveling with your infant, older baby, or toddler by car or plane, double-check any car seats you use for safety . Look up the expiration date to make sure the seat hasn’t expired, and ensure that it’s properly installed.

9. Keep Feedings and Sleep Schedules Consistent

When traveling with babies, especially newborns and infants, it’s best to keep feeding and sleep schedules consistent, even when crossing into other time zones. It’s hard for children to adjust to new routines, and a little consistency will do wonders. If you’re moving across several time zones and it’s impossible to stick to the same feeding times, try to adjust your schedule gradually. However, what’s most important is feeding your baby when they’re hungry, regardless of the hour, and giving yourself some extra grace.

10. Bring a First-Aid Kit

In addition to all your essential must-have items, it’s also helpful to have your baby’s first-aid kit with you when traveling. You can keep one in the car, diaper bag, or your little baby’s overnight bag. Do you have all the baby necessities in your diaper bag? Take our quiz below to find out!

11. Wash Hands Frequently

Although briefly mentioned above, this is one of the most important tips for traveling with an infant or child of any age, and it deserves a friendly reminder! Because your little one is still building their body’s natural immune defenses, they’re more susceptible to catching colds, flu, or other infections. And because you’ll be carrying your newborn while traveling or holding your baby’s hand, it’s best for you to wash your hands frequently and use hand sanitizer.

12. Stay Hydrated

Traveling in general, but especially traveling by plane, is dehydrating to the body. Staying hydrated yourself means staying healthy and alert for your child. To keep your newborn hydrated, you’ll want to feed them more often (if needed), and older babies and toddlers will need sips of water throughout the day. Hydration is also very important if your little one has diarrhea while traveling, which is common.

13. Bring Disposable or Hybrid Diapers

When you’re traveling, nothing beats the convenience of disposable diapers. Another option is a hybrid system, like Pampers Pure Hybrid Starter Kit, which uses reusable covers and disposable inserts to cut down on waste.

14. Provide Entertainment

You may find that your newborn sleeps through much of the trip, but that probably won’t be the case for an active older baby or toddler! When traveling with a baby who’s a bit older and more alert, it helps to provide some form of entertainment, whether in the car, on the train, or on an airplane. A soft toy or a picture book work well.

15. Bring Food and Snacks

You don’t have to travel with a baby to know that meals and snacks are an important part of any outing! You’ll need to breastfeed or bring formula, of course, supplemented by solid foods once your little one has been introduced to solids at around 6 months. Good travel food for babies can be anything they regularly eat—the point is to keep their tummy happy!

16. Sing Songs

Singing is a wonderful way to bond and engage with your baby or toddler. It’s an entertaining way to pass the time on long car drives, for instance, and has the added bonus of helping to boost vocabulary as well as other important language skills and developmental milestones for babies . Before long your not so little one will be singing along and repeating their favorite songs, again and again.

17. Plan Car Games

In addition to singing songs, keep your little one entertained with some fun car games. Your toddler may enjoy the classic game I Spy or even counting things (with your help) they see out the window, like cows or red cars. Another idea is to build or purchase a travel tray, a simple tray that connects to the back of one of the front seats and provides lots of things to touch, look at, and listen to!

18. Pack Bedding From Home

When possible, pack bedding for your baby or toddler, which, of course, is easier when traveling by car or when you have extra space in your suitcase. Familiar feels and scents will help keep them at ease as they experience a disruption to their usual routine. If you’re flying far on a plane, just grab something small, like their favorite blanket or bedsheet, to help them feel “at home.”

19. Provide Extra Attention

Traveling with a baby or an older child often interrupts typical at-home routines, and your little one will probably need more attention from you. Some tips include extra hugs and snuggles during the day and at night, plus bringing interactive games and activities into the mix.

20. Maintain a Typical Meal Routine

Although traveling is a great time to try new foods or allow some “treats,” try to stick to your usual meal routines as much as possible. Let your older baby or toddler know that traveling can include trying new food while at the same time continuing to eat healthy foods and maintain normal mealtimes.

21. Look for Specials

Many accommodations and restaurants offer special prices or deals for families, which can help reduce costs. “Kids stay free” is a common feature; you can also see if a hotel provides complimentary meals or packaged discounts for kids and families. Consider working with a travel club or agency that can help you coordinate a trip with children in mind.

22. Ask for Assistance

With a baby, travel isn’t always an easy task to accomplish on your own. If your little one is feeling extra fussy on the plane or train and you’ve run out of ideas, ask an attendant if they have anything special for babies or young kids, such as a picture book or a pack of crayons. If you need a changing pad in your hotel room, call the front desk. It really does take a village, and many travel clubs, airlines, hotels, and more offer special assistance for kids and families!

23. Pack for the Weather

Take a look at the weather report before you leave and pack accordingly. Consider bringing some extra layers for cooler night temperatures or extra supplies in case of rain or snow. Socks, rain covers, a warm jacket, and a hat will all come in handy if the weather takes an unexpected turn.

24. Take Preventive Measures

It’s not unusual for an illness or another health-related issue to pop up when you’re on the go and away from home. Colds and sore throats, diarrhea, car sickness, mosquito bites or bedbug bites —all these scenarios are possible with any kind of travel, including travels with your baby. Although you might not be able to completely prevent all these issues, it helps to prepare. You can do so by

getting necessary vaccinations before traveling

checking hotel rooms, bus seats, or train cars for bedbugs

bringing your own food or eating only hot food that’s thoroughly cooked

eating only a light snack before traveling to lessen motion sickness

staying hydrated.

25. Remember Special Considerations When Flying

Don’t forget that flying with a child will require some extra steps. If you have any questions, consult your little one’s healthcare provider and contact the airline. For example, all equipment like car seats and strollers will need to be visibly inspected at the airport. Read more about air travel in our article about flying with babies .

26. Plan Age-Appropriate Trips

Of course, traveling with a 1-year-old is going to be a little different than traveling with a 2-month-old! It helps to plan a trip that works for your child’s specific age, so if you’re traveling with a 9-month-old baby, think of something to do that meshes well with their abilities and interests. A simple trip going to visit grandparents or where there are lots of playgrounds is all you really need! But, of course, kids love playing outdoors or at the beach, so see more suggestions on where to travel with a baby at the end of the article.

27. Plan Breaks

For travel of any kind, remember that kids need breaks, naps, and downtime. If you’re taking a road trip, for example, research your routes thoroughly and plan for pit stops and breaks. It’s not easy for wriggly little ones to sit for too long, and getting out of the car to stretch legs or enjoy an attraction along the way helps keep spirits and energy levels high. If you’re on a plane, get up and walk the aisle a few times for a little movement and stimulation. Or if you’re spending the day at a theme park, squeeze in some time in the shade with a blanket for a quick snooze or a calming activity, like reading.

28. Bring Craft Supplies

Your toddler may need something more interactive to keep them entertained while on a road trip, airplane, or in a hotel room. Basic arts and crafts for toddlers can keep your little one occupied. Even just some crayons and a coloring book will help.

29. Adjust Sleep Schedules 2 to 3 Days Before if Needed

As mentioned before, when traveling with infants and older babies, it’s better to try and stick to the same feeding and sleeping schedules. But when traveling with toddlers, you may have more wiggle room to adjust their routines. For short trips, you might not even need to consider this tip, but if you’re moving across multiple time zones, you can gradually adjust sleep and eating schedules to the new time zone a few days before departing on your trip.

30. Pack Books

Are you wondering what to pack when traveling with a baby or toddler? Put books at the top of your list! Any kind of books —picture books, storybooks, interactive books—will keep your little one entertained while traveling. And if you usually read before falling asleep, it’s important to maintain your bedtime routine while away from home.

31. Respect Boundaries

Traveling with babies and toddlers (or, really, kids of any age) is a lot of fun for everyone. But remember that a change in a routine can be difficult for children, so it’s important to respect any boundaries they put up. For example, if your child doesn’t want to give Grandma a hug this trip or go on a ride at a theme park, don’t force it. They might be feeling shy or nervous, and it’s best not to force interactions, even with family members or activities.

32. Allow Your Child to Make Decisions

One of the best tips for traveling with toddlers and older babies is letting them make some decisions as they start to dabble in independence. Ask them what they want to eat for dinner or what they’d like to wear. Keep decisions manageable for their little brains by offering two or three choices rather than asking open-ended questions. It will allow them to take ownership of the travel experience!

33. Try New Things

Make traveling with your baby or toddler even more memorable by encouraging new experiences. You’ll probably remember these trips forever, but to make them stick in your youngster’s mind, have some fun with unique activities that you can’t do at home. Plus, as your little one is growing and developing, they’ll naturally want to try new things and test newly developed skills!

34. Anticipate Big Feelings

Again, changes in routines can be difficult for kids to manage. Traveling means leaving home behind, sleeping in a strange bed, and being without the usual comforts. This may be stressful, confusing, or even a bit scary for your little one. If these emotions come out in the form of temper tantrums , crying, or resisting, give your child extra support and love.

35. Supervise Water Play

Baby travel or traveling with a toddler might include a little water play, like splashing around in the pool or at the beach. Drowning is one of the leading causes of death in kids of any age, and it can happen in seconds, whether children are swimming , playing in a shallow pool, or simply taking a bath. Watch children closely when in the water or during bath time.

36. Take Photos and Videos

With cameras built into phones, you probably don’t need a reminder to take photos! Still, be sure to capture the memories when traveling with your kids, especially as they get older. It will be fun for them to look back and remember the trip!

37. Keep a Scrapbook

Take a blank scrapbook with you and let your toddler draw or color in it each day of the trip. For infants and newborns, press their hand or foot into the page with a bit of paint and add photos. When you return home, you can add more pictures or little trinkets like ticket stubs to the book, and your child can keep it to remember the experience. As your babies get older, traveling with them will get more and more fun, so let them be part of making the memories!

Baby Travel Checklist

We know this list of tips for traveling with an infant, older baby, or toddler is quite thorough, so to make it a bit easier for you, you’ll find a handy baby travel checklist below! We’ve included all the baby travel items that will help support a trip of any kind with any age group. Whether you’re wondering what to pack when traveling with a baby or hunting for those baby travel must-haves, we’ve included them all! This baby travel checklist works for kids of all ages, so you can use it when traveling with infants, older babies, toddlers, or even older children. It also works for short or long trips, by car, plane, or train. You can also download a version of the checklist and use it at home when preparing and packing for any upcoming family trips.

INSERT DOWNLOADABLE LINK

Baby Travel: Where to Go

Now that you have all of our travel tips, it’s time to think about where to travel with your baby. Not all destinations and activities are suitable for young children, so we’ve rounded up some of our best ideas for kid-friendly travel destinations!

Where to Vacation With an Infant, Older Baby, or Toddler in the United States

Luckily, the United States is a big country packed with various travel opportunities for babies and young children. Because there are so many choices, we’ve rounded up a few suggestions for each of the following themes: National Parks Among the best places to go when traveling with a newborn, older baby, or toddler are national and state parks. When you explore the great outdoors, you can avoid cramped environments and secure your sweet little one to your chest or carry older babies in backpacks while you enjoy fresh air and nature. Of course, toddlers will probably want a little independence as they toddle around! Some suggestions for kid-friendly national parks include the following:

All these parks offer a range of hiking suitable for carrying sleeping newborns or curious infants, plus interesting experiences for more mobile toddlers. Watch your child’s eyes light up at the scene of geysers erupting in Yellowstone, birds singing in the Everglades, or the sky-high trunks of the towering Redwoods! Vibrant Cities Although nature is ideal for traveling with babies or kids of any age, new cities also offer a lot of entertainment for the entire family (including you!). The United States is so diverse with different cultures, and your little one can enjoy various activities that can enrich their development. The list of kid-friendly cities in the United States is nearly endless, so if you’re simply looking for a bit of inspiration or a few suggestions for exciting cities, perhaps consider the following:

All these cities offer fun for you and your kids, even if your infant is simply watching the buzzy world around them. Take your little one to look for seals at Fisherman’s Wharf in San Francisco, explore adobe architecture in Santa Fe, New Mexico, or listen to street music in New Orleans. Theme Parks Although some theme parks aren’t suitable when traveling with newborns, infants, or young babies, many can be a lot of fun for toddlers and older kids! However, some of these classics cater to kids of all ages, rather than just focusing on thrilling roller coasters for the big kids. Again, you’ll find plenty of fun theme parks throughout the country, but for a few suggestions, you could consider the following:

These theme parks offer exciting scenes for even the youngest guests but can also entertain older children if you have a brood of various ages. Watch your baby delight at meeting their favorite Disney, Sesame Street, or fairy-tale characters! Beaches Although infants shouldn’t experience any direct sunlight until they are at least 6 months , beaches can offer a relaxing place to be with your little one, as long as they’re properly shaded. For older babies and toddlers, the beach is an exciting source of pure entertainment! The United States has a lot of coastlines to consider; here are just a few ideas:

A beach vacation with an infant, older baby, or toddler will expose your little one to an entirely new world. Plus, all the above suggestions offer complementary activities that your baby may love, such as visiting wildlife education centers, observing tide pools, or having fun at neighboring playgrounds. Road Trips Like national parks, road trips are also ideal for traveling with infants or children of any age, as you don’t have to interact too much with other travelers who can spread germs to your family. Plus, road trips can combine all the aforementioned ideas into one exciting adventure! A road trip doesn’t have to be long; you can simply pack snacks and head over to Grandma’s house or into the big city. But the United States is also known for its signature stretches of highway, and some of the most popular road-trip routes include the following:

Best Places to Travel With an Infant, Baby, or Toddler Abroad

A vacation abroad is a terrific way to open up the world to your little explorer! Although infants and young babies probably won’t remember much about a trip abroad, you can still use the opportunity to introduce them to new cultures and experiences. And, who knows, perhaps a trip at such a young age will spark an interest in travel as your adventurous baby grows up! A list of the best places to travel with an infant, baby, or toddler is endless, so we’ve included just a few popular family-friendly destinations in different parts of the world. Of course, use your imagination and go where you want!

The Bottom Line

Traveling with young infants, older babies, toddlers, or kids of any age can be a lot of fun, but it also requires a little extra prep! We hope this article helps you prepare for future family trips:

Use our suggestions on where to go to plan memorable experiences for the whole family.

Download our baby travel checklist to ensure you don’t forget any of the must-have items you’ll need.

Consider all our tips for traveling with newborns, babies, and toddlers to help your vacation go smoothly.

Remember that there is no age limit when it comes to travel, but it’s best to take extra precautions when traveling with infants, as they have yet to build up their body’s natural immunity. Talk to your child’s healthcare provider before planning any travel so you know what vaccinations your baby will need.

Family travel is a way to build wonderful memories that last a lifetime! Savor these exciting moments, whether you’re taking a simple trip to Grandma’s house, venturing out on an epic road trip to national parks, or enjoying an international vacation.

How We Wrote This Article The information in this article is based on the expert advice found in trusted medical and government sources, such as the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists. You can find a full list of sources used for this article below. The content on this page should not replace professional medical advice. Always consult medical professionals for full diagnosis and treatment.

• Book: Caring for your baby and young child, birth to age 5, Sixth Edition Paperback – November 2, 2014 by American Academy of Pediatrics (Author)
• Medline Plus: Traveling With Children
• Zero to Three: Survival Strategies for Traveling With Your Baby or Toddler
• Medline Plus: Toddler Development
• Mayo Clinic: Infant and Toddler Health
• Healthy Children: Sun Safety
• Healthy Children: Travel Safety Tips
• Healthy Children: Car Safety
• CDC: Travel Recommendations for Nursing Families
• CDC: Drowning Facts
• CDC: Traveling With Children
• Healthy Children: Car Sickness
• La Leche League International: Travel

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What to Expect the First Year , 3rd edition, Heidi Murkoff. WhatToExpect.com, Flying With a Baby? Here's What to Know Before You Go , September 2021. WhatToExpect.com, Do Babies Need Passports? , October 2021. WhatToExpect.com, Best Travel Toys for Babies , February 2021. WhatToExpect.com, Baby Products You Can Take on a Plane , September 2020. American Academy of Pediatrics, Flying with Baby: Parent FAQs , November 2019. American Academy of Pediatrics, Is It Safe for Families to Travel Now? , August 2021. American Academy of Pediatrics, Travel Safety Tips , August 2018.  American Academy of Pediatrics, Is It Safe for My Baby to Travel in a Car Seat a Few Hours at a Time? , August 2021. Transportation Security Administration, Traveling with Children . Federal Aviation Administration, Flying with Children , March 2021. Mayo Clinic, Is Air Travel Safe for an Infant? , October 2019.

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27 Best Places to Travel with a Baby (Safe + Baby-Friendly)!

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Home » 27 Best Places to Travel with a Baby (Safe + Baby-Friendly)!

Are you wondering where to travel with a baby?

