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Flying While Pregnant – Your Guide to Airline Policies [2023]

Chris Hassan

Social Media & Brand Manager

210 Published Articles

Countries Visited: 24 U.S. States Visited: 26

Jessica Merritt

Editor & Content Contributor

82 Published Articles 465 Edited Articles

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Keri Stooksbury

Editor-in-Chief

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Countries Visited: 45 U.S. States Visited: 28

Airline Policy Chart

Alaska airlines, american airlines, avelo airlines, breeze airways, delta air lines, frontier airlines, hawaiian airlines, southwest airlines, spirit airlines, united airlines, british airways, cathay pacific, etihad airways, qatar airways, singapore airlines, virgin australia, virgin atlantic, tips for flying while pregnant, final thoughts.

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Whether heading on a vacation or babymoon, traveling for work, or visiting family for the holidays, flying while pregnant is extremely common and generally safe when following standard air travel precautions.

As always, wearing a seatbelt and staying hydrated is very important, but so is checking with your doctor, as well as your airline, to confirm any additional requirements.

Depending on your destination and airline, policies may vary, so we created a guide to help make the process just a little bit easier for expectant moms.

Let’s look at what you can expect on your next flight if you are expecting.

Flying While Pregnant Overview

Many airlines allow pregnant women to fly if they haven’t passed 36 weeks of gestation .

However, that number may vary based on medical conditions as well as the destination of the flight, as international flights can have different rules.

U.S. Airline Pregnancy Policies

Alaska Airlines does not have any specific policy for flying while pregnant.

American Airlines requires pregnant passengers to provide a doctor’s certificate stating they’re fit to fly if they’re due within 4 weeks of the flight.

If the flight is within 7 days of the delivery date, your physician must complete a special approval form, and a special assistance coordinator from American Airlines will be assigned to you.

For international travel or travel over water within 4 weeks of your due date, a physician’s note stating that you are fit to fly after being examined within 48 hours of the flight is required.

Pregnant passengers do not face any restrictions when flying on Avelo and a medical certificate is not required for you to travel.

Breeze does not have restrictions or require a medical certificate for pregnant passengers.

Delta Air Lines has no restrictions for pregnant passengers and does not require medical clearance, regardless of the due date.

Frontier Airlines requires a medical certificate starting at the 36th week of pregnancy.

Alternatively, a waiver may be signed at the ticket counter, releasing the airline of liability.

Hawaiian Airlines requires a medical certificate if you’re due within 7 days when flying within Hawaii.

For international flights or between North America, an exam completed within 48 hours of your flight and a certificate are required if the flight is within 30 days of your due date.

JetBlue only requires a medical certificate if you’re due within 7 days of the flight. The exam must be completed within 72 hours of the departure date.

If you are past due, you will not be allowed to fly, even with documentation.

Southwest Airlines recommends against air travel for passengers at or past 38 weeks of pregnancy but does not prohibit it.

The airline may, however, ask pregnant passengers not to sit in the emergency row.

Spirit Airlines “urges” pregnant passengers past 8 months (32 weeks) to get a doctor’s exam before flying to confirm it is safe to travel.

However, no mention of a medical certificate being needed to fly.

United Airlines has no restriction for up to 36 weeks of pregnancy.

Starting the 36th week, an obstetrician’s certificate (original and 2 copies) is required, stating that mother and baby are fit for travel. The certificate must be dated within 72 hours of the flight, although it is preferred to be within 1 day of departure if possible.

The due date must be after the final flight on the itinerary.

International Airline Pregnancy Policies

Aeromexico passengers who are 33 weeks pregnant or more must provide a medical certificate that can be uploaded 48 hours before the flight departure.

The exam must be completed within 5 days of the flight, and it is a good idea to bring a copy of the certificate to the airport just in case.

Air Canada has no restrictions for passengers until their 36th week of pregnancy. After 36 weeks, there is no official statement or requirements.

Air France does not require medical clearance before flying. However, the airline recommends seeking a doctor’s opinion before flying.

Although it is not prohibited, Air France recommends avoiding air travel starting at 37 weeks of pregnancy.

British Airways does not permit pregnant women to fly after the 36th week if they’re pregnant with 1 baby or after the 32nd week for more than 1 baby.

The airline recommends expectant mothers travel with a note from their doctor or midwife confirming:

• If the pregnancy is single or multiple
• Expected due date
• No complications with the pregnancy

This note should be completed as close to the travel dates as possible.

The table below shows the requirements and certificates needed to travel for those with uncomplicated pregnancies.

Cathay Pacific advises that you may be denied boarding if you’re not carrying a required medical certificate or if that certificate is outdated or incomplete.

Emirates has flight restrictions starting at 29 weeks of pregnancy.

Expectant mothers traveling during or after 29 weeks must bring a medical certificate signed by a doctor or midwife that includes:

• Single or multiple pregnancies
• Estimated due date
• The latest date your doctor expects you to be fit for travel
• You are in good health
• That there is no known reason that would prevent you from flying

Passengers are prohibited from flying after the 36th week of a single pregnancy or the 32nd week of a multiples pregnancy.

If you need to request an exception to the rule, you can apply for medical clearance by submitting a medical information form .

Etihad Airways has flight restrictions starting at 29 weeks of pregnancy.

From weeks 29 to 36 (29 to 32 for a multiples pregnancy), a medical certificate is required to fly.

Passengers are prohibited from flying once reaching the 37th week of a single pregnancy or the 33rd week of a multiples pregnancy.

If you need to submit a medical certificate, you can download it before arriving at the airport.

Japan Air Lines requires a medical certificate  for the following circumstances:

• When the expected delivery date is within 28 days or is uncertain
• When expecting multiple births
• When there were previous premature births

KLM advises expectant mothers not to fly after reaching 36 weeks of pregnancy. Getting medical clearance to fly is not required, but it is recommended.

LATAM allows pregnant passengers of up to 29 weeks to fly without authorization. From the 30th week on, a medical certificate is required.

After 39 weeks, travel is prohibited.

Lufthansa does not require medical clearance until after the 28th week of pregnancy.

Beyond the 28th week, it is recommended that you travel with a certificate that includes:

• Confirmation that the pregnancy does not have any complications
• A statement from an obstetrician stating that the pregnancy does not prevent you from flying

From the 36th week, this certificate is required to fly. In the case of twin or multiples pregnancy, flying is prohibited after the 32nd week.

Qatar Airways recommends traveling with a doctor’s certificate until the 29th week of pregnancy. After the 29th week arrives, the certificate is required.

At the beginning of the 33rd week, a doctor’s certificate, as well as a MEDIF form , is required and must include the following:

• Patient’s name and date of birth
• Estimated date of delivery
• Proposed dates of air travel
• Confirmation of uncomplicated pregnancy
• Confirmation that the patient is fit for travel
• Date, stamp, and contact details of a qualified doctor

After the 36th week of pregnancy begins, Qatar Airways will not allow you to fly, or 33 weeks in the case of a multiples pregnancy.

Singapore Airlines has no requirements until after the 28th week of pregnancy.

From the 29th week to the 36th week (32nd week for a multiples pregnancy), a medical statement is required to fly that includes:

• Fitness to travel
• Number of weeks pregnant

This certificate must be dated within 10 days of the first flight.

After the 36th week (or the 32nd week for a multiples pregnancy), air travel with Singapore Airlines is not allowed.

After 28 weeks, you will be required to provide a letter from your doctor, dated within 10 days of travel, “outlining the estimated due date, single or multiple pregnancies, the absence of complications, and your fitness to fly for the duration of the flight(s) booked.”

