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Traveling while pregnant: Your complete guide

Unless you're nearing your due date or have certain complications, your healthcare provider will generally give you the green light for pregnancy travel. Here's how to safely explore – plus what to consider before making plans.

Layan Alrahmani, M.D.

Is traveling while pregnant safe?

When to avoid pregnancy travel, when is the best time to travel while you're pregnant , can pregnant women travel during covid, when should you stop traveling while pregnant, your pregnancy travel checklist, when to call your doctor while traveling.

Yes, it's generally safe to travel during pregnancy as long as you're not too close to your due date and you're not experiencing any serious pregnancy complications. There are special precautions to take, of course, and you may find yourself stopping to use the bathroom more than you're used to, but that babymoon can be within reach.

Before you pack your suitcase, talk with your healthcare provider to make sure it’s safe for you to travel and that your destination is a good choice. You'll want to avoid places where infectious diseases are prevalent (or there are high outbreaks of Zika or malaria, for example). The COVID-19 pandemic has made people reconsider where they feel safe traveling as well; if you're fully vaccinated, the CDC says you can travel Opens a new window , but it's always best to check with your doctor first.

And bear in mind that the activities you take part in might be different than normal – you'll want to skip the Scuba diving lessons, for example (though snorkeling is okay!).

It's safe to fly when you're pregnant as well, and most airlines will allow you to fly domestically until about 36 weeks of pregnancy. International routes may have different rules, so be sure to check with your airline before booking anything. Your doctor will tell you to avoid flying, however, if you have a health concern that might require emergency care or any other health conditions that aren’t well controlled.

It's best to avoid traveling while pregnant if you have any health conditions that can be life-threatening to both you or your baby. If you have any of the following conditions, your doctor will almost certainly advise you against travel:

  • Placental abruption  
  • Preeclampsia
  • You're in preterm or active labor
  • Cervical insufficiency  (incompetent cervix)
  • Premature rupture of membranes (PROM)
  • A suspected ectopic pregnancy
  • Vaginal bleeding

You might also need to be extra-cautious or skip travel if you're experiencing intrauterine growth restriction , you have placenta previa , or you have other conditions that may place your pregnancy at a higher risk. It’s always a good idea to discuss your concerns with your healthcare provider before travel regarding any medical conditions you have, and they'll be able to advise you on what's best, depending on the trip.

The sweet spot for pregnancy travel is during your second trimester , between 14 weeks and 27 weeks. By the second trimester, any struggles you’ve had with morning sickness and fatigue during the earlier weeks of pregnancy should have hopefully subsided – and after 12 weeks, your risk of miscarriage decreases significantly as well. And you're not too far along to worry about third trimester exhaustion or going into preterm labor yet, either.

Your energy levels are likely to be good during your second trimester too (bring on the sightseeing!), and it will still be relatively easy and comfortable for you to travel and move around at this time. Keep in mind that once you hit that third trimester, pregnancy travel might be more difficult as you find it harder to move around and stay still for long periods of time.

It's complicated (and often a personal decision based on your own risk factors), but the CDC says that if you're fully vaccinated against COVID-19, you can travel. Of course, it's important you still do everything you can to keep yourself and others around you safe, including following all mask-wearing and social distancing guidelines in the destination you visit.

Women are at an increased risk for severe illness if they contract COVID-19 while pregnant , and they're more likely to experience preterm birth and other poor pregnancy outcomes. (This is why the CDC, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine all recommend that women who are pregnant, breastfeeding, or are planning on becoming pregnant get the COVID vaccine .)

If you're vaccinated and decide to travel, the CDC advises avoiding international destinations that are designated Level 4, due to high rates of local COVID-19 transmission.

Take all this information into account and talk to your doctor before you decide on where and when to travel while you're pregnant. And if you experience any symptoms of COVID-19, whether while traveling or at home, call your healthcare provider as soon as possible.

The guidelines for when to stop traveling while you're pregnant vary based on your mode of travel, but more or less, you should wrap up travel before you're 36 weeks pregnant.

Most airlines will let pregnant women fly domestically until they're 36 weeks pregnant – and many cut that off earlier for international travel. This rule is often enforced on an honor system policy, but some airlines may ask for a doctor’s note – so make sure you have that from your healthcare provider if you're traveling in the third trimester, just in case.

Most cruise ships don't allow travel after 24 weeks of pregnancy. Some cruise lines' cutoff dates vary, so verify policies before booking a cruise.

As for road trips, there's no official deadline for when you need to stop traveling, but your personal comfort level (physically and emotionally) – and your doctor's advice – might help you decide. You can drive while pregnant all the way up until your due date, but things may get considerably less comfortable on longer trips as you approach full term.  