Our youngest daughter, Avalee, was just 2.5 months old when we embarked on our very first trip with her. Our first trip with her took us to Bali, Lombok, and the Gili Islands.

After Indonesia, we ventured further afield to Australia and explored Perth and Sydney.

We then set off to Asia visiting Japan and Europe for a big extended road trip that included France, Switzerland, and Italy – all before Avalee had reached her first birthday! As seasoned family travelers (we have 3 children) we’ve learned a lot about what works best when traveling with babies in tow.

With input from other parents who have traveled with their babies too, we’ve compiled a list of the best places to travel with a baby along with practical tips based on our experiences on how to choose the perfect baby-friendly holiday destinations. 

Just because you have a new baby doesn’t mean you have to be stuck at home. Now is a great time to make memories with your little one and travel the world!

It might not always be easy to travel with a baby, but in my opinion, it is always worth any challenges.

Here is a list of the best baby-friendly countries to visit to ensure your trip will run as smoothly as possible.

27 Best Places to Travel with a Baby in the World

Wondering where to travel with your baby?

We love traveling with our baby as we scout out the best places to visit with an infant.

In our opinion, the best countries to visit with a baby in USA, Australia, South Africa, Japan, Italy, and the UK, but you can find more ideas on our list down below.

But first! Sign up for our ‘Wanderlust Storytellers Family Tribe’ newsletter to get loads of helpful information about how to travel with a baby! 

1. Tuscany, Italy

For one of the best holiday destinations with a baby or even older kids, head to beautiful Italy!

Children are adored in this country, and you will find that Italians will often go out of their way to help parents. And expect them, to come to say hello to your little ones too.

Italy is one of the best places to go on holiday with a baby. It is easy to find some beautiful family-friendly accommodation options.

We chose Tuscany for our list because it has plenty of stroller-friendly destinations.

I recommend you choose either Florence or Lucca for a home base. Both cities are great for strollers, although we recommend a stroller with large cushioned wheels to handle bumpy or cobble-stone roads.

Florence has plenty of playgrounds for older babies and toddlers, and the restaurants typically can prepare a small plate for younger kids or a simple pasta dish (when Avie was a toddler, she often had simple pasta and butter).

If you decide on Florence, be sure to have a look at the best neighborhood to stay in Florence .

You can also find many beautiful small towns scattered through Tuscany that will allow you to explore this region of Italy without the masses of tourists.

Recommended attractions in Tuscany that you should see with your baby include the Leaning Tower of Pisa and The Boboli Gardens.

If time permits, you should also visit Capo Sant’Andrea on Elba Island (make sure to take baby beach shoes if you are planning to spend some time on the beach).

Personally speaking, Italy is arguably the best place to travel with baby options for us so far, as well as one of the best baby-friendly travel destinations and baby-friendly countries.

• Bring your baby carrier along, as you will often find stairs at the main attractions in Italy.
• Always have a baby change mat on hand, as change tables in public restrooms are rare.
• You can rent a stroller in Italy, and check out sites such as TravelBaby.It and BabyGuest.com.
• Pre-book your taxi online , that way, you can request a baby car seat for the transfer as well.

Where to Stay in Tuscany with a Baby:

We recommend basing yourselves in either Florence or Lucca (cheaper) and then planning your day trips from there.

Best Place to Stay in Florence with a Baby:

• Best Hotel: For a fantastic stay I would choose  MyFlorenceHoliday Gold Bridge . Their family room includes a cot and high chair and has a kitchen area where you can prepare bottles etc. The hotel is located 100 meters from Ponte Vecchio.
• Best VRBO: I love The Time Machine apartment which is located next to Palazzo Vecchio. It has 2 bedrooms and includes a travel crib, high chair, and dishes & utensils for kids- it also has a lift to the apartment which is on the second level.

Best Place to Stay in Lucca with a Baby:

• Best Hotel: The 4-Star Hotel Ilaria has a triple room that includes a cot. This popular hotel is located in the historic centre of Lucca.

Further Reading:

• Visit Tuscany with Kids (Tips and Information)
• See our full blog post with helpful information about traveling to Italy with a baby
• Watch our Video on YouTube: Italy with a Baby or Toddler .
• Florence with Kids

Wondering where to travel with a baby in Asia?  Japan is one of the best places to travel with an infant in Asia.

This destination is very baby-friendly. You can easily choose from some of these great destinations in Japan perfect for first-timers .

“ Baby Cafes ” located throughout Tokyo have childproof areas and food for mom and dad to purchase.

There are also family rooms throughout (mainly in the larger supermarkets) around, the larger cities where moms can nurse or change their babies.

Baby supplies are available from pharmacies, and let’s not forget how clean the country is (you won’t see rubbish anywhere!).

• Bring your baby carrier along and leave your stroller at home.
• You will typically find beautiful baby rooms in the larger supermarkets.
• Public restrooms should have change tables and a parent-friendly toilet with a baby highchair, so you have somewhere to pop baby while you do your business.
• Choose Airbnb over small hotel rooms.
• For toddlers, we can highly recommend some popular theme parks such as Tokyo Disneyland and Universal Studios Japan.

READ MORE: See our helpful post on how to visit Japan with a baby

3. London, England

London is one of the best places to travel in Europe with a baby.

This city has parent rooms and changing facilities readily available, making it a great place to visit with a baby.

Many sights can easily be accessed by public transportation or on foot. We love how easy the city is to navigate with a stroller; simply use the   step-free Tube map to navigate the underground with your stroller.

Breastfeeding in public is accepted and considered perfectly normal. Children under five can travel for free on public transport, and there are plenty of family-friend restaurants.

If your bubs is a bit older, he/she might also really enjoy outings to a  baby disco, one of the children ‘s  theatres, the city farms, zoos, or a day out at one of the many parks.

• Top 10 Things to do in London with Kids
• Make sure you download NCT’s Babychange app, which will show you all the baby-changing facilities in your vicinity, and the Wowmum app, which lists baby change areas, as well as child-friendly activities, parks, and more.
• Book your taxi online. Book Taxi London is a reliable website that you can use to quickly and easily book your taxi (you can even select to have a car seat for your little one)!

After one of the most affordable places to visit with your baby?

With rice paddies, waterfalls, beaches, and great people, Bali certainly has it all.

This dreamy vacation is very baby-friendly, and nannies or babysitters are super affordable.  You can also very easily rent baby gear and equipment for super low prices if you need them.

Hotels and resorts will be equipped with baby cots and high chairs, and with a bit of effort, you can also pre-book transfers with baby car seats.

Avoid Kuta and head to more family-friendly areas such as Canggu, Ubud, Legian, Jimbaran, or Nusa Lembongan.

We love to combine some time in Ubud to soak up the peaceful rice paddy atmosphere with some luxury and relaxation at one of the beachside areas such as Canggu or Jimbaran.

Bali might be the best place to travel with a baby for those living in Australia.

• Bring your baby carrier along and leave your stroller behind
• Always have a baby change mat on hand
• Book a cheap nanny to tag along with you on your outings
• Pre-book your transfers if you wish to have a baby car seat
• Don’t forget to bring along your  sun tent for baby , as well as some handy and essential  beach items for baby

5. Tulum, Mexico

One of the best travel destinations with a baby if you are after some beautiful beaches and warm weather. This city can make for a very relaxing vacation.

Many family-friendly beaches and hotels accommodate those traveling with babies, as they often provide cribs and strollers.

If you are wondering if it is safe to travel to Mexico with a baby, you will be glad to know that it is.

What you will need to consider is taking enough baby formula if you are not breastfeeding your little one as the variety of formula available is limited.

If you do use baby formula, make sure to use bottled water when making your baby’s milk.

If you do take a baby stroller, take one that can fold up and will fit easily into any taxi that you may take whilst on holiday.

If you are planning on venturing out and about, a baby carrier is a great choice as you will be hands-free, and is perfect for any hikes are strolls on the beach.

Top places to visit include Sian Ka’an Biosphere and Playa Paraiso.  Mexico offers some of the best baby-friendly travel destinations for those in the USA.

6. Chicago, Illinois

One of the best places to travel to with a baby in the United States is Chicago. This city is so baby friendly making it hands down one of the best cities to travel with a baby and one of the best travel destinations with baby options.

The great thing about Chicago is that it has a ton of baby sights, attractions, and tours to enjoy.

Taking your baby out and about during the day is great for you and the baby and in Chicago, they celebrate that.

The town of Chicago has free stroller tours at some of the area’s major museums, including The Field Museum, The Art Institute of Chicago, and The Museum of Contemporary Art.

Besides the museums, you can also visit the Shedd Aquarium and Navy Pier.

If you are explicitly wondering where to travel with a newborn, this would be one of our top picks.

7. Montreal, Canada

After stroller-friendly places to visit with a baby? One of the nice things about Montreal is that it’s very stroller-friendly.

Numerous kid-friendly festivals occur throughout the year. Popular attractions include Jean-Talon Farmer’s Market, Clock Tower Beach, and The Botanical Gardens.

If you visit Montreal outside of these festivals do not worry because there is still lots to do. Experience much of the cultural scene in Montreal by visiting many of the galleries and museums. Kids under 12 can go free to many of these local Montreal attractions.

In summer there are many parks and open green spaces that you can enjoy as a family. Enjoy a picnic and the many playgrounds that can be found in the parks.

Montreal boasts a large variety of baby-friendly and welcoming cafes and restaurants, so when it comes to enjoying a bite to eat, you and your baby can relax.

8. Tasmania, Australia

Definitely, one of the most baby-friendly countries to visit.

Australia is another brilliant country to visit with a baby. While there are many baby-friendly places to travel to in Australia, we love Tasmania.

This Australian state is an excellent destination for children of all ages. You can easily find high chairs in restaurants, which typically have special kids’ menus to keep toddlers happy.

You can easily find all baby supplies in small or large grocery stores. Hotels have cots available (typically free of charge), and destinations are all stroller-friendly.

One of the nice things about Tasmania is that you don’t have to haul a stroller with you on your flight if you don’t want to because plenty of stroller rentals are available.

Many activities here are nature-based, including a visit to the Bay of Fires and Russell Falls. A great activity during the summer months is to head to one of the beautiful sandy beaches for some much-needed relaxation.

9. Wales, United Kingdom

Wales is another one of the best places to travel with a baby in Europe!  People love babies in Wales and will bend backward to ensure you enjoy your time here as much as possible.

Hotels will provide everything from cribs to baby gates and can even recommend babysitting services if you need some alone time. Good places to visit with your baby include Cardiff Castle, Tenby Harbour, and Bodnant Garden.

When you are out and about enjoying the lush Welsh countryside, be sure to take a baby carrier with you.

If you plan to spend more time exploring the Welsh villages and towns, a baby stroller will definitely come in handy. If you can, a stroller that folds up compactly is best as you are guaranteed it will be able to travel in your taxi.

10. San Diego, California

This is one of the most baby-friendly destinations on the list. There are a lot of boardwalks, walking trails, and plenty of beaches.

If you take a stroller with you when you travel to San Diego with a baby, you will be able to move around with ease.

If you are looking for some great baby-friendly activities then a visit to the Birch Aquarium, Mission Beach & Boardwalk, or the San Diego Botanic Garden are all great choices.

Be sure to also make your way to the San Diego Zoo. This huge zoo has so much to see and do and is a huge amount of fun for everyone.

If you visit during warmer months, be sure to pack sunblock and a swimming costume so you can take a dip at the many beaches.

Pack some kids’ beach toys or grab a set from one of the local shops on the boardwalk as all kids love to play in water and sand and most of all build sandcastles.

For kids big and small, head to Legoland which is under an hour’s drive from San Diego. The best part about the rides at Legoland resorts is that they do not have height restrictions so even the shortest of visitors can enjoy the rides when visiting.

Is it any surprise that Hawaii happens to be one of the best places to vacation with a baby? This island is a dream vacation for many due to the many resorts that cater to families.

So it is probably no surprise that Hawaii happens to be one of the best places to vacation with a baby!

If you do not want to explore the island and just need to relax and take it easy, then staying at your beach resort is great as you can lunge around the pool or on the beach.

Head to the beach for some sand and fun and when baby is tired and ready for a nap, the room is only a short walk away. If you want to do an activity that is a bit more strenuous, many of the resorts do offer activities at the resort that you can enjoy.

The best way to get around this island is with a rental car. You will be able to see plenty of amazing sights that will allow you to take unforgettable pictures of yourself and your baby.

Exploring Hawaii by car also means that your baby can take a nap when traveling and not be tired to enjoy the sights.

Baby-friendly places include Makapu’u Point Lighthouse Trail and Valley of the Temples.

12. Cape Town, South Africa

Not many people associate good places to travel with a baby, including South Africa. However, those who’ve been to Cape Town know it’s one of the best places to visit with a baby or even older kids.

Cape Town is also one of the best cities to visit with a baby because baby facilities are readily available everywhere.

There are plenty of picturesque views and things to do, visiting the penguins, heading out on a boat to see the seals, or having a picnic in a vineyard.

If you want to travel around Cape Town then make sure to rent a car. Many places that you will visit may be an hour or so drive out of the City center.

You do not need to take a car seat with you as many of the car rental companies will be able to offer you car seat rental.

Cape Town is known for its many wine farms. If you think that visiting is not great for kids, you will be pleased to know that many of the wine farms cater to all ages, with most offering children their own version of a “wine-tasting menu “with treats and kids’ drinks.

Nearly everywhere you visit a baby chair will be available to use. Most wine farms have play parks for kids to enjoy with swings, slides, and jungle gyms. If you are traveling with older kids.

Head to one of the many beaches, the most renowned being Camps Bay and enjoy a sunset picnic.

You can find our full guide on how to travel South Africa with a baby here. We visited South Africa with our youngest and two older kids and spent 5 weeks exploring various parts of the country and we loved it!

Further Reading

• Grab some ideas of what to do in Cape Town with kids here.

13. Taipei, Taiwan

Another popular destination for family travelers in Taiwan. This destination is very safe and the people of Taiwan are very welcoming of babies and children.

Many places in Taiwan have mothers’ rooms, similar to those found in Japan, but this city is a great place to travel with a baby because of its many attractions.

Unlike other places, you can easily strap a baby into a stroller and walk around, as the terrain isn’t tough to maneuver making it super easy to get around and explore.

This allows families to see a lot of exciting sights like Longshan Temple or Chiang Kai-shek Memorial Hall.

The city of Taipei is exciting and colorful and at night looks a lot like Times Square in New York.

Head to the 101 Building which cannot be missed when you arrive in the city. You can go up this building and it is strongly recommended to buy tickets in advance rather than queuing.

Head out of the city and you will find the Silver Stream Cave which is a temple carved into the rock face behind a stunning waterfall. The nerve-wracking walk-up is definitely worth the trek and be sure to pack a baby carrier for this to make the walk easy.

Belize is one of the most baby and kid-friendly places to visit. It has so many different attractions and activities that everyone can enjoy.

One of the other biggest perks for families visiting here is its affordability.

The country is also English-speaking, so you don’t have to worry about the need to whip out your language translator while trying to balance a baby on your hip.

There are a lot of great places to take your little one in this country, including the Blue Morpho Butterfly Farm and the Mayan Ruins.

If your trip to Belize is to have some downtime and not be out and about too much, be sure to stay at one of the many resorts that offer guests all they need from horseback riding to pools and a health spa.

You can easily find what you need in the stores in Belize however if your baby is drinking formula, it is best to take your own with you as you may not be able to find the same make in Belize.

15. Ecuador

Ecuador may not be the first place you think of when traveling a with baby however you will find that this country is very welcoming of children and is affordable for a family vacation.

Ecuador is one of the best places to visit in South America , so you can’t go wrong with this destination!

The safest way to get around Ecuador is by renting a vehicle. Although there is a lot of public transport like taxis and buses, seatbelts are not always readily available and the maneuvers that the drivers take along the winding roads are quite hair-raising!

When it comes to mealtimes and feeding, you will be pleased to know that breastfeeding is very acceptable and normal. If you need baby formula, this is readily available however you may not find your usual brand.

The terrain is challenging to get around with a stroller, so you will need to use a baby carrier instead. You can even take a backpack carrier as this will be the easiest way to get around and carry your baby.

It’s worth exploring the city as much as possible with your baby as there’s a lot to see. This includes The Otavalo Indigenous Market and the Manabi Coast.

It can get pretty noisy at night too so you may want to bring along something to create white noise. Top tip – book hotels and places to stay that is away from main roads to help reduce the noise at night.

Wondering where to travel with your baby in Greece?

Those who visit Greece can tell pretty quickly that the culture is family-oriented. Often children can eat free at restaurants, stay free at hotels and ride public transportation for free.

While we recommend you leave the cliff-top towns such as Santorini for another year, you could visit many other beautiful destinations in Greece with your baby in tow. 