Medical clearance is required for any pregnancy with complications or within 5 days of normal vaginal delivery.

The following conditions are unacceptable for travel:

Virgin Atlantic has no requirements until the 28th week of pregnancy.

From the 28th week to the 36th week (32nd week for a multiples pregnancy), a doctor’s certificate may be requested at the airport or onboard. The certificate should state that there have been no complications and show the estimated due date.

After the 36th week (or 32nd week for a multiples pregnancy), air travel with Virgin Atlantic is prohibited. Travel after the cut-off date may be permitted in special circumstances.

WestJet only recommends that expectant mothers check with their physician or midwife before traveling if they are more than 36 weeks pregnant.

Hot Tip: Are you planning your first trip with your little one? Read the ultimate guide to booking a lap child on your next flight .

Most of these travel tips are helpful for everyone, but especially for expectant mothers.

Choose the Right Seat

Choosing the right seat can make a big difference on an airplane. By sitting in a bulkhead or an aisle seat, you will have more room to stretch your legs and more freedom to get up to use the bathroom if needed.

Also, this may be a good time to splurge on a business or first class seat so you can lie flat and get some rest.

Wear Comfortable Clothing

Wearing comfortable clothing is travel 101, but wearing comfortable layers will give you options if you find the cabin too hot or cold.

Wear Compression Socks

A popular travel hack (even if you aren’t pregnant) is to wear compression socks to reduce swelling and help with blood flow.

However, it may be a good idea to speak with your doctor if you haven’t used them before.

Get Up and Stretch

Walking up and down the aisle is a great way to get your blood flowing and keep oxygen levels up.

Stay Hydrated

Planes are notorious for being dry and sucking moisture out of the air. Pack a big water bottle and ask for more while onboard to ensure you don’t get dehydrated.

Beat Nausea

If you are prone to nausea, bring remedies such as candies and crackers (or whatever works for you) because smells can sometimes be unavoidable inside a plane.

Buy Travelers Insurance

Having travelers insurance is always a good idea, especially if you are traveling far from home — even more so if you are late in your pregnancy.

Hot Tip: Once your little traveler is born, they will want to fly with you. Here is the ultimate guide to baby bassinet seats on 50+ airlines .

Pregnancy is a beautiful thing, and combining it with travel can be a recipe for some wonderful memories.

If you’re planning a bucket list babymoon or just need to keep working and traveling, knowing which airlines will best accommodate you is essential when booking travel.

This guide has plenty of information, and when you’re ready to start traveling with your little one in tow, be sure to come back and read our family travel guides!

All information and content provided by Upgraded Points is intended as general information and for educational purposes only, and should not be interpreted as medical advice or legal advice. For more information, see our  Medical & Legal Disclaimers .

Frequently Asked Questions

Is it safe to fly when pregnant.

In most cases, flying while pregnant is perfectly safe as long as normal safety precautions are taken.

Can you fly during the third trimester? 

Most airlines will allow expectant mothers to fly until the 36th week of pregnancy, often with a doctor’s note.

Do airlines restrict pregnant passengers?

Most airlines allow pregnant passengers to fly until they are 36 weeks pregnant. Some have no restrictions at all.

What are the rules when flying while pregnant?

Each airline sets its own policy regarding flying while pregnant, and it often depends on gestation age and how complicated the pregnancy is. We put together a list of the most popular airlines and their pregnancy policies.

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About Chris Hassan

Chris holds a B.S. in Hospitality and Tourism Management and managed social media for all Marriott properties in South America, making him a perfect fit for UP and its social media channels. He has a passion for making content catered toward family travelers.

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Flying While Pregnant? Check Out the Policies on 25 Global Airlines

In the absence of obstetric or medical complications, occasional air travel during pregnancy is generally safe, according to the American College of Obstetrics and Gynecology  (ACOG). Like other travelers, pregnant women should use seat belts while seated. 

Most commercial airlines allow pregnant women to fly up to 36 weeks of gestation, with some restrictions on international flights. 

ACOG does not recommend air travel for pregnant women with medical or obstetric conditions that may be exacerbated by flight or that could require emergency care. It advises checking flight durations when planning travel and that the most common obstetric emergencies occur in the first and third trimesters.

Once aboard a flight, conditions including changes in cabin pressure and low humidity, coupled with the physiologic changes of pregnancy, do result in adaptations, including increased heart rate and blood pressure, reports ACOG. And those traveling on long-haul flights face the risks associated with immobilization and low cabin humidity. This can cause issues such as lower extremity edema and venous thrombotic events.

ACOG recommends preventive measures to minimize these risks, including the use of support stockings, regular movement of the lower extremities, avoid wearing restrictive clothing and encourage regular hydration. It also advises against consuming gas-producing foods or drinks before a flight.

Other ways for pregnant women to be comfortable on their flights include: booking a bulkhead seat for more legroom; reserving an aisle seat for easy access to lavatories and to walk; elevating your legs on a carry-on bag to avoid swelling and cramps; and wearing a layered, comfortable outfit for changing cabin temperatures.

Airlines around the world have different rules and regulations on when and how long pregnant women can fly. Below are the policies from 25 airlines around the world.

The French flag carrier does not require pregnant women to carry a medical certificate for travel during pregnancy. It recommends avoiding travel in the final month of pregnancy, as well as during the first seven days after delivery. The airline also recommends expecting mothers seek their doctor's opinion before traveling.

India’s flag carrier allows expectant mothers in good health to fly up to and including their 27th week of pregnancy. After 27 weeks, if the pregnancy is anticipated to be a normal delivery, an expectant mother will be accepted for travel up to the 35th week, but a medical certificate confirming the mother is fit to travel is required by an attending obstetrician and dated within three days of travel.

Air New Zealand

For single, uncomplicated pregnancies and clearance from a doctor or midwife women can take flights more than four hours up to the end of their 36th week. For flights under four hours, it's up to the end of the 40th week. Women pregnant with twins can fly more than four hours up to their 32nd week and less than four hours until the 36th week.

The airline recommends that women past their 28th week carry a letter from a doctor or midwife that says you are fit for travel, confirming your pregnancy dates and that there are no complications.

The airline's medical team must offer clearance for women experiencing the following: a complicated pregnancy, such as placenta previa or bleeding; a multiple pregnancy; a history of premature labor; or have begun the early stages of labor. 

Italy's flag carrier has no travel restrictions for expectant mothers during the first eight months of pregnancy. But if traveling within the last four weeks of pregnancy, expecting multiple births, or having a complicated pregnancy, medical clearance is required. Completion of a Medical Information Form, MEDIF , prior to travel and signed by both the passenger and doctor is required.

Alitalia advises pregnant not to fly seven days prior to and seven days after giving birth, or if there is a risk of a premature birth or other complications. It will make staff available to escort pregnant women from the airport check-in counter to the boarding gate. Staff onboard the flight will help stow carry-on luggage. Seats can be pre-assigned and women cannot sit in an exit row.

All Nippon Airways

The Japanese carrier requires women within 15 to 28 days of their due date to fill out and carry a medical information form . Women within 14 days of their due date are required to have a medical form and travel with a doctor. The form must indicate there are no complications of pregnancy, that the passenger has no health problems preventing them from flying and the due date. It must be completed by a doctor and submitted no more than seven days prior to departure.

American Airlines

The Fort Worth-based carrier has different rules for international and domestic flights. If a due date is within four weeks of a flight, you must provide a doctor’s certificate stating that you’ve been recently examined and you’re fit to fly. For domestic flights under five hours, pregnant women won’t be permitted to travel within seven days (before and after) their delivery date. Those who need travel within this timeframe will need approval from a physician and help from a special assistance coordinator . The pregnant woman's physician will be required to fill out a passenger medical form before a flight. A special assistance coordinator will send the form directly to your physician.