Travel of any kind requires advance preparation, but when you're pregnant and traveling, that pre-trip checklist gets a little longer. Give yourself a little more time than usual to plan for a trip – and use the tips below to stay safe and comfortable on your next adventure.

Before you travel

  • Talk to your healthcare provider to determine if your trip is safe for you and if there are any medical concerns to consider. It's a good idea to discuss any activities you plan to do while you're away too. If you're planning an international trip, make sure to ask about any vaccines you may need for the areas you're visiting.
  • Make sure you know your prenatal test schedule. Plan travels around any prenatal tests you need to schedule, including ultrasounds and other important screening tests.
  • Book an aisle seat. You'll likely be more comfortable being able to get up to stretch or go to the bathroom on longer flights.
  • Buy travel insurance. You don't need special travel insurance when you're pregnant, but it's never a bad idea to secure a policy. You may want to consider one with a “cancel for any reason” clause that reimburses you for money lost on cancelled trips for reasons (read: any reason) beyond what’s listed on the base policy. Check with your personal health insurance, too, to make sure it covers potential pregnancy complications while traveling internationally (some don’t). Consider adding evacuation insurance as part of a travel insurance plan, too.
  • Gather your medical records and health information . If you’re in your second or third trimester, ask your ob-gyn or midwife for a digital copy of your prenatal chart, and have that easily accessible during your trip. Typically, this chart includes your age, your blood type, the name and contact information for your healthcare provider, the date of your last menstrual period, your due date, information about any prior pregnancies, your risk factors for disease, results of pregnancy-related lab tests (including ultrasounds or other imaging tests), your medical and surgical history, and a record of vital signs taken at each visit.
  • Keep a list of key names and numbers you may need in the event of an emergency saved on your phone and written on a piece of paper (in case your battery dies).
  • Have a contingency plan for doctors and hospitals that will take your insurance where you're going in case you go into labor early or experience pregnancy complications that require urgent care while you're away from home.
  • Pack medicines and prenatal vitamins. That might include an extended supply of prescriptions and over-the-counter remedies , too. Bring enough to cover your entire trip and a written prescription that you can fill if you lose anything. It's a good idea to keep prescription medicine in its original container, so if your bags are searched it will be clear that you're not using medication without a prescription.
  • Prepare for the unexpected. On a road trip, that might mean an unexpected breakdown, so join an auto club that provides roadside assistance. Download any apps you use for renting cars and accessing boarding passes before you leave so you can easily reschedule things in the event of a last-minute cancellation.
  • If you're flying during your third trimester, be sure to call the airline to check about the cutoff week for pregnancy travel. A note from your doctor that says you’re cleared to travel is always good to have when traveling during your third trimester.

During your trip

  • Drink plenty of water and continue to eat healthy foods . Keep in mind that many restaurants abroad commonly serve unpasteurized foods (like soft cheeses and milk), which can be dangerous for pregnant women due to the presence of listeria.
  • Avoid eating raw or undercooked meat or fish , drinks with ice (which may be contaminated), non-bottled water, and other foods that can cause traveler's diarrhea, which can be more of a problem for pregnant women than other people.
  • On long flights and drives, take time to stretch by pulling over for a walk or strolling up and down the airplane aisle. And when seated, always wear your seat belt .
  • Maternity compression socks are handy to have along – both in transit and worn under your clothes while you’re out and about exploring – because they can ease the symptoms of swollen feet and legs. These are a few of our favorite pregnancy compression socks .
  • Take advantage of help. Many countries have dedicated lines in shops and airports for pregnant travelers, so don't feel any shame taking a shorter wait if you see one.
  • Go easy on yourself. Remember, you're growing a baby. You might not have quite the stamina for sightseeing and late nights like you used to pre-pregnancy. Make the most of your vacation but don't fret you miss out on things because you need more downtime from exploring than you usually would.
  • Don’t forget to get photos of your bump. When your baby is older, you'll have fun showing them all the places you traveled with them before they were born.
  • Go for the comfy shoes. Travel during pregnancy is the best reason ever to forgo those strappy stilettos for your favorite sneakers .
  • Pack snacks so you always have something to curb your appetite if there’s a long wait for a restaurant or you get stuck in transit or someplace remote with no food offerings.
  • Try to be in the moment with your travel partners as much as possible. Once your baby is born, your attention will be pulled in a whole new direction.