There are many islands that you can visit in Greece offering you and your baby warm beaches to enjoy like the infamous Mykonos.

Another great place to visit in Greece is Crete and the great thing is that this is not the first place most people think of visiting in Greece.

This makes it a great destination as it is not crowded and Crete also has a range of activities to do with kids.

Greece is also a very safe place to visit so it is a definite for any family vacation. If you want to explore by walking, a stroller may be difficult to use so a baby carrier may be best. Or a stroller with larger wheels will be ok.

Make sure you and your baby visit the Plaka District of Athens and The Castles Of Rhodes.

How To Get Around

Of course, the best way to get around Rhodes is with the locals. Get your local Rhodes taxi here.

And if you are staying in Athens (check out our list of the best hotels with rooftop pools in Athens here ), the best way to get around town is by taxi! Book your taxi here !

• The Best Places to Visit on a Family Holiday To Crete
• Where to visit in Greece for first-timers

17. Stockholm, Sweden

Stockholm is full of incredible sights to explore; it would be a shame not to discover the elegant harbors because you have a baby. Instead, Stockholm is one of the best places to travel with a baby.

One of the best things about Stockholm is that you can walk almost everywhere. It is an incredibly safe city and is the perfect size for a family to explore.

Sweden is one of the best places in Europe to visit with kids , because there are plenty of age-appropriate entertainment spots, such as;

• Old Town – the quaint part of town with fantastic toy stores
• Vasparken – a massive park with a lovely playground
• Skansen – a giant ocean-air museum and zoo

It is a legal requirement for all city buses to ensure space for wheelchairs for disabled people and prams for children. This makes it easy to get around if you push a stroller.

A trip to Stockholm is one of the best baby-friendly vacations you can plan.

Tip: One of the best ways to check out Stockholm is from the water. Take a look at our list of best Stockholm boat tours here.

The USA is one of the best baby-friendly vacation spots in the world. There are so many different places in the USA that it is a hard choice of where to go when visiting the USA with a baby and young children.

Washington, DC, is such a vibrant, beautiful city, and it promises to be a memorable and enjoyable experience for the whole family. It is an icon of democracy, full of history and progressive happenings.

There is so much to see and do – a lot of which is free. The best time to visit Washington, DC, with your baby is during spring (March to May), as the temperature is pleasant, with the pink cherry blossoms blooming around early April.

Avoid July and August, which can get uncomfortably hot and cause your baby to fuss.

The city has an excellent public transport system, making getting around easy. While the law doesn’t require car seats for cabs, you can pre-request one for a taxi or Uber.

Florida is another great place to visit and has so many family-friendly resorts to choose from. Florida is well known for all the amusement parks for toddlers such as Disney World, Magic Kingdom Park, etc.

Your young children and even baby will love the splash pads inside Magic Kingdom

Take a trip to Utah to see Zion National Park. There are short hikes inside the park which will be enjoyable for the whole family.

If you do decide to hike in Zion National Park, make sure to take a baby hiking carrier. Find more tips for visiting Zion National Park with kids here.

The same applies if you visit Colorado and the Rocky Mountain National Park.

North Carolina has many fun activities for the family. There is the North Carolina Zoo which is bound to make your little one smile.

Spend a night or two under the stars in the Uwharrie National Forest. There are many activities that you can do from swimming to fishing and boating. Make sure that you put safety first and use life vests for water sports and activities.

If you happen to travel to New York, make sure to take a stroll around central park. It is perfect for walking with a baby stroller or baby carrier.

19. Reykjavik, Iceland

Due to the chilly temperatures, Reykjavik and the rest of Iceland are often overlooked when deciding where to travel with a baby.

However, the city is breathtakingly beautiful, and if you bundle up your baby, you can enjoy the Northern Lights, geothermal hot springs, and fascinating history without the fuss!

Boasting surreal landscapes and fascinating natural phenomena, your little one may be lucky enough to capture a memory.

Reykjavik is fast becoming a trendy tourist destination, so there have been increased tour options. Many of these tours are family-friendly and remove all the fuss when planning your trip.

Make sure you pack in a few extra warm goodies, and you and your baby are good to go.

20. Runaway Bay, Jamaica

Jamaica is known as a paradise getaway, and no reason having a baby should change this experience. Runaway Island in Jamaica prioritizes an atmosphere of relaxation and is one of the top places to travel with a baby.

As a fabulous family vacation destination, Runaway Bay boasts many villas, resorts, and accommodation options focused on the family. Many of these resorts offer family-sized rooms that can comfortably sleep up to three children.

Many of these resorts also help arrange the services of a nanny or babysitter to help you better relax on the beach. Some resorts even have a baby club where trusted employees mind your child during nap time.

If we can give you one little piece of advice, it’s to pack a lot of sunblock (keeping in mind that babies under six months can’t use sunblock). Chances are, your little one will enjoy the sun, sand, and clear waters as much as you.

21. Cascais, Portugal

Cascais is a quaint village in Portugal full of culture, history, and, most importantly, families. The laid-back destination promises one of the best vacations with infants possible.

There is a tangible warmth in the air reflected in the locals’ cheery expressions, and it is sure to be a holiday you will never forget.

If you don’t choose to push your stroller on the wide, open streets, you can be comforted that child seats in taxis are not mandatory, making taxi cabs easily accessible.

There is a wide selection of parks, calm beaches, and historical sites to explore. One thing to remember is that the rich traditions in the seaside village mean that local restaurants don’t necessarily serve chicken nuggets and the like.

However, if your baby wants to venture from their formula, you can rest assured that the local food isn’t particularly spicy and generally quite soft.

22. Vail, Colorado

Vail, Colorado, is one of the best places to travel with a baby.

The breathtaking images of gorgeous mountains, vast open spaces, and reflecting lakes may make you think Vail is better suited to adults; however, that assumption couldn’t be further from the truth.

There is an entire baby brand named ‘Travel Vail Baby’, which serves as proof of how excellent the destination is for infant-friendly vacations.

The baby and toddler equipment rental company provides cribs, strollers, high chairs, hiking backpacks, and bouncy seats (among many other items) to help parents enjoy Vail’s jagged peaks and slopes.

When ascending to higher altitudes, your baby should be fine, as babies older than three months old adjust to altitude much better than adults.

Handy Tip: The Vail Public Library has incredibly fun baby storytime!

23. Barcelona, Spain

A trip to Barcelona with your baby is a sure way to begin stimulating their creativity from a young age.

From the eccentric design of the Gaudi buildings to the intricate stained glass windows of the cathedrals, your baby will be so busy absorbing the environment that they’ll have little time to cry.

If you want to make the most of your time in Barcelona, travel in the summer when you can enjoy the multiple parks and outdoors. Babies are often happier and more relaxed when moving about.

With so many sights and attractions, you can be sure your little one will be happy as a clam.

Top tip: Make sure to pack a sling or baby carrier. The streets in Barcelona are cobbled, and the bumps could make your baby uncomfortable.

24. Nice, France

Nice is a romantic and magical destination filled with bustling alleyways, quaint little shops, and outdoor restaurants.

One of the best parts about traveling to Nice, France, with a baby is the excellent promenade which offers surreal views while pushing a buggy.

As Nice is such a popular tourist destination, you’ll find that the hospitality industry accommodates babies.

From heating bottles to providing changing facilities, you can visit Nice quickly without any baby hassles.

The French Riviera offers sun, sea, and delectable food; it would be a shame to miss out on this. The charming city is easy to travel to with a baby, especially if you follow our tips on how to travel through France with a baby .

25. Seoul, South Korea

Seoul is one of the most accessible places to visit with a baby. The cosmopolitan city has a lot to offer the entire family and caters to its attractions.

In addition to fantastic shopping, music, and food experiences, there are a lot of free and budget attractions to enjoy.

Seoul has plenty of indoor playgrounds, known as Kids’ cafes that are great for toddlers under two years old. These are a great option during the extreme seasons when the weather can be icy or uncomfortably hot.

The city’s very efficient public transportation system and a wide variety of family-friendly accommodation options make day-to-day living in Seoul very easy.

If you prefer to walk, you’ll be pleased to know that Seoul is also fairly stroller friendly.

One piece of advice is to not breastfeed in public. The Koreans don’t make a habit of the practice, so choosing to do so will attract unwanted attention.

Although there are baby nursing stations in larger subway stations, department stores, and restaurants.

26. Dublin, Ireland

Dublin City and the rolling green hills surrounding the area are on the top of many people’s bucket lists – for a good reason.

There is a stunning culture of friendliness in the city, and the beautiful design of the city mimics the breathtaking landscapes on the outskirts.

Dublin is well-supplied with formula, food, nappies, and clothing for your little one. Most restaurants will go as far as to prepare a bowl for your child and offer high chairs and baby-changing facilities.

Getting around Dublin is very easy. In addition to speaking English, the city is also easy to navigate, and baby car seats are available for a small additional cost. There is even a child-friendly taxi service .

There are many baby-friendly activities to discover in the city, including live Irish music performances.

Be aware that Dublin has quite a vibrant pub culture, and while children are allowed in the pubs and bars during the day, they are not legally allowed entry after 9 pm.

27. Thailand

Thailand is such a great destination to travel with a baby as it is so baby friendly. We love traveling to Thailand and have done it many times with our daughter when she was a baby and a toddler.

The Thai people and culture are so welcoming it makes this country a perfect destination for families who want to travel to a beach destination with a baby.

Another perk is that there are quite a few 4+ star hotels that are more than willing to accommodate your baby’s needs.

Many of them include indoor pools and even water parks. If you are after great cultural travel destinations with a baby, you can’t look further than Thailand. Here is a list of the best resorts on Koh Samui for families .

Some of the best places and great destinations to travel with a baby in Thailand are Khao Lak, Phuket, Krabi, and Koh Samui .

How to Choose Infant-Friendly Holiday Destinations

Wondering how to choose the best place to travel with an infant? Find below some of our requirements when we decide where to travel next.

1. Is the Transportation Safe?

An important consideration when we choose holiday destinations with our baby is whether transportation will be safe for our little one.

For example, you might consider whether taxis and private transfers offer infant travel car seats. 

If they don’t, it might be best if you rent a car and add a child car seat onto the rental costs, or you might prefer to bring your own – find a post on the best infant travel car seats to travel with here.

(However, it is essential to check if your car seat can be adequately secured in a different country as they all have different systems to install car seats).

How safe are these to use if you plan to take public transport? Some countries are crazy when it comes to driving.

Think about what you are comfortable with and choose the best vacation that ticks your boxes.

2. Is the Climate Baby-Friendly?

Look at the average temperatures and how much rain the destination will get at the time of year you plan to visit.

We made the mistake of traveling to Asia during their hot season, and our baby developed a heat rash from the constant heat; it made life more challenging than it needed to be as she was unhappy and pretty grumpy.

We also went to Japan when it was freezing, and it was tricky to keep our little baby warm and snug in the temperature.

3. Keep Travel Time Short

Keep flight time as short as you can. It is much easier to fly with a newborn who sleeps a lot, in comparison to a baby who has just become mobile.

It might be a good idea to pick infant-friendly travel destinations closer to home.

An 8-hour flight overseas might be okay, but a 15-hour long-haul flight will be much more challenging (If you are traveling long-haul, you might appreciate our long-haul flight checking list for babies ).

So while we list baby-friendly holidays from around the world in our list below, it will be essential to consider the ones closer to your home.

Also, think about how long your transfers are once you land, and keep your travel days nice and short so that there is plenty of downtime for your baby.

4. Which Countries Are Safe?

The best countries to travel to with a baby are the ones that are safe for little kids. Have a look to see if there is any unrest in the destination you will be visiting.

Look at which vaccines you might have to get (and whether your baby can even get them).

It might be best to avoid rural and remote areas of a country until your baby is a bit older.

We visited Bali when our daughter was only six weeks old, but we stayed clear of the monkey forests and spent a lot more time on hotel grounds than we would typically have done to keep the trip safe for her.

5. Consider Health Care

Think about the amenities and healthcare facilities you would typically be comfortable with at home.

Are there good hospitals, and will the medical staff be able to understand you?

6. Baby Facilities

Another thing that will make traveling with a baby easier is choosing a destination with baby facilities readily available.

Can you find hotels that have baby cots available? You might prefer to travel with a crib; you can find our top recommendations for a lightweight travel crib here.

Are high chairs available in restaurants, and are there baby change rooms?

If not, you can always travel with your own high chair – find a post on the best high chair for travel here.

You can also find a list of all our recommendations for baby travel gear to make your life easier while on holiday here.

Consider how easy it will be to purchase baby diapers, formulae, baby food, or baby medication.

If you have to travel with baby food, you can find a post about TSA baby food and formulae rules here.

Also, think about your baby’s age; the best places to travel with a newborn will not be the same as the best places to travel with a 1-year-old, because a 1-year-old is mobile.

If your baby is at the age where they are eating and drinking water, it is also essential to consider how safe the water and food are to eat in the country you are visiting.

Hopefully, all the tips above are helpful and will guide you to choose one of the best baby-friendly holiday destinations from our guide below.

Jolene’s Pro Tips for Traveling with an Infant

• Do it your way: People seem to think that if you go somewhere and you stay in your resort you are doing it wrong! But there is nothing wrong with a holiday with your baby where you do nothing but stay on the resort grounds.
• Have plenty of time to rest: Everything needs to happen slower when you travel with a baby. Plan to have only half days of exploring and half a day to relax, plan to have relax days after big travel days.
• Stay longer in one hotel: Our baby took a few days to adjust to a new hotel/crib. Which meant we had a few rough nights before she settled back into sleeping better. So we learned to stay in one spot for at least 5+ nights.
• Beach vs City trips: We personally found it much easier to go on a beach vacation in comparison to exploring towns and cities in a country. Life moves slower on islands and so that is where we prefer to be with our baby.
• What works for someone else might not work for you: Babies are all different, just because someone else had an incredible road trip holiday with their baby, does not mean your road trip will go smoothly. Our baby hated the car and the stroller, so road trips or days exploring all day long in a stroller were not fun for anyone!

Final Thoughts On The Best Places To Vacation With A Baby

So hopefully, if you have been wondering where to travel with an infant, you have made a list of the best holiday destinations with a baby you would love to visit.

The best destination with a baby will be different for each of us as it depends on your current location, as well as what sort of current baby ‘comforts’ you might be used to.

Most parents feel most comfortable when they choose destinations that offer the same level of baby care as the country where they live.

Ultimately you can travel anywhere in the world with a baby; after all, babies are born in each country worldwide.

But the most comfortable holiday where you will be less stressed out will be the country that matches your current baby’s facilities, amenities, and healthcare standards.

And as a last resort, go with your gut instinct. If the destination doesn’t feel right, it might be best to leave it until your child is older.

• Wondering what to take along on your trip? Here is our guide to handy travel accessories for baby that you should take on your holiday.
• First time flying with your baby? Grab our top tips on how to survive your flight with an infant .
• Wondering whether you should take a car seat on your flight? Here is a handy guide to help you decide .

Leave us a Comment:

• Which of these destinations on our best countries to travel with a baby list do you want to see the most?
• Can you add other best places to holiday with a baby?

Jolene Ejmont

20 thoughts on “27 best places to travel with a baby (safe + baby-friendly)”.

Hi, totally understand where you are coming from, but we visited Bali, Lombok and Gili Islands with our 2-month-old baby and her normal vaccines that she needs to get anyways was sufficient to keep her safe. And that was on doctor’s advice. We have also just visited Vietnam (she is 2 now) and again her normal routine vaccines was enough for her to go. Always best to choose a destination that you are comfortable visiting though and make sure you pop into your travel doctor for advice as well.

I would add Reykjavik

Oh Great tip Ana! Can you tell me why you found it baby friendly? 🙂

I love this! You guys have had some pretty awesome places – all the pictures are simply beautiful. That has to be one of the most memorable, not many people get to say that they have accomplished that! Great Job! and one more question How difficult is it to travel with a 2 month old baby?

A 2-month-old is EASY 🙂 They sleep a lot, they fall asleep anywhere and when they cry you can breastfeed. The hard months arrive once a baby is mobile.

Very interesting article about traveling of the baby. The traveling helps a baby to grow their physical and mental health. Baby strollers and prams are essential things during travel. Thank you for your well-written article.

Thanks for your comment Donna. Do you have a favorite destination that you love visiting with your baby?

I love to travel with my baby. Very interesting & informative post. Just lovely. Thanks a lot for sharing.

We traveled with our 7 month old to Florence and Tuscany and had an amazing time. People are incredibly friendly and helpful. If you get an Airbnb be careful for stairs!

Hi Matt, we love Italy because Italians love our kids! 🙂 We are actually heading to Italy for a 13 week trip early in 2019 – so excited!! Great tip with the stairs, I think it is important to ask that question in all European countries.