Clearance from a special assistance coordinator is required for international travel or travel over water. Within four weeks of a due date also requires a physician's note stating that you’ve been examined within the past 48 hours and you’re fit to fly. And seven days before or after delivery also requires a passenger medical form to be completed by your physician.

British Airways

The U.K. carrier does not allow pregnant women to fly after the end of the 36th week if you are pregnant with one baby or the end of the 32nd week if you are pregnant with more than one baby. While it isn't mandated, British Airways recommends all expecting mothers carry a confirmation from a doctor or midwife, such as a letter or certificate, in addition to your pregnancy record. It should be written within seven days prior to travel and confirm your approximate due date, that you're fit to travel and that there are no complications with your pregnancy.

Cathay Pacific

 Hong Kong's flag carrier requires that women with pregnancies after 28 weeks carry a medical certificate, dated within 10 days of travel that states the following: 

• single or multiple pregnancy
• estimated week of pregnancy
• expected due date 
• certifying you are in good health and the pregnancy is progressing normally, without complications
• that you are fit to travel

The airline accepts pregnant women with uncomplicated single pregnancies to travel up to 36 weeks and uncomplicated multiple pregnancies up to 32 weeks.

Delta Air Lines

The Atlanta-based carrier does not impose restrictions on flying for pregnant women, so a medical certificate is not required to travel. But the airline will not waive ticket change fees and penalties for pregnancy. The airline recommends that those flying after their eight month should check with their doctor to be sure travel is not restricted.

The U.K.-based airline has no restrictions for pregnant passengers traveling up to the end of the 35th week of single pregnancies and the end of the 32nd week for multiple pregnancies.

Pregnant women can travel up to their 29th week without a medical certificate. After that, they require a certificate or letter signed by a qualified doctor or midwife that states whether the pregnancy is single or multiple, is progressing without complications, includes an estimated due date, that you are in good health and there's no known reason to prevent you from flying. Pregnant passengers are not allowed to fly after the 32nd week of a multiple pregnancy, and after the 36th week of a single pregnancy.

This Abu Dhabi-based carrier allows women with single or multiple pregnancies to travel during the first 28 weeks without a medical certificate. For single pregnancies between 29 and 36 weeks, a medical certificate is required. After 37 weeks, pregnant women will not be allowed to travel. For multiple pregnancies, a certificate is required between the 29th and 32nd week; after that, women will not be allowed to travel.

The medical certificate must include the following: 

• Be issued and signed by a doctor or midwife
• Written on a clinic/hospital letterhead and/or stamped by the doctor or midwife
• State that the guest is fit to fly
• State if the pregnancy is single or multiple
• State the number of weeks of pregnancy and the Expected Date of Delivery 
• Easily understood and written in Arabic or English. Other languages are accepted but must be verified by Etihad Airways' check-in staff

The original medical certificate shall be accepted for the whole journey (originating, return and stopover flights), provided the above validity criteria is met for each sector. And it is valid for three weeks from the date of issue.

The New York-based carrier does not allow pregnant customers expecting to deliver within seven days to travel unless they provide a doctor's certificate dated no more than 72 hours prior to departure stating that the woman is physically fit for air travel to and from the destinations requested on the date of the flight and that the estimated date of delivery is after the date of the last flight.

The Dutch flag carrier recommends pregnant mothers not fly after the 36th week, along with the first week following delivery. For those expecting more than one baby, the carrier recommends consulting with a physician prior to flying. If you have had complications, you always need to have permission to fly from your physician.

Expectant mothers with complication-free pregnancies can fly on the German flag carrier until the end of the 36th week of pregnancy or up to four weeks before their expected due date without a medical certificate from a gynecologist. But the airline recommends that pregnant women beyond the 28th week have a current letter from a gynecologist that includes confirmation that the pregnancy is progressing without complications and the expected due date. The doctor should expressly state that the patient’s pregnancy does not prevent her from flying.

Because of the increased risk of thrombosis during pregnancy, the airline does recommend that expectant mothers wear compression stockings while flying.

Malaysia Airlines

The Malaysian flag carrier requires medical clearance for expectant mothers approaching 35 weeks for international travel or 36 weeks for domestic travel. If medical clearance is required, the MEDIF application form should be completed by a doctor and submitted to the airline through its ticketing offices or travel agents at least five working days before traveling.

Philippine Airlines

An expectant mother who is in normal health and with no pregnancy complications will be allowed to fly after filling out an EMIS form . Pregnant women may be accepted for travel if they are not beyond 35 weeks when they fill out Part One of the EMIS form. Those between 24 and 32 weeks of pregnancy will have to fill out EMIS Form Part 2. And if the expectant mother is below 21 years of age, the consent in writing of the husband, parent or guardian must be secured. For expectant mothers beyond 32 weeks of pregnancy, EMIS Part 3 must be accomplished by the Flight Surgeon or Company Physician, who shall issue the clearance for travel

After the 28th week, women are required to have a certificate or letter from a registered medical practitioner or registered midwife confirming the delivery date, whether it's a single or multiple pregnancy and that the pregnancy is routine.

For flights longer than four hours, women can fly up to the end of the 36th week for single pregnancies and the end of the 32nd week for multiple pregnancies. For flights under four hours, women can travel up to the end of the 40th week for single pregnancies and the end of the 36th week for multiple pregnancies. The carrier requires medical clearance  if there are pregnancy complications or it's not a routine pregnancy.

Qatar Airways

 No doctor's note is required for women traveling through their 28th week of pregnancy. Expectant mothers can fly between week 29 and week 32 with a doctor's note and a pregnancy with no complications. Those with a multiple pregnancy will need a doctor's note and a  Medical Information Form (MEDIF) . Between weeks 33 and 35, women will need a doctor's note and a MEDIF. The airline does not accept women in their 36th week and beyond.

 The low-cost Irish carrier allows expectant mothers to fly up to their 28th week of pregnancy. After that, the airline requires women to have a ‘fit to fly’ letter from their midwife or doctor. For an uncomplicated single pregnancy, travel is not permitted beyond the end of the 36th week of pregnancy, while the cut-off for an uncomplicated multiple pregnancy is 32 weeks. 

Singapore Airlines

For uncomplicated single pregnancies, the carrier restricts expectant mothers from travelling beyond the 36th week of pregnancy; for uncomplicated multiple pregnancies, the restriction is the 32nd week.

For uncomplicated single pregnancies between 29 weeks and 36 weeks, expectant mothers must provide a medical certificate stating the following: (1) fitness to travel, (2) number of weeks of pregnancy and (3) estimated date of delivery. The certificate should be dated within ten days of the date of the first flight exceeding 28 weeks of pregnancy. This certificate will have to be presented at check-in when requested.

Southwest Airlines

The Dallas-based carrier advises expectant mothers at any stage of pregnancy to consult with their physicians prior to air travel. The airline recommends against air travel beginning at the 38th week of pregnancy. It warns that in some cases, traveling by air has been known to cause complications or premature labor. Depending on their physical condition, strength, and agility, pregnant women may, in some cases, be asked not to sit in the emergency exit row.

Turkish Airlines

Turkey's flag carrier allows mothers pregnant with one child to travel between the 28th and 35th week if they have a doctor's report that includes the phrase, “There is no particular reason for the patient not to fly.” For women pregnant with more then one baby, the travel cut-off is the end of the 31st week with a doctor's report. The report has to be no more than seven days from the travel date. 