If you have any medical concerns traveling while pregnant, don’t hesitate to pick up the phone and call your doctor for advice. The below are a few symptoms that definitely warrant calling your ob-gyn or health care provider or seeking emergency care while traveling or at home:

  • Signs of pre-term labor (including a constant, low dull backache, bleeding, etc.)
  • Ruptured membranes (your water breaks)
  • Severe cramping
  • Spiking blood pressure
  • Severe nausea or vomiting
  • COVID-19 symptoms

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Is it safe to fly while I'm pregnant?

A woman holding her child, their backs turned to the camera, watching an airplane fly overhead.

Is it safe to travel to high altitudes while pregnant?

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When can I travel again after giving birth?

An airplane wing, with blue skies and clouds in the background.

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

AAFP. 2020. Ultrasound during pregnancy. American Academy of Family Physicians.  https://familydoctor.org/ultrasound-during-pregnancy/ Opens a new window [Accessed April 2023]

ACOG. 2020. FAQ055: Travel during pregnancy. American College of Obstetricians and Gynecologists.  https://www.acog.org/womens-health/faqs/travel-during-pregnancy Opens a new window [Accessed April 2023]

CDC. 2019. Pregnant Travelers. https://wwwnc.cdc.gov/travel/yellowbook/2020/family-travel/pregnant-travelers Opens a new window [Accessed April 2023]

CDC. 2022. Domestic Travel During Covid-19. https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-during-covid19.html Opens a new window [Accessed April 2023]

CDC 2023. International Travel During Covid-19. https://www.cdc.gov/coronavirus/2019-ncov/travelers/international-travel-during-covid19.html Opens a new window [Accessed April 2023]

CDC. 2022. Covid-19: Pregnant and Recently Pregnant People. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html Opens a new window [Accessed April 2023]

Terry Ward

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

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What to expect when traveling in each trimester of pregnancy

Summer Hull

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!

travel 38 weeks pregnant

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.

travel 38 weeks pregnant

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.

travel 38 weeks pregnant

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.

travel 38 weeks pregnant

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.

travel 38 weeks pregnant

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 .

travel 38 weeks pregnant

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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What to Know If You're Traveling While Pregnant

Your guide to cruising, road tripping, and flying when pregnant, including how to prepare, what to pack, when to go, and more.

Evie Carrick is a writer and editor who’s lived in five countries and visited well over 50. She now splits her time between Colorado and Paris, ensuring she doesn't have to live without skiing or L'As du Fallafel.

travel 38 weeks pregnant

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."

Before traveling while pregnant, pack these tips

Doctor suggests making frequent stops, stretching, and staying hydrated.

author avatar

Although traveling during pregnancy is normal and a lot of women do it, it is important to consider potential problems that could arise during travel.

Pregnant women should also weigh the availability of quality medical care in the countries they are visiting before traveling abroad. Getting all of the needed immunizations before becoming pregnant is preferred over vaccines during pregnancy.

When is the safest time for a pregnant woman to travel?

Traveling in early pregnancy, up to 32-34 weeks is safe. Traveling after 34 weeks depends on your route, the distance and availability of obstetric medical care.

Free downloads: Pregnancy guidebooks by trimester

Should expectant mothers see their doctor before traveling?

Typically, women with uncomplicated pregnancies do not need to be seen. Women with high-risk conditions, early signs/concerns for labor, and women in late pregnancy should be seen prior to traveling.

Should pregnant women avoid traveling to any specific areas (high altitude, international, etc.)?

Prolonged exposure to new high altitude is not recommended. A pregnant woman should not travel to areas with health advisories, such as Zika virus and malaria warnings.

They’ll also want to check on the availability of safe food and beverages, including bottled water and pasteurized milk, in their destinations.

What are some tips for driving during pregnancy?

A pregnant woman who is traveling should make frequent stops, be sure to take time to walk and move around and use compression stockings. She may also want to consider getting of a note of medical clearance. These are recommended depending on the woman’s type of travel.

When traveling by car, be sure to wear your seat belt correctly. Studies have found the best way to protect you and your baby is to:

  • Move your seat back as far as possible, with at least 10 inches between your breastbone and the steering wheel or dashboard.
  • Adjust the lap belt so that it is low, across your hips and below your belly.
  • Place the shoulder belt across your chest between your breasts and away from your neck. You should never push the shoulder belt behind your back or under your arm.
  • Always leave the air bag switch turned on. The air bag works with your seat belt for the maximum protection.

What about flying while pregnant?

Air travel is generally safe, but women with certain health conditions and those with a high-risk pregnancy may be advised not to fly. Many airlines advise that pregnant women not travel during the last few weeks of pregnancy.

Also, frequent fliers have some risk of increased radiation. Be sure to talk with your health care provider if you need to travel often by air. When you do fly, drink plenty of water to reduce the drying effects of airplane cabin air.