Great article. Thanks for sharing this post about best places to travel with baby. It’s very informative and helpful.

Korea is also really great for young children. Lots of kids’ cafes, people love children, most people in the big cities speak at least some English, safe, clean and quite cheap (compared to Japan).

Autumn (September/October) is the best time to come, summer is too hot, winter is too cold and there is often dirty air in spring. The autumn leaves are beautiful and sky is usually blue. The best area to visit is Gangwondo, to the north east.

Thanks for all those wonderful tips 🙂

I would suggest Portugal as well. People there love babies. If you’re pregnant or have a baby you have priority anywhere, from the queue at the supermarket to being seated at a restaurant. The country is beautiful, especially if you don’t just stay in the hyper touristy places like Algarve. Alentejo has great beaches and skies that go on forever and the further up North you go the cheaper it is, with some great hidden gems for both culture and nature.

Brilliant! Thanks for sharing and for giving some info on why you found it to be perfect for babies! We have actually had a few recommendations of Portugal, so might have to add it to the list 🙂

Jolene thank you for your list, we waiting for our baby and looking forward to starting travel with our boy.

Glad you like the info. Hope you have a great time once you can travel again 🙂 All best.

Thank you for the comment. Much appreciated it!

Thank you for the comment

Hi! Great post! Where would you recommend to travel with a 6 month old in December (internationally)? We would like the weather to be around 70F if possible as we are traveling from Minnesota and crave warmer weather in the winter months. Thanks!

Comments are closed.

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How I've kept traveling -- even after having a baby

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Before I had a baby, I had traveled to almost 60 countries and was on a plane every other week.

A huge fan of solo travel , yoga retreats with friends and adventurous escapes with my husband, I was always on the move. Thanks to the ability to work remotely, travel was easy. Then COVID-19 hit, and shortly after, I got pregnant .

So life changed, and so did travel.

But now that travel is picking up again , I'm back at it — with my eight-month-old in tow.

Here's how — and why — I've navigated travel with a baby.

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Why I travel with my baby

Because i have to, and so does he.

I live in Europe and my entire family lives in the United States . Like it or not, my child will have to constantly go back and forth between the two continents, and I want this to become second nature for him. I started flying with my child when he was three months old. He's already on his 15th flight and 4th high-speed train ride -- and has a few road trips under his elastic waistband.

Have some flights been really easy? Yes. Have some flights been harder? Also yes. But it doesn't matter all that much either way, because we have to travel if we want to spend time with friends and family back in the United States. And most of the flights, with a few small exceptions, have been great.

Even you don't need to travel with a baby, just know it's possible. It may not always be easy, but you can absolutely do it if you want to.

I want him to experience the wonders of the world instead of material things

My apartment was recently broken into. As violating and frustrating as it was, I realized that I was able to get over the things they took from me (cash and jewelry) relatively quickly, even though some of the jewelry pieces were family heirlooms.

When I'm still traumatized emotionally about having my space invaded, the robbers couldn't take from me what I most valued: my family and our shared experiences, especially the ones we've had traveling.

My hope is that my son will grow up understanding these same lessons and placing value on experiences and connections instead of things. And the best way to show this is by modeling the same behavior for him, which is often what motivates me to plan that next family vacation .

Because it's fun

Playing with my son in the peaceful Caribbean ocean waves, watching him stare at the Chicago skyline with awe or seeing him smile at the iconic Eiffel Tower are memories I'll never forget. Although he definitely won't remember these trips, we will — and we'll have lots of photos to show him one day.

How I make travel with my baby easier

Traveling with a baby isn't always easy. From diaper blowouts during landing and bleary-eyed nights with a jet-lagged infant to nasty stares from passengers if my overtired son shrieks during take-off, traveling with a baby has its downsides and complications. Here are some hacks I use to make it easier.

I bring someone along to help

I know I'll travel alone with my child as he gets older. However, for now, whenever possible, I try to have another adult in tow to help out — whether that be my partner, a family member or friend.

While I'm not expecting a friend to deal with a crying baby or his meltdowns, it's helpful to have someone along to help carry luggage, make sure I don't forget my jacket in the airport, hold the baby while I head to the restroom or help me fold up the stroller at TSA .

These little things can really make a difference when traveling. Once my child can at least walk on his own, I'll start traveling with just the two of us.

I pack as light as possible

It's true that kids — and especially babies — can need a lot of stuff. And there are things I really don't want to be stuck without on a long plane ride like diapers or snacks (more on this in a moment).

When traveling with my baby, I try to bring everything I need but don't go overboard. I swear by lightweight travel strollers and always take along a baby carrier and diaper backpack for a hands-free airport experience.

I like to book rental properties with as many baby and kid amenities already present as possible, such as a crib, high chair and more to avoid taking extra stuff along. I've also used rental companies in destinations for key items such as car seats, too.

Always bring these key items — especially when flying

What you can carry with you when flying is obviously very different than what you can lug along on a road trip, which offers you more space and added flexibility. That being said, these are key items I always take in my carry-on when flying with a baby:

• Extra clothing for both you and your baby (yes, trust me, you need a backup outfit just in case).
• Layers of clothing or blankets (plane temperatures can vary).
• Pacifier and clip (and backup).
• Comfort toy or blanket.
• Extra diapers (enough for an unexpected delay).
• Formula/breast milk/pump.
• Snacks (for you and/or your baby).
• Baby wipes.
• Sanitizing wipes.
• Extra bibs.
• Ziploc bags for soiled clothing (or a reusable, waterproof bag).
• Baby Tylenol or any infant medications.
• A basic first aid kit.
• Small toy(s).
• Anything that can help your baby fall asleep.

For more on what to pack and how to prepare for traveling with a baby, read this article .

Use points and miles for a more comfortable and affordable trip

This may be an unpopular opinion, but I love using my points and miles to fly in business class with my baby .

He's actually better behaved than other passengers in some cases. Also, having the extra space to stretch out makes a real difference for all of us, especially on long-haul flights where sleep is essential for the entire family.

I have also dipped into my stash of points and miles to buy three seats in economy, taking a car seat along so my baby can safely sit in his own seat, even though that isn't required at this age. The bassinet was once an option if I had enough points or miles for just two seats, although now my baby has surpassed the weight limit.

If you want to use the bassinet, always call the airline to see if this option is available and what the weight/size limits are, which can vary by airline or even route .

I verbally prepare my baby for travel

I'm well aware that my baby probably can't understand what I'm saying. But as he gets older, he is starting to recognize words, and I want "airplane" to be one of them as quickly as possible. Whenever we travel, I softly and carefully explain to him what's happening several days in advance each day before the trip.

I tell him we're going to fly high in the sky on a plane, that we need to be calm, quiet and happy. I tell him that we'll be spending time with many other people in a small space, so we need to not scream or kick the seat in front of us and bother other passengers.

I explain that we're visiting a certain destination or specific family members or friends, where we'll be sleeping and for how long we'll be gone.

One day, he'll slowly begin to associate these explanations with the journeys that follow them. Kids ask a lot of questions and want to understand what's going on, so I hope explaining things to him will help him feel safe and in control as he gets older, as well as excited to fly and to travel.

I fly or take a train trip at least every two months with my son

I realize that as someone who's worked remotely for more than 10 years, I'm afforded the flexibility to travel frequently and take my son along with me. I'm teaching my child how to eat properly and sleep well, and will pretty soon potty train, so I'm training him to travel, too.

With the convenience of low-cost air carriers and high-speed trains here in Europe (and a solid stash of points and miles), it's easy to get my baby on a plane or train every few months to get — and keep — him used to travel and make it part of a familiar routine.

I minimize travel stress with early arrivals, elite status and lounge access

Running through the airport with a baby and luggage is stressful and not at all how I want to start a trip.

I find the calmer I am, the calmer our whole family is — especially my baby, who tends to absorb my energy and mental state. Getting to the airport with lots of extra time helps me feel relaxed and in control — and these feelings transfer to everyone in my travel party, especially my son.

Having elite status and lounge access doesn't hurt, either, as I can avoid long lines and hang out in the lounge if I have time to kill before flying.

Both The Platinum Card® from American Express and the Chase Sapphire Reserve card offer lounge access, and considering my home airport of Madrid Barajas (MAD) has several really nice Sala VIPs that are part of the Priority Pass network, I find this credit card perk a valuable one.

My Oneworld Sapphire status makes flying on airlines like Iberia much more comfortable, too, allowing me to use the business class check-in area, board first and check a bag at no added cost.

I plan flights around bedtime and nap times whenever possible

While my son sleeps fairly well on planes, I prefer to plan flights strategically at times where he'll already be fed, calm and rested. Although I can't always make this happen, I do so whenever my schedule and flight schedules permit it.

I organize sightseeing and beach days around naps, too

When traveling, I always try to organize my days so that my baby can either nap at the hotel or vacation rental, or while we walk in his stroller.

Cobblestoned European streets are particularly helpful in coaxing my son to sleep in his stroller, as the vibration is relaxing for him. I also bring everything along possible to encourage sleep while on the road — a portable sound machine in the stroller, a portable night light, his lovey, a tent for the beach , our own sheet for the travel crib to remind him of home — really anything that will help him to nap and sleep, keeping him and the whole family calm and happy.

Bottom line

While I'm not hopping on a flight every other week like I was in those pre-pandemic, pre-baby days, having a baby hasn't ruined travel for me.

I know it can be more restrictive and more expensive, but I now look at travel in a whole new way. I see it as an opportunity to bond as a family, give my son new experiences and help him grow into a flexible, excited young traveler .

My hope is that starting with these experiences while he is young will make travel a habit for him, just like going to school or playing with friends — something he is familiar with and learns to love and do with joy.

Posted on Last updated: April 1, 2024 Categories Family Travel Advice

By: Author Kate

The Best Age to Travel with a Baby

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“What is the best age to travel with a baby?”

I’ve been asked this question countless times by friends and family who know I’ve been brave (read: crazy) enough to travel with my young babies multiple times. 3 months? 6 months? 12 months? When is the best time to travel with a baby? Or REALLY, Is there any best time to travel with baby ? Is it CRAZY to even bother traveling with a baby? Am I going to feel like I am ‘just parenting’ in a tropical destination?! Will it be any fun??

We’ve traveled with our young ones at a variety of ages and I’m here to report back on the best age for baby to travel.  I’ve summarized the pros and cons of each age group based on our experience of traveling with young kids.  Of course, each baby is different, some babies ‘just sleep’ for the first three months and some (like mine) ‘just screams’ for the first three months. You never know when teething, developmental leaps or other (disastrous) baby phases are going to strike. So what age is best to travel with a baby? I do have a favorite age, so make sure to read through to the end to find out!

What is the best age for a baby to travel?

I have to say that we haven’t traveled much at the infant stage. The first three months with both my kids were a foggy blur that I mostly want to forget! The earliest we have traveled with our youngest son was 2.5 months and I was basically counting that as 3 months by then.  For those with limited maternity leaves, this may be the best age to travel with baby simply because it may be the only time you have off! If you’re wondering when is the best time to travel with a newborn, I would recommend pushing it to as close to 10-12 weeks as possible!

Pros: 0-3 months

• The baby will sleep a lot. Usually not when you want the baby to sleep, but nevertheless, he will be sleeping for most of the hours of the day.
• Baby is completely immobile. Wherever you put the baby down is likely where they are going to stay. Put the baby in a beach tent with a mobile or play gym and enjoy the LUXURY of reading a book, or drinking a coffee while it’s hot!
• This is the best age to fly with a baby.  Forget about needing complicated busy bags, coloring books, stickers or other tricks to keep kids entertained on a plane . All a baby needs at this age is formula or breastmilk and a comfy spot to snooze. Flying at this age is almost as easy as when your kids learn to watch movies for 4 hours straight!

Cons: 0-3 months

• You are still recovering from a baby exiting your body. Your life is one padsicle after another. I could barely manage a 5-minute walk let alone a beach vacation for a good 6 weeks after the birth of my first (c-section) and second (VBAC) babies.
• Sleep deprivation. Although this got better with my second, the initial shock of sleep deprivation with my first was the worst. I remember people telling me ‘this too shall pass’ and I clearly remember wanting to punch those people in the face! Sleep deprivation sucks and being on vacation doesn’t help.
• Potential illness. For us, this is the biggest reason we don’t travel much before three months. it’s not good when babies under 3 months get sick, their little immune system is not yet mature. I like to have at least the first set of immunizations done before we leave the country, especially if it’s a country with fewer healthcare resources. Since I live in Canada, where temperatures are pretty frigid for much of the year, I tend to want to leave the country when I travel!

 The best age to vacation with baby?

We have traveled the most at this age with our littles. We have been to Costa Rica , Bahamas, and Mexico . Our friends over at Sailing Chance have even been to Italy with a baby this age – and the people of Italy were SO accomodating ! There are lots of different trips you can take at this age, all with their own set of pros and cons.

Pros: 3-6 months

• Bring your breasts only. If your baby is exclusively breastfed, it’s super easy to travel at this age. No need to worry about food contamination or washing and sterilizing bottles. All you need are your breastst and you are good to go! My youngest also got formula supplementation and although washing bottles was a pain, it was still easier than when eating solids became an issue. I would bring the prepared formula bottles or the travel packs and use bottled water. I would use these microwave sterilizer bags or a sterilizer rented from the hotel or resort to keep the bottles sterilized.
• Mostly immobile. Although some babies are rolling pretty well or even starting to crawl towards 6 months most are still pretty immobile. I definitely think the best time to travel with an infant is before they become mobile! My little ones were pretty happy to be parked in their stroller at a restaurant or at the beach. The sights and sounds and people were enough entertainment! If I try keeping my now 14-month-old in a stroller for more than 35 seconds and I’m doomed.
• (Still) sleeps a lot . 3-6 months tends to be the time when (most) babies start consolidating their night sleep (thank YOU) and being more awake during the day. Check out my post on how to get your baby to sleep on vacation to hear the crazy stuff we’ve done to keep our precious ‘sleep routine’ intact on vacation. Well-rested parents = much higher chance of actually enjoying your vacation.

Cons: 3-6 months.

• They won’t enjoy anything. At this age, babies don’t really care if they are in a tropical paradise or not. They aren’t going to particularly enjoy the pool or the ocean more than they would enjoy the bath. Putting their toes in the sand is probably just going to make them cry. The picture is NOT going to turn out as cute as you wanted it to. Or if it does, it will take 105,678 attempts to do it. This vacation is for you. Not them. If you’re wondering what is the best age for a baby to travel AND actually enjoy it meaningfully, skip ahead a few months!

 When is a good time to travel with a baby?

6-9 months:.

Ok so, in my opinion, this is the worst age to travel with a baby so I have to admit I struggled to come up with ANY pros for this age. Despite this, I have actually traveled with a baby at this age quite a bit. Maybe I’m still scarred from those trips! We stayed at the Empress Hotel in Victoria BC and we went on a Disney Cruise when my youngest was between 6-9 months. We still had fun, but it was a hard age for both of our kids.

Pros: 6-9 months

• Everything is exciting.   Clearly, I wasn’t up to my usual Pinterest standards on my recent trip to Victoria BC with my then 6-month-old.  For the plane trip, I literally brought NOTHING. I did not bring a single thing to entertain my child for a four-hour plane ride. At this age, EVERYTHING is exciting. Cups are exciting. Napkins are exciting. The seat tray is SUPER exciting. We made it through the flight using only the items already on the plane without causing any sort of ‘scene’. Take that, Pinterest! In general, I find the bes age to fly with baby is any time before they learn to walk!
• High Chairs are still fun.  Once my babies started really walking or crawling there was no chance they were going to be staying in their high chairs longer than 5-10 minutes. No matter how many delicious treats I was bribing them with. At 6-9 months, most babies are pretty content to sit in a high chair and enjoy the excitement of a meal with their family. Since solids are still a pretty new and exciting thing, it’s easy for that to take up some serious entertainment. I even brought my 6-month-old to the high tea at the Fairmont Empress in Victoria (and he was reasonably well behaved!)

Cons: 6-9 months

• Eating sand.  If you are planning a beach trip with kids , FORGET IT at this age. Especially if your baby is already crawling, this is a sure disaster. Babies love eating sand, and I’ve tried those Pinterest hacks with the mattress cover on the beach and let me tell you there is NO HACK that will keep sand away from an 8-month-old baby who is determined to eat sand. So what age can I take my baby to the beach? If you want it to be enjoyable, I would say before they are mobile and then after they stop putting everything in their mouth! Certainly a sightseeing or city trip is a better bet at this age.
• Eating everything.   6-9 months is the peak of the ‘put everything in your mouth stage’. If you are a germaphobe it’s probably not a good idea to travel with your baby at this age. Even myself, with a dog that basically french kissed my babies every day since birth, draw the line at some point. I tend to use a lot of the stroller or the baby carrier at this age to keep those little exploring hands out of every disgusting thing they can find.
• Eating real food.  When babies start to eat real food, they start to demand real food on schedule. Which means you have to be prepared with REAL FOOD on demand. No joke. We opted to do a mix of purees and baby-led weaning with both of our littles simply because it afforded us the flexibility to be a bit lazy in this regard. Depending on the type of trip, having separate meals made for baby may be a hassle, or hard to find!