United Airlines

Any woman in the first 36 weeks of pregnancy will be allowed to travel on the Chicago-based carrier without medical documentation. An expectant mother traveling after the 36 weeks of pregnancy must have the original and two copies of an obstetrician’s certificate, which must be dated within 72 hours of a flight’s departure. The original certificate should be submitted to a United representative at check-in.

Virgin Atlantic

 The London-based airline allows travel without restrictions until the 28th week of pregnancy provided that you're free from complications to that point. The carrier asks pregnant mothers to inform its Special Assistance department so they can offer appropriate inflight health advice. Between the 28th and 36th weeks of pregnancy, a doctor's or midwife's certificate is required, stating that the passenger is safe for travel and the expected due date (32 weeks if carrying multiples in an uncomplicated pregnancy). Beyond the 36th week of pregnancy, travel is only permitted for medical/compassionate reasons and the pregnant passenger is required to be accompanied by a medical escort. This travel is subject to the approval of a Virgin Atlantic doctor.

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• Pregnancy Classes

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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You might think you have travel all figured out — you can pack your carry-on like a pro and have a knack for finding deals on everything from rental cars to train tickets — but add pregnancy into the mix and you could be thrown for a loop. With a literal baby on board, your awareness of things like Zika, long-haul flights , and food poisoning are heightened. You want to get out there, but you also know you need to do it safely.

So, where do you draw the line? What constitutes safe travel and when is it OK to hit the road, skies, and waters? To answer these sensitive questions, we spoke with Pamela Berens, MD, professor of OB-GYN with McGovern Medical School at The University of Texas Health Science Center at Houston, for a dose of expert advice.

When You Should and Shouldn't Travel

Just because you're pregnant doesn't mean you need to hide out in your house for nine months, but it does mean you should keep a few things in mind. "Traveling in the first trimester could be uncomfortable if you are experiencing nausea and vomiting (morning sickness)," Berens noted. On the flip side, she explained, "Traveling during the third trimester may be a bit physically uncomfortable, especially if the trip is long." In short, your sweet spot in terms of comfort might be the second trimester, although every pregnancy is different. And you should probably stop traveling (at least by air) once you hit 37 weeks.

"Most airlines will allow travel until 37 weeks of pregnancy, but you may need a note from your healthcare provider. Check with the airlines you'll be traveling with for specifics," said Berens.

What to Do Before You Go

Before booking a flight or hop aboard a cruise ship, talk to your doctor or midwife. They know you and your pregnancy experience so far and will be able to give you personalized advice on what sort of travel is and isn't a good idea.

"If you have a complicated pregnancy, speaking with your prenatal provider is even more important. If something happens while you're traveling, it's important for the health providers to know the details of your complications and specific plans related to your delivery or any special care needs you might have for your baby," advised Berens.

Either way, you'll need to ask yourself a few questions before traveling internationally. "The big consideration here is what would happen if you experienced a complication while traveling to a foreign country. Can you speak the language? How good is the medical care? What insurance coverage do you have while traveling abroad? I have, unfortunately, had patients who delivered a preterm infant in a foreign country. They had to stay there for quite some time until the baby could be discharged and had communication difficulties," said Berens.

What to Pack

There are plenty of things pregnant women might want to bring along on a trip — from anti-nausea medicine and compression socks to plenty of water and snacks. But one thing many women don't think about is their prenatal records.

"Always have access to your prenatal records when traveling, just in case," said Berens. That way, if you end up laboring while you are away from home, the new hospital or doctor will be able to access your history and come prepared. If you're traveling close to your due date, you'll also need to bring a note from your healthcare provider. On American Airlines, for example, you must provide a doctor's certificate stating that you've been examined and are fit to fly if your due date is within four weeks of your flight.

What to Watch Out For

If you're used to eating street food and drinking local water when traveling internationally, you may need to adjust your habits. Berens suggests sticking to bottled water, noting, "It's very unpleasant to experience a diarrheal food borne illness while pregnant."

In addition to paying extra attention to food and water, you'll also need to keep an eye on the health situation in the country you're visiting. The Zika virus, which is transmitted by mosquitoes, is particularly dangerous to your unborn baby. "In areas of mosquito borne illnesses, wear long sleeves and pants. Keep covered. Use an insect repellent," said Berens. It's always a good idea to check for travel advisories before booking your trip.

In addition, all pregnant travelers — domestic and international — will need keep a close eye on their health and bodily functions while traveling. "Notify your care provider for bleeding, change in discharge, increased contractions, or a decrease in your baby's movements if you are over around 24 weeks of pregnancy," said Berens.

Flying While Pregnant

Air travel is usually safe for pregnant women, but you won't want to pop in your headphones and settle in for the duration of your long-haul flight .

"Pregnancy itself causes an increased risk of blood clots. Air travel and prolonged immobility can also increase your risk of blood clots," said Berens, suggesting that pregnant women "stay well hydrated, move around every few hours , and make sure to keep good circulation in [their] legs."

Chances are, when you get up to stretch your legs, you'll also need to use the bathroom. "There is often more pelvic pressure and pressure on your bladder in the third trimester, so you may need to stop and use the restroom more frequently," said Berens.

Because you'll be getting up and walking around more than most travelers, The American College of Obstetricians and Gynecologists (ACOG) suggests booking an aisle seat and moving your feet, toes, and legs often. For your comfort, you'll want to skip carbonated drinks and wear your seat belt low on your hip bones, below your belly.

Traveling by Car or Train While Pregnant

Just like air travel, long-haul road trips and train journeys mean a lot of sitting and not a lot of moving. To avoid problems with blood clots, Berens suggests walking around every few hours.

For road trips, you'll also want to plan out stops along the way where you can stretch your legs and use the bathroom.

Traveling by Cruise Ship While Pregnant

Many women experience nausea and vomiting in the first trimester of pregnancy, two conditions that might be increased when you hop aboard that luxe cruise. "If you are not familiar with boat or cruise ship travel , you may want to try this first when you are not pregnant. You may need additional medication for nausea and vomiting," warned Berens.

What to Keep in Mind With COVID-19

COVID-19 has made travel complicated for everyone, but pregnant women are at an increased risk for severe illness . Berens recommends that pregnant women finish their vaccinations before traveling, also adding, "Mask up! Stay six feet apart, and maintain good hand hygiene."

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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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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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Table of Contents

Is it safe to fly while pregnant?

Airline restrictions for pregnant passengers, when not to fly while pregnant, can you fly internationally while pregnant, tips for flying while pregnant, flying while pregnant, recapped.

Do you want to plan a trip but aren’t sure if you should hop on a plane when you’re expecting? Is it okay to fly while pregnant? How late can you fly pregnant internationally? What are the important considerations to factor in when booking? 

The short answer: Flying while pregnant is possible, so long as you and your doctor align on what is safe for you and your baby. 

That said, flying when pregnant may be a bit more complicated, especially if you’re planning a trip close to your due date. Here’s what to keep in mind when plotting your next air-based excursion and traveling while pregnant.

According to the American College of Obstetricians and Gynecologists, most people experiencing healthy pregnancies can travel by air until quite close to their due date.

How close depends on several factors, including recommendations from your healthcare provider and airline rules, which vary between carriers.

So if you’re planning a trip, start by talking with your doctor before you book a ticket, as those experiencing high-risk pregnancies may be advised not to travel.

Your provider can perform an exam, check medical records and advise when, where and how far you should travel. Every pregnancy is different, and your doctor will consider your specific needs and concerns.

Keep in mind, you can travel during nearly any point in your pregnancy, though airline restrictions may prevent you from flying too close to your due date.