And as with car travel, wear your seat belt low across your hips while seated.

  • Pregnant or breastfeeding? CDC says to get COVID-19 vaccine
  • Baby benefits when pregnant mom gets the flu shot
  • Keeping both baby and mother safe during pregnancy

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Pregnant Travelers

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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

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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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Is it safe to fly during pregnancy?

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

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

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

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

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

When you fly:

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

Blood clots

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

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

Mary Marnach, M.D.

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

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Travelling in pregnancy

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

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

Find out more about getting healthcare abroad .

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

When to travel in pregnancy

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

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

Flying in pregnancy

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

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

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

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

Travel vaccinations when you're pregnant

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

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

Malaria tablets

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

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

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

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

Check before you travel

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

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

Car travel in pregnancy

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

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

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

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

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

Sailing in pregnancy

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

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

Food and drink abroad in pregnancy

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

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

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

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

38 Weeks Pregnant

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38 Weeks Pregnant

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Pregnancy symptoms week 38, tips for you this week.

What to Expect When You're Expecting , 5th edition, Heidi Murkoff. WhatToExpect.com, Can Certain Foods Induce Labor? , April 2022. WhatToExpect.com, Diarrhea Before Labor (Prelabor Diarrhea) , November 2022. WhatToExpect.com, Hospital Bag Checklist , October 2023. WhatToExpect.com, The Best Pregnancy Workouts and Exercises You Can Do While Expecting , July 2021. American College of Obstetricians and Gynecologists, Problems of the Digestive System , November 2023. American College of Obstetricians and Gynecologists, How Your Fetus Grows During Pregnancy , December 2021. American College of Obstetricians and Gynecologists, Exercise During Pregnancy , December 2021. American Academy of Ophthalmology, Eye Color: Unique as a Fingerprint , December 2017. American Academy of Pediatrics, Colostrum: Your Baby's First Meal , November 2009. Mayo Clinic, Fetal Development: The 3rd Trimester , June 2022. Mayo Clinic, Dietary Fiber: Essential for a Healthy Diet , November 2022. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Diarrhea , November 2016. National Institutes of Health, National Library of Medicine, Fetal Development , August 2023. National Institutes of Health, National Library of Medicine, Soluble and Insoluble Fiber , July 2022. Society for Endocrinology, Hormones of Pregnancy and Labour , March 2021. U.S. Department of Health and Human Services, Office on Women's Health, Making the Decision to Breastfeed , February 2021. U.S. Department of Health and Human Services, Office on Women's Health, Your Baby's First Hours of Life , February 2021. WhatToExpect.com, Losing Your Mucus Plug & Bloody Show: Is Labor Near? , May 2023. WhatToExpect.com, How Many Weeks, Months and Trimesters in a Pregnancy? , May 2022. WhatToExpect.com, Newborn and Baby Poop , July 2022. WhatToExpect.com, When Does Your Baby Develop a Brain? , June 2021. WhatToExpect.com, When Does Baby Drop and What Is "Lightening" During Pregnancy? , February 2023. WhatToExpect.com, Cervical Dilation and Effacement , September 2022. WhatToExpect.com, Colostrum (Leaking Breasts) During Pregnancy , April 2022. WhatToExpect.com, Easy Freezer Meals for New Moms , October 2021. WhatToExpect.com, Can You Eat or Drink During Labor? , May 2022. WhatToExpect.com, How Much Salt Should You Eat During Pregnancy? , June 2022. WhatToExpect.com, Frequent Urination During Pregnancy , September 2022. WhatToExpect.com, Night Sweats During Pregnancy , September 2022. WhatToExpect.com, How to Manage the Most Common Labor Fears , July 2021. WhatToExpect.com, Nesting During Pregnancy , June 2021. WhatToExpect.com, Walking During Pregnancy , November 2021. WhatToExpect.com, Insomnia During Pregnancy , November 2022. WhatToExpect.com, Braxton Hicks Contractions and False Labor , September 2021. WhatToExpect.com, Edema (Swelling of the Ankles and Feet) During Pregnancy , October 2022. WhatToExpect.com, Itchy Belly During Pregnancy , September 2022. WhatToExpect.com, Top 1,000 Baby Boy Names in the U.S. , May 2023.

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Is air travel in pregnancy safe?

QUESTION How should I advise the increasing number of my pregnant patients who need to fly as part of their jobs?

ANSWER Overall, existing data do not confirm increased reproductive risks for otherwise healthy pregnant women traveling by air. Pregnant women with specific medical conditions that might be exacerbated by a hypoxic environment, such as respiratory and cardiac diseases, should avoid flying, as should women at risk for preterm labour and those with placental pathologies.