 The best age to take baby on holiday?

9-12 months.

9-12 months has been very hit or miss for us.  Babies can be so different at this age! Some are walking and some are just starting to crawl. Those developmental leaps (complete with cranky periods) are so unpredictable.

Pros: 9-12 months

• They might start to actually like some stuff . Splashing in the pool and dipping their toes in the ocean might genuinely be the greatest moment of their little lives. Warning, also possible they will REALLY hate it. My sons have loved splashing in the pool, dancing to music and exploring new activities at this age. They have so much curiosity (and no fear) which makes everything awesome. all. the. time.
• Feeding and naps will be well established . Although both of my kids seemed to strongly resist any sort of schedule I imposed on them, by 9-12 months they had a somewhat predictable routine. They reliably had two naps and both MOSTLY slept through the night. At this point, they were both eating mostly ‘table food’ which made them much better travel buddies.

Cons: 9-12 months

• Might be too mobile. One of our worst trips with a baby was Jamaica when our son was exactly 12 months. He had JUST learned to walk and when we arrived at our destination with slippery floors and lots of bumps and stairs, he latched on to daddy and basically didn’t let go of him for 7 days straight. Although he could ‘walk’ it sure didn’t seem like it for the 7 days he was there.
• Sleep regression. For both of our kids, the 9-12 month sleep regression was KILLER. On the same trip as above, our son woke up at 4 am every single night. I didn’t think our hotel room neighbors would appreciate any renewed attempts at sleep training so the only thing that kept him quiet was to bounce him UP AND DOWN UP AND DOWN in a baby carrier for an hour straight until he fell back asleep. Not fun.
• Separation anxiety. Thankfully, my hubby is a PROSTAR DAD who is quite popular with both my kiddos. In fact, until recently, he was definitely both boys ‘favorite’. As such, when we go on vacation, the kids typically need to ensure they have some sort of body part touching him at all times. Or ELSE. Sorry, Daddy! I’ll just be over here sipping my strawberry daiquiri…

 The worst age to travel with toddler?

12-18 months.

Pros: 12-18 months

• They won’t eat sand! Ok, they might put a little in their mouth at first. Usually, one taste will be enough to make them realize their mistake fast! Not eating sand = not having to be constantly hovering over them on the beach. Win!
• They may only take one nap . This is likely closer to the 18-month mark, but having only one nap a day allowed for a lot of flexibility when traveling. When our kids are napping two naps a day having a separate bedroom is a MUST for us. I am NOT going on vacation to sit in a dark room for hours on end.

Cons: 12-18 months

• They know what they want, but don’t know how to tell you! Ok, this is pretty much the trend for the next 2.5 years, but I’ve found it all starts after 12 months. In fact, as I’m currently writing this post, my 14-month old’s favorite method of getting my attention is screaming at the top of his lungs. I have to admit, it’s quite effective. Until they are speaking in sentences, expressing what they want, and understanding why they sometimes can’t have it, is a constant battle. This is where choosing the right trip with kids is so important! Don’t pick a trip where you are going to be constantly saying ‘NO’ or no one will have any fun!
• This is the WORST age to fly with a baby. Plane trips are especially hard at this age. 12-18-month-olds don’t like to be restrained and have NO IDEA why being on a plane would require them to stay in the same place for HOURS. AND unlike 18month+ babies who can be entertained with iPad apps on the plane , they aren’t too enthralled with the iPad either. I keep my plane trips <4 hours at this age and try to plan at least a short nap on the plane to pass the time.

SOOOOOO…What is the best age for a baby to travel?

I think the best age to take a baby on holiday is definitely 3-6 months. We have now done 3 trips at this age with our two kids and each one has been a success. Ah, the blissful long stroller walks! Casually enjoying lunch while baby naps in the stroller or carrier.  Not needing to think about food and not needing to worry about illness it’s a perfect age to travel with a baby. After 3-6 months it’s all downhill until age 3.5 when you can start to actually reason with your kids.

What do you think? What is a good age to travel with baby? Drop me a line in the comments below to let me know your favorite age to travel with baby! 

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Safety When Traveling With a Newborn

Jaunty Junto / Digital Vision / Getty Images

While you can travel with a newborn baby, including airplane travel , it doesn't mean that you should . A lot depends on your baby's age and health. Generally, travel before one week old is not recommended and many doctors will also advise you to limit travel for several months. Using caution is not about the oxygen levels, the pressurized cabin on the plane, or the effects of high altitude. There is no proven connection between airplane travel and SIDS .

Instead, most experts advise limiting newborns' and younger infants' exposure to large groups of people so that they don't get sick. Traveling through an airport , onto an airplane (or two), through another airport (or two), and then visiting a lot of people—even if they are family members—exposes your baby to viral illnesses and other infections. This exposure is the main issue to consider when you travel with a baby, especially by air.

Vaccine-preventable diseases are also a concern at this age, as babies haven't had time to get vaccines and be fully protected against these illnesses. From measles and pertussis to the flu, it isn't a good idea to expose a newborn baby or young infant to these diseases unnecessarily, whether in an airport or at your destination. Traveling by bus or train would also expose your baby to many unfamiliar people and diseases.

Air Travel With a Baby

If you do plan to fly, check with your pediatrician to get clearance as well as the carrier that you are using. Each airline has its own policy. American Airlines, for example, allows babies as young as two days old to fly, but babies one week old and younger must have a medical form completed by a physician.

Keep in mind that travel could be stressful for both a new mom and a brand-new baby, especially if a flight is delayed or canceled. Add to that all the supplies that you need for your newborn, including clothes, diapers, bottles, and of course, a car seat for the plane.

Sometimes travel is essential, such as if you have adopted a baby and need to get back home. Otherwise, according to the American Academy of Pediatrics (AAP), it might be best to wait to fly until your baby is two to three months old and has a more mature immune system and a more predictable schedule.

If you fly with a baby, ideally:

• Be prepared for everything (delays, diaper disasters, minor illnesses)
• Bring some help with you (as in another adult or teen)
• Bring your baby's birth certificate as proof of age
• Fly during an off-peak time
• Get a nonstop flight
• Get your pediatrician's opinion before you go

Driving With a Baby

Driving is better than flying with a newborn since the baby is exposed to far fewer people. However, driving can still be stressful. Especially on a longer trip, you will have to stop every few hours for feedings , diaper changes , and simply to comfort your baby. As well, parents of a newborn are likely going to be a little sleep-deprived, which is not the best condition to drive a long distance.

If you do go on a road trip, it's essential that your baby is in a safe, rear-facing car seat while the car is in motion. If your baby falls asleep in the car seat, but sure that they have proper airflow around their face and that you are routinely checking on them.

The bottom line is that, unless you have a well-rested driver, you should aim to put off traveling until your newborn is a little older unless travel is essential.

American Academy of Pediatrics. Flying with babies: parent FAQs .

Sohail MR, Fischer PR. Health risks to air travelers . Infect Dis Clin North Am . 2005;19(1):67-84. doi:10.1016/j.idc.2004.10.001

American Airlines. Traveling with children .

Insana SP, Montgomery-Downs HE. Sleep and sleepiness among first-time postpartum parents: a field- and laboratory-based multimethod assessment .  Dev Psychobiol . 2013;55(4):361-372. doi:10.1002/dev.21040

American Academy of Pediatrics. Car seats: information for families .

Weinberg MS. Vaccine Recommendations for Infants & Children . CDC Health Information for International Travel (Yellow Book). 2016 edition.

By Vincent Iannelli, MD Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years.

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When is it safe to fly with a newborn baby?

It's not always a clear-cut answer. Here's what you should know about flying with a baby before booking a plane ticket.

When is it safe to fly with a newborn?

What to consider before flying with a newborn, how to keep your newborn safe when you fly.

When my husband and I decided to settle in an Asian city more than 8,000 miles away from our American family and friends on the East Coast, we did so knowing that we wanted to have children and that one day, those kids would have to get on a very long flight. We welcomed a son in July, and when he was 5 months old, we embarked on the 14-hour flight home for the holidays. Amid our worries about irritating other passengers and maintaining our own sanity, there was of course the question: Was a flight this long even safe or healthy for him ?

I could pack my own sanitizer, wear a mask, and try to keep him from mouthing the seat belt flap and tray table – but there are limits to how much any of that could really help when traveling during RSV, COVID, and flu season . Introducing my baby to my 95-year-old grandmother in New Jersey was intensely important to me, though, so I was determined to figure out how to keep him safe. 

Not everyone might face the stakes (or distance) that I have with my baby, but figuring out when a baby can fly is a common question many parents face. 

There are two aspects to consider before booking a flight with your little one: what an airline will allow and what is actually medically recommended. 

What the airlines say

It's easy to find different carriers' policies on infants by checking their websites. Delta Opens a new window and American Opens a new window will allow newborns under a week old if they travel with a doctor's note, while United Opens a new window has a minimum of 1 week old , and JetBlue Opens a new window and Southwest Opens a new window permit babies 2 weeks old . 

What doctors say

"It's not advisable at all to travel with a newborn, especially on an airplane that is enclosed with so many people," says Karin Nielsen-Saines, M.D. Opens a new window , a professor of clinical pediatrics in the division of infectious diseases at UCLA Children's Hospital. "First, if they get sick, they have absolutely no immunity. And second, if they have any slight illness, or even a low-grade fever , they'll need to be brought to the hospital for a whole septic work-up, which entails being admitted for 48 to 72 hours. It's traumatic for everyone: parents and baby."

That's why you're unlikely to get a doctor's clearance to travel with a newborn unless it's an absolute emergency.

After those first few weeks, the advice becomes a bit more equivocal. "There's definitely some personal decision-making and risk-taking involved with flying with a newborn or an infant, but not a hard-and-fast rule," says Mary Carol Burkhardt, M.D., M.H.A. Opens a new window , a primary care pediatrician with the division of general and community pediatrics at Cincinnati Children's Hospital. "Babies face the same exposures when flying as adults do, but their immune systems are not as developed. Many people may feel more safe flying after a baby is [initially] vaccinated, which typically happens around 2 months of age."

Not all vaccines happen at that 2-month mark, though. "A child would not be really fully, totally protected against the most common pathogens until 7 months of age because then they would have received their primary immunization series – the ones they get at 2, 4, and 6 months," says Dr. Nielsen-Saines. Around 6 months, babies can also get their shots for seasonal illnesses like the flu , COVID , and RSV . "But the truth of the matter is that there's a risk, right? And the risk is potentially higher between September to April," she adds. 

Those two milestones – around 2 months and 6 months – are observed by the American Academy of Pediatrics as well, which recommends Opens a new window rethinking travel with infants under 6 months of age and avoiding any trips with those under 2 months . 

Your baby's health

As noted, flying is particularly dangerous for babies because their immune systems haven't developed enough to fight off the germs potentially found on a flight. That's true of all infants, but if a baby was born preterm or with any significant illnesses, parents should exercise more caution before hitting the skies, Dr. Burkhardt says. 

Beyond the dangers posed by pathogens, flying itself can bother babies. "As the plane climbs or descends, the differences in pressure can cause discomfort or pain to children," says Dr. Nielsen-Saines. "When you have young children or infants screaming when a plane is taking off or landing, it usually has to do with ear pain."

To alleviate that pain, you can have your baby suck on a pacifier, nurse, or take a bottle during takeoff and landing to mitigate some discomfort. Luckily, it's temporary and nothing to worry about long term, but with one big exception: if a baby or child has an ear infection when traveling . Though it's rare, "the pressurization could cause the tympanic membrane to rupture," Dr. Nielsen-Saines says. If you suspect or know your baby has an ear infection and there's a trip on the books, you should consult your doctor and very likely consider postponing to avoid that risk (or a lot of the pain, at the very least). 

Though babies under 2 years of age are allowed to fly seated on their parents' laps – and thus without a seat and ticket of their own – on most airlines around the world, most experts recommend strapping a baby into a car seat or other child-restraining device for air travel. In the event of turbulence, it can be difficult for an adult to maintain their grip on a child, with potentially devastating results. 

Airline-provided bassinets, too, which really only help the comfort of a baby and parent, not their safety; they're not designed to restrain a child, so you'd have to remove your baby from the bassinet and hold them when experiencing turbulence. 

Reserving a bassinet does mean you'd likely end up seated in the bulkhead row, and "bulkhead seats are better because there's more space for the baby at the front, and more space for the parents as well," says Dr. Nielsen-Saines. In case you're wondering, there is no one area or row of the plane that is safer or more dangerous for babies – except for the exit row, where only able-bodied adults are allowed to sit in case of an emergency.

Logistical considerations

Among the biggest stressors of flying is strategizing how and when to take care of your baby's basic needs. Feeding, changing, and sleeping can be terribly difficult on a plane. You have to keep breast milk cold (and then potentially get it warm) or prepare bottles of formula. Even changing a diaper on a plane can require advance planning.  

Plus, travel disrupts a child's (often precious) routines. While it's not inherently damaging to their health, it can end up frustrating both you and your baby. " Changes with time zones are very hard for infants and young kids to reorient to," says Dr. Burkhardt. "Parents should be prepared that the child may act differently: They may sleep slightly less or more, they may eat slightly less or more, because their routine has been interrupted. Give them some grace in that."

A mother's own health

Just as there are many medical reasons why a newborn shouldn't fly, a new mom should also keep her health in mind before traveling postpartum . C-section incisions or perineal tears that still have stitches might make it painful to spend a lot of time in an airplane seat with a seatbelt on, while postpartum bleeding (and the accompanying diaper or pads) can also make things uncomfortable. Additionally, "Moms who have had surgical deliveries tend to have more gas at high altitudes, and with the changes in pressure, you might get more abdominal distension and pain," Dr. Nielsen-Saines says. 

A lack of sleep, too, brought on not only by parenting an infant but also disruptions in routine and potential time zone changes can impact a parent's immune system, she adds. "It takes a toll on your immune system to be fatigued," Dr. Nielsen-Saines explains. "There's an association between [exhaustion] and being more prone to respiratory infections." 

This can ultimately affect your baby: "When the parents get sick, it's more likely the child will get sick. It all goes together."

Even with these concerns in mind, there will always be reasons – and desire – to fly with a baby. Thankfully, there are ways to mitigate some of the risks:

Sanitize everything. Bring some easily accessible sanitizer bottles or wipes to clean off your own hands, baby's hands, tray tables, windows, armrests, and anything else a kid might touch. 

Keep your distance. "Avoid the more crowded places in the airport while you're waiting, to the extent that you can, to decrease exposures whenever possible," Dr. Burkhardt says. When you're on the plane, keep the overhead fan on for extra ventilation. 

Stay hydrated.  "It is easier to dehydrate on a plane, as the environmental conditions are different and the air is very dry," says Dr. Nielsen-Saines. Dehydration can cause health problems including dizziness, fatigue, and headaches, and even a mild case can make an uncomfortable situation feel worse. Make sure both you and your baby get enough fluids while flying.

Layer up. "Dress your child in layers, because temperatures are super variable [on flights]," adds Dr. Burkhardt. 

Consider headphones. The background noise on an airplane won't harm your infant's ears – it might even prove soothing . But if your baby is particularly noise-sensitive, consider using noise-canceling headphones made for infants, Dr. Burkhardt advises. (That said, the need to wrestle them onto a baby's head, and keep them there, might prove another obstacle to peaceful rest. )

One common bit of advice that Dr. Burkhardt urges parents not to take? "Sometimes parents ask us about medicating the baby for a flight , with, say, Benadryl, and that is something that we would recommend against," she says. "That would not be a way to help a baby sleep." Otherwise, buckle up you and your baby, and buckle down – you got this. 

As for my own journey, flying with the little guy was stressful in all the ways I’d imagined, and some I hadn’t (trying to remove him from the carrier while also opening all our bags while also removing my shoes when going through security, for one!). We consulted with our pediatrician, donned masks, sanitized hands and toys and tray tables, nursed often, and ultimately kept every possible finger crossed. Our baby stayed healthy, and getting that moment with my grandmother near a twinkly Christmas tree was absolutely priceless. 