If you’ve been cleared to travel, ACOG recommends to do so is in the second trimester, between 14 and 28 weeks. That’s because any morning sickness may have lessened by then, and there’s a lower risk of miscarriage. Moving around or sitting for long periods in your last trimester can also become uncomfortable.

» Learn more : How to fly with your baby

Airline policies regarding pregnant travelers vary, but most don’t require any special documentation until late into pregnancy. 

United Airlines allows pregnant travelers to board without medical documentation before their 36th week of pregnancy.

American Airlines allows pregnant passengers to fly without documentation up to four weeks before their due date.

Southwest Airlines doesn’t require any special documentation, but it doesn’t recommend travel after 38 weeks.

As you get closer to your due date, you’ll need to check with your airline, as many require special permissions to fly.

For example, on American Airlines you’ll need a doctor’s note to travel domestically within four weeks of your due date. For international travel, you’ll also need approval from a special assistance coordinator.

Airlines may provide specific guidance about what documentation is required, but typically this is a certificate from an obstetrician stating that you're fit for air travel for the dates of your trip. 

Depending on the airline, the certificate might need to be dated within 48 or 72 hours of your scheduled departure, so you’ll need to plan ahead.

No matter which airline you’re flying with, check the restrictions and requirements if you’ll be booking close to the end of your third trimester.

While many pregnant travelers are fine to hop on a plane, there are others who should avoid air travel or be cautious about it. 

This is especially true for those with the following conditions: 

A history of blood clots or heart disease.

A history of miscarriage, premature labor or ectopic pregnancy.

Those carrying twins or other multiples. 

First-time mothers who are over 35 years old. 

This list is not exhaustive, which is why it’s always a good idea to talk with your doctor to find out if air travel is safe for you.

Pregnant travelers should also choose their destinations carefully. The U.S. Centers for Disease Control and Prevention recommends expectant mothers stay away from any regions with a high risk of contracting Zika or malaria or any locales where live vaccines are required or recommended for travel.

How long should your flight be if you’re flying while pregnant? The United Kingdom’s National Health Service states that flying for longer than four hours carries a small risk of blood clots.

So not only will a shorter flight be more comfortable, it’s also safer for you and your baby.

According to the CDC, some airlines will let you fly internationally until 36 weeks, but others may have an earlier cutoff. Generally, it’s wise to check the individual airline’s policies related to flying internationally while pregnant.

For example, British Airways allows passengers with one baby to fly until the end of the 36th week (or the end of the 32nd week if you’re pregnant with more than one baby). Meanwhile, Delta Air Lines has no requirements for pregnant passengers and only recommends checking with your doctor before flying.

In short: How late you can fly pregnant internationally varies from airline to airline.

Consider purchasing a separate travel insurance policy or booking your trip with a credit card that offers coverage as a perk if you want more flexibility to adjust travel plans. Cancel For Any Reason coverage is an add-on option that can refund you anywhere from 50% to 75% of any upfront deposits, depending on your specific policy.

» Learn more: The best travel insurance providers

Flying while pregnant may look and feel different, so to make travel as enjoyable as possible, consider taking a few extra precautions before heading to the airport.

Talk to your doctor about vaccines and immunizations : Depending on where you’re headed, it’s important to make sure you’re up to date on important vaccines.

Reduce your risk of poor circulation : Stay hydrated, wear loose clothing, get up to stretch or walk the aisle often and talk to your doctor about whether you should wear compression socks.

Book an aisle seat : This will offer you the option to get up, move around and use the bathroom as often as you need without disturbing seatmates. Alternatively, use this time as an excuse to book a first class ticket .

Bring a well-stocked first aid kit : While every traveler could benefit from packing a first aid kit, pregnant travelers may want to add items like nausea medication, hemorrhoid cream, treatment for yeast infections, personal medicines and prenatal vitamins.

Know where the nearest hospital is at your destination : Hopefully, you won’t need to visit during your trip, but knowing where it is can help ensure you can get to medical treatment quickly if needed.

Consider buying travel insurance : Should complications happen when you’re far from home, including premature labor, travel insurance can bring peace of mind. It may also save you money if you need to return home quickly for medical reasons. Just make sure to get a travel insurance policy that suits your needs.

» Learn more : Does travel insurance cover medical expenses?

Flying while pregnant is acceptable for most people during most pregnancies.

That said, before you book your ticket, check with your doctor to make sure you’re cleared to travel. Additionally, look into airline restrictions and requirements and make plans to help you be more comfortable while flying.

Following these steps will help you have a safe and enjoyable experience, whether you’re flying across the country or around the world.

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US Airlines Policies for Pregnant Travelers

As we have already pointed out, you may travel by plane without any restrictions . You can fly on commercial airlines without restriction during your first and second trimesters, but during your third trimester you may run into some RESTRICTIONS.

However, the rule of thumb when it comes to traveling while pregnant is to see your doctor before you fly and make sure you have a thorough check-up so that you know everything is OK with you and your baby.

There are some airlines that have  no restrictions  for both domestic and international flights in so far as PREGNANT TRAVELERS are concerned. Nevertheless, you should keep in mind that ticket change fees and penalties cannot be waived for pregnancy. Southwest strongly recommends against flying at 39 weeks or later. They also recommend pregnant women not to sit in the emergency exit row .

• Alaska Airlines/Horizon Air  (800) 252-7522
• Delta Airlines  (800) 221-1212
• Frontier Airlines  (800) 432-1359
• Southwest Airlines  (800) 435-9792

Other airlines will ask you to have  a letter from your doctor  if you’re traveling within seven days of due date. The letter needs to be SIGNED by the doctor within 72 hours before you depart and it also needs to state both the due date as well as the fact that flying does not pose any health risk for the pregnant traveler.

Of course, you need to finish your trip before due date . Moreover, the airline also reserves the right to require a second examination if you do not seem to be fit to fly on the day of the departure. Spirit Airlines also points out that they will not allow you to fly if you show any signs of labor. These restrictions apply both to domestic as well as international flights.

• Hawaiian Airlines  (800) 367-5320
• JetBlue Airways  (800) 538-2583
• Spirit Airlines  (800) 772-7117
• US Airways  (800) 428-4322

Other carriers have somewhat similar policies, as follows

• American Airlines  (800) 433-7300

Medical certificate necessary provided you fly within four weeks of due date . This applies to the in a NORMAL, UNCOMPLICATED PREGNANCIES. If you have to fly within seven days before due date or after delivery you’ll need a medical certificate plus clearance issued by AA Special Assistance Coordinator.

Medical certificate necessary provided you fly within 30 days of due date , signed within 48 hours of travel.If you have to fly within seven days before due date or after delivery you’ll need a medical certificate plus clearance issued by AA Special Assistance Coordinator.

• Continental Airlines  (800) 523-3273 (domestic) (800) 231-0856 (international)

You are required to see your doctor provided you fly beyond the “seventh month.”

Medical certificate necessary provided you fly within seven days of due date .

You won’t be allowed to fly if you show any sign of labor.

• United Airlines  (800) 241-6522

Passengers traveling in their ninth month of pregnancy must have an obstetrician’s certificate dated within 24 to 72 hours prior to their flight departure.

The certificate must state: 1) the passenger has been examined by an OB and is physically fit to travel by air; 2) departure and arrival destinations and dates; 3) the estimated due date.

• Virgin America / Virgin Atlantic  (877) 359-8474

Travel between 28 and 36 weeks requires pregnancy info form to confirm due date and that pregnancy is uncomplicated. You won’t be allowed to travel by plane after 36 weeks.

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Travel Advice

The ultimate guide to flying pregnant.