RÉSUMÉ

QUESTION Quels conseils devrais-je donner au nombre grandissant de mes patientes enceintes qui doivent prendre l’avion pour les besoins du travail?

RÉPONSE Dans l’ensemble, les données actuelles ne confirment pas de risques accrus, sur le plan de la reproduction, causés par les voyages en avion pour les femmes enceintes autrement en bonne santé. Les femmes enceintes ayant des problèmes médicaux spécifiques susceptibles d’être exacerbés par un environnement hypoxique, comme des maladies respiratoires ou cardiaques, devraient éviter de prendre l’avion, tout comme celles à risque d’un travail prématuré ou ayant des pathologies placentaires.

Air travel has become an important part of modern life. Many more women are now employed in jobs that involve frequent flying, and, in fact, most flight attendants are women of reproductive age. In parallel, with the average age of starting a family steadily increasing, many more pregnant women have medical conditions that might be exacerbated by air travel.

Naturally, the most compelling studies on reproductive risks originate from research in flight attendants. In a cross-sectional survey among current and former flight attendants, Lauria et al 1 did not detect higher rates of miscarriage associated with active work. They did, however, find higher rates of menstrual irregularities among current flight attendants and 60% higher rates of infertility. 1 The lack of risk of spontaneous abortions was corroborated by others. 2 However, flight attendants who experienced spontaneous abortions reported working substantially more flight hours (74 hours per month) than did flight attendants who had live births (64 hours per month). 2 These data suggest that the occasional flight among healthy pregnant women should not be a concern. 3 In contrast, women at higher risk for spontaneous abortions might want to limit their flights.

Pregnancy is associated with increased risk of thromboembolic disease, as is air travel; therefore, their combination has been an area of concern. 4 Common advice includes prophylactic mobilization, fluid intake, leg exercises, and use of prophylactic acetylsalicylic acid and compression stockings in the first trimester of pregnancy. 4

Freeman et al 5 addressed potential risks in late pregnancy; they retrospectively analyzed a pilot cohort of women giving birth to singleton, nonanomalous fetuses. Air travel was not associated with birth weight, shorter gestation, rate of vaginal bleeding, preterm delivery, preeclampsia, or neonatal intensive care admission. There were no thromboembolic events in any of the 118 pregnant air travelers. 5

The management of pregnant women who suffer from serious medical or obstetric conditions needs to be individualized. Hypoxia in the cabin might put pregnant women with unstable angina, congestive heart failure, or chronic pulmonary conditions at risk. 6 The American College of Obstetricians and Gynecologists advises that pregnant air travelers with medical problems that might be exacerbated by a hypoxic environment who must travel be prescribed supplemental oxygen in flight. 3

As a matter of common sense, women at risk of preterm delivery or those suffering from placental pathology should avoid flying in late pregnancy.

Canadian airline rules for pregnant travelers

Air Canada and Air Canada Jazz. A woman with a normal pregnancy and no previous history of premature labour may travel up to and including her 36th week. (Visit www.aircanada.com/en/travelinfo/before/youngtravellers/infant-child.html . )

Air Transat. Up to 35 weeks of pregnancy, pregnant women may travel without restriction; from 36 to 38 weeks, they must present doctors’ certificates issued 24 hours before departure. From 39 weeks and on, pregnant travelers may not travel on any Air Transat flight. (Visit www.airtransat.com/en/4_2_2.asp .)

CanJet Airlines. Pregnant women past 36 weeks of pregnancy require doctors’ certificates that authorize travel and state travel dates. (Visit www.canjet.com/en_travel_policies.aspx?ID=6 . )

Canadian Affair. Between 28 and 33 weeks of pregnancy, women may fly only with up-to-date doctors’ letters that confirm both the stage of pregnancy and fitness to fly; beyond 34 weeks, women may not fly. (Visit www.canadianaffair.com/en/useful_info/detail/health.asp#H3 . )

Porter. Pregnant women at 36 to 38 weeks of pregnancy may fly with doctors’ notes written 24 hours before departure; after 38 weeks, pregnant women are not allowed to fly. (Visit www.flyporter.com/en/faq_travelinformation.aspx? .)