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American Academy of Pediatrics. Tips for Traveling with Young Ones this Holiday Season. https://www.aap.org/en/news-room/news-releases/health--safety-tips/american-academy-of-pediatrics-tips-for-traveling-with-young-ones-this-holiday-season/ Opens a new window [Accessed January 2024]

Delta. Infant Air Travel. https://www.delta.com/us/en/children-infant-travel/infant-travel Opens a new window [Accessed January 2024]

American Airlines. Traveling with children. https://www.aa.com/i18n/travel-info/special-assistance/traveling-children.jsp Opens a new window [Accessed January 2024]

United Airlines. Traveling with children. https://www.united.com/en/us/fly/travel/accessibility-and-assistance/traveling-with-children.html Opens a new window [Accessed January 2024]

JetBlue. Traveling with lap infants. https://www.jetblue.com/help/traveling-with-lap-infants Opens a new window [Accessed January 2024]

Southwest Airlines. Traveling with an infant. https://www.southwest.com/help/flying-with-children/flying-with-infants Opens a new window [Accessed January 2024]

Mary Carol Burkhardt, M.D., M.H.A. Opens a new window , a primary care pediatrician with the division of general and community pediatrics at Cincinnati Children's Hospital

Karin Nielsen-Saines, M.D. Opens a new window , a professor of clinical pediatrics in the division of infectious diseases at UCLA Children's Hospital

Kaitlin Menza is a contributing writer at BabyCenter. After over a decade in New York City, she recently relocated to Taipei, Taiwan.

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Ultimate Guide to Hawaii with a Baby

Are you planning your first trip to hawaii with a baby and don’t know where to start keep scrolling for all the top hawaii travel tips from a mom who has done it many times, this guide to hawaii with a baby was written by hawaii travel expert marcie cheung and contains affiliate links which means if you purchase something from one of my affiliate links, i may earn a small commission that goes back into maintaining this blog..

Are you planning a trip to Hawaii with your baby?

I’ve been there. And, I know it can be tough to plan a vacation when you have a baby! That’s why I want to share my tips and tricks for having the best time in Hawaii while traveling with kids.

You might not think that Hawaii is an ideal place for families but trust me – you CAN do this! It just takes some advanced planning and flexibility on your part. Here are my top tips for making sure that your Hawaiian adventure goes smoothly (and doesn’t leave any little ones behind!)

Hawaii with a baby is totally do-able. I’ve traveled to Hawaii several times when each of my kids was a baby (sometimes completely on my own.)

That’s not to say that a Hawaii vacation with kids can’t be stressful at times! However, I’ve figured out how to travel to Hawaii with a baby.

The biggest trick to planning a trip to Hawaii with a baby is to set realistic expectations (and DON’T over-schedule!)

In this post, I’m going to answer frequent questions about planning Hawaiian vacations with a baby and give my top tips for setting yourself up for success.

By the end, you should have a good idea of fun things for kids to do in Hawaii, the best Hawaiian island to visit with kids, and how to plan your ultimate Hawaii vacation with a baby.

Heading to Hawaii with a toddler ? Read THIS first!

Want to skip all the planning and just access my detailed Hawaii Itineraries complete with daily schedules, kid-friendly activities, and travel hacks? Click the button below.

Why You Should Visit Hawaii with a Baby

1. you don’t have to stress about school schedules.

As your kids start to enter preschool and elementary school, you’ll realize how tricky it can be to pull them out to go on vacation.

Plus, there are school events, activities, and other things that might be on your schedule.

And traveling to Hawaii during school breaks can be quite pricey.

So, I suggest taking advantage of the flexibility to travel during the least crowded times (usually mid-April to June and September to mid-December.)

2. Lap Babies are FREE

If you’re flying to Hawaii with a baby, you can save a lot of money by having them sit on your lap during the flight. Take advantage!

I recommend bringing a baby carrier in your carry-on bag so your arms won’t ache from holding them for so long. See the top-rated baby carrier here.

3. Many Hawaii Activities are Free for Babies

There are tons of tours in Hawaii that don’t charge for babies. Sometimes you’ll need to hold them on your lap.

And most luaus are also free for both babies and toddlers. And that saves a lot of cash!

4. Hawaii is Baby-Friendly

We’ve traveled a lot with babies and toddlers and Hawaii is by far one of the most kid-friendly destinations.

You won’t feel bad about bringing your baby to most places in Hawaii (just avoid fancy restaurants with honeymooners.) And you’ll find lots of locals and Hawaii residents who will be super nice to your kids.

5. Babies are Super Portable

It’s surprisingly easy to travel around Hawaii with a baby. They can go in the car seat, stroller, or baby carrier pretty much everywhere go you.

And they can sleep in a crib or co-sleep with you and you don’t have to get an extra bed.

Plus, your baby will probably be able to nap on the go, so you really can get out and explore a lot.

Tips for Flying to Hawaii with a Baby

One of the top questions I see from parents who are traveling to Hawaii with a baby is about how to survive the flight.

It’s a 6-hour flight from the West Coast, and obviously longer from the Mid West and East Coast.

And if this is one of your first flights with a baby, it can be stressful.

Get My FREE Hawaii e-Book!

Our exclusive Ultimate Guide to Family-Friendly Activities in Hawaii is your treasure map to the most exciting, kid-approved adventures across the islands.

Book a Direct Flight

I totally understand that if you are flying from the Mid West or East Coast, you’ll probably have a layover on the West Coast.

However, if you are flying from the West Coast, you should absolutely book a direct flight. Otherwise, you’ll have a layover in Honolulu and that inter-island flight might do you in.

I think the worst part about flying with a baby is the long wait while you are on the airplane and getting ready to take off. You never know if they are going to get fussy.

It’s much easier if you can minimize that.

Should You Fly with a Car Seat?

Another top question about Hawaii travel with a baby is whether or not to have your baby use a car seat on the airplane.

Honestly, I think it’s totally your call. If you are purchasing a ticket for your baby, it can be really nice to be able to set them in their car seat for a while.

The tricky thing about flying with a car seat is that while all U.S. airlines are supposed to allow you to fly with one, they can make it really difficult.

It’s always good to make sure your car seat is FAA approved and to know your rights.

How About Checking Your Car Seat?

If you aren’t using your car seat on the plane, you’ll want to check it. Good news! It’s free to check a car seat!

I recommend packing it in a car seat bag to protect it a bit. Sometimes we even through in extra diapers or clothing to help pad it more.

You can check it at the gate or at the ticket desk. We always check it at the ticket desk so we don’t need to lug it around the airport.

Do You Need a Stroller in Hawaii?

Sometimes we bring a stroller and sometimes we don’t. It really depends on what you’ll be doing to know if it’s worth it or not.

If you are staying in Waikiki or at a resort with nearby restaurants, paved walking paths, or shopping, a stroller can be super helpful.

The same goes if your baby tends to nap in the stroller. Or if you think they will go to sleep in a stroller at a luau or at a restaurant. That can be really helpful.

But, if you are mostly going to be hanging out at the beach or babywearing, you can skip the stroller.

Checking Your Stroller?

If you are flying with a stroller, you’ll need to check it as luggage (it’s free to do this.)

You can check it at the ticket counter or gate check it. If you gate-check it, be sure to get a tag at the gate to attach to your stroller.

We usually gate-check so we can keep our baby in the stroller while we walk around the airport grabbing food.

Make sure not to leave anything loose in your stroller, including cup attachments, as things will fall out.

What to Pack in Your Carry On Bag

I highly recommend using a backpack as your carry-on bag. That way your hands are free to hold your baby at the airport.

I always put my carry-on under the seat in front of me (instead of the overhead bin) for easy access throughout the flight.

Here’s what I pack inside when traveling with a baby:

• 2 Bottles: If your child is using formula, it’s nice to pack an extra one in case you aren’t able to wash the first bottle.
• Nursing Cover : This is less about modesty and more about blocking out lights and distractions so your baby and focus on nursing.
• Baby Snacks: Teething crackers or biscuits can be nice to keep your baby occupied awhile.
• Quiet Toys: Leave the noisy toys at home and opt for a few new toys that will hold your child’s interest.
• Indestructible Books: These books hardly take up any space (unlike board books) and they are super durable. There’s even one about a Beach Baby !
• Extra Clothing: You never know if your baby is going to spit up, have a blowout, or drool all over themselves. Be prepared.
• Extra Bibs or Burp Cloths: You don’t want to run out of these on a long flight.
• Wipes and Diapers: I like to keep these in a separate nylon bag so it’s easy to grab for diaper changes in the lavatory.
• Lovey/Pacifier: If your baby has a binky, lovey, or special stuffie, make sure to bring on the airplane.

Renting a Car in Hawaii with a Baby

Unless you are staying in Waikiki, you’ll want to rent a car in Hawaii . It’s the easiest way to get around Oahu, Kauai, Maui, and the Big Island.

Hawaii does require that all babies be in a car seat. You can read all the Hawaii baby car seat laws HERE .

It’s really best to bring your own car seat for several reasons. First, your baby is already used to their car seat, so it’s familiar. Second, you know that it’s the right fit for your baby.

We’ve rented car seats in Hawaii with toddlers and one was really dirty and the other wasn’t the right size for our toddler. So, now we always bring our own.

The only time I suggest people rent a car seat in Hawaii is if they are traveling solo with a baby. There’s only so much a parent can carry on their own with a baby in tow.

Resort vs. Hotel vs. Vacation Rental

When you’re trying to figure out where to stay in Hawaii with a baby, it can feel a little overwhelming. There are SO many options and housing is a pretty big chunk of your Hawaii budget .

If you are planning on coming back to your Hawaii accommodations for nap time or your baby has an early bedtime, you might want to upgrade.

You’ll want somewhere with a nice lanai, a possible separate sleeping area for your baby, and maybe even somewhere that you can easily push a stroller.

Best Hawaii Resorts for a Baby

It’s really up to you whether or not it’s worth staying at a Hawaii resort with kids under 3 years old.

Most of the activities and amenities aren’t geared for babies.

One thing to consider is that many Hawaii kids club programs (like Disney’s Aulani Resort ) are geared for kids ages 3 and older. Some are free and some are an additional fee.

The big perk of staying at a resort in Hawaii is that there’s usually great on-site dining, room service, awesome pools, and sometimes a luau, making it super convenient.

Some of the best resorts in Hawaii for babies include the Hilton Hawaiian Village on Oahu, Grand Hyatt Kauai , and Grand Wailea on Maui.

Best Hawaii Hotels for Babies

Another Hawaii family accommodations option is to stay at a hotel in Hawaii. These can range from budget to moderate to luxury.

The difference between a hotel and a resort is that hotels are usually just a hotel room and (usually) a pool area. While there might be a bar, there usually isn’t an actual restaurant or other amenities.

Some of the best hotels in Hawaii for babies include the Embassy Suites in Waikiki on Oahu, Maui Coast Hotel , and the Aston Islander on the Beach on Kauai.

Airbnb or VRBO?

Personally, I think the best place to stay in Hawaii with kids is often a vacation rental home. This can be a condo or a rental house.

What’s nice about this option is that there’s usually a full kitchen, so you easily make your own baby food or store breast milk.

And there are usually separate bedrooms, so you can put your baby to bed early (and in a dark room) and then hang out in the living room or lanai for some quiet time.

Oh, and another bonus is that parking is almost always free.

We’ve used both Airbnb and VRBO in Hawaii and have had good experiences with both. But, we prefer VRBO.

Hawaii Baby Rentals for Gear

If you don’t want to lug a lot of things to Hawaii, there are places where you can rent all kinds of baby gear.

You can rent a stroller, crib, high chair, jumparoos, toys, etc.

Places to Rent Baby Gear in Hawaii

• Oahu Baby Rentals
• Baby’s Away Oahu
• Paradise Baby Co.
• Traveling Baby Company
• Maui Baby Rentals
• Akamai Mother’s Rentals
• Maui Vacation Equipment
• No Ka Oi Baby Rentals
• Nana Enterprises
• Maui on the Fly
• Kauai Baby Rentals
• Kauai Baby Gear Rentals
• Babylicious Kauai

Big Island Baby Rentals

• Aloha Kona Kids
• Baby’s Away
• Traveling Baby

What to do on Hawaii Vacations with Babies

If you’ve gotten this far in my post, you’ve got a good idea of what a Hawaii vacation with a baby looks like logistically.

So, let’s look at the island-specific activities and attractions to help you plan your ultimate Hawaii vacation. A lot of parents wonder what they can do when taking a baby to Hawaii.

Honestly, any island can be the best Hawaii island with a baby.

Oahu with a Baby

Oahu is one of my favorite islands to visit with babies. There are just so many activities and attractions. And they have the best shopping in Hawaii!

Oahu is a great island for families who want to be on the go and see a lot of famous places in Hawaii.

Things to do in Oahu with a Baby

• Play at Ko Olina Lagoons: This set of coves have really calm water and are perfect for babies to dip their toes in the ocean.
• Dole Plantation : They have a cute train ride, pineapple maze, and you can eat Dole Whip !
• Go Hiking: There are tons of easy Oahu hikes that you can do with the right baby hiking essentials , like a baby carrier .
• Kualoa Ranch : They have a baby-friendly jungle trek tour where you can drive around looking at Hawaii movie sites. It’s one of the few things you can do with a baby there. Find the best prices here.
• Waikiki Beach: Not only is this fun for people watching, but the water is super calm and perfect for little ones! It’s one of the top things to do with kids in Honolulu.

Maui with a Baby

We always have a blast visiting Maui with babies. It’s a fairly laid-back island and we do a good mix of day trips, beach days, and spend time hanging at the pool.

Maui is a great island for people who want to relax at a kid-friendly Maui resort or do some cool day trips.

Things to do in Maui Hawaii with a Baby

• Maui Ocean Center : This is a cool aquarium with indoor and outdoor exhibits, plus they offer cultural programming throughout the day. Find the best prices here.
• Road to Hana : If your baby naps in the car, this is a really fun Maui day trip. There’s lots of fun stops along the way.
• I’ao Needle: This is one of my favorite (and super easy) hikes on Maui. You can either hold your baby or put them in a carrier.
• Sunrise at Haleakala: If your baby wakes up early, take advantage and head to Haleakala Crater to watch their famous sunrise.
• Submarine Tour : Hop on the Atlantis Submarine for a fun, underwater adventure where everyone stays dry! Check out the latest prices and more details.

Kauai with a Baby

We’ve visited Kauai with babies a lot because that’s where my mom lives. It’s a super chill island and we usually spend our time at the beach or doing half-day adventures.

Kauai is a great island for families who love tasty food and gorgeous beaches.

Things to do on Kauai Hawaii with a Baby

• Kilohana Plantation Train Ride : This is ALWAYS a hit with my kids since they were babies. It goes through a farm where you can feed animals mid-way through.
• Kamalani Playground: This East Shore playground has baby swings that are fun. Plus, there’s a full playground (and a play bridge nearby) that’s great for older kids.
• Kauai Bike Path: There is a paved path that goes up the East Coast of Kauai that is perfect for pushing a stroller or renting bikes with a baby trailer.
• Poipu Beach Park: This is one of our favorite kid-friendly Kauai beaches. The water is calm and the weather is usually sunny.
• Kauai Food Tour : We love sampling new restaurants and the portions are large enough to share with older babies. Check out the latest prices and more details.

Big Island with a Baby

We haven’t actually explored the Big Island with a baby, but I’ve talked with a lot of friends who have and these are their suggestions.

The Big Island is great for families that want a laid-back Hawaiian vacation that feels a bit “off the grid.”

Things to do in Big Island Hawaii with a Baby

• Hawaii Volcanoes National Park : This is one of the top thing to do on the Big Island with kids. Ask the park ranger for advice on the best hikes to do with a baby.
• Coffee Tasting : This is more for tired parents than for your baby. Kona Coffee is world-famous, so might as well try a few blends! Find the best prices here.
• Kona Farmers Market: Farmers Markets are a great way to taste local Hawaiian fruit and pick up some tasty baked goods.
• Kamakahonu Beach: One of the best kid-friendly beaches in Kona is Kamakahonu Beach (aka Kam Beach) because of its calm waves
• Akaka Falls : This is one of the best waterfalls on the Big Island for kids. It’s easy to get to and totally worth a stop as you explore the Big Island with kids.

Is it Worth Going to a Luau with a Baby?

So, one of the biggest questions parents have asked me is whether or not they should go to a luau with a baby.

Luau tickets are pretty expensive (even if your baby is free) and it can be hard to know whether to splurge.

I think it really depends on your baby’s temperament. Both my kids love going to luaus when they were babies. They were really focused on dancing and music.

But, my kids typically fall asleep mid-way through the show. So, we either strap them into a carrier or put them in a stroller for the rest of the evening.

However, if you’re on the fence, you can always skip the luau and just attend a free hula show. They are usually offered at shopping malls in Hawaii.

Here are the top kid-friendly luaus on Oahu , Kauai , Maui , and the Big Island .

Easy Things to do in Hawaii with a Baby

The best thing about traveling to Hawaii with a baby is that they don’t really require special activities.

Honestly, as long as places allow babies (like tours, boat rides, etc), you really can take them anywhere.

And since they are portable, you can also do some hiking or take turns snorkeling.