Helping you plan a safe and comfortable flight when you have your own passenger on board

Following on from our hugely popular Ultimate Guide to Airplane Baby Bassinets, we have put together our ultimate guide to help mums pre-arrival tackle the airways with confidence.

In this post we will cover:

Safety precautions for flying while pregnant

How far along can i fly, what is a doctors letter for flying pregnant.

• Comfort products for flying pregnant
• Rules on flying with a newborn
• Airline comparison chart for expectant mothers
• What’s the worst that could happen? Giving birth in the air

This post is part of our Flying with Kids series.  We have detailed guides on everything from your first baby flight to how to travel with multiple children , what to pack for the flight and much, much more!

This page contains affiliate links to many products that we recommend for flying pregnant. As Amazon Associates, we earn a commission if a qualifying purchase is made.

In a normal, healthy pregnancy there is no reason not to travel by air, in a pressurised cabin.  Healthcare professionals will recommend you take extra precautions such as;

• staying well hydrated
• moving around the cabin
• avoiding salty or gas-producing foods
• keep the seat belt low on the hipbone

For more general pregnancy travel advice see our pregnancy travel advice home page.

A note on pressurised cabins

One big air travel consideration is whether the cabin is pressurised.  Not an issue at all on large, commercially operated airlines. However, if you need to catch a light aircraft (say to that remote tropical island retreat for your Babymoon, right?) then you need to understand the impact of cabin pressure on your body while pregnant. You can read more on this topic here .

Important Note: Whilst we are experienced travellers, we are not medical experts. Any health concerns during pregnancy should always be discussed with a qualified medical practitioner. Use any health information you find on the web as advisory only!!

This will really depend on your individual pregnancy and airline.  In a multiple pregnancy (where earlier arrival is common) most airlines have a different set of rules, usually restricting flight 4 weeks earlier than single pregnancies. Most airlines will start restricting air travel during your final trimester – around 28 weeks.

See more below on what to do if you do go into labour mid-flight.

Women who suffer badly with morning sickness might find it too much during the first trimester. Consider this too when planning air travel – as someone who has travelled with HG I can tell you it’s among the most unpleasant feelings in life and best avoided if possible!  This post goes into a lot more depth on flying with morning sickness .

The exact name of this document varies by airline, but a doctor’s note (or could be a midwife, health care professional) is a statement of your health and ability to fly while pregnant.

As you’ll see in the comparison chart below, most airlines do not require you to fly with one until the later part of your pregnancy – usually after 28 weeks.  However, better safe than sorry, we recommend from 20 weeks onwards you always travel with one in case you are stopped and questioned.

When you are provided with this letter, REQUEST THAT THE DATES ARE WRITTEN OUT IN FULL.  Remember that 10/12/18 and 12/10/18  can make a very big difference in your due date! Have important dates written in the format “10 December 2018” to prevent any international confusion.

Also, check in the table below if your airline has a specific form that needs filling in and submitting in advance (usually referred to as a MEDIF) or whether a signed and stamped doctors letter presented to ground staff will suffice. English is usually recognised internationally, but if you are flying a foreign airline do check if they have any specific language or translation requirements.

Related Reading: What should travel-loving parents-to-be add to their baby registry?

Pregnancy comfort while flying long-haul.

There are a few items I have used flying over three pregnancies and discussed with many other flying mums what they would recommend.  Here are our top 5 items we recommend you look into to improve your comfort travelling pregnant.

Coccyx pillow – help your bottom on those longer flights. I suffered back pain through all my pregnancies and found this really helpful for long journeys.

Compression Socks  – No matter what cabin you’re in on the plane, we strongly recommend using compression socks when flying pregnant.  They help promote blood circulation and oxygen flow to avoid blood clots (DVT).

Jill and Joey pregnancy wedge pillow – I’m not a fan of packing more than you need but I know how uncomfortable sleeping can be when pregnant.  Although long-haul flights will come with airline issued cushions, you will find these aren’t thick enough.  We like this one as it comes with a travel bag but there are other equivalent products, best of all you can still use it at your destination too.

Plane leg pillow – we talk about these a lot with children’s flying comfort but there’s no reason some of these products can’t be used for grown-ups too (Note some airlines have banned the use of leg devices; Where these airlines are known we have included in this post ).

Collapsible water bottle – good no spill, no pressure bottle, fill this in the airport once you’re past security so you’re not hanging out for the crew to offer you a pathetic little cup every few hours.

Most importantly, I recommend treating yourself.  Especially if this is your first, why not use some points or pay a little extra to upgrade to premium economy or business?  That little extra wiggle room can make a lot of difference to your comfort especially on an ultra long haul.

Rules flying with a newborn

As a general rule of thumb, most airlines set a restriction of 7-8 days after birth for safe flying.  This is largely due to babies lung development, but also a general health precaution for both mother and baby – those first few days after birth are critical for both mum and babes recovery.

If you fly before this age most airlines will require some form of release letter from your paediatrician, and for the new mum.

Don’t forget yourself as well when planning postnatal flights .  Whether it’s a natural birth or caesarean, it can be rather painful in those first few weeks  ‘downstairs’ so you won’t want to be seated for any lengthy period of time.

Flying internationally you will also have that small issue of needing to get your child a passport.  An emergency passport is only issued in exceptional circumstances, going through all the right channels can take you at least a week or two – if not months depending on your circumstances and if you live near a consulate or embassy able to issue passports.

At a minimum, if you’re an expat I’d suggest waiting 6 weeks after birth (we got ours for Baby J in under a month which we thought was really fast!).

FURTHER READING: Travelling with a newborn (and the new post-natal you!)

Flying while pregnant; expectant mothers policy by airline.

Here we share with you the expectant mother/pregnancy policy as well as newborn infant policy of 40 airlines, taken from our review of international long-haul carriers.

NB: These rules may have changed since we collated this information (June 2018), so please always double check the information with your airline. The relevant section of their website has been linked where possible.

What happens if the worst happens? Giving birth mid-air

The ultimate worst case scenario for most expecting mums is what happens if I do go into labour mid-air?  What will the airline do? What is my legal standing for an overseas birth?

This is obviously all very circumstantial, we cannot give you a one-size-fits-all answer to this question as its hugely variable.  Here are links to some articles that may help you understand what has happened in the past and how it might affect you.

• Paris to New York Birth
• Calgary to Tokyo

Where are they legally born?

Legal citizenship has two elements – where you are from and where you are born.  So this will depend on the “home” country of your airline.  On US airlines, for example, you may immediately be granted US citizenship but flying a British airline you would still need to apply for UK citizenship. It’s a messy area we won’t attempt to answer, get a lawyer!

• What Nationality are babies born mid-air

Will my child get free flights for life? 

This is entirely up to the airline!  There’s no fixed policy on this but some airlines are known to have offered this in the past as a goodwill gesture.

Remember your flight crew will only have basic first aid training.  They will, of course, page for medical professionals on board to help if you do suffer any unexpected complications mid-air but its safest to assume if you have any concerns of complications pre-flight, do NOT board!

Does insurance cover you for mid-air emergencies?

You will need to read the fine print of your policy, but generally speaking, as giving birth is considered to be an “expected event” you would not be covered while travelling for an ordinary labour and birth (hence why they don’t want you flying by the point you’re actually due!).  Going into premature labour, however, is classified as a complication of labour which is typically covered under medical insurance plans.

• Here’s an example of travel insurance coverage for pregnancy 

You will see that pregnancy coverage cuts out for residents of most countries quite far before your due date making late-term pregnancy travel a risky proposition for all concerned.