Skyservice. Up to 35 weeks of pregnancy, pregnant women may travel without restriction; between 36 and 39 weeks of pregnancy, they may only travel with doctors’ notes that are dated less than 24 hours before date of departure. After 39 weeks, pregnant women may not travel. (Visit www.skyserviceairlines.com/eng/airline/planningyourtrip/planningyourtrip.specialhandling.asp#pregnant . )

WestJet. Women at any stage of pregnancy are welcome to fly. Women past 32 weeks of pregnancy must consult their physicians to ensure the seat belt will not compromise the pregnancy and to obtain written confirmation to state that it is acceptable for them to travel. (Visit http://c3dsp.westjet.com/guest/travelTips.jsp;jsessionid=GMTMZJkJT32GNgkLhp9nJMJl142lVnpXBFlmgWVy3WJvwZLmv2BK#specialneeds . )

Competing interests

None declared

FODMAP Everyday®

FODMAP Everyday®

What Happens if You Give Birth on a Plane?

Posted: April 22, 2024 | Last updated: April 22, 2024

<p>Pregnant women can fly. There are certainly many women, very early in their pregnancy, who fly all the time and no one even knows. But as it gets closer to the birth date, rules come into play.</p>

Pregnant Women Can Fly

Pregnant women can fly. There are certainly many women, very early in their pregnancy, who fly all the time and no one even knows. But as it gets closer to the birth date, rules come into play.

<p>Just as different airlines have all sorts of different routes, plane configurations, flight paths and prices, they also have various rules regarding pregnant women. Most allow women who are up to 34 weeks pregnant, although some allow up to 38 weeks. 40 weeks is considered “full-term”, so 38 is cutting it close!</p>

Different Airlines Have Different Rules

Just as different airlines have all sorts of different routes, plane configurations, flight paths and prices, they also have various rules regarding pregnant women. Most allow women who are up to 34 weeks pregnant, although some allow up to 38 weeks. 40 weeks is considered “full-term”, so 38 is cutting it close!

<p>Some airlines will accept and/or require a “fit-to-fly” medical certificate. These can be given by a medical doctor for various medical scenarios, such as negative COVID-19 tests, having been recently released from a hospital, recovering from an operation, traveling for medical reasons, and also where you are in pregnancy.</p>

Medical Exceptions

Some airlines will accept and/or require a “fit-to-fly” medical certificate. These can be given by a medical doctor for various medical scenarios, such as negative COVID-19 tests, having been recently released from a hospital, recovering from an operation, traveling for medical reasons, and also where you are in pregnancy.

<p>The airline crews are trained for all sorts of medical emergencies and situations, including birthing children. That said, they typically ask if there is a doctor, or other pertinent medical personnel, on board to assist</p>

Is The Crew Prepared To Deliver a Baby?

The airline crews are trained for all sorts of medical emergencies and situations, including birthing children. That said, they typically ask if there is a doctor, or other pertinent medical personnel, on board to assist

<p>Once the woman and baby are assessed, a few different things can happen, depending in the timing of the impending birth. The plane might be diverted to a close airport, but this not typical or likely due to the time it would take. Usually, a make-shift medical crew gets ready to deliver the baby on the plane.</p>

What Happens If You Go Into Labor on a Plane?

Once the woman and baby are assessed, a few different things can happen, depending in the timing of the impending birth. The plane might be diverted to a close airport, but this not typical or likely due to the time it would take. Usually, a make-shift medical crew gets ready to deliver the baby on the plane.

<p>There are no official figures, but the count ranges from about 50 to 70 babies have been born mid-flight. This seems low, but then again, the airlines try to prevent this from happening.</p>

How Often Do Babies Get Delivered on Planes?

There are no official figures, but the count ranges from about 50 to 70 babies have been born mid-flight. This seems low, but then again, the airlines try to prevent this from happening.

<p>If you are a medical professional or midwife and assistance is requested, we would hope you come forward. If you are simply someone who is on the flight, please do not get in the way. Listen for directions from the flight crew and follow them. Most likely they will want you to stay in your seat. And for heaven’s sake, don’t pull out your cell phone to video!</p>

What Should You Do If You Are On a Plane Where a Baby is Being Born?

If you are a medical professional or midwife and assistance is requested, we would hope you come forward. If you are simply someone who is on the flight, please do not get in the way. Listen for directions from the flight crew and follow them. Most likely they will want you to stay in your seat. And for heaven’s sake, don’t pull out your cell phone to video!

<p>While giving birth is usually a private affair, if it is happening on a plane, all bets are off. And no one is going to assemble a birthing crew in those tiny bathrooms! The mom might be moved to an area that has a bit of floor room and can be closed off with curtains, such as first class, or the galley area. An exit row that is more spacious might be commandeered. Again, please follow the crew’s instructions and let the mom have her space.</p>

Where Is the Baby Delivered?

While giving birth is usually a private affair, if it is happening on a plane, all bets are off. And no one is going to assemble a birthing crew in those tiny bathrooms! The mom might be moved to an area that has a bit of floor room and can be closed off with curtains, such as first class, or the galley area. An exit row that is more spacious might be commandeered. Again, please follow the crew’s instructions and let the mom have her space.

