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Is it safe to fly during pregnancy?

Generally, air travel before 36 weeks of pregnancy is considered safe for people who aren't dealing with any pregnancy problems. Still, if you're pregnant, it's a good idea to talk with your health care provider before you fly.

Your provider might suggest that you not fly if you have certain pregnancy complications that could get worse because of air travel or that could require emergency care. Examples include a history of miscarriage or vaginal bleeding, severe anemia, and high blood pressure or diabetes that's not well controlled. If you had preeclampsia during a previous pregnancy — a condition that causes high blood pressure and extra protein in urine — flying may not be advised. The same is true if you're pregnant with twins or other multiples.

Tell your provider how far you are flying, as the length of the flight might make a difference. Also, be aware that some airlines may not allow pregnant people on international flights. Check with your airline before you make travel arrangements.

After 36 weeks of pregnancy, your health care provider may advise against flying. And some airlines don't allow pregnant people to fly after 36 weeks. The airline also may require a letter from your health care provider that states how far along in your pregnancy you are and whether flying is advised.

If your health care provider says it's okay for you to fly, and your plans are flexible, the best time to travel by air might be during the second trimester. The risks of common pregnancy emergencies are lowest during that time.

When you fly:

• Buckle up. During the trip, keep your seatbelt fastened when you are seated, and secure it under your belly.
• Drink plenty of fluids. Low humidity in the airplane could cause you to become dehydrated.
• Avoid gassy foods and drinks before you fly. Gases expand during flight, and that could make you uncomfortable. Examples of foods and drinks to avoid include broccoli and carbonated soda.
• Think about medical care. Plan for how you'll get obstetric care during your trip if you need it. Bring copies of your medical information in case you need care while you're away.

Blood clots

Air travel can raise the risk for blood clots in the legs, a condition called venous thrombosis. The risk is higher for pregnant people. Moving your legs may help prevent this problem. Take a walk up and down the aisle every hour during the flight. If you must remain seated, flex and extend your ankles from time to time. In general, it's best to avoid tightfitting clothing, as that can hinder blood flow. Wearing compression stockings can help with blood circulation during a long flight.

Radiation exposure linked to air travel at high altitudes isn't thought to be a problem for most people who fly during pregnancy. But pilots, flight attendants and others who fly often might be exposed to a level of radiation that raises concerns during pregnancy. If you must fly frequently during your pregnancy, talk about it with your health care provider.

Mary Marnach, M.D.

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• Allergy medications during pregnancy
• AskMayoExpert. Health considerations for air travelers: Pregnancy considerations. Mayo Clinic; 2022.
• Air Travel During Pregnancy: ACOG Practice Bulletin No. 746. American College of Obstetricians and Gynecologists. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/08/air-travel-during-pregnancy. Accessed Dec. 1, 2022.
• Ram S, et al. Air travel during pregnancy and the risk of venous thrombosis. American Journal of Obstetrics and Gynecology. 2022; doi:10.1016/j.ajogmf.2022.100751.

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Travel During Pregnancy

As long as there are no identified complications or concerns with your pregnancy, it is generally safe to travel during your pregnancy. The ideal time to travel during pregnancy is the second trimester .  In most cases, you are past the morning sickness of the first trimester and several weeks from the third stage of pregnancy when you are more easily fatigued .

Is it safe to travel during pregnancy?

Traveling by air is considered safe for women while they are pregnant; however, the following ideas might make your trip safer and more comfortable.

• Most airlines allow pregnant women to travel through their eighth month. Traveling during the ninth month is usually allowed if there is permission from your health care provider.
• Most airlines have narrow aisles and smaller bathrooms, which makes it more challenging to walk and more uncomfortable when using the restroom. Because of potential turbulence that could shake the plane, make sure you are holding on to the seatbacks while navigating the aisle.
• You may want to choose an aisle seat which will allow you to get up more easily to reach the restroom or just to stretch your legs and back.
• Travel on major airlines with pressurized cabins and avoid smaller private planes. If you must ride in smaller planes, avoid altitudes above 7,000 feet.
• Although doubtful, the risk of DVT can be further reduced by wearing compression stockings.

The Royal College of Obstetricians and Gynaecologists and the International Air Travel Association recommend that expecting mothers in an uncomplicated pregnancy avoid travel from the 37th week of pregnancy through birth. Avoiding travel from 32 weeks through birth is recommended for women who have complicated pregnancies with risk factors for premature labor, such as mothers carrying multiples.

Risk factors that warrant travel considerations include the following:

• Severe anemia
• Cardiac disease
• Respiratory disease
• Recent hemorrhage
• Current or recent bone fractures

Traveling by Sea During Pregnancy

Traveling by sea is generally safe for women while they are pregnant; the motion of the boat may accentuate any morning sickness or make you feel nauseous all over again. There are a few considerations to make your trip safer and more comfortable:

• Check with the cruise line to ensure that there is a health care provider on board in case there are any pregnancy complications .
• Review the route and port-of-calls to identify if there is access to any medical facilities if needed.
• Make sure any medications for seasickness are approved for women who are pregnant and that there is no risk to the developing baby.
• Seasickness bands use acupressure points to help prevent upset stomach and maybe a good alternative to medication.

International Travel During Pregnancy

Traveling overseas has the same considerations that local or domestic travel has, but it also has additional concerns that you need to know about before making an international trip. The information below is provided to help you assess whether an international trip is good for you at this time:

• It is important to talk with your health care provider before you take a trip internationally to discuss safety factors for you and your baby.
• Discuss immunizations with your health care provider and carry a copy of your health records with you.
• With international travel, you may be exposed to a disease that is rare here in the United States but is common in the country you visit.
• Contact the Centers for Disease Control and Prevention at (800) 311-3435 or visit their website at www.cdc.gov to receive safety information along with immunization facts related to your travels.
• Diarrhea is a common concern when traveling overseas because you may not be used to the germs and organisms found in the food and water of other countries. This can lead to a problem of dehydration .

Here are some tips to avoid diarrhea and help keep you safe:

• Drink plenty of bottled water
• Used canned juices or soft drinks as alternatives
• Make sure the milk is pasteurized
• Avoid fresh fruits and vegetables unless they have been cooked or can be peeled (such as an orange or a banana)
• Make certain that all meat and fish has been cooked completely; if you are unsure, do not eat it

Travel Tips During Pregnancy

Whether you are going by car, bus, or train, it is generally safe to travel while you are pregnant; however, there are some things to consider that could make your trip safer and more comfortable.

• It is essential to buckle-up every time you ride in a car. Make sure that you use both the lap and shoulder belts for the best protection of you and your baby.
• Keep the airbags turned on. The safety benefits of the airbag outweigh any potential risk to you and your baby.
• Buses tend to have narrow aisles and small restrooms. This mode of transportation can be more challenging.  The safest thing is to remain seated while the bus is moving. If you must use the restroom, make sure to hold on to the rail or seats to keep your balance.
• Trains usually have more room to navigate and walk. The restrooms are usually small. It is essential to hold on to rails or seat backs while the train is moving.
• Try to limit the amount of time you are cooped up in the car, bus, or train. Keep travel time around five to six hours.
• Use rest stops to take short walks and to do stretches to keep the blood circulating.
• Dress comfortably in loose cotton clothing and wear comfortable shoes.
• Take your favorite pillow.
• Plan for plenty of rest stops, restroom breaks and stretches.
• Carry snack foods with you.
• If you are traveling any distance, make sure to carry a copy of your prenatal records.
• Enjoy the trip.

Want to Know More?

• How to Treat Jet Lag Naturally During Pregnancy

Compiled using information from the following sources:

1. Planning Your Pregnancy and Birth Third Ed. The American College of Obstetricians and Gynecologists, Ch. 5. William’s Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 8.

2. Royal College of Obstetricians and Gynaecologists, Air Travel and Pregnancy (Scientific Impact Paper No. 1), https://www.rcog.org/uk, May 22, 2013.

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Yes, just like other kinds of pregnancy travel , flying while pregnant is safe as long as you're not too close to your due date and don't have any medical complications.

Talk with your healthcare provider before you book your flight to discuss any potential issues and get their go ahead. Know that almost every airline won't let women who are past 36 weeks pregnant fly – and sometimes that's even earlier for international travel.

As long as you and your baby are healthy, you shouldn't have any trouble in the pressurized cabin of a commercial airliner. (Just remember to keep your seat belt on while you're seated – it should sit under your belly and low on your hips.) You don't need to worry about the screening machines at the airport, either. They won't harm your baby.

Your ob-gyn or midwife may be able to help you find a provider at the destination you're visiting in case you need medical attention while you're away. You'll also want to verify what your health and travel insurance policies cover regarding emergencies abroad and flight cancellations, in the event that something happens or you need to cancel your trip.

When is flying while pregnant not safe?

There are some situations when it's not safe to fly while you're pregnant, including if you:

• are having signs of a possible miscarriage , such as cramping, pain, or bleeding
• have cervical insufficiency (an incompetent cervix)
• have preeclampsia
• have vaginal bleeding
• are under observation for preterm labor
• have premature rupture of membranes (PROM), which means you're leaking amniotic fluid or your water has broken but you're not yet in labor

Your healthcare provider may also recommend you not fly if you:

• are carrying twins or higher multiples after 28 weeks
• have intrauterine growth restriction
• have a history of miscarriage or ectopic pregnancy
• have placenta previa or another placental abnormality
• have any chronic medical condition, such as diabetes or high blood pressure
• have a history of blood clots
• have any other conditions that put your pregnancy at extra risk

How late in pregnancy can you fly?

Most airlines won't let pregnant women fly after 36 weeks – if you're planning to get on a plane sometime during your third trimester, check with your airline on their specific pregnancy travel policies before booking your flight.

If your bump makes it look like you're more pregnant than you are , airline employees may ask you to provide a note from your OB or midwife stating you've been cleared to fly, as well as how many weeks pregnant you are. In most cases, it's no problem at all to get this letter from your healthcare provider – just be sure not to wait until the day of travel to ask for it. That's the last bit of travel stress anyone needs!