Have you flown pregnant, or have any updates to the policies mentioned here from recent experience? We’d love to hear from you! Comment below and let us know who are the best and worst airlines when it comes to pregnant flying! 

Bookmark this page or pin for later

Past the pregnant stage or want to know what you’re in for next?  Our top Baby Travel and Toddler Travel advice are next!

Disclaimer: We reiterate that the advice given here is not professional medical advice.  We have thoroughly researched the topic along with personal experience and have provided the latest available information at the time of publishing.  All airline policy facts should be checked with your airline and medical advice sought if you have concerns.

© Our Globetrotters | Feature images Canva

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6 thoughts on “ The Ultimate Guide to Flying Pregnant ”

Wow, quite the comprehensive write-up. Well done.

Thanks I hope there were some tips in there that you could use

I liked that you pointed out that you will need your doctor’s permission to fly after the 28th week of pregnancy. That is good to know if you need to travel after that point. It seems like you should talk to your OBGYN about traveling while you are late into your pregnancy.

It never came to my mind there’re any restrictions! Probably the reason is that I’ve never been pregnant yet.

Great article. Very interesting!

Hello Keri, thank you for sharing this blog with us. It will help a lot to all the pregnant ladies. Keep posting!

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Here are 14 major airlines' policies for flying pregnant

Commercial airlines have a lot of rules when it comes to letting mothers-to-be on board. Shuttling off during the first or second trimester is usually A-okay, but the last 13 weeks is when restrictions get tricky — let's be honest, nobody  wants your baby to pop at 45,000 feet . While  traveling with a new baby  can bring challenges, traveling pregnant can bring a whole other set of problems. For one thing, there's often a lot of paperwork involved. Different airlines have different rules, and here's what expecting mothers should know before they book flights on these 14 airlines:

Air Canada : You can only fly up to four weeks before your due date, no exceptions.

Air France : No medical clearance needed.

Alaska Airlines : No restrictions.

American Airlines : On domestic flights, traveling up to seven days before your due date is a no go, unless your doctor provides a note and fills out a passenger medical form (requested over the phone). On international flights, you'll need the same documents up to four weeks before your due date, and they can only be filled in 48 hours before take-off.

British Airways : No flying after 36 weeks, or 32 weeks with more than one bun in the oven. After 28 weeks, a doctor's note and pregnancy record are both required to fly.

Cathay Pacific : After 28 weeks, a detailed medical certificate is required, dated up to 10 days before the flight. The good news is that passengers up to 36 weeks into a healthy pregnancy are allowed.

Delta Airlines : No restrictions.

JetBlue : Similar to American Airlines, documentation is required up to four weeks before delivery date, filled out 48 hours before the flight.

Ryanair : If you're between 28 and 36 weeks, get your doctor to fill out this fit to fly form .

Southwest Airlines : No restrictions, but you may be asked not to sit in the emergency exit row (We know, that extra leg space would've been amazing).

Spirit Airlines : Spirit's website says a medical exam is a good idea, but doesn't ask specifically for any formal documents.

Swiss Internationa l : No flying after 36 weeks. After 28 weeks, a doctor's note and compression stockings  are recommended.

United Airlines : Traveling in the ninth month of pregnancy requires a medical certificate (and two copies) dated within 72 hours of departure.

Virgin Atlantic : Traveling between 28 and 36 weeks requires a doctor to fill out a  pregnancy knformation form . After that, a flight is only allowed for "urgent medical or compassion reasons".

For more tips and tricks on flying as an expectant mother, check out Baby Center .

What To Know About Rights As A Pregnant Airline Passenger

W hen it comes to traveling with an extra passenger in "uter-tow," there's a lot that passengers need to be aware of. With airlines cracking down more and more on what passengers can or cannot do on an aircraft, it's vital that you know your rights as a pregnant passenger before you take to the skies.

There are some more obvious pieces of advice, like pre-boarding if needed, as well as some lesser-considered advice, like needing health certificates in order to fly. Particularly if you've never flown as a pregnant person, these are essential tips — especially since you aren't allowed to fly at a certain point in your pregnancy unless you have the okay from a doctor.

Never forget that if you are traveling for work, you can always refuse to fly. Business-minded folks sometimes forget that pregnancy is a life-altering situation long before the baby enters the world. So if you aren't comfortable flying, or if flying is just a really uncomfortable time for you, feel free to use that magic word.

Read more: Tips For Making Road Trips With Your Newborn Less Stressful

You Can Opt Out Of TSA Scanners

The TSA assures pregnant passengers that whole-body scanners are safe for fetuses. These security scanners do not use X-ray technology, so you don't need to be overly cautious when approaching them. All the same, many pregnant folks aren't comfortable using them, and that's totally okay — you do not have to go into a scanner. You can always opt out and ask for a pat-down instead.

Regular metal detectors and handheld scanners at airports are also safe for pregnant people to use as well. You can still ask for a physical pat-down instead of these options too. Don't forget that you can ask for privacy if you're uncomfortable doing the pat-down in public. Although TSA can be intimidating, the staff do want you to be as comfortable as you can be, particularly if you're doing what you think is best for your mini fellow traveler.

Pre-Board If You Need More Time

When planes begin boarding, the pre-boarding announcement for folks who need more time to get to their seats can apply to you as a pregnant passenger. Feel free to pre-board if you need some extra time to settle in. Or you could board at the last minute to let yourself walk around as much as possible to reduce any leg swelling.

Remember that unless you have small children with you, you may not be able to pre-board with your partner. You may be able to pre-board with your partner; however, most airlines will only let the individual who needs the pre-boarding accommodation board unless they need that second individual to come along.

Pre-boarding is also a good idea if you are alone and may need assistance with your carry-on luggage. Your ever-attentive flight crew will be happy to help hoist a bag into the overhead bin or help get you comfortably seated. The rush to get your stuff stowed and be seated during boarding is hectic enough without considering a pregnant belly and the restrictions it brings.

Most Airlines Allow Up To 36 Weeks Of Gestation

Every airline can have its own standard for when pregnant women are no longer permitted to fly or need medical clearance before doing so. However, the general rule of thumb is up to 36 weeks pregnant. Passengers over 36 weeks pregnant could risk adverse effects if they fly too far into their pregnancy.

Not every pregnant person is cleared to fly at every stage of pregnancy, either. If you have any medical conditions that are exacerbated by flying, it's a good idea to try and avoid air travel during your pregnancy for your safety as well as that of your fetus(es). Avoiding air travel is particularly important for anyone with a history of pregnancy-induced blood pressure issues.

When flying, regardless of how far along you are, you also want to try and keep your seatbelt on at all times. Because turbulence is unpredictable, it's better to be safe than sorry with a tagalong passenger. To safely wear the belt, you want it below your belly.

You May Need Documentation

Although the general rule is to allow passengers up to 36 weeks pregnant for single babies and 32 weeks for multiples, they will likely need proper documentation. To be on the safe side, you should bring proof of your gestational age any time you travel. Let's be honest: It can be really difficult, if not impossible, to pinpoint the pregnancy range of a stranger.

When you're in your last trimester of pregnancy, you're going to need a medical information form (MEDIF) in order to fly. This document can be obtained within 10 days of your flight and submitted to your airline before flying. Give your airline at least 48 hours with your document before check-in.

You can also have a Doctor's Diagnostic Statement confirming that you are fit to fly before air travel. This document verifies your due date and will help prevent you from being denied boarding the aircraft or even being denied entry to another country if you are traveling internationally. Destination countries have different standards for pregnant travelers, so be sure to check with local requirements before going abroad.