<p>The determination of the baby’s citizenship can vary. According to the 1961 Convention on the Reduction of Statelessness, an aircraft is considered the soil of the country it belongs to, however, there is no universal rule. The convention implies that in most cases, children acquire their parents’ citizenship through <em>jus sanguinis</em>, or the right of blood. </p>  <p>Some countries adhere to <em>jus soli,</em> or the right of soil, which grants citizenship based on the place of birth. The 1961 Convention only becomes relevant when the child would otherwise be stateless, in which case the passport is determined by the country of origin of the airline. The U.S. State Department advises that a child born in international waters should indicate “at sea” as the place of birth, and if born in flight in a region not claimed by any country, the official classification would be “born in the air.” That makes for an interesting birth certificate!</p>

…and the Baby’s Citizenship is?

The determination of the baby’s citizenship can vary. According to the 1961 Convention on the Reduction of Statelessness, an aircraft is considered the soil of the country it belongs to, however, there is no universal rule. The convention implies that in most cases, children acquire their parents’ citizenship through jus sanguinis , or the right of blood.

Some countries adhere to jus soli, or the right of soil, which grants citizenship based on the place of birth. The 1961 Convention only becomes relevant when the child would otherwise be stateless, in which case the passport is determined by the country of origin of the airline. The U.S. State Department advises that a child born in international waters should indicate “at sea” as the place of birth, and if born in flight in a region not claimed by any country, the official classification would be “born in the air.” That makes for an interesting birth certificate!

<p>We found one story of a Taiwanese woman who delivered a baby on a flight to the United States, potentially aiming to secure American citizenship for her child, and that she may be liable for a substantial expense, due to the plane being redirected to Alaska.</p>

What Kind of Medical Bill Do You Get?

We found one story of a Taiwanese woman who delivered a baby on a flight to the United States, potentially aiming to secure American citizenship for her child, and that she may be liable for a substantial expense, due to the plane being redirected to Alaska.

<p>Taiwanese media outlets estimated the incurred charges to be around $33,000. All of those data points that tell you how much it costs to raise a child to the age of 18 do not take this into account!</p>

A Good Reason To Avoid In-Flight Birth!

Taiwanese media outlets estimated the incurred charges to be around $33,000. All of those data points that tell you how much it costs to raise a child to the age of 18 do not take this into account!

<p>Babies born on planes have their own moniker: Skybabies! And, their parents have been creative with names. How about Shona Kirsty Yves, or “Sky”? Or, a baby birthed on a Virgin Atlantic flight being named Virginia? </p>

Skyborn Skybabies!

Babies born on planes have their own moniker: Skybabies! And, their parents have been creative with names. How about Shona Kirsty Yves, or “Sky”? Or, a baby birthed on a Virgin Atlantic flight being named Virginia?

<p>We think the kid should get something! How about free flights flying home for Mother’s Day? Virgin Atlantic did grant one baby free flights until the age of 21. British Airways granted Shona Owen a pair of tickets to her destination of choice for her 18th birthday. </p>  <p>Do you know anyone who has been born on a plane? Or given birth on a plane?</p>

Does The Baby Get Free Flights For Life?

We think the kid should get something! How about free flights flying home for Mother’s Day? Virgin Atlantic did grant one baby free flights until the age of 21. British Airways granted Shona Owen a pair of tickets to her destination of choice for her 18th birthday.

Do you know anyone who has been born on a plane? Or given birth on a plane?

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COMMENTS

  1. When to stop traveling when pregnant

    The sweet spot for pregnancy travel is during your second trimester, between 14 weeks and 27 weeks. By the second trimester, any struggles you've had with morning sickness and fatigue during the earlier weeks of pregnancy should have hopefully subsided - and after 12 weeks, your risk of miscarriage decreases significantly as well.

  2. What it's like to travel during each trimester of pregnancy

    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.

  3. Travel During Pregnancy

    During a healthy pregnancy, occasional air travel is almost always safe. Most airlines allow you to fly domestically until about 36 weeks of pregnancy. Your ob-gyn can provide proof of your due date if you need it. If you are planning an international flight, the cut-off for traveling may be earlier. Check with your airline.

  4. What To Know About Traveling While Pregnant

    Most people can safely travel by airplane during pregnancy, but talk to your healthcare provider ahead of time to make sure you don't have any medical conditions that could cause a complication ...