Tips for flying when pregnant

These tips will help you and your baby stay safe and comfortable on your next flight:

• For the smoothest ride, request a seat in the middle of the plane over the wing. (This is the area where you're least likely to get airsick too.)
• For more legroom, try to get a seat in the bulkhead or pay for an upgrade. Stretch your legs and flex your feet as often as possible to minimize swelling.
• Choose an aisle seat so you can get up easily to go to the bathroom or walk around and stretch – which you should do at least once an hour (every half hour is even better). Pregnant women who sit still for long periods have a higher risk of developing deep vein thrombosis .
• Wearing compression socks can also help you avoid clots because they keep the blood moving in your legs.
• Wear comfortable shoes, as your feet may become swollen when flying. Opt for loose clothing to stay as comfortable as possible too.
• Drink lots of fluids (especially water) to avoid the dehydrating effects of dry cabin air. It's best to avoid carbonated drinks when flying – gas expands at higher altitudes and that effect can be uncomfortable.
• Go to the bathroom frequently, especially before the plane begins its descent. You don't want to be stuck in your seat with a full bladder during the time it takes to land and taxi to the gate.
• If you're prone to nausea, ask your healthcare provider if you can take prescription anti-nausea medication .
• Don't be afraid to ask a flight attendant or other passengers who appear able to help you lift your carry-on into the overhead bin.
• Be sure to pack some healthy snacks and a bottle of water in case you have any unexpected delays on the ground or in the air.

Flying during COVID-19

As long as you're fully vaccinated against COVID-19, it's okay to travel, which includes flying, according to the CDC. If you're not vaccinated, the CDC says you should delay or avoid travel unless it's absolutely essential. Pregnant women who get COVID-19 are at a higher risk for severe illness and hospitalization, as well as preterm birth and other poor pregnancy outcomes. (This is why major health organizations are recommending that women who are pregnant, breastfeeding, or are planning on becoming pregnant get the COVID-19 vaccine .)

If you have any questions about flying during COVID-19 or the COVID-19 vaccine, talk to your healthcare provider. They can help you make the best decisions for you and your baby's health.

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BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies .

ACOG. 2019. Air travel during pregnancy. Committee Opinion No. 746. https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/08/air-travel-during-pregnancy Opens a new window [Accessed October 2021]

ACOG. 2016. Travel during pregnancy. FAQ055.  http://www.acog.org/Patients/FAQs/Travel-During-Pregnancy Opens a new window  [Accessed October 2021]

March of Dimes. 2016. Travel during pregnancy.  http://www.marchofdimes.org/pregnancy/travel-during-pregnancy.aspx Opens a new window  [Accessed October 2021]

Morof, D.F. 2015. CDC. Travelers' Health, Chapter 8, Advising Travelers with Specific Needs, Pregnant Travelers.  http://wwwnc.cdc.gov/travel/yellowbook/2016/advising-travelers-with-specific-needs/pregnant-travelers Opens a new window  [Accessed October 2021]

CDC. 2021. Covid-19: Pregnant and Recently Pregnant People. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html Opens a new window [Accessed October 2021]

CDC. 2021. International Travel During Covid-19. https://www.cdc.gov/coronavirus/2019-ncov/travelers/international-travel-during-covid19.html Opens a new window [Accessed October 2021]

Terry Ward is a freelance travel, health, and parenting writer who has covered everything from flying with toddlers to why you should travel with your kids even when they're too young to remember it. She lives in Tampa, Florida, with her husband and their young son and daughter, and enjoys camping, sailing, scuba diving, skiing, and almost anything else done in the great outdoors.

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What to expect when traveling in each trimester of pregnancy

So you're pregnant? Congrats! It's an exciting time but also one in which many aspects of your life will begin to change, including travel. While you'll quickly need to understand the airline industry's rules for flying while pregnant , there are some more personal tips I'd like to share with you based on my experience traveling throughout the first, second and third trimesters of both of my pregnancies.

A few truths about pregnancy

Picky, starving moms need to travel with snacks.

I didn't know I was pregnant when I took the first flight of my second pregnancy. I was on a mileage run from Houston to Los Angeles, and by the time we landed, I was super tired, kinda grumpy and oh-my-so-hungry.

Then began a mad search for food. Luckily, Counter Burger was open and serving up sweet potato fries and burgers. Out of habit, I went for the veggie burger but I quickly regretted my decision, which left me far from satisfied with ground-up veggie mush.

In the early stages of pregnancy, your normal travel habits of going a little hungry for a while, or making due with what's around, may not work well.

Throughout your pregnancy, travel with water to stay hydrated and snacks to stave off hunger pangs and keep you going through travel delays. If you're feeling particularly food sensitive, research the food options at your destination ahead of time. I virtually lived on chicken noodle soup for a whole week early in my pregnancy and then, for a couple of days, all I wanted were hush puppies. I know how to get those items at home but when you are on the road, you either need to do more research or be more flexible -- which is sometimes easier said than done.

Related: 4 tips for planning travel while planning a pregnancy

Research and make choices about inflight radiation and other risks

I'm not an expert, but because I fly often, I have given some thought to inflight radiation exposure , especially during the early stages of pregnancy.

For pregnant flight attendants and pilots, the Federal Aviation Administration recommends a limit of 1 mSv during pregnancy, with no more than 0.5 mSv per month. I don't fly as much as an airline employee, but it doesn't take much research to learn that the amount of radiation you (and your gestating baby) are exposed to in the air varies dramatically from route to route. The highest-level routes are typically longer, higher-altitude polar routes. Here's some information from NASA about polar flights and radiation .

Every expectant mother should discuss the risks of flying during pregnancy with her doctor before getting on a plane. For me, nine months was a tiny moment in my traveling life, so I was OK adjusting my behavior a bit out of an abundance of caution. However, I didn't adjust to the point of never leaving my house. We still flew when I was pregnant, but I was judicious about when and where I would fly.

Check your health insurance policy

If you aren't familiar with your medical insurance coverage for when you travel, brush up on those facts now. Look at in-network and out-of-network benefits, as well as coverage for procedures for medical emergencies in other countries, if relevant. Most likely, if you do have coverage for treatment in other countries, you will still be on the hook to pay for your care up front and then submit for reimbursement from your health insurer. Plan accordingly and plan for the unexpected. If your baby decides to arrive early, for instance, check to make sure your insurance would cover possible extended and expensive care in an intensive care unit in a hospital away from your home.

Be sure to check what your health insurance coverage provides if you deliver at another facility later in your pregnancy. I once had an insurance plan that specifically did not cover out-of-network deliveries after 36 weeks, so that is something you would want to know before venturing away from home late in pregnancy.

Consider travel insurance

Trip insurance can be helpful if you are traveling while pregnant. Read the plan's fine print to determine what might be covered and whether you are covered if you already knew you were pregnant when you purchased the plan. Typically, a normal pregnancy or normal delivery would not be covered but if there are unexpected complications with the pregnancy, then related trip-cancellation or trip-interruption coverage may kick in on certain plans in certain situations.

Here are some travel insurance providers to check out: Allianz Travel Insurance, Travel Guard and Travelex Insurance . You can also compare a variety of plans at a portal like SquareMouth .

Here are some articles that will help you brush up on your travel insurance knowledge:

• The best travel insurance policies and providers
• What is independent travel insurance and when is it worth it?
• When to buy travel insurance versus when to rely on credit card protections
• Is credit card travel insurance sufficient on its own?
• Why I buy travel insurance

Traveling in the first trimester

Traveling in the first trimester can range from "no big deal" to "I think I'm going to die from misery right this very instant." Symptoms in early pregnancy can vary widely and can change by the day. A flight in your first trimester may be no different from any other flight you've ever taken or it may feel like you are flying with the worst hangover of your life.

Unless you are very high risk or have other extenuating medical issues, your doctor will probably give you the green light to travel in early pregnancy. Feeling extra tired, nauseous and queasy doesn't make for the perfect travel experience, so here are some tips to make travel easier:

Pick an aisle seat and move about the cabin

When you do hit the skies early on, choose a seat where you will be the most comfortable, likely an aisle seat so you can get to the restroom easily. I also recommend getting up to walk around and stretch your legs. (Here are tips for credit cards that will defeat basic economy and let you get a seat assignment in advance.)

Room service come to the rescue

In my first trimester of my second pregnancy, I went on a trip with my daughter and parents to New York City to see the Macy's Thanksgiving Day Parade and I was met with another challenge. I was at the point in my pregnancy when I needed food immediately upon waking or I was going to get queasy. Since I was staying in a hotel room with my young daughter, this meant room service. I also had granola bars and fruit on hand, but that was not enough to really do the trick some mornings. Had my husband been there, he could have gone in search of a warm bagel and juice, but since he wasn't on this trip, we had to improvise. Thanks goodness Marriott elite status helped defray the cost of most of the breakfast!

Take it easy when you need to

Once you are further along in your pregnancy and you actually look pregnant, you will sometimes get a little sympathy or, at least, empathy while traveling. Strangers may offer to help with your bag and people may have more patience with you if you're moving slowly. However, in the first trimester nobody can tell you are pregnant, and no one is going to feel sorry for you. If you act queasy on the plane, you will pretty much be treated like you have Ebola, and any other issue or ailment will pretty much not interest anyone. I once told the flight attendant I was pregnant when she was giving me the eye about looking queasy.

Take care of yourself, don't overdo it and know when to say enough is enough. You may be used to very busy travel days, but now find yourself needing a nap during your first trimester, and that's OK. Listen to your body and adjust accordingly.

Traveling in the second trimester

You have probably heard that the second trimester is generally the easiest of the three trimesters for most expecting moms. You usually aren't as sick and or as tired as in the first trimester, and you aren't as large, uncomfortable and exhausted as in the third trimester. From roughly weeks 13 to 27 of a pregnancy, your activity and comfort levels are often good, and this means that it can be a great time to travel. Couples that like to take "babymoons" (one last couples trip before the baby arrives) often try to schedule them in the second trimester.

Related: The best babymoon destinations for every month of the year

The beginning and end of the second trimester are quite different

You will probably enter the second trimester not really looking pregnant, and end it looking quite different. This means that you may feel very different at the beginning and end of the second trimester. The second trimester is when lots of belly growing happens and this can mean that some types of travel will be more uncomfortable toward the end of these few months of pregnancy than at the beginning.

Consider where you are comfortable traveling

A very personal and important decision to make during the second trimester is to determine if there are certain restrictions you will place on yourself in terms of where you're comfortable traveling. Some types of travel will ban women from traveling during the second trimester. For example, many cruise lines will not allow a woman to book a cruise if she will enter her 24th week of pregnancy (or later) while on the voyage.

Royal Caribbean's policy bars pregnant women from sailing at and after the 24th week. It was developed in concert with the Cruise Lines International Association endorsement of the American College of Emergency Physicians Health Care Guidelines for Cruise Ship Medical Facilities .

Many consider unborn fetuses to be viable if born beginning around 24 weeks (though that age threshold is getting earlier and earlier). This means that a baby born at 24 weeks gestation would have anywhere from a 50% to 70% chance of survival outside the womb if (and only if) there is immediate access to advanced medical care. A cruise ship clearly doesn't have an advanced neonatal care unit on board, so presumably the policy is related to why cruise lines draw the line for pregnant passengers.