I really recommend that parents give each other some baby-free time. Even if it’s just to walk to grab a coffee or sit at the pool for a while.

Here are a few specific ideas for what to do in Hawaii with a baby:

• Hit the Beach: Find out the best kid-friendly beaches and plan on spending a morning there. Bring sand toys or inflatables for extra fun. Here’s my top beach essentials for babies .
• Shave Ice: Each island has lots of shave ice options and older babies will love this sugary treat. These are our favorites on Maui , Kauai , and Oahu .
• Pool time : If your hotel or resort has a pool area, take advantage!
• Go for a Walk: There are lots of paved walking paths in Hawaii that are perfect for stroller walks.
• Go Shopping: There are so many adorable baby boutiques in Hawaii where you can find Hawaiian clothing, stuffed animals, toys, and Hawaiian children’s books .

Hawaii Baby Stores

If you end up forgetting some baby items (or you lose your last pacifier), there are plenty of places to get Hawaii baby essentials, clothing, diapers, etc.

Whether you’re looking for baby stores in Honolulu, Lahaina, Kona, or Poipu, we have you covered!

• Oahu Baby Stores: Baby Emporium , Hopscotch, Mila’s Closet , Carter’s, Nordstrom, TJ Maxx, Ross Dress for Less, Nordstrom Rack, Marshall’s, Macy’s, Bloomingdale’s, Target, and Walmart.
• Maui Baby Stores: Droplets , Sea La Vie, Nuage Bleu , Maui Toy Works, Carter’s, TJ Maxx, Ross Dress for Less, Macy’s, Target, and Walmart.
• Kauai Baby Stores: Kokonut Kids , Ivy & Co. , Walmart, Ross Dress for Less, Macy’s, SoHa Living, and Target (coming soon.)
• Big Island Baby Stores: Crib , Macy’s, Ross Dress for Less, TJ Maxx, Target, and Walmart.

We even have a full post about the cutest baby stores in Oahu, Hawaii worth checking out!

How to Plan Your Hawaii Itinerary with a Baby

I know how easy it is to over-schedule your Hawaii trip because there are SO many fun things to do and see.

However, this will definitely lead to tears (you and your baby) when everyone is tired, cranky and things don’t go according to plan.

So, here are my tried and true ways to plan a totally do-able Hawaii itinerary. Be sure to make a list ahead of time of your top picks for things to do in Hawaii with baby so you can prioritize.

• Enjoy Breakfast: If your baby isn’t eating solid foods, breakfast is the perfect time to go to a restaurant. There will be other families and you won’t stress out if your baby starts crying or making noise. Plus, you can get good coffee and tasty Hawaiian breakfast items.
• Schedule Your Morning: Babies are usually happiest in the morning hours. So, that’s the perfect time to head out on a little adventure or take a half-day tour. Plus, that’s when you will probably have the most energy yourself.
• Plan One Activity Per Day: If you are doing a scheduled paid activity, don’t book more than one thing per day. And plan those early in your trip (in case it gets canceled due to weather.)
• Lunchtime: You can pack a picnic lunch to eat at the beach or enjoy eating at a restaurant. There’s lots of outdoor seating, which is always nice with little kids. Plus, food tends to be cheaper at lunchtime versus dinnertime.
• Plan for Nap Time: Figure out whether you want to go back to the room for nap time or do a car nap on a long drive. When my kids were really little, we’d do the morning nap on a drive but the afternoon nap in the hotel.
• Leave Afternoon Unscheduled : Life with babies is unpredictable. It’s nice to have a lot of flexibility in case you all need to head to the hotel for some quiet time. Heading to the pool is another option for chill out time.
• Dinnertime: I love eating out at restaurants for dinner IF my baby isn’t tired. However, if it feels like they might melt down, I’d much rather get takeout and eat it on our lanai. It can feel like AGES to get your bill when you’re dealing with a cranky baby.
• Bed Time: If we are staying in a vacation rental, we usually put the baby to bed early and then we can hang out on the lanai to enjoy dessert or cocktails kid-free. If we’re in a hotel, we tend to co-sleep and all go to bed around the same time.

What About the Time Difference in Hawaii?

Another popular question I see is that new parents want to know how their baby will adjust to the time change.

Hawaii is 2-3 hours behind the West Coast, 3-4 hours behind Mountain Time, 4-5 hours behind the Mid West, and 5-6 hours behind the East Coast.

Believe it or not, but your baby will probably adjust to the time quicker than you will.

Be prepared for your baby to wake up pretty early, though. This is especially true if they sleep a lot on the plane ride to Hawaii. They might not sleep as well that first night.

We tend to try to stay up as late as we can the first few nights to adjust a bit, but mostly, we just expect to be early risers. That’s why we like eating out at breakfast instead of dinner.

Plus, you can head to the beach before it gets crowded.

Hawaii Vacation Photography

One of my favorite Hawaiian souvenirs is professional photos of our trip. That way, I’m not stressed about taking “good” vacation photos during our vacation.

It’s an easy way to get a stellar family Christmas card photo, plus I like to print them and hang them on our walls at home to remind me of our trip. Check out the latest prices and more details.

Hawaii baby photography is such a great investment. Babies change so much from month to month and you won’t regret having these photos.

There are tons of Hawaii vacation photographers to choose from. We like to use Flytographer because it’s easy to find an affordable Hawaii vacation photographer who is available during our trip.

Save $25 on Flytographer

Baby Hawaii Packing List

As you start to get ready to actually take your trip to Hawaii, it’s time to work on your Hawaii vacation packing list.

I recommend starting to gather items a few weeks before your trip. That way, you have time to order items online or go shopping for anything you are missing.

And make sure to try clothing and footwear on babies to be sure they still fit. It’s crazy how quickly they grow and you don’t want to pack things they have outgrown.

This list of items is specific to babies and is not a complete Hawaii packing list.

Here’s my Hawaii packing list for taking a baby to the beach!

What to Pack to Hawaii with Baby

If you are staying in a hotel or resort during your Hawaii vacation with baby, you’ll want to pack enough clothes for every day of your trip plus extra clothing, in case of accidents.

If you are staying in a vacation rental with a washer/dryer, you can pack enough for half your trip and do laundry mid-way through your vacation.

• Diapers and Wipes : Make sure you have plenty, especially if you are particular about the brand. It can be hard to find some brands in Hawaii.
• Baby Food Pouches : If your baby eats pouches, it’s so much cheaper to buy them at home than in Hawaii.
• Specific Ointments/Medications: It’s always smart to travel with baby Tylenol, diaper rash ointment, and other items that you might need in the middle of the night.
• Swim Diapers : This is essential if you want to use a hotel pool. You can use disposable or cloth swim diapers. Find the best prices here.
• SPF Rash Guards and Swimsuits : You’ll want a few of these if you plan on swimming every day so they have time to dry.
• Sun Hat: The sun is really strong in Hawaii and it’s a good idea to protect your baby’s face.
• Reef-Safe Sunscreen : You can totally get this in Hawaii, but if you are particular about a brand, make sure you bring it with you. It’s only recommended that babies older than 6 months wear sunscreen.
• Shorts, Shirts, Dresses: Lightweight clothing is best and it’s nice if colors coordinate so you can mix/match if there are spills.
• Lots of Onesies : My kids basically lived in short sleeve onesies in Hawaii.

Things to Buy in Hawaii

• Sand Toys: There’s no reason to lug these in your suitcase since they are pretty inexpensive and easy to find in Hawaii. You might even see if you can just borrow over there.
• Pool Floaties: You can find all sorts of baby inflatables at most stores in Hawaii.
• Hawaiian Clothing: If you are going to a luau , it’s seriously cute to have your toddler wear an Aloha shirt or Hawaiian dress. This is also great for Hawaii photo shoots.
• Board Books: We love getting Hawaiian board books to read before naps or bedtime.

Things That Are Nice, But Not Essential

• Sun Tent : If you know you’ll be spending a lot of time outside and are worried about shade, a sun tent can be a great idea. Find the best prices here.
• Sand-Free Beach Mat : These beach mats are easy to shake the sand off so you don’t get it all over your rental car. Check out the latest prices and more details.
• Travel Towels : It can be really handy to bring these compact microfiber towels with you in a backpack if you are hiking to a waterfall or are heading to the beach. Find the best prices here.
• Portable High Chair : If you have a baby that likes to sit and eat for a long time, it can be helpful to clip a portable high chair to a counter in your condo or at a restaurant. Check out the latest prices and more details.

Hawaii with a Baby FAQs

You’ll want to aim for Hawaii’s shoulder season, which runs mid-April to June in the Spring and September to mid-December in the Fall. That’s when you’ll find the best deals on airfare and hotel rooms. Basically, just avoid all school breaks.

You can’t go wrong with any of them! Seriously, your baby won’t complain. Instead, think about which island YOU want to see. If it’s your first trip to Hawaii, Oahu or Maui is always a good option. If you’re been to Hawaii before, try Kauai or the Big Island . All islands have kid-friendly beaches, dining, and activities.

If you are traveling from outside the U.S., you’ll need a passport for your baby. And if you plan on renting a car, you’ll need to bring a car seat or arrange to rent one in Hawaii.

If you are pregnant and want to take a tropical babymoon, Hawaii is a great option. First of all, it’s Zika-free. And it’s in the U.S., so you don’t need a passport. There are tons of amazing resorts offering prenatal spa services, too. I’ve got a full Hawaii babymoon packing list HERE .

Hawaii Baby Wrap Up

Ok, so we’ve covered just about everything I can think of that would be helpful to know when traveling to Hawaii with a baby.

In summary, I think going to Hawaii with a baby can be an awesome experience. There are tons of fun things to do as a family. But, it’s important to set realistic expectations of what you’ll be able to do each day.

Love this post about traveling to Hawaii with a baby? Get my tips for planning your first trip to Hawaii , where to find vacation babysitters in Hawaii , deciding between a hotel or condo , and tips for renting a car in Hawaii .

P.S. Join our   Hawaii Travel with Ki ds Fac ebook group to get connected with other families planning a trip to Hawaii!

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Have baby, will travel: Tips for new parents

Posted: June 5, 2023 | Last updated: June 5, 2023

Pros and Cons of Traveling With a Baby

The most obvious perk of traveling with a baby: You don’t need to pay for their airplane seat until they reach age two! Besides that, the upsides and downsides depend on your approach to parenting.

Generally speaking, traveling around the 6-month mark is mostly positive. Before babies start crawling, they don’t struggle to be put down or need a baby-proofed hotel room in which to roam. You can ditch the stroller and opt for a carrier as you explore, and the baby can either nap or observe the scenery.

There’s also a good chance your baby isn’t yet relying on solid food — we actually delayed kickoff by a month or two until after our travels — so there’s no need to hunt down special infant meals. If you’re breastfeeding, keep it up through your trip and you’ll barely need to pack a thing for your baby. Otherwise, just bring enough formula (yes, TSA will allow it through) and you’ll be good to go.

With infants younger than 6 months, you may face more fussiness. And depending on the conditions your little one needs to get to sleep, your schedule may have to revolve around nap times. After they’ve started to crawl or toddle, you’ll want to be more vigilant of potential hazards in your hotel, rental, or host’s home.

When planning your day, keep in mind that picky eaters can take time to satisfy. But what better way to expand your kid’s palate than in another country? Our daughter tried her first taste of pancakes in Amsterdam, while sitting in her first-ever high chair, and it remains one of our favorite early-parenting memories.

By the way, we also have good tips for new parents wondering  how families afford to travel .

Pre-Trip Checklist

Before you go anywhere, you’ll want to check a few important items off your to-do list.

Collect Your Baby’s Travel Documents

When you’re traveling within the United States, your baby is good to go. Just be sure to have their birth certificate on hand and, if only one parent is present, a letter of consent from the other, to avoid any custody dramas while you’re trying to enjoy a vacation.

If you’re traveling internationally, via plane, your little one will need a passport just like every other U.S. citizen. When traveling by sea, you’ll want to bring the birth certificate and consent letter from a parent who stays at home.

To apply for your baby’s passport, be sure to start the process as early as possible by filling out form  DS-11  , found on the State Department’s site. You’ll be asked for evidence of a birth certificate (and/or other options to prove citizenship, if they apply to you) and a properly formatted photo. This image will be used until your kid is 5 and needs an updated passport — a source of great amusement for them until then, guaranteed.

Visit the Pediatrician

Consider bringing your baby to the pediatrician about a month before your departure, and make sure they are up-to-date on routine vaccinations.  Additional shots   may be required depending on your destination.

Check the Centers for Disease Control and Prevention (CDC) website for other travel alerts. And be sure to pack any medications your child might need, such as baby acetaminophen in case of teething pain or fever.

(By the way, this article will tell you what to do if you or your baby  get sick on vacation .)

Pack or Reserve Baby Items

Think about what you might need at your destination: bassinet, Pack ‘n Play, etc. You may be able to call to request larger items at your hotel or rental, attached to your reservation. If you plan on  renting a car , make sure you reserve a car seat.

If you don’t already have a baby-wearing sling or pack that’s light and comfortable, consider investing in one. The structured Ergobaby and Tula are two excellent options. If you’re not a baby-wearing type and your baby is old enough to sit up, think about getting a lightweight folding stroller (Maclaren has a range of great options) that’s easy to carry and maneuver (and should meet all carry-on specifications). Leave your souped-up fancy version at home.

Flying With a Baby

What to bring.

The things you’ll need when traveling with a baby are not so different from what you need for a day in the park. Besides a stroller or carrier, you’ll want to make sure you’ve got enough amusements on hand to get your baby (and those around you) through the flight without much drama. I remember getting great new-parent tips from others about flying, including the advice to bring a small bag stuffed with distractions: board books, her Sophie the Giraffe teether, a light-up rattle. It was an excellent idea, even though she wound up happily playing with an empty plastic water bottle for much of our time in the air — anything that works!

If you’ve got a toddler who likes to snack, have plenty of their favorites with you (for yourself, too, as they’re not the only one who needs to be distracted from grumpiness). Other useful items to bring in your carry-on: plenty of diapers, wipes, a travel diaper pad to use in the cramped bathroom (not fun), formula, and a small cozy blanket.

Dealing With Air Pressure Changes

When flying with a baby, take-off and landing are likely to be the toughest parts, due to air-pressure changes in the cabin that can plug up their little ears. Start breastfeeding or bottle-feeding a few minutes before the actual take-off or landing. The sucking and swallowing actions will help their ears keep popping. Your little one will be blissfully unaware that they’re supposed to start screaming.

At Your Destination

When traveling, think of your baby as a mini-version of you, and take all precautions (and then some) that you’d take for yourself. For  summer travel  in warm climates, apply mosquito repellant, use plenty of sunscreen (don’t forget to reapply!), and dress them in long-sleeved rash guards while swimming or on the beach. In new countries, avoid tap water.

Consider nap times, and where you’d like to be to help facilitate your baby falling asleep in a strange environment. Finally, be prepared to adjust your plan as you go to accommodate any fussiness and meltdowns.

The Takeaway

Don’t stress out about traveling with your infant — enjoy it! Now, when your little one is still portable and not yet making their own demands, might be your last chance to feel free as a bird while exploring a new place. No, they won’t remember the experience, but you will. And you’ll have the pictures and stories to prove it.

This article originally appeared on  SoFi.com  and was syndicated by  MediaFeed.org .

Please understand that this information provided is general in nature and shouldn’t be construed as a recommendation or solicitation of any products offered by SoFi’s affiliates and subsidiaries. In addition, this information is by no means meant to provide investment or financial advice, nor is it intended to serve as the basis for any investment decision or recommendation to buy or sell any asset. Keep in mind that investing involves risk, and past performance of an asset never guarantees future results or returns. It’s important for investors to consider their specific financial needs, goals, and risk profile before making an investment decision.

The information and analysis provided through hyperlinks to third party websites, while believed to be accurate, cannot be guaranteed by SoFi. These links are provided for informational purposes and should not be viewed as an endorsement. No brands or products mentioned are affiliated with SoFi, nor do they endorse or sponsor this content.Communication of SoFi Wealth LLC an SEC Registered Investment AdvisorSoFi isn’t recommending and is not affiliated with the brands or companies displayed. Brands displayed neither endorse or sponsor this article. Third party trademarks and service marks referenced are property of their respective owners.

Communication of SoFi Wealth LLC an SEC Registered Investment Adviser. Information about SoFi Wealth’s advisory operations, services, and fees is set forth in SoFi Wealth’s current Form ADV Part 2 (Brochure), a copy of which is available upon request and at  www.adviserinfo.sec.gov . Liz Young is a Registered Representative of SoFi Securities and Investment Advisor Representative of SoFi Wealth. Her ADV 2B is available at  www.sofi.com/legal/adv .

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How many months do I need left on my UK passport before I travel?