  5. Pregnancy Travel Tips: Is It Safe to Travel While Pregnant?

    In general, the best time to travel while pregnant is mid-pregnancy (weeks 14 through 18). During the first trimester, you may feel too nauseated and tired to withstand long trips — or enjoy yourself once you get where you're going. ... Pregnancy Week 38. Pregnancy Week 39. Pregnancy Week 40. Pregnancy Week 41. Pregnancy Week 42. Trending ...

  6. Travel During Pregnancy

    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 ...

  7. What to Know If You're Traveling While Pregnant

    "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.

  8. Before traveling while pregnant, pack these tips

    A pregnant woman who is traveling should make frequent stops, be sure to take time to walk and move around and use compression stockings. She may also want to consider getting of a note of medical clearance. These are recommended depending on the woman's type of travel. When traveling by car, be sure to wear your seat belt correctly.

  9. Pregnancy Travel: Traveling Safely by Air, Car, and Cruise Ship

    Pregnancy travel by car has some of the same risks and rules as traveling by plane, says Nye. "The big problem is blood clots," she says. "If you are in a car and driving long distances, get out ...

  10. Pregnant Travelers

    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.

  11. Traveling While Pregnant or Breastfeeding

    Generally, women are not allowed to travel by air after 36 weeks for domestic travel, and after 28 to 35 weeks for international travel. The decision on whether to travel and how far to travel at any time during pregnancy should be a joint decision between you and your healthcare provider or midwife. According to the CDC, pregnant women with ...

  12. Air travel during pregnancy: Is it safe?

    Generally, air travel before 36 weeks of pregnancy is considered safe for people who aren't dealing with any pregnancy problems. Still, if you're pregnant, it's a good idea to talk with your health care provider before you fly. Your provider might suggest that you not fly if you have certain pregnancy complications that could get worse because ...

  13. Air Travel During Pregnancy

    Occasional air travel during pregnancy is generally safe. Recent cohort studies suggest no increase in adverse pregnancy outcomes for occasional air travelers 1 2. Most commercial airlines allow pregnant women to fly up to 36 weeks of gestation. Some restrict pregnant women from international flights earlier in gestation and some require ...

  14. Traveling While Pregnant: What You Should Know

    Wear well-fitted compression stockings when traveling during pregnancy. Stay hydrated by drinking plenty of water. Avoid drinking caffeinated beverages and alcohol, as these can lead to dehydration. If possible, try to exercise or walk every 30 minutes. If you're traveling by car, arrange rest breaks and take short walks.

  15. Travel During Pregnancy

    Traveling by air. A good time to fly during pregnancy is between 14 and 28 weeks. Morning sickness has usually improved by this time, and you can still move around easily. The risk of miscarriage or preterm labor is also lower during your second trimester. Talk to your doctor or midwife before you fly or take any extended trip.

  16. Traveling During Pregnancy

    The best time to travel is mid-pregnancy (14-28 weeks) because many pregnancy symptoms have subsided and you will be the most comfortable. First Trimester Travel Traveling more than two hours from home before your first ultrasound has established an intrauterine pregnancy is not advised. During this time you are at risk for miscarriage, ectopic ...

  17. Travelling in pregnancy

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

  18. 38 Weeks Pregnant: Baby Development, Symptoms & Signs

    With 38 weeks in the books, month 9 of pregnancy is about halfway done. Your baby's lungs are stronger and she's getting ready to announce her entrance into the world. It may come sooner than you think, especially if you experience a heads-up in the form of your mucus plug or bloody show.

  19. 38 weeks pregnant: Symptoms, tips, and baby development

    38 weeks pregnant checklist Get ready for your baby's arrival. You may have been building a pregnancy wish list for your baby since you found out that you were expecting, but 38 weeks pregnant is a great time to start finishing off those bigger purchases.This may mean looking at strollers, ordering a crib, or investing in a bottle sterilizer.

  20. Is air travel in pregnancy safe?

    Up to 35 weeks of pregnancy, pregnant women may travel without restriction; from 36 to 38 weeks, they must present doctors' certificates issued 24 hours before departure. From 39 weeks and on, pregnant travelers may not travel on any Air Transat flight. ... Pregnant women at 36 to 38 weeks of pregnancy may fly with doctors' notes written 24 ...

  21. 38 Weeks Pregnant

    At 38 weeks pregnant, you may experience some swelling in your feet. which is a normal part of pregnancy, especially towards the end. However, if you experience severe or sudden swelling in your hands, face, feet and/or ankles, you should contact your health care provider. This could be a sign that you are developing a condition called ...

  22. What Happens if You Give Birth on a Plane?

    Most allow women who are up to 34 weeks pregnant, although some allow up to 38 weeks. 40 weeks is considered "full-term", so 38 is cutting it close! Medical Exceptions Some airlines will ...