I personally draw the line for travel at 23 or 24 weeks when talking about destinations that don't have the same level of advanced medical care as the United States -- or long flights or a flight path that could hinder prompt access to advanced medical care if I happened to unexpectedly go into labor. The Maldives is an example of somewhere I would not want to travel in this instance because there would be significant delays in obtaining medical care on these remote islands.

Plan big, but not too big

The second trimester is a great time to squeeze in a pre-baby trip or two since you will probably feel relatively like to your pre-pregnant self much of the time. We went to Aruba when I was 14 weeks pregnant and it was a fantastic trip. I had lots of energy and a normal appetite. Flying was not uncomfortable because my belly was still pretty small and the only real adjustment was to make sure I had a somewhat larger bathing suit before the trip.

At 23 weeks, I traveled to Spain and still felt pretty energetic and "normal." I will admit that the flight in economy wasn't super comfortable since I did have a belly that was hindering curling up in positions that usually help me sleep on the plane, but our time on the ground in Spain wasn't really impacted at all by the pregnancy other than missing out on the Spanish wine.

The great thing about both of those trips was that they were at my own pace. This meant that if I didn't feel like doing much one afternoon, I could take it easy. Even though you may feel great in the second trimester, you can still tire more quickly than normal, so be sure to limit your vacation activities to those you can manage. There are also activities that some doctors might advise against by the second trimester like thrill rides, scuba diving or horseback riding, so double-check any restrictions before planning more adventurous outings.

Traveling in the third trimester

Pregnancy isn't an illness or disease. For many families, it's just a normal phase in a woman's life before a new baby joins the family. Assuming things are going well, it's not a time when you have to cancel all travel. However, once the third trimester rolls around, travel can get a more complicated and does eventually have to stop.

The beginning and end of the third trimester are quite different

Changes come even more quickly in the third trimester. You enter the third trimester about 28 weeks pregnant and end it with a newborn. This means that types of travel that are possible at 27 and 28 weeks pregnant may be inadvisable, or even prohibited, at 37 and 38 weeks pregnant.

Select destinations and activities carefully

In the final months of pregnancy, some activities are probably going to be more comfortable and enjoyable than others. For example, swimming and spa time may be exactly what you need.

I give strong preference to visiting beach and resort destinations in the final trimester. Trust me when I say that few activities are as comfortable in the third trimester as floating in the water! We went to The Phoenician (a Marriott property) in Scottsdale, Arizona, when I was about 31 weeks pregnant and even with my big belly, it was the perfect mix of spa, swimming and fun activities for our 5 year old before both our lives changed.

You are going to get uncomfortable

Maybe this isn't universal and there are some magical creatures out there who never feel uncomfortable during pregnancy, but every mom I know eventually hit a point in her pregnancy when she wasn't comfortable. For many, this means that sitting for an extended time in a small airline seat, standing in long lines or trekking around in the heat to explore a city all day eventually become pretty miserable activities.

No one can tell you when you will hit that point, but it will likely happen in the third trimester. For me, my back started giving me a bunch of trouble at around week 30 or 31. I was incredibly grateful there were no more flights scheduled during that pregnancy beyond that point.

If you are going to fly during the later weeks of your third trimester and have the ability to secure a more comfortable seat up front, or at least one with extra legroom so you can stretch out, it may well be a good investment in your comfort. I brought a tennis ball with me when I flew so I could give myself a bit of a "back massage" against the airplane seat.

Bring your own pillows

Sleep becomes a challenge in the third trimester for many women and a pillow fort of sorts becomes a necessity to get some good shut-eye. Many pregnant moms find that using some sort of body pillow or pillow arrangement helps to keep their bellies supported and comfortable at night. You can't assume that the hotel will have similar pillows, so bring your own if they become essential to good rest in your third trimester. I had no shame in hauling my pillow fort with me on our last road trip at eight months pregnant.

See if you are allowed to fly

Even if your doctor OKs it, many airlines have rules about women flying in the third trimester. Check out airline rules for traveling while pregnant for complete details, but generally speaking, most U.S. airlines don't have many flight restrictions until the last month of pregnancy. However, many international airlines do have restrictions and documentation requirements beginning at 28 weeks. If you are pregnant with more than one baby, the restrictions kick in even earlier.

Decide when to stop traveling

I'm all for traveling while pregnant but, realistically, most women will want to stop traveling at some point in the third trimester. I would imagine by about 36 or 37 weeks, most women will probably decide to stay closer to home. I went on a road trip about three hours from home at 35 weeks and then called it quits for the rest of the pregnancy. There's still a whole new world of travel waiting once a new baby joins the family .

Bottom line

There is usually no reason to stop traveling when you're expecting. During my last pregnancy, I went on 12 trips, 28 flights, visited four countries and I'm very glad I had the opportunity to stay that active. I'm also glad that I grounded myself from flight after 31 weeks and from road trips at 35 weeks because those were the right decisions for my comfort level.

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Pregnant Travelers

Pregnant travelers can generally travel safely with appropriate preparation. But they should avoid some destinations, including those with risk of Zika and malaria. Learn more about traveling during pregnancy and steps you can take to keep you and your baby healthy.

Before Travel

Before you book a cruise or air travel, check the airlines or cruise operator policies for pregnant women. Some airlines will let you fly until 36 weeks, but others may have an earlier cutoff. Cruises may not allow you to travel after 24–28 weeks of pregnancy, and you may need to have a note from your doctor stating you are fit to travel.

Zika and Malaria

Zika can cause severe birth defects. The Zika virus is spread through mosquito bites and sex. If you are pregnant, do not travel to  areas with risk of Zika . If you must travel to an area with Zika, use  insect repellent  and take other steps to avoid bug bites. If you have a sex partner who lives in or has traveled to an area with Zika, you should use condoms for the rest of your pregnancy.

Pregnant travelers should avoid travel to areas with malaria, as it can be more severe in pregnant women. Malaria increases the risk for serious pregnancy problems, including premature birth, miscarriage, and stillbirth. If you must travel to an area with malaria, talk to your doctor about taking malaria prevention medicine. Malaria is spread by mosquitoes, so use  insect repellent and take other steps to avoid bug bites.

Make an appointment with your healthcare provider or a travel health specialist  that takes place at least one month before you leave. They can help you get destination-specific vaccines, medicines, and information. Discussing your health concerns, itinerary, and planned activities with your provider allows them to give more specific advice and recommendations.

Plan for the unexpected. It is important to plan for unexpected events as much as possible. Doing so can help you get quality health care or avoid being stranded at a destination. A few steps you can take to plan for unexpected events are to  get travel insurance ,    learn where to get health care during travel ,  pack a travel health kit ,  and  enroll in the Department of State’s STEP .

Be sure your healthcare policy covers pregnancy and neonatal complications while overseas. If it doesn’t get travel health insurance that covers those items. Consider getting medical evacuation insurance too.

Recognize signs and symptoms that require immediate medical attention, including pelvic or abdominal pain, bleeding, contractions, symptoms of preeclampsia (unusual swelling, severe headaches, nausea and vomiting, and vision changes), and dehydration.

Prepare a  travel health kit . Pregnant travelers may want to include in your kit prescription medications, hemorrhoid cream, antiemetic drugs, antacids, prenatal vitamins, medication for vaginitis or yeast infection, and support hose, in addition to the items recommended for all travelers.

During Travel

Your feet may become swollen on a long flight, so wear comfortable shoes and loose clothing and try to walk around every hour or so. Sitting for a long time, like on long flight, increases your chances of getting blood clots, or deep vein thrombosis. Pregnant women are also more likely to get blood clots. To reduce your risk of a blood clot, your doctor may recommend compression stockings or leg exercises you can do in your seat. Also, see CDC’s Blood Clots During Travel page for more tips on how to avoid blood clots during travel.

Choose safe food and drink. Contaminated food or drinks can cause travelers’ diarrhea and other diseases and disrupt your travel. Travelers to low or middle income destinations are especially at risk. Generally, foods served hot are usually safe to eat as well as dry and packaged foods. Bottled, canned, and hot drinks are usually safe to drink. Learn more about how to choose safer  food and drinks  to prevent getting sick.

Pregnant women should not use bismuth subsalicylate, which is in Pepto-Bismol and Kaopectate. Travelers to low or middle income  destinations  are more likely to get sick from food or drinks. Iodine tablets for water purification should not be used since they can harm thyroid development of the fetus.

After Travel

If you traveled and feel sick, particularly if you have a fever, talk to a healthcare provider immediately, and tell them about your travel. Avoid contact with other people while you are sick.

More Information

CDC Yellow Book: Pregnant Travelers

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Travelling in pregnancy

With the proper precautions such as travel insurance, most women can travel safely well into their pregnancy.

Wherever you go, find out what healthcare facilities are at your destination in case you need urgent medical attention. It's a good idea to take your maternity medical records (sometimes called handheld notes) with you so you can give doctors the relevant information if necessary.

Find out more about getting healthcare abroad .

Make sure your travel insurance covers you for any eventuality, such as pregnancy-related medical care during labour, premature birth and the cost of changing the date of your return trip if you go into labour .

When to travel in pregnancy

Some women prefer not to travel in the first 12 weeks of pregnancy because of  nausea and vomiting and feeling very tired during these early stages. The risk of  miscarriage is also higher in the first 3 months, whether you're travelling or not.

Travelling in the final months of pregnancy can be tiring and uncomfortable. So, many women find the best time to travel or take a holiday is in mid-pregnancy, between 4 and 6 months.

Flying in pregnancy

Flying isn't harmful to you or your baby, but discuss any health issues or pregnancy complications with your midwife or doctor before you fly.

The chance of going into labour is naturally higher after  37 weeks (around 32 weeks if you're carrying twins), and some airlines won't let you fly towards the end of your pregnancy. Check with the airline for their policy on this.

After week 28 of pregnancy, the airline may ask for a letter from your doctor or midwife confirming your due date, and that you are not at risk of complications. You may have to pay for the letter and wait several weeks before you get it.

Long-distance travel (longer than 4 hours) carries a small risk of blood clots (deep vein thrombosis (DVT)) . If you fly, drink plenty of water and move about regularly – every 30 minutes or so. You can buy a pair of graduated compression or support stockings from the pharmacy, which will help reduce leg swelling.

Travel vaccinations when you're pregnant

Most vaccines that use live bacteria or viruses aren't recommended during pregnancy because of concerns that they could harm the baby in the womb.

However, some live travel vaccines may be considered during pregnancy if the risk of infection outweighs the risk of live vaccination. Ask your GP or midwife for advice about specific travel vaccinations. Non-live (inactivated) vaccines are safe to use in pregnancy.