Ask For What You Need On Board

Every pregnancy is different for everyone. Airlines will do their best to accommodate what you need for your comfort and safety on the plane. Do you need a seatbelt extender or extra sick bags? Don't be afraid to advocate for yourself when in the sky or as you board. Remember our advice about wearing the belt below your belly even if you don't think you'll need a seatbelt extender. That may change how much belt length you need.

That also extends to your fellow passengers. While you can't force anyone to help you out or do you a favor, it doesn't hurt to ask. Are you feeling more nauseous than usual and want to be closer to the bathroom? Ask your rowmate at the end if they're willing to switch places with you. Need help taking your bag out of the overhead bin or getting it up there? Ask a fellow passenger if they're able to help you. Although the internet captures some bizarre in-flight meltdowns , the average passenger is still more caring than the web gives them credit for.

You May Get Upgraded (But Don't Assume You Will)

Airline status or not, pregnant folks are more likely to get upgraded when airlines are making choices about free in-flight upgrades . While this is a courtesy that can happen, don't assume it will happen for you when you fly. That said, you're more likely to get upgraded when you have a higher airline loyalty status than if you aren't part of their program at all.

If you don't want to take the chance of hoping you'll be upgraded, you can try to get an upgrade strategically. Keep an eye on seat upgrade prices which can sometimes dip after purchase, or even changing flights can offer a free or deeply discounted seat in a higher fare class.

An upgrade can also be as simple as getting a better seat. Economy plus seats, for example, do offer a bit more room than traditional economy seating. Getting moved to that part of the plane will still be more comfortable than a standard seat, so that is an upgrade even if you don't get bumped from economy to first class.

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• Call the hotline for air travelers with disabilities at 800-778-4838 or 800-455-9880 (TTY)
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‘Be prepared’: American Airlines passenger says ‘SSSS’ at the airport is the ‘kiss of death’

'trust me.'.

Posted on Apr 13, 2024

If you’ve ever flown in the years following Sept. 11 and you had any name that sounded like it could’ve been associated with Islam or the Middle East, then you probably became very well acquainted with the various little symbols and markings that TSA agents will scribble on your boarding pass .

And a TikToker who goes by Spartan ( @mesicanspartan ), who is a self-proclaimed frequent traveler, recently just encountered a special marking on his boarding pass he is calling a death knell for commuters—if you see this marking, then get prepared for delays and being searched like you’re trying to sneak plastic explosives into a maximum security prison. He posted about his experience receiving the marking in a viral clip on the popular social media application.

“SSSS on a boarding pass is the ‘kiss of death,'” the TikToker writes in a text overlay of their video, which shows them holding up their boarding pass, while covering a portion of the ticket that presumably carries their personal information. However, this marking isn’t one made by a gate agent, but is actually printed by the ticketing machine itself. Spartan then goes on to explain the meaning behind the 4-S code.

The clip then transitions to his point-of-view as he walks through an airport: “See that, those fours Ss? Yup, that’s like a death trap. So yeah if you ever get those four Ss be prepared to be patted down four times over, and then harassed. Made fun of in front of public and everything else that comes with it. Um, and apparently I looked into it and Google and it just says it’s random supposedly? Well, two things, it says if like there’s a pattern or no pattern or travel or something like that, you get flagged.”

He weighs the possibility that the printed quad-S code could be just a random selector for travelers who are picked arbitrarily: “Or sometimes it’s just completely random. I’m hoping it’s just completely random cause I travel a lot and those extra inspections can take up to half an hour more, so, obviously that wouldn’t be nice and it was weird because we just got global entry.”

Spartan said that he first thought the code simply meant that his global entry status kicked in, but that wasn’t the case—it was pat-down time: “This is the first time I used global entry coming from Canada to the U.S. and then I get extra patted down which makes absolutely no sense. But anyways, now you know guys. Those 4 Ss are not your friend. And at first I was like oh those four Ss must mean Global Entry Status. Nope, just means that you’re gonna be harassed more,” he ultimately says at the end of his video.

In a caption for the video, he shared even more of the ire he felt toward the four S problem: “SSSS (four S’s) on a boarding pass are a trap! Hope you never experience the unnecessary pat down!”

According to Forbes Advisor , the four Ss aren’t just an American Airlines code as Spartan’s video suggests, but one that multiple airlines use. It stands for Secondary Security Screening Selection. The outlet goes on to write: “If you see this on your boarding pass it means you will be subjected to additional security screening processes. These additional screening processes may include a pat-down, swabbing for explosives and a luggage inspection.”

So why do some people get this printed out on their boarding pass? Like the TikToker stated above, there seems to be two prevailing impetuses for airlines to print this on someone’s boarding pass. The first reason is that it’s a completely “random assignment,” i.e. some algorithm or software needs to satisfy a certain number of random checks / additional pat downs during a specific time period and one person just so happens to hit a reverse lottery of sorts and needs to be touched by a person who works in airport security.

The other reason that Forbes states, however, is that folks who’ve received this code have been placed on a watch list for whatever reason. Even if you’re completely innocent but share the same name or an alias as someone who is on this watch list, then that means there’s a good chance you’ll probably have this code printed on your boarding pass and you’ll be getting real intimate with a TSA agent very soon: “The Selectee List, for example, is a database of passengers maintained by the TSA. If you are on the Selectee List you will automatically be chosen for additional screening each time you fly. Being on one of these lists or even if you share the same name with someone on one of these lists means you are likely to receive a SSSS on your boarding pass.”

Apparently, purchasing a ticket at the very last minute or buying it cash can also potentially “trigger” this SSSS status as well. Conde Nast traveler penned a detailed firsthand piece on what it’s like going through a Secondary Security Screening Selection pat down and to call the entire process inconvenient would be an understatement: “The screening was extensive: My partner and I were separated from our shoes, coats, and electronics; asked to pass through a metal detector and body scanner; and then subjected to a full-body pat down. Our hands and feet were swabbed for trace explosives. Every inch of our carry-ons was unpacked and scrutinized; same for the checked luggage. The TSA agents were polite and professional, but the delay nearly caused us to miss our flight.”

Some commenters who responded to Spartan’s video stated that they, too, received the dreaded SSSS and it’s not an experience that they would like to go through again: “got that ‘SSSS’ on lay over in Mexico city and had to explain why I had 9 pounds of plastic-wrapped cubes of white cheese haha”

Another replied that they discovered they triggered the SSSS code on their boarding passes after traveling to a country (that has made headlines with regards to sex and drug trafficking ) multiple times in the same year: “I got SSSS when leaving colombia after going to Colombia for like the third time in the same year soooooo there was a pattern and I didn’t care because they were nice”

There was one TikToker who rejected the idea that SSSS is ever randomized, however: “Never random. Trust me”

@mesicanspartan SSSS (four S’s) on a boarding pass are a trap! Hope you never experience the unecessary pat down! #travel #americanairlines #calgary #dfw #fyp #fypシ ♬ original sound – mesicanspartan

So what should one do if they believe they were unjustly subjected to a thorough, Secondary Screening? One person in the app recommended filing a complaint: “You can submit a complaint. If you’re wrongfully flagged,, they will give you a redress number that you can enter when you purchase tickets so you will not get the extra search”

One TSA agent replied in the comments section of the video that seeing this code on a passenger’s boarding pass didn’t exactly make their day either: “As a former TSA. Employee I hated seeing that too Lmaoo”

The Daily Dot has reached out to the TSA via email and Spartan via TikTok comment for further information.

Jack Alban is a freelance journalist for the Daily Dot covering trending human interest/social media stories and the reactions real people have to them. He always seeks to incorporate evidence-based studies, current events, and facts pertinent to these stories to create your not-so-average viral post.

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