Many countries across the world require you to have a few months left on your passport at the time of travel – here are the main holiday destinations to watch out for, article bookmarked.

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You might think that you can just hop on a plane with an in-date passport and travel the world. In fact, many countries demand that visitors have months left on their passport before it expires.

Some – including Australia , Canada and the US – only require your travel document to be in date for the duration of your trip.

But others give a more restrictive time frame, with no real pattern from region to region – while most of Asia requires six months on your passport, for example, different Caribbean islands demand different time frames.

In some destinations, you can also be caught out for not having enough space left in your passport for new immigration stamps.

Here are the key passport validity rules for British passports for the world’s top holiday destinations.

• Barred from Europe: 2.4m Brits caught in post-Brexit passport chaos
• When do I need to renew my passport for travel to Europe?
• This is the best time to renew your passport to save money

Valid for the duration of your stay

These countries only ask that your passport is valid until the day you leave the country.

*While this is technically the rule for Canada, if you have six months or less on your passport, it may take longer for you to get through immigration.

Valid for one day

Costa Rica requires Britons to have one day’s validity from the day of their departure.

Valid for three months

All EU countries, plus those in the Schengen Area (excluding Ireland) require you to have three months left on your passport from the day you plan to leave. Your passport must also be less than 10 years old on the day you enter the country. This is true for the following countries:

• Republic of Cyprus
• Czech Republic
• Liechtenstein
• Netherlands
• Switzerland
• Vatican City

These non-European countries also require three months’ validity on your day of departure:

• British Virgin Islands
• French Polynesia
• New Zealand
• South Korea

Valid for six months

In most cases, this means valid for six months from the date you arrive in the country, but it’s worth checking the Foreign Office’s individual entry requirements for the country you’re visiting to make sure.

• Antigua and Barbuda
• The Bahamas
• Dominican Republic
• Ecuador (& Galapagos Islands)
• Madagascar*
• Philippines
• South Africa*
• United Arab Emirates

*South Africa, Madagascar, Kenya also require you to have two blank pages left in your passport; Namibia requires one blank page.

Valid for 180 days

India requires a more specific 180 days of validity from the date you arrive. It also asks visitors to have two blank pages available for their visa.

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Bill Of The Month

A mom's $97,000 question: how was an air-ambulance ride not medically necessary.

Molly Castle Work

About two months after undergoing open-heart surgery, Sara England's infant son, Amari Vaca, was sick and struggling to breathe. Staff members at a local medical center in Salinas, California, arranged for him to be transferred to a different hospital via air ambulance. Kevin Painchaud/Kevin Painchaud hide caption

About two months after undergoing open-heart surgery, Sara England's infant son, Amari Vaca, was sick and struggling to breathe. Staff members at a local medical center in Salinas, California, arranged for him to be transferred to a different hospital via air ambulance.

Sara England was putting together Ghostbusters costumes for Halloween when she noticed her baby wasn't doing well.

Her 3-month-old son, Amari Vaca, had undergone open-heart surgery two months before, so she called his cardiologist, who recommended getting him checked out. England assigned Amari's grandparents to trick-or-treat duty with his three older siblings and headed to the local emergency room.

Once they arrived at Natividad Medical Center in Salinas, California, she said doctors could see Amari was struggling to breathe and told her that he needed specialized care immediately, from whichever of two major hospitals in the region had an opening first.

Bill of the Month is a crowdsourced investigation by KFF Health News and NPR that dissects and explains medical bills. Do you have an interesting medical bill you want to share with us? Tell us about it !

Even as they talked, Amari was declining rapidly, his mother said. Doctors put a tube down his throat and used a bag to manually push air into his lungs for over an hour to keep his oxygen levels up until he was stable enough to switch to a ventilator.

According to England, late that night, when doctors said the baby was stable enough to travel, his medical team told England that a bed had opened up at the University of California-San Francisco Medical Center and staffers there were ready to receive him.

She, her son, and an EMT boarded a small plane around midnight. Ground ambulances carried them between the hospitals and airports.

Amari was diagnosed with respiratory syncytial virus, or RSV, and spent three weeks in the hospital before recovering and returning home.

Then the bill came.

The patient: Amari Vaca, now 1, who was covered by a Cigna policy sponsored by his father's employer at the time.

Medical services: An 86-mile air-ambulance flight from Salinas to San Francisco.

Service Providers: Reach Medical Holdings , which is part of Global Medical Response , an industry giant backed by private equity investors. Global Medical Response operates in all 50 states and has said it has a total of 498 helicopters and airplanes.

Total bill: $97,599. Cigna declined to cover any part of the bill.

What gives: Legal safeguards are in place to protect patients from big bills for some out-of-network care, including air-ambulance rides.

Medical billing experts said the No Surprises Act , a federal law enacted in 2022, could have protected Amari's family from receiving the $97,000 "balance bill," leaving the insurer and the air-ambulance provider to determine fair payment according to the law. But the protections apply only to care that health plans determine is "medically necessary" — and insurers get to define what that means in each case.

According to its coverage denial letter, Cigna determined that Amari's air-ambulance ride was not medically necessary. The insurer cited its reasoning: He could have taken a ground ambulance instead of a plane to cover the nearly 100 roadway miles between Salinas and San Francisco.

"I thought there must have been a mistake," England said. "There's no way we can pay this. Is this a real thing?"

In the letter, Cigna said Amari's records did not show that other methods of transportation were "medically contraindicated or not feasible." The health plan also noted the absence of documentation that he could not be reached by a ground ambulance for pickup or that a ground ambulance would be unfeasible because of "great distances or other obstacles."

Lastly, it said records did not show a ground ambulance "would impede timely and appropriate medical care."

When KFF Health News asked Cigna what records were referenced when making this decision, a spokesperson declined to respond.

Caitlin Donovan, a spokesperson for the National Patient Advocate Foundation, said that even though Amari's bill isn't technically in violation of the No Surprises Act, the situation is exactly what the law was designed to avoid.

"What they're basically saying is that the parents should have opted against the advice of the physician," Donovan said. "That's insane. I know 'medical necessity' is this nebulous term, but it seems like it's becoming a catch-all for turning down patients."

On Feb. 5, the National Association of Emergency Medical Services Physicians said that since the No Surprises Act was enacted two years ago, it has seen a jump in claim denials based on "lack of medical necessity," predominantly for air-ambulance transports between facilities.

In a letter to federal health officials, the group cited reasons commonly given for inappropriate medical-necessity denials observed by some of its 2,000 members, such as "the patient should have been taken elsewhere" or "the patient could have been transported by ground ambulance."

The association urged the government to require that health plans presume medical necessity for inter-facility air transports ordered by a physician at a hospital, subject to a retrospective review.

Such decisions are often "made under dire circumstances — when a hospital is not capable of caring for or stabilizing a particular patient or lacks the clinical resources to stabilize a patient with a certain clinical diagnosis," the group's president, José Cabañas, wrote in the letter. "Clinical determinations made by a referring physician (or another qualified medical professional) should not be second-guessed by a plan."

Patricia Kelmar, a health policy expert and senior director with the U.S. Public Interest Research Groups, noted, however, that hospitals could familiarize themselves with local health plans, for example, and establish protocol, so that before they call an air ambulance, they know if there are in-network alternatives and, if not, what items the plan needs to justify the claim and provide payment.

"The hospitals who live and breathe and work in our communities should be considering the individuals who come to them every day," Kelmar said. "I understand in emergency situations, you generally have a limited amount of time, but, in most situations, you should be familiar with the plans so you can work within the confines of the patient's health insurance."

England said Cigna's denial particularly upset her.

"As parents, we did not make any of the decisions other than to say, 'yes, we'll do that,'" she said, "And...I don't know how else it could have gone."

Shots - Health News

The colonoscopies were free but the 'surgical trays' came with $600 price tags.

The resolution: England twice appealed the air-ambulance charge to the insurer, but both times Cigna rejected the claim, maintaining that "medical necessity" had not been established.

The final step of the appeals process is an external review, in which a third party evaluates the case. England said staff members at Natividad Medical Center in Salinas — which arranged Amari's transport — declined to write an appeal letter on his behalf, explaining to her that doing so is against the facility's policy.

Using her son's medical records, which the Natividad staff provided, England said she is writing a letter herself to assert why the air ambulance was medically necessary.

Andrea Rosenberg, spokesperson for Natividad Medical Center, said the hospital focuses on "maintaining the highest standards of health care and patient well-being." Despite receiving a waiver from England authorizing the medical center to discuss Amari's case, she did not respond to questions from KFF Health News, citing privacy issues.

A Cigna spokesperson told KFF Health News that the insurer has in-network alternatives to the out-of-network ambulance provider, but — despite receiving a waiver authorizing Cigna to discuss Amari's case — declined to answer other questions.

"It is disappointing that CALSTAR/REACH is attempting to collect this egregious balance from the patient's family," the Cigna spokesperson, Justine Sessions, said in an email, referring to the air-ambulance provider. "We are working diligently to try to resolve this for the family."

On March 13, weeks after being contacted by KFF Health News, England said, a Cigna representative contacted her and offered assistance with her final appeal, the one reviewed by a third-party. The representative also told her the insurer had attempted to contact the ambulance provider but had been unable to resolve the bill with them.

Global Medical Response, the ambulance provider, declined to comment on the record.

England said she and her husband have set aside two hours each week for him to take care of their four kids while she shuts herself in her room and makes calls about their medical bills.

"It's just another stress," she said. "Another thing to get in the way of us being able to enjoy our family."

The takeaway: Kelmar said she encourages patients to appeal bills that seem inaccurate. Even if the plan denies it internally, push forward to an external review so someone outside the company has a chance to review, she said.

In the case of "medical necessity" denials, Kelmar recommended patients work with the medical provider to provide more information to the insurance company to underscore why an emergency transport was required.

Doctors who write a letter or make a call to a patient's insurer explaining a decision can also ask for a "peer-to-peer review," meaning they would discuss the case with a medical expert in their field.

Kelmar said patients with employer-sponsored health plans can ask their employer's human resources department to advocate for them with the health plan. It's in the employers' best interest since they often pay a lot for these health plans, she said.

No matter what, Kelmar said, patients shouldn't let fear stop them from appealing a medical bill. Patients who appeal have a high likelihood of winning, she said.

Patients with government health coverage can further appeal insurance denials by filing a complaint with the Centers for Medicare & Medicaid Services. Those who believe they have received an inappropriate bill from an out-of-network provider can call the No Surprises Act help desk at 1-800-985-3059.

This article was produced by KFF Health News, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF — the independent source for health policy research, polling, and journalism. KFF Health News is the publisher of California Healthline, an editorially independent service of the California Health Care Foundation.

Her air-ambulance ride wasn't covered by Medicare. It will cost her family $81,739

Emmarie Huetteman of KFF Health News edited the digital story, and Taunya English of KFF Health News edited the audio story. NPR's Will Stone edited the audio and digital story.

• medical necessity
• surprises act
• air ambulance

Israel-Gaza latest: Netanyahu 'desperate' for deal; Israel withdraws almost all ground troops from southern Gaza hours before talks

Today marks six months since the 7 October attacks by Hamas that left more than 1,100 Israelis dead and prompted Israel's ongoing military operation in Gaza, which has killed more than 33,000 people. We'll be bringing you updates on this throughout the day.

Sunday 7 April 2024 17:22, UK

• Israel-Hamas war

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• Israeli military withdraws almost all ground troops from southern Gaza
• Netanyahu 'desperate' for ceasefire deal
• Today marks six months since the 7 October attacks
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Palestinians have started to return to Khan Younis in southern Gaza after the Israeli military withdrew the majority of its troops from the area. 

People were seen inspecting the destruction caused by the six-month conflict, with several buildings now just piles of rubble.

Just one Israeli brigade remains in the south of the region, and has been tasked with securing the 'Netzarim corridor' that divides the Gaza Strip, according to a report from The Times of Israel. 

After six months of war, Israel's prime minister has said his country is "a step away from victory".

Speaking at a cabinet meeting in Jerusalem, Benjamin Netanyahu told officials the "the achievements of the war are great". 

Israel declared war in response to Hamas's 7 October attack, in which the militant group killed 1,200 people, most of them civilians, and kidnapped about 250 others.

Mr Netanyahu set two objectives: destroying Hamas and bringing home the hostages, and despite his repeated pledges to achieve "total victory", his goals remain elusive.

At the same time, Israel hasn't been able to halt the daily attacks it faces on its northern front from the Lebanese militant group Hezbollah.

The tensions have threatened to drag in Hezbollah's sponsor, Iran, especially after an airstrike widely attributed to Israel killed two Iranian generals in neighbouring Syria earlier this week.

"This war revealed to the world what Israel always knew - Iran is the one behind the attack against us through its proxies. These are many attacks," said Mr Netanyahu.

A mobile surface-to-air missile system has been destroyed in Houthi controlled territory in Yemen, the US Central Command has said.

US forces have also shot down a drone over the Red Sea, while a coalition vessel has destroyed an anti-ship missile, it added. 

No injuries or damage have been reported. 

In a statement posted on X, the authority said the systems had "presented a threat to US and coalition forces and merchant vessels in the region". 

The Houthis are part of an Iran-aligned regional alliance, which also includes Hamas and Lebanon's Hezbollah.

They have staged attacks on vessels in the Red Sea region for months in solidarity with Palestinians in the Gaza war, which have disrupted global shipping. 

The United States and Britain have carried out several strikes against Houthi targets in response to the attacks. 

The Israel Defence Forces has said it's completed another phase in preparing for a possible war on its northern front with Lebanon and Syria. 

"Over the past few days, another phase of the Northern Command's readiness for war was completed, centring on operational emergency storages for a broad mobilization of IDF troops when required," it wrote on Telegram . 

It said the equipment being store will enable the "immediate mobilisation of the reserve forces during an emergency". 

It added that commanders and reserve units have been prepared to summon and equip soldiers in just a few hours, and transport them to the frontline. 

"Over the past few months, an in-depth learning process took place based on lessons learned from the fighting in the south, as part of improving readiness for the day commands are received," it said. 

It comes after the Israeli military announced it has withdrawn almost all its ground troops from southern Gaza overnight. 

Since it entered the besieged region, Israel has faced increasingly frequent clashes with Lebanese militant group Hezbollah in the north. 

Last night, thousands of protesters gathered in Tel Aviv to take part in a demonstration calling for immediate elections in Israel, and for more to be done to rescue hostages from Gaza. 

While the protest was mostly peaceful, at least three people were injured after being hit by a car. 

The driver was later arrested, Israeli police said. 

The heads of Israel's intelligence agency Mossad and Shin Bet, the Israeli internal security organisation, will be involved in today's negotations in Cairo, according to reports from Al Jazeera.

The delegation is going to Cairo with what is being described as an "expanded mandate", they reported. 

"We don't know what that actually means or what that expanded mandate is, but it does give the impression of perhaps a bit more momentum to these talks."

A government official earlier confirmed an Israeli delegation would attend the ceasefire and hostage release talks, and Hamas has also said it will take part. 

The Iranian army's chief of staff has promised Israel will "regret" a strike on Iran's consulate in Syria.

Two senior military commanders were killed alongside five other officers in the attack.

Major General Mohammad Hossein Bagheri said Tehran will choose the time and manner of its response.

Iran's semi-official ISNA news agency reported that he said the Israeli attack would not go unanswered and "that Iran would carry out a retaliatory operation with precision, causing the Zionist regime to regret their actions", according to Al Jazeera. 

Major General Bagheri described the attack on Iran's embassy as a "suicide" mission by Israel.

The withdrawal of Israeli forces in the southern Gaza Strip appears to be a "rest and refit" for troops, White House national security spokesperson John Kirby says. 

In an ABC News interview, he said: "As we understand it, and through their public announcements, it is really just about rest and refit for these troops... and not necessarily that we can tell indicative of some coming new operation for these troops."

There has been speculation about the significance of the withdrawal of forces ahead of ceasefire and hostage deal talks, which resume in Cairo today.

Israeli Prime Minister Benjamin Netanyahu is "desperate for a [ceasefire and hostage] deal", a senior source in the Israeli government has told our Middle East correspondent Alistair Bunkall . 

"Everything you see happening today is linked to hostage negotiations," they added. 

"The killing of the World Central Kitchen employees changed everything." 

The deaths of seven aid workers in an Israeli strike has drawn outrage around the world and dialled up the pressure to reach a truce. 

The official's comments come ahead of talks in Cairo today aimed at reaching a ceasefire and a hostage release deal. 

Yemen's Houthis say they have launched rockets and drones targeting one British ship, two Israeli ships and several US ships in the Red Sea. 

This announcement follows two reports of ships being attacked in the Red Sea this morning (see our 9.02am post for more).

The operations took place during the last 72 hours, Houthi military spokesperson Yahya Saree said in a televised statement. 

The British and Israeli ships were heading to Israeli ports, he said. 

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