Malaria tablets

Some anti-malaria tablets aren't safe to take in pregnancy so ask your GP for advice.

Zika virus is mainly spread by mosquitoes found in some parts of the world. For most people it's mild and not harmful, but can cause problems if you're pregnant.

If you are pregnant, it is not recommended to travel to parts of the world where the Zika virus is present, such as parts of:

• South and Central America
• the Caribbean
• the Pacific islands

Check before you travel

It's important to check the risk for the country you're going to before you travel.

Find out more about the Zika virus risk in specific countries on the Travel Health Pro website

Car travel in pregnancy

It's best to avoid long car journeys if you're pregnant. However, if it can't be avoided, make sure you stop regularly and get out of the car to stretch and move around.

You can also do some exercises in the car (when you're not driving), such as flexing and rotating your feet and wiggling your toes. This will keep the blood flowing through your legs and reduce any stiffness and discomfort. Wearing compression stockings while on long car journeys (more than 4 hours) can also increase the blood flow in your legs and help prevent blood clots.

Tiredness and dizziness are common during pregnancy so it's important on car journeys to drink regularly and eat natural, energy-giving foods, such as fruit and nuts.

Keep the air circulating in the car and wear your seatbelt with the cross strap between your breasts and the lap strap across your pelvis under your bump, not across your bump.

Road accidents are among the most common causes of injury in pregnant women. If you have to make a long trip, don't travel on your own. You could also share the driving with your companion.

Sailing in pregnancy

Ferry companies have their own restrictions and may refuse to carry heavily pregnant women (often beyond 32 weeks on standard crossings and 28 weeks on high-speed crossings ). Check the ferry company's policy before you book.

For longer boat trips, such as cruises, find out if there are onboard facilities to deal with pregnancy and medical services at the docking ports.

Food and drink abroad in pregnancy

Take care to avoid food- and water-borne conditions, such as stomach upsets and travellers' diarrhoea . Some medicines for treating stomach upsets and travellers' diarrhoea aren't suitable during pregnancy.

Always check if tap water is safe to drink. If in doubt, drink bottled water. If you get ill, keep hydrated and continue eating for the health of your baby, even if you're not hungry.

Find out about a healthy diet in pregnancy , and foods to avoid in pregnancy .

Page last reviewed: 17 August 2022 Next review due: 17 August 2025

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Flying by plane during pregnancy — what should you pay attention to?

Reading time 🕗 7 minutes | April 3, 2024 | Author Klara Krysiak | Material created in cooperation with Politykazdrowotna.com. 

Are you pregnant and worried about long-distance air travel? You're not alone! While flying while pregnant can be a source of stress for many moms-to-be, it doesn't have to be that way at all. Read our travel tips for pregnant women and check out what to keep in mind when flying. Together, we'll make your long-distance air travel during pregnancy safe, and you'll be as relaxed as ever!

✅ From this article you will learn:

• When is it safe to fly by plane during pregnancy.
• When is the best time to take an airplane trip.
• Whether you should bring a certificate from your doctor.
• What is a MEDIF form.
• How to ensure your comfort during the flight.
• How to prepare for air travel during pregnancy.

When can moms-to-be travel safely?

Is it safe to travel while pregnant, when is it okay to travel by air during pregnancy, how to travel comfortably and what to keep in mind during the flight, how to properly fasten seat belts, multiple pregnancy and airplane flight - what are the risks, risk of thrombosis during flight - how to protect against it, high-risk pregnancy - when to forgo air travel, up to which month of pregnancy can you fly an airplane, medical certificate to fly during pregnancy - what is the medif form and when is it required, frequently asked questions.

• Safe transportation of medicines - why should they be in hand luggage?

Seniors on board. What should you keep in mind when planning air travel?

The magic of air travel. how to overcome the fear of flying.

For many moms-to-be, the prospect of flying by plane during pregnancy is associated with many dilemmas. They fear the risks associated with the trip, the changing conditions on board and the many non-standard aspects associated with this mode of transportation. However, it is worth noting that if the pregnancy goes without complications, despite changes in pressure and a drop in humidity, air travel is not a risk .

How to properly prepare for it to minimize the risk of unforeseen situations? What should the mother-to-be pay attention to when packing her belongings for the trip? In the following material, we answer all the key questions about flying by plane during pregnancy.

Travel tips for pregnant women

It's normal that the issue of air travel during pregnancy can cause anxiety for moms-to-be. However, according to the guidelines of the American College of Obstetricians and Gynecologists (ACOG), you can fly by plane during pregnancy even up to the 36th week (in the case of a single pregnancy) or 32nd week (in the case of a twin pregnancy). Before deciding to travel by air, it's a good idea to consult with your health care provider and purchase the appropriate insurance.

Although air travel during pregnancy need not be a restriction, many women wonder whether pregnancy and air travel are not mutually exclusive. According to official recommendations, most pregnant women can travel by air without major restrictions if the pregnancy is going well .

"A rational approach and proper preparation are at a premium in this case. Regardless of which trimester of pregnancy the mother-to-be is in, I encourage her to consult with her attending physician before the planned flight and discuss all the issues that concern her. If she receives the 'green light,' this will calm her fears, so she can fully enjoy the trip," stresses Dr. Urszula Jurkowska, an experienced midwife.

We know that the prospect of flying during pregnancy can be quite stressful, but in some cases it is a necessity. And although air travel during pregnancy is permitted, it is nevertheless safest to go for a consultation with your attending physician before you leave.

The key issue is the current health situation of the mother-to-be and to determine with the doctor whether there is a low-risk pregnancy. If the risk of premature birth is high or there are other worrisome symptoms - the trip is worth postponing. Contraindications to flying also include cardiovascular disease and anemia.

In most cases, it is safe to travel during pregnancy even in the third trimester of pregnancy. However, the risk of flying exists in several cases, such as:

• high risk of miscarriage,
• hypertension,
• occurrence of bleeding during pregnancy,
• risk of premature delivery.

If you have any concerns about pregnancy and flying, be sure to consult a specialist who is an expert in this field. On the other hand, if we are dealing with a low-risk pregnancy, you feel fine and report no worrisome signs, there is no reason to give up traveling.

Pregnancy and airplane flying is a topic of interest to many moms-to-be. If you're one of them, you're bound to wonder whether pregnancy and airplane flying are mutually exclusive. We have good news for you - flying during pregnancy is safe in most cases .

When should I fill out the MEDIF form and where should I send it?

Don't know what to beware of during the flight, and what to keep in mind? To ensure safe travel on board a plane during pregnancy, be sure to follow these rules : 

• Take care to choose a suitable seat - for example, with extra legroom, if possible next to an aisle and in close proximity to a toilet.
• Avoid sitting still for long periods of time - try to get up from your seat at least once every 30 minutes.
• Ensure proper hydration - drink 2 to 3 liters of fluids a day, especially during the flight.
• Proper nutrition - it is essential for proper growth and development of the baby! Remember the rule "eat for two, not for two," as quality, not quantity, is key.
• Pregnancy and flight time - if your flight lasts more than 4 hours, think about wearing compression stockings (after consulting your doctor first).
• Take care of appropriate clothing - opt for soft, delicate fabrics that will not cause you discomfort.
• If you are traveling over 32 weeks pregnant, consult with your attending physician for MEDIF certification before departure.
• Inform the crew about your medical condition - any worrisome situation should always be reported to the cabin crew, who are trained to provide appropriate support on board for moms-to-be.

A high level of safety in passenger aviation is evidenced, among other things, by very precisely defined procedures. One of them is compliance with the obligation to wear seat belts and follow the recommendations of the aircraft crew in this area.

One of the most common concerns is that of pregnant passengers wearing seat belts. Women expecting a baby should also follow the crew's recommendations in this aspect. It is worth bearing in mind that the need to wear a seatbelt may arise not only at the beginning and end of the flight, but also during the journey when dealing with turbulence, for example.

If you are considering air travel while pregnant, you are surely asking yourself how to properly fasten your seat belt on an airplane?

First, inform the flight attendants of your pregnancy.

• Second, fasten the seat belt around your hips so that it does not put pressure on your abdomen.
• Third, remember to get up from your seat regularly and do simple stretching exercises.

"Wearing a seatbelt on an airplane, especially in the last weeks of pregnancy, can be associated with discomfort. However, moms-to-be should remember that following these procedures is essential to maintaining a safe flight. To minimize pressure on the abdomen, the belt should be fastened at pelvic level, and if you have trouble doing this, you can always ask a member of the cabin crew for help," explains Urszula Jurkowska, MD, a midwife and author of the book "Homebirth School for Dummies."

Travel risks during pregnancy - everything you should know

Are you pregnant and considering air travel? You should know a few important things. First of all, multiple pregnancies carry a higher risk of complications during the flight. If this is the case, it's a good idea to consult your doctor to make sure you're ready to travel.

Another issue to consider is the risk of thrombosis. Flying by airplane can increase the risk of forming blood clots, which is particularly dangerous in pregnant women.

The issue of air travel during pregnancy always involves some risk. However, in the case of multiple pregnancies, this risk can be even greater. What is the reason for this?

Multiple pregnancy and airplane flight are associated with significantly greater stress on the woman's body. In the case of a multiple pregnancy, not only is there a greater likelihood of blood clots, but also of breathing difficulties, changes in blood pressure or experiencing pain during the flight.

Before you plan a long-distance airplane trip during pregnancy, be sure to consult your attending physician for a special certificate. Remember that your doctor may recommend that you wear compression stockings while traveling to reduce the risk of blood clots in your extremities.

Here's what you should know

If you are traveling with LOT over 32 weeks of pregnancy, remember to bring a MEDIF certificate with you on board , which should be completed by the attending physician at least 14 days before departure.*

Find out when to fill out the MEDIF form and where to send it.

*For more information on planning air travel during pregnancy, see Pregnant Women Journey .

One of the biggest risks for a woman aboard a pregnant flight is the risk of thrombosis. Blood tends to pool in vessels on long flights, and during a pregnant flight this risk increases.

So, how to fly on an airplane while pregnant to reduce the risk of thrombotic complications?

• First and foremost, perform routine checkups and consult a specialist before you fly.
• Remember to stand up frequently and avoid clothes that are too tight.
• Think about getting special compression tights to stimulate blood circulation.

Flying on an airplane during pregnancy is a topic of much concern. The risk of complications during the flight is indeed there, but with proper knowledge and preparation, it can be minimized.

As you may have guessed, a high-risk pregnancy always requires more attention and caution. Especially when we're talking about flying on a plane while pregnant. Although most airlines accept pregnant women even in the third trimester, there are some important things to keep in mind before flying :

Consult your doctor - if you have certain illnesses or complications of pregnancy, your doctor may advise you to forgo the flight.

• If your doctor has prescribed medications to prevent thrombosis - be sure to pack them in your carry-on luggage.
• During the flight, remember to stay moving and hydrate your body.
• If possible, travel on airlines that offer comfortable seats with extra legroom .

Planning air travel during pregnancy

Proper preparation for your flight will help you avoid any stressful situations that should be avoided during pregnancy. Before you plan to travel, it is essential to buy good insurance, and check the location of several key medical facilities with maternity wards at your destination. You should also pack all the medications you are taking in your carry-on luggage so that you will always have them available in case of an emergency.

If the flight will be longer than eight hours - it is worth implementing prophylactic measures for thromboembolic conditions: forgo knee-length socks, pants with welts, and take the appropriate medications with you. Also, do not forget to prepare comfortable clothing. It's a good idea to bet on delicate, soft fabrics that will not cause discomfort and will not impede the flow of circulation.

Flying by plane during pregnancy is quite common, although some women are still frightened by the risks of traveling while pregnant. Many are surprised to learn that safe flying during pregnancy is possible even in the final weeks before delivery.

Airlines usually allow pregnant travel up to the 36th week, as long as there are no complications. As for LOT, air travel during pregnancy without contraindications is possible until the 32nd week , with the approval of the attending physician and without the need for a special certificate. 

So when is the best time to make the trip?

In the first trimester, nausea and fatigue can occur, which can make flying less comfortable. In the third trimester, on the other hand, it can be difficult for a woman due to a large abdominal girth, swelling and other ailments specific to the pregnancy period.

The best time for air travel is therefore the second trimester, between 14 and 28 weeks of pregnancy. This is the time when the discomforts associated with the first trimester are no longer so troublesome, and the baby has already developed all the key organs.

Each airline has its own regulations for pregnant women's travel, which you should absolutely familiarize yourself with before planning a trip. In Flight, air travel during pregnancy without contraindications is possible up to 32 weeks, with the approval of the attending physician and without the need for a special certificate.

Above the 32nd week and in the case of multiple or endangered pregnancies, any woman planning to travel must fill out a MEDIF form . The form must be given to the airline no later than 72 hours before the scheduled departure. The medical examination must be above the 32nd week and in the case of multiple or threatened pregnancies, each woman planning to travel must complete a MEDIF form. The form must be given to the airline no later than 72 hours before the scheduled departure.

The medical examination must be completed for less than 14 days, calculated as the time from the date of completion of the document to the date of the travel episodes for which it is to be applied. This means that if you purchase a round-trip ticket with a stay of more than 14 days, another certificate must be prepared for the return episodes.

Find out what conditions a woman traveling during pregnancy must meet.

Travel of a pregnant woman - what is worth knowing?

What requirements must be met by a travelling pregnant woman, long air travel during pregnancy - what to keep in mind before departure.

A long plane ride during pregnancy can be a challenge, but proper preparation will help you get through this time with ease.

Before you book a flight, consult your situation with your health care provider.

• Make sure the carrier has guidelines for pregnant women's travel.
• Remember to bring all necessary medical documents or medications with you.
• During the flight, pay attention to your own well-being and don't hesitate to ask the cabin crew for help if you feel uncomfortable.

These simple steps will make your pregnant airplane flight less stressful and safer.

Flying during the third trimester of pregnancy can be risky, so it's always a good idea to consult your doctor before traveling by air.

Most airlines restrict travel on board for pregnant women after 37 weeks of pregnancy, but the final decision depends on the specific airline's regulations and the opinion of a doctor.

Pregnant women's travel to certain parts of the world can be riskier than others. Mostly these are places with an increased risk of infectious diseases, so it is worth consulting a doctor to determine safe destinations.

Flying during the first trimester of pregnancy is considered safe, but the final decision is always made by the doctor in charge of the pregnancy.

It depends on many factors, but many airlines restrict travel in advanced pregnancy, usually after 36-37 weeks.

This is neither exclusively true nor a myth. Restrictions on travel during pregnancy depend, among other things, on the health of the pregnant woman, the risk of thrombotic complications and other factors, which are worth consulting a doctor before traveling.

Congratulations! You have just completed the Pregnant Flying Course on 1.01. and are officially ready to board a plane. You also have the basic knowledge required to fly safely during pregnancy, but.... Before you start browsing the offers on our airline's website , we have some bonus tips for you!

• Be sure to bring extra snacks and drinks on board - it's always good to pamper yourself!
• Check in early so you don't miss your boarding time.
• Make sure your seat belts are securely fastened to ensure maximum safety.

Air travel during pregnancy can be safe and truly comfortable. With proper preparation and prior consultation with the attending physician, it can become a source of joy and a dream come true of exploring the world. As long as the pregnancy is going well and the mother-to-be feels well, it is not at all necessary to give up sky travel. All in accordance with the principle that health comes first!

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Safe Car Travel During Pregnancy

Medical review policy, latest update:, is it safe to travel by car during pregnancy, is it safe to drive a car during pregnancy, recommended reading, what’s the safest way to wear a seatbelt when you’re pregnant, when should you stop traveling by car during pregnancy, safety tips for pregnancy car travel.

And speaking of cars and driving: Make sure to install your baby’s car seat at least three weeks before your due date, so it’s ready to go when you need it. Avoid common car seat mistakes by getting help from a qualified technician, which is usually free. Find an inspection station near you here .

What to Expect When You’re Expecting , 5th edition, Heidi Murkoff. WhatToExpect.com,  Travel Tips for Pregnancy , April 2018. WhatToExpect.com,  Infant Car Seat Safety 101 , August 2018. WhatToExpect.com,  Edema (Swelling of the Angles and Feet) During Pregnancy , October 2020. WhatToExpect.com,  Leg Cramps During Pregnancy , April 2019. American College of Obstetricians and Gynecologists, Travel During Pregnancy , August 2020. American College of Obstetricians and Gynecologists, Car Safety for Pregnancy Women, Babies, and Children , March 2019. National Institute of Health, National Library of Medicine, Adverse Pregnancy Outcomes Following Motor Vehicle Crashes , November 2013. American Family Physician,  Car Safety During Pregnancy , November 2014. National Highway Traffic Safety Administration, Distracted Driving , 2020. National Highway Traffic Safety Administration, Car Seats and Booster Seats , 2020. March of Dimes, Travel During Pregnancy , April 2016. State Farm Insurance, How to drive safe while pregnant , 2020.

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11 Rules for Road Trips While Pregnant, Including When To Stop Traveling by Car

A car trip can be a memorable vacation while pregnant, especially if flying is out of the question, but there are some precautions to take before you hit the road.

Everyone loves a good road trip. And if you're pregnant, a babymoon by car may be exactly what's needed before you're elbows-deep in dirty diapers. While it's generally safe to fly while expecting , some airlines have a cutoff of 36 weeks (and many even earlier), according to the Centers for Disease Control and Prevention (CDC).

Pregnant people who do fly should check with their doctors first, but they can make travel safer with simple steps like holding onto seatbacks when walking during turbulence and wearing compression socks to prevent deep vein thrombosis.

The great news is that car travel is safe for most pregnant people. If you have complications, you may need to stick closer to home but unless you're on bedrest or have other doctor-imposed limitations, you should be able to hit the road. Ask your health care provider when you should stop long road trips, but in most cases, it's safe until close to your due date.

To ensure the only bump on the road is your belly, here are 11 tips pregnant travelers should know before setting off on a long drive.

1. Talk To Your Health Care Provider

No matter the mode of travel, pregnant people should always start by contacting their health care provider, said Kecia Gaither, MD , maternal-fetal medicine specialist affiliated with NYC Health + Hospitals/Lincoln in the Bronx, New York. "Certain medical conditions may preclude any degree of travel, be it by air or land," says Dr. Gaither. "Those conditions may include placenta previa , prior preterm labor , or clotting disorders."

Placenta previa, for example, happens when the placenta completely or partially covers the cervix. It can cause bleeding during pregnancy, as well as serious complications—like hemorrhage or preterm birth—that would be difficult to navigate in an unfamiliar location.

Additionally, traveling is a risk factor for blood clots, according to the CDC—and pregnant people already have a heightened chance of developing them. Certain conditions and disorders may increase the risk of blood clots too much for long road trips.

2. Plan for Your Second Trimester

The American College of Obstetricians and Gynecologists (ACOG) says the ideal time to travel is during the second trimester, between 14 and 28 weeks. "During these weeks, your energy has returned, morning sickness is improved or gone, and you are still able to get around easily," recommends the organization. "After 28 weeks, it may be harder to move around or sit for a long time."

Not only is the middle of the pregnancy when pregnant people will likely feel the best, but it also carries a lower risk of any complications.

3. Prepare for the Pregnancy Road Trip

Advanced planning can make any road trip easier. This includes thoughtful packing like easy-to-change clothing if you get too hot or too cold and taking healthy foods, snacks, and drinks. Also, make sure your route is accurate to avoid delays and check for safe places to stop.

4. Drink Enough Water

There's a link between dehydration and uterine contractions, so keeping on top of water intake is crucial, says Dr. Gaither. Have a sufficient supply of water readily available in the car and make sure to drink even more if you've been sweating or exercising. Pregnant people should drink eight to 12 cups (or 64 to 96 ounces) of water each day, according to ACOG. This ensures healthy digestion, amniotic fluid formation, and nutrient circulation.

5. Bring Extra Medications or Supplements

Taking the proper medications and supplements while pregnant is imperative, and it's even more important on a road trip. Dr. Gaither says pregnant travelers will want to double-check that they've packed any medications and vitamins they need.

It's also important to bring extra, in case they're on the road longer than originally anticipated. Include over-the-counter medicines approved by your health care provider, so you'll have them if you need them. And, don't forget to pack your prenatal vitamin !

6. Always Wear a Seat Belt

Wearing a seat belt in a car is one of the most important car safety tips, especially when you're pregnant. The myth that a seat belt could harm the fetus is pure fiction, but there's a proper way to wear one if you're pregnant, according to the National Highway Traffic Safety Administration (NHTSA).

Pregnant people should wear the shoulder belt away from their neck and across their chest. The lap belt should be secured below the belly so it fits snugly. Pregnant people should also keep as much distance as possible between their belly and the steering wheel, while still ensuring they can reach the wheel and pedals. Additionally, the NHTSA recommends pregnant people don't disable the airbags.

7. Get Out and Stretch Often

Dr. Gaither says pregnant travelers should stop "at least every two hours" and get out of the car, stretch, and walk around. This increases blood flow to the lower body which helps prevent complications like deep vein thrombosis (DVT) in the legs. These blood clots usually dissolve on their own. However, in rare cases, they can break off, travel to the lungs, and block blood flow. This potentially life-threatening condition is called a pulmonary embolism.

While the risk for DVT is low, it does increase with pregnancy. The CDC recommends knowing the signs of DVT, which include swelling and/or redness in the leg (or arm), unexplained pain or tenderness, and skin that feels warm when touched. Signs of a pulmonary embolism include difficulty breathing, fast or irregular heartbeat, and chest pain or discomfort.

8. Dress Comfortably

Being comfortable during pregnancy is key, and that's especially true during a road trip. Luckily, a few essentials can make the ride more relaxing—and safer. Non-medical compression socks or support hosiery may be a good idea to help support blood flow.

Other helpful travel accessories include a lumbar pillow, comfortable shoes, and a good water bottle (because hydration is key to a healthy pregnancy ). A cooler, sunglasses, and sunscreen also may be helpful. And, avoid wearing too-tight clothing and shoes.

9. Avoid Remote Locations

Nothing is stopping most pregnant people from traveling, but it's always smart to be mindful of where you're going. If possible, maintain a steady speed (instead of speeding up and slowing down) and avoid winding, hilly, bumpy roads, and frequent lane changes. Also, don't travel to extremely remote areas where medical care may be difficult to find in case of an emergency.

10. Have an Emergency Plan in Place

Pregnant travelers will want to have a plan in case any unexpected health concerns pop up, as they can happen quickly during pregnancy. If you don't have access to an electronic health record, take a copy of your medical record with you. If any problems do arise during a road trip, Dr. Gaither recommends pregnant people contact their health care provider and the nearest hospital for advice, evaluation, and possible treatment.

11. Relax and Have Fun

There are lots of things to take into consideration when planning a road trip while pregnant, but always remember to have fun! Advanced planning and a comfortable wardrobe will help make the trip easier. Plan a trip you're excited about and indulge in a little pre-baby R&R.

Pregnant Travelers . Centers for Disease Control and Prevention . 2022.

Blood Clots and Travel: What You Need to Know . Centers for Disease Control and Prevention . 2023.

Travel During Pregnancy . American College of Obstetricians and Gynecologists . 2023.

How Much Water Should I Drink During Pregnancy? . American College of Obstetricians and Gynecologists . 2020.

If You're Pregnant: Seat Belt Recommendations for Drivers and Passengers . National Highway Traffic Safety Administration .

Related Articles

Pregnancy and travel

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• If you are pregnant, the safest time for you to travel is during the second trimester, provided you aren’t experiencing any complications.
• If you are pregnant and considering travel, you must consult with your doctor, especially if your pregnancy is high risk.
• Avoid travelling to developing nations during pregnancy.
• Be wary of taking medications of any kind, including those commonly used to treat traveller’s diarrhoea.

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About pregnancy and travel, high-risk pregnancies and travel, travel immunisation warnings for pregnant women, travel and the risk of malaria during pregnancy, risks of long-distance travel during pregnancy, air travel and pregnancy, car travel and pregnancy, heat and sun exposure and pregnancy, sporting activities and pregnancy, traveller’s diarrhoea and pregnancy, medications to avoid during pregnancy, where to get help.

If you are pregnant, the safest time for you to travel, generally speaking, is during the second trimester, provided you aren’t experiencing any complications. If you are pregnant and considering travel, you must consult with your doctor, especially if your pregnancy is high risk. Consider the standard of medical care at your chosen destination, just in case you need help.

Some countries have reciprocal healthcare arrangements with Australia – check with Medicare. Travelling to developing nations is not encouraged during pregnancy for various reasons, including the risk of disease and the lower standard of medical facilities compared to Australia.

Pregnant women experiencing complications are advised not to travel. Some complications include:

• cervical problems, such as 'incompetent cervix'
• vaginal bleeding
• multiple pregnancy
• gestational diabetes, past or present
• high blood pressure, past or present
• pre-eclampsia (a toxic condition sometimes occurring in pregnancy), past or present
• abnormalities of the placenta, past or present
• prior miscarriage
• prior ectopic pregnancy (a pregnancy that develops outside the womb)
• prior premature labour.

If you are aged 35 years or over and pregnant for the first time, you are also advised not to travel.

Travellers to most developing nations need to be immunised against diseases such as typhoid. Most vaccines are either dangerous to unborn babies or haven't been adequately tested for safety on pregnant women.

The important exception to this is the influenza vaccine, which can be safely given during pregnancy. It is strongly recommended for all pregnant women, as influenza in pregnancy can be a very serious illness. Generally, all live virus vaccines (such as mumps and measles) should be avoided during pregnancy.

Some vaccines, such as for yellow fever, may cautiously be given after the first trimester. Be advised by your doctor. It is recommended that pregnant women delay any travel to developing nations until after their babies are born.

Malaria is an infection carried by particular species of mosquito. A pregnant woman who catches malaria risks miscarriage, premature labour and stillbirth. Some antimalarial drugs (such as chloroquine) are considered safe to take during pregnancy, but others (such as doxycycline) are potentially harmful to the unborn baby. It is recommended that pregnant women avoid travelling to areas where malaria is present.

Long periods of not moving during car, bus, rail and air travel increases the risk of clots forming in the deep veins of the leg, known as deep vein thrombosis (DVT). These clots can circulate and lodge in parts of the body such as the lungs.

The risk of DVT is increased in pregnancy if:

• you had a DVT in the past
• you weigh more than 100 kg
• you have a multiple pregnancy
• a family member has had a DVT.

One in 1,000 pregnant women will develop DVT. Research indicates the risk of DVT can increase by two or three times in a long-distance flight.

There is no research-based advice on travel for pregnant women. However, if you choose to travel long distances, you should:

• Do frequent leg exercises.
• Walk regularly (in the case of air travel, walk around the aircraft cabin if the flight is smooth).
• Avoid dehydration by drinking plenty of water.
• Minimise alcohol and caffeine intake.

If you have an increased risk of DVT, you are advised to:

• Discuss travel plans with your doctor.
• Wear well-fitting elastic below-knee compression stockings during the journey.
• Receive heparin injections before and after any journey longer than four hours.

Before you decide to travel by plane:

• Discuss any potential risks particular to your pregnancy with your doctor. For example, a woman with gestational diabetes or a multiple pregnancy is generally advised not to fly.
• Be aware that air travel in the last six weeks of pregnancy could trigger premature labour.
• Check with the airline – some airlines won't allow a woman over 35 weeks to fly at all, or they require a doctor’s note.
• Check the fine print of your travel insurance – some policies may not cover pregnancy.
• Arrange with the airline for a bulkhead seat or a seat near an exit for extra leg room.
• Consider booking an aisle seat – going to the toilet will be a little easier.

Before you leave, discuss with your doctor whether you need to travel with a medical kit. Remember to pack this kit in your carry-on luggage so you can access it during the flight.

Items your medical kit could contain:

• preparations to help you treat common pregnancy complaints such as heartburn, thrush, constipation and haemorrhoids
• oral rehydration preparations in case of traveller’s diarrhoea
• multivitamins formulated for pregnant women
• urine dipsticks to check glucose levels (if required).

During the flight:

• Wear your seatbelt under your bump and across your lap.
• Stretch and move your legs regularly while seated. Consider wearing support stockings for the duration of the flight. A pregnant woman's circulation is already under strain – the lower cabin pressure inside a plane can theoretically increase the risk of blood clots.
• Drink plenty of water to reduce the risk of dehydration. Keeping up your fluid intake will also reduce the risk of DVT.
• If the flight is smooth, walk up and down the aisles every half hour.
• If the flight has turbulence, stay in your seat, but flex and extend your ankles frequently.
• If you are feeling short of breath or light-headed, ask one of the flight attendants to give you breathing oxygen.

If travelling by car:

• Make frequent breaks to stretch your legs and visit the toilet.
• Always wear a seatbelt. Fasten the lap sash across your lap and under your bump, fit the shoulder sash above your bump and between your breasts.
• Avoid wearing the lap sash across your bump as a sudden jolt could cause your placenta to separate from your uterus.
• If you are sitting in the front passenger seat, move your seat well back from the dashboard to reduce airbag impact in case of a collision.
• If you are driving, have your seat as far back from the steering wheel as possible, while still being able to drive safely and comfortably. It may help to tilt the steering wheel downwards, away from your belly.
• If you are involved in a collision, however minor, see your doctor.
• If you have contractions, pain or bleeding after an accident, see a doctor as soon as possible. Let them know if you have a rhesus negative External Link blood group, as you may need to have an anti-D injection.
• Consider joining a roadside assistance program that can help you in case of a breakdown, and always carry a mobile phone.

If travelling in hot weather:

• Carry a water bottle with you and drink water frequently.
• Stay in the shade or inside during the hottest part of the day.
• Protect your skin by wearing loose-fitting clothing, a hat and sunscreen.
• Avoid rushing or overexertion – plan your activities and give yourself plenty of time.

Overheating during pregnancy

If you feel weak and dizzy, light-headed or even slightly nauseous, it may be a sign that you are overheating and dehydrated. Remember:

• to seek shade or go inside, drink a glass of cool water and lie down
• to bring down your temperature by using a fan, placing a cool, wet cloth on your forehead and the back of your neck, or running cool water over your wrists.
• that dizziness may also indicate a drop in blood sugar, so have a light snack such as a banana or a piece of toast.

Certain sporting activities carry an increased risk to your unborn baby. Activities to avoid include:

• Water-skiing – coming off the skis could force water into the vagina.
• Scuba diving – the changes in blood gases may harm your baby. Snorkelling is fine and scuba diving to depths of less than 18 metres (60 feet) is reasonably safe, but check with your doctor first.
• Saunas and hot tubs – raising your body temperature can harm your baby.
• Horseback riding – the motion of horseback riding carries a risk of placental abruption (separating the placenta from the uterus). Falling from or being kicked by a horse carries a high risk of trauma to your baby, or even death.
• High-altitude activities such as mountain climbing – at heights over 3,000 metres, the oxygen level in the air is low. This reduces the oxygen available to your baby. Pregnant women are also more vulnerable to developing altitude sickness.

Be careful to avoid food poisoning, as certain infections can harm the baby or trigger miscarriage. Remember to:

• Avoid food buffets, seafood, undercooked meats, soft cheeses and p â t é s.
• Wash your hands thoroughly after going to the toilet, before preparing food and before eating.
• In developing nations, only eat fruit that you have peeled yourself. Avoid leafy greens and salads because they could have been washed in contaminated water.
• Drink bottled water if you are unsure of the water supply. Use bottled water when brushing your teeth. Make sure that all eating utensils are thoroughly dried after washing.
• If you must use the local water, boil the water thoroughly for five minutes before using.
• Avoid treating unsafe water with iodine. If consumed over a few weeks, iodine can cause your unborn baby to develop a goitre (enlarged thyroid gland).

Pregnant women should be wary of taking medications of any kind. Some medications can pass to the baby through the placenta and cause birth defects or miscarriage.

• Avoid taking any over-the-counter medication unless advised by your doctor, who knows you are pregnant.
• Medications that are commonly used to treat traveller’s diarrhoea are dangerous during pregnancy.
• Avoid alcohol.
• Avoid using 'social' or 'recreational' drugs.
• Your GP (doctor)
• NURSE-ON-CALL Tel. 1300 60 60 24 – for expert health information and advice (24 hours, 7 days)
• Getting there by car External Link , babycenter.com.au.
• Pregnancy and overheating External Link , netdoctor.
• ‘ Influenza External Link ’, The Australian Immunisation Handbook 10th Edition 2013, Australian Government Department of Health.
• Reyes N, Grosse S, Grant A, Deep vein thrombosis and pulmonary embolism External Link , Centers for Disease Control and Prevention.

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More information, related information.

In Victoria, you can have two types of abortion: surgical and medication. Both types are safe and reliable. You can have a medication abortion up to nine weeks of pregnancy. You can have a surgical abortion from around six weeks of pregnancy onwards.

There’s no safe level of alcohol use during pregnancy. It’s safest to not drink at all during pregnancy, when trying to conceive, and while breastfeeding.

Learn all about alcohol - includes standard drink size, health risks and effects, how to keep track of your drinking, binge drinking, how long it takes to leave the body, tips to lower intake.

Being young and fit doesn't reduce your risk of altitude sickness.

Pregnant women with asthma need to continue to take their asthma medication as it is important to the health of both mother and baby that the mother's asthma is under control.

From other websites

• External Link Can I have travel vaccinations during pregnancy?
• External Link Centres for Disease Control and Prevention
• External Link Travel and pregnancy
• External Link Travel in pregnancy
• External Link Travellers’ health – Centers for Disease Control and Prevention

Content disclaimer

Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website.

Pregnant? Read this before you travel.

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CDC’s Response to ZIKA PREGNANT? READ THIS BEFORE YOU TRAVEL

What we know about Zika

• Zika can be passed from a pregnant woman to her fetus.
• Infection during pregnancy can cause certain birth defects.
• These mosquitoes are aggressive daytime biters. They can also bite at night.
• The large outbreak in the Americas is over, but Zika continues to be a potential risk in many countries in the Americas and around the world.
• There is no vaccine to prevent or medicine to treat Zika.
• Zika can be passed through sex from a person who has Zika to his or her sex partners.

What we don’t know about Zika

• If there’s a safe time during your pregnancy to travel to an area with risk of Zika.
• How likely it is that Zika will pass to your fetus.
• Whether your baby will have birth defects.

Symptoms of Zika

Many people won’t have symptoms or even know they are infected with the virus. The illness is usually mild with symptoms lasting for several days to a week.

The most common symptoms of Zika are

• Muscle pain

Travel Notice

CDC has issued a travel notice (Level 2-Practice Enhanced Precautions) for people traveling to areas with a Zika outbreak.

For a current list of places with risk of Zika virus, see CDC’s Travel Health website: https://wwwnc.cdc.gov/travel/page/zika-information

Zika can also be sexually transmitted from an infected person to his or her male or female partners, so travelers should use condoms.

• Do not travel to areas with a Zika outbreak (red areas on the Zika map ). Before travel to other areas with risk of Zika (purple areas on the Zika map), pregnant women should talk with their doctors and carefully consider risks and possible consequences of travel.
• If you must travel to these areas, talk to your doctor first and strictly follow steps to prevent mosquito bites during your trip.
• If you have a partner who lives in or has traveled to an area with risk of Zika, either use condoms the right way every time you have vaginal, oral, or anal sex, or do not have sex during the pregnancy.

Trying to become pregnant?

• Before you travel to areas with a Zika outbreak (red areas on the Zika map) or other areas with risk of Zika (purple areas on the Zika map), talk to your doctor about your plans to become pregnant and the potential risks and possible consequences of travel.
• Strictly follow steps to prevent mosquito bites and sexual transmission during your trip.

Before you travel, check the CDC travel website frequently for the most up-to-date recommendations. http://wwwnc.cdc.gov/Travel

Your Best Protection: Prevent Mosquito Bites

When used as directed, Environmental Protection Agency (EPA)-registered insect repellents are proven safe and effective even for pregnant and breastfeeding women.

• Wear long-sleeved shirts and long pants.
• Treated clothing remains protective after multiple washings. See product information to learn how long the protection will last.
• If treating items yourself, follow the product instructions carefully.
• Do NOT use permethrin products directly on skin. They are intended to treat clothing.

Indoor Protection

• Stay in places with air conditioning or that use window and door screens to keep mosquitoes outside.
• Sleep under a mosquito bed net if air conditioned or screened rooms are not available or if sleeping outdoors.

Use Environmental Protection Agency (EPA)-registered insect repellents. When used as directed, these insect repellents are safe and effective for pregnant and breastfeeding women.

• Always follow the product label instructions.
• Reapply as directed.
• Do not spray repellent on the skin under clothing.
• If you are also using sunscreen, apply sunscreen before applying insect repellent.
• Use a repellent with one of the following active ingredients: DEET, picaridin, IR3535, oil of lemon eucalyptus or para-menthane-diol, or 2-undecanone.

Exit Notification / Disclaimer Policy

• The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website.
• Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
• You will be subject to the destination website's privacy policy when you follow the link.
• CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website.

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Travelling while pregnant

Find useful information and considerations to help you prepare for safe and healthy travels outside Canada while pregnant.

With careful preparation, travelling while pregnant can be safe. The decision to travel should be made in consultation with your health care professional, based on your personal health circumstances.

On this page

Before you go, while you're away, if you need help.

Medical practices, health standards and infection control measures vary from country to country. You may not have access to the same level of care, procedures, treatments and medications as you would in Canada.

You could also be at increased risk of getting an infection and/or developing severe complications from certain infections, which could also affect the fetus.

Before leaving Canada:

• consult a health care professional or visit a travel health clinic at least 6 weeks before travelling to get personalized health advice and recommendations
• check our Travel Advice and Advisories for country-specific information, including about possible health risks
• know how to seek medical assistance outside of Canada
• review the policy and the coverage it provides
• most policies do not automatically cover pregnancy-related conditions or hospital care for premature infants
• ask your insurance provider about coverage for medical care during pregnancy, giving birth and intensive care for you and your fetus or newborn
• carry a copy of your prenatal records
• talk to your health care professional about any additional items you may want to bring that are specific to your health needs

Local laws and medical services relating to pregnancy can differ from Canada. Learn the local laws, and how these may apply to you before you travel.

Pre-travel vaccines and medications

Many vaccines can be safely given during pregnancy. Due to a higher risk of more severe outcomes for you and your fetus, some vaccines are recommended specifically during pregnancy, such as tetanus-diphtheria-pertussis (DTaP) and influenza.

Don’t take medications you may still have from prior trips. Tell the health care professional about your pregnancy, or intended pregnancy, before filling any prescriptions. The decision to get any pre-travel vaccinations or medications should be discussed with your health care professional.

The decision can depend on:

• your purpose of travel (e.g., tourism, visiting friends and relatives)
• your planned destination(s)
• the length of your trip
• your risk of getting a disease
• how severe the effect of a disease would be to you and/or your fetus
• your planned activities
• any underlying medical issues and/or pregnancy-related complications

Malaria could cause major health problems for a mother and her unborn baby. A pregnant woman may want to consider avoiding travel to areas where malaria transmission occurs.

Description of malaria risk by country and preventative measures.

If you can’t avoid travelling to an area where malaria is present:

• some medications to prevent or treat malaria may not be safe during pregnancy
• take extra care to protect yourself from mosquito bites

Zika virus infection during pregnancy can pose significant risks to your fetus even if you don’t develop symptoms. While pregnant, you may want to consider avoiding travelling to a country or areas with risk of Zika virus.

Latest travel health advice on Zika virus.

If you choose to travel, take precautions to avoid infection with Zika virus:

• prevent mosquito bites at all times
• protect yourself from contact with semen, vaginal fluid and blood
• always use condoms correctly or avoid sexual contact while in countries or areas with risk of Zika virus

Learn more about Zika virus and pregnancy:

• Zika virus: Pregnant or planning a pregnancy
• Zika virus: Advice for travellers
• Pregnancy and travel (tropical medicine and travel)

Monitor your health and be prepared

Emergencies can happen at any time. Know where the nearest hospital or medical centre is while you are travelling and confirm they will accept your medical insurance.

Seek medical attention immediately if you develop any of the following symptoms while travelling:

• persistent vomiting and/or diarrhea
• dehydration
• vaginal bleeding
• passing tissue or clots
• abdominal pain, cramps or contractions
• your water breaks
• excessive swelling of face, hands or legs
• excessive leg pain
• severe headaches
• visual problems

If you develop these symptoms after your return to Canada, you should see a health care professional immediately and tell them about your recent trip.

Transportation

Always wear a seatbelt when travelling by plane or car. When using a diagonal shoulder strap with a lap belt, the straps should be placed carefully above and below your abdomen. If only a lap belt is available, fasten it at the pelvic area, below your abdomen.

If you have any medical or pregnancy-related complications, discuss with your health care professional whether air travel is safe for you.

Most airlines restrict travel in late pregnancy or may require a written confirmation from a physician. Check this with the airline before booking your flight.

During long flights, you may be at higher risk of developing blood clots, known as deep vein thrombosis (DVT). The risk of deep vein thrombosis can be reduced by:

• getting up and walking around occasionally
• exercising and stretching your legs while seated
• selecting an aisle seat when possible
• wearing comfortable shoes and loose clothing

Your health care professional may recommend additional ways to reduce your risk such as wearing compression stockings.

Always stay well hydrated while travelling.

Land travel

The risk of deep vein thrombosis can be reduced by:

• stopping the vehicle to walk around every couple of hours

Motion sickness

Certain medications used to treat nausea and vomiting during pregnancy may also be effective in relieving motion sickness.

If you think you might experience motion sickness during your trip, speak to your health care professional about the use of these medications.

Environmental and recreational risks

Some activities may not be recommended or may require additional precautions. Discuss your travel plans, including any planned or potential recreational activities with a health care professional.

High altitude

You should avoid travelling to an altitude above 3,658 metres (12,000 feet).

However, if you have a high-risk pregnancy and/or are in the late stages of pregnancy, the highest altitude should be 2,500 metres (8,200 feet).

If you have pregnancy-related complications, you should avoid unnecessary high-altitude exposure.

Keep in mind that most high-altitude destinations are far from medical care services.

Personal protective measures

Food-borne and water-borne diseases.

Eat and drink safely while travelling while travelling. Many food-borne and water-borne illnesses can be more severe during pregnancy and pose a risk to the fetus.

This can include:

• toxoplasmosis
• listeriosis
• hepatitis A and E

To help avoid food-borne and water-borne diseases:

• before eating or preparing food
• after using the bathroom or changing diapers
• after contact with animals or sick people
• before and after touching raw meat, poultry, fish and seafood
• if you’re at a destination that lacks proper sanitation and/or access to clean drinking water, only drink water if it has been boiled or disinfected or if it’s in a commercially sealed bottle
• use ice made only from purified or disinfected water
• this could cause the fetus or newborn to develop thyroid problems
• unpasteurized dairy products, such as raw milk and raw milk soft cheeses
• unpasteurized juice and cider
• raw or undercooked eggs, meat or fish, including shellfish
• raw sprouts
• non-dried deli meats, including bologna, roast beef and turkey breast
• don’t use bismuth subsalicylate (Pepto-Bismol®)
• Information on travellers’ diarrhea

Illnesses acquired from insect and other animals

Protect yourself from insect bites:

• wear light-coloured, loose clothes made of tightly woven materials such as nylon or polyester
• prevent mosquitoes from entering your living area with screening and/or closed, well-sealed doors and windows
• use insecticide-treated bed nets if mosquitoes can’t be prevented from entering your living area
• information on insect bite and pest prevention

Some infections, such as rabies and influenza, can be shared between humans and animals. You should avoid contact with animals including dogs, livestock (pigs, cows), monkeys, snakes, rodents, birds, and bats.

Information for if you become sick or injured while travelling outside Canada.

For help with emergencies outside Canada, contact the:

• nearest Canadian office abroad
• Emergency Watch and Response Centre in Ottawa

More information on services available at consular offices outside Canada.

Related links

• Immunization in pregnancy and breastfeeding: Canadian Immunization Guide
• Advice for Canadians travelling to Zika-affected countries
• Advice for women travellers
• If you get sick before or after returning to Canada
• Receiving medical care in other countries
• Travel vaccinations
• What you can bring on a plane

• facebook-rs

Florida’s Six-Week Abortion Ban Will Go Into Effect Next Month

By Tessa Stuart

Tessa Stuart

The Florida Supreme Court has cleared the way for a ban on abortions at six weeks gestation — before many women realize they are pregnant — to go into effect. At the same time, the justices on Monday approved a measure to be placed on the ballot this November that, if approved by 60 percent of voters, will enshrine the right to an abortion in the state’s constitution.

The court, stacked with ultra-conservative appointees of Republican Gov. Ron DeSantis , waited until the last possible moment to rule on the ballot measure — according to state law, it needed to reach a decision by April 1 — and chose to pair it with a long-awaited ruling on a challenge to the state’s 15-week abortion ban . 

Monday’s decision will allow a much more restrictive six-week ban, passed by the Republican supermajority in Tallahassee and signed into law by DeSantis one year ago, to go into effect in 30 days. 

Despite the imposition of a 15-week ban in 2022, the number of abortions performed in the state increased by 15 percent in the first six months of last year, according to a survey by the Guttmacher Institute. Researchers attributed the majority of that increase — 65 percent — to patients traveling to Florida from out of state. 

Dramatically reducing access to abortion in the third most populous state in the country — even temporarily — will have an enormous impact, within the state and beyond its borders. 

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The measure the court ruled can appear on the ballot in November would protect abortion access up to the point of viability, around 24 weeks gestation. A poll released in December found 62 percent of Floridians would support the proposed constitutional amendment — enough to meet Florida’s unusually high 60 percent threshold to amend the constitution. 

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Florida abortion ruling: Six-week ban looms, but voters can change it. Your questions answered.

• Florida's 15-week ban upheld and newer 6-week ban will go into effect May 1
• Proposed amendment to restore abortion rights OKed for November ballot

With Monday's decisions from the state Supreme Court , in 30 days most abortions after six weeks will be illegal in Florida. But, six months later, voters will have the chance to override that and bring Florida's abortion laws back closer to what it was when Roe v. Wade was still in force.

The move caps several years of legal wrangling over the state's attempt at passing some of the most restrictive abortion laws in the country.

What did the Florida Supreme Court say about the state's abortion law?

The Florida Supreme Court upheld the state's 15-week ban passed in 2022 , overruling 34 years of precedent which had held that a privacy provision in the state constitution protected a woman’s right to terminate a pregnancy. 

Before that, the Roe v. Wade standard had applied for decades: abortions were legal for any reason up to the end of the first trimester (up to 12 weeks), abortions to protect the health of the pregnant person were legal during the second trimester (up to 24 weeks) and abortions in the third trimester could be prohibited but not if abortion was necessary to preserve the pregnant person's life or health.

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However, in a separate ruling, the court also decided that a proposed constitutional amendment to guarantee access to abortion will be allowed on the ballot in this November's general election for voters to decide.

Florida abortion rulings: A win for both sides, but voters have last say with Amendment 4

What abortions are legal in Florida now?

Abortions in Florida are legal up to 15 weeks and illegal after that with no exceptions for rape or incest . A Leon County judge had briefly stopped the new law, calling it a likely violation of the state constitution’s right to privacy but it went back into effect when the state appealed .

The only exceptions are if carrying the pregnancy to term would result in serious injury or death for the pregnant person or if the fetus has a fatal abnormality. Two physicians must certify, in writing, that one of those conditions warrants the procedure. There are no exceptions for rape, incest, trafficking or mental health .

The 2022 law also redefined "gestation" from "between fertilization and birth" to "as calculated from the first day of the pregnant woman's last menstrual period."

In 30 days, the 6-week ban passed in 2023 will be triggered and go into effect.

Abortions in Florida: Now that Roe v. Wade is gone, here's what's legal and what's not

How many people got abortions in 2023? New report finds increase despite bans

How many months are 15 weeks?

Fifteen weeks comes out to three months and three weeks.

A full-term pregnancy is considered to be 39-40 weeks.

Does Florida have a waiting period for abortions?

Yes. As of April 2022 , the state requires anyone seeking an abortion to wait 24 hours after an initial doctor’s visit before returning to undergo the procedure.

What does the Florida 6-week abortion ban do?

In the new law, all abortions (with a few exceptions) would be illegal in the state of Florida after a "physician determines the gestational age of the fetus is more than 6 weeks," a time when many pregnant people don't yet know they're pregnant. People may have as little as two weeks after missing a period to find out and get appointments.

However, while the law reduces the amount of time pregnant people have to get an abortion, it does provide some exemptions for rape and incest. The 15-week law lacked those, something that drew criticism even from some supporters.

Florida law also requires a person to have  two appointments at least 24 hours apart  to get an abortion. This leaves an extremely narrow window for a pregnant person in a potentially traumatic situation to take action.

When do most people find out they're pregnant?

According to a  2021 study from ANSIRH  (Advancing New Standards in Reproductive Health) at the University of California San Francisco, about one in three people confirm their pregnancies after six weeks, and one in five after seven weeks.

"Later confirmation of pregnancy is even higher among young people, people of color, and those living with food insecurity," the study's summary said, "suggesting that gestational bans on abortion in the first trimester will disproportionally hurt these populations."

Does Florida's 6-week abortion law include exemptions for danger to the mother?

Yes, but only for extreme cases. Two physicians must certify, in writing, that in their judgment an abortion is necessary "to save the pregnant woman’s life or avert a serious risk of substantial and irreversible physical impairment of a major bodily function." One physician may certify it if another is unavailable at the time.

This requires physicians willing to risk possible fines, loss of license and even imprisonment to go on record against oversight committees and the state. Attempts by Democrats to  clarify the conditions  under which a physician may make that call without risking their medical license were struck down.

Does the 6-week abortion ban in Florida include exemptions for a fetus that has died or is going to die?

Yes. If two physicians have certified in writing that in reasonable medical judgment, the fetus has a fatal fetal abnormality, the pregnancy may be terminated. However, the bill included new language requiring that the pregnancy must not have "progressed to the third trimester," suggesting that abortions for fatal fetal abnormalities are banned after 27 weeks.

Does the 6-week abortion ban in Florida include exemptions for rape or incest?

Yes, but. Abortions are permitted in the case of rape, incest or human trafficking but only if:

• You haven't been pregnant for more than 15 weeks
• You have copies of "a restraining order, police report, medical record, or other court order or documentation" to provide evidence that you're a victim of rape or incest.

If you are a minor, the physician must report the incident of rape or incest to the central abuse hotline.

Abortion rights battle: Abortion rights inspire these young voters like no other issue. How they're fighting ahead of 2024.

Does the 6-week abortion ban in Florida ban abortion pills?

For anyone except licensed doctors administering them to you in person, yes.

So-called "abortion pills" — actually two pills, mifepristone and misoprostol , taken up to 48 hours apart — which cause a person’s cervix to dilate and their uterus to contract, emptying the embryo from the person’s uterus, have dramatically risen in popularity in the last few years both for the relative convenience compared to surgical abortions and to get around abortion bans. Access to them has been challenged and will be decided by the U.S. Supreme Court .

The 6-week abortion law clearly states that abortions may only be performed by a physician who must be in the room with you.  Telehealth sessions , such as what many pregnant people have been using to get abortion pills prescribed in states with strict abortion laws, are specifically banned.

Can I go to jail for getting an abortion after 6 weeks in Florida?

Willfully performing or actively participating in an abortion outside of the restrictions is a third-degree felony, punishable by fines and imprisonment of five years. It is unclear if the pregnant person is liable.

When does Florida's 6-week abortion ban go into effect?

May 1, 2024, 30 days after the Florida Supreme Court's ruling.

What would Amendment 4, Florida's abortion amendment do?

The proposed amendment submitted by Floridians Protecting Freedom that will appear on November's ballot reads:

“No law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient’s health, as determined by the patient’s healthcare provider. This amendment does not change the Legislature’s constitutional authority to require notification to a parent or guardian before a minor has an abortion.”

Fetal viability has been put at about 24 weeks.

For the amendment to pass it must win by a supermajority, or at least 60% of the vote.