travelling abroad at 35 weeks pregnant

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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.

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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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 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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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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Pregnancy Travel Tips

Medical review policy, latest update:, can you travel while pregnant , read this next, when should you stop traveling while pregnant, how should you prepare for a trip during pregnancy, what do pregnant women need to know about travel and the zika virus, travel tips for pregnant people, when should you seek medical care while traveling during pregnancy.

While traveling during pregnancy is generally considered safe for most moms-to-be, you’ll need to take some precautions before making any plans — and get the green light from your practitioner first.

What to Expect When You’re Expecting , 5th edition, Heidi Murkoff. WhatToExpect.com, Zika Virus and Pregnancy , October 2020. WhatToExpect.com, What to Know About COVID-19 if You’re Pregnant , February 2021. American College of Obstetricians and Gynecologists, Travel During Pregnancy , August 2020. Johns Hopkins Medicine, Traveling While Pregnant or Breastfeeding , 2021. Centers for Disease Control and Prevention, COVID-19 Travel Recommendations by Destination , May 2021. Centers for Disease Control and Prevention, Pregnant and Recently Pregnant People , May 2021. Centers for Disease Control and Prevention, Pregnant Travelers , December 2020. Centers for Disease Control and Prevention, Travel: Frequently Asked Questions and Answers , April 2021. Centers for Disease Control and Prevention, COVID-19 and Cruise Ship Travel , March 2020.

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Health Encyclopedia

International travel while pregnant or breastfeeding, special considerations for traveling while pregnant.

Traveling during pregnancy is normal, and a lot of women do it. But it's important to think about potential problems that could come up during international travel. Also think about how you would get quality healthcare in the countries you are visiting. Get all of the vaccines you need before becoming pregnant instead of waiting to get them during pregnancy.

The American College of Obstetricians and Gynecologists says the safest time for a woman to travel is in the second trimester of her pregnancy, from 14 to 28 weeks. This is the time when you will feel your best. You are also at the lowest risk for spontaneous abortion (miscarriage) or premature labor. During the third trimester (28 to 40 weeks), many healthcare providers and midwives advise staying within a 300-mile radius of home because of potential problems, such as high blood pressure, phlebitis, and false or preterm labor. 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.

For most pregnant women, flying does not pose a risk to the fetus from cosmic radiation. But aircrew and women who often fly may exceed radiation limits.

According to the CDC, pregnant women with the following conditions may be advised against traveling to countries that need pretravel vaccines. This list may be incomplete. So discuss your health history with your provider or midwife before planning travel:

History of miscarriage

Incompetent cervix

History of ectopic pregnancy

History of premature labor or premature rupture of membranes

History of or current placental abnormalities

Threatened miscarriage or vaginal bleeding during current pregnancy

Multiple fetuses in current pregnancy

History of pre-eclampsia, high blood pressure, or diabetes with any pregnancy

History of infertility or trouble getting pregnant

Pregnancy for the first time over the age of 35 years

Heart valve disease or congestive heart failure

History of blood clots

Severe anemia

Chronic organ system problems that need to be treated 

You may also be advised against traveling to places that may have hazards. The list below may be incomplete. Talk about your travel plans with your healthcare provider or midwife before planning a trip.

Places with high altitudes

Places that have outbreaks of life-threatening food- or insect-borne infections

Places where malaria is common

Places where live-virus vaccines are needed or recommended

Healthy tips for traveling while pregnant

Here are tips for traveling while pregnant:

Try to plan ahead for any problems or emergencies that could come up before you travel. Check that your health insurance is valid while you are abroad. Also check to see whether the plan will cover a newborn, should you deliver while away. You may want to think about getting a supplemental travel and medical evacuation insurance.

Research medical facilities in your destination. Women in the last trimester of pregnancy should look for places that can manage complications of pregnancy, pre-eclampsia, and cesarean sections.

If you will need prenatal care while you are abroad, arrange for this before you leave. Talk with your healthcare provider or midwife to figure out the best way to handle this.

Know your blood type and check that blood is screened for HIV and hepatitis B in the areas you will be visiting.

Check that safe food and beverages, such as bottled water and pasteurized milk, are available at your destinations.

If flying, ask for an aisle seat at the bulkhead. This gives you the most space and comfort. If morning sickness is a problem, try to arrange travel during a time of day when you generally feel well. Seats over the wing in the midplane region will give you the smoothest ride.

Try to walk every half-hour during a smooth flight. Flex and extend your ankles often to prevent blood clots in the veins (thrombophlebitis).

Fasten your seat belt at the pelvis level, below your hips.

Drink plenty of fluids to stay hydrated. Aircraft cabins have low humidity.

Try to rest as much as possible while away. Exercise and activity during pregnancy are important but try not to overdo it.

Special considerations for traveling while breastfeeding

Breastfeeding gives babies the most nutritional start in life. It also gives them vital protection against certain infections. But traveling internationally while nursing can be challenging.

If you are breastfeeding only, you don't have to worry about sterilizing bottles or having clean water. You may get vaccines to protect against disease, depending on where you are traveling. But diseases such as yellow fever, measles, and meningococcal meningitis may be a threat to infants who can't be vaccinated at birth. Discuss this with both your healthcare provider and your infant's caregiver before you travel.

If you are feeding your baby formula, it's best to use powdered formula made with boiled water. You may also want to carry a supply of prepared infant formula in cans or ready-to-feed bottles for emergencies.

Breastfeeding helps lower the chance of your baby getting traveler's diarrhea. If you get traveler's diarrhea, drink more fluids and continue to nurse your baby.

Watch your eating and sleeping patterns, as well as your stress levels. This will affect your milk output. Drink more fluids. Stay away from alcohol and caffeine, as well as exposure to smoke.

If you are traveling without your infant, you will need to pump to maintain your milk supply. Check with TSA about transporting your milk on flights.

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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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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

Protect Your Trip »

15 Tips for Traveling While Pregnant

These tips will help pregnant women travel the world in comfort and style.

Getty Images

Experts share their best travel tips for expecting mothers.

Pregnancy can be a magical experience, but that doesn't mean creating new life comes without challenges. From what you wear to how you move your body to how well you sleep, pregnancy changes your day to day in myriad of ways – both good and bad.

However, that doesn't mean you should stay home and avoid travel for the entire nine months you're with child. The American College of Obstetricians and Gynecologists says it's typically safe to travel until you're 36 weeks pregnant, so you may as well get out and see the world.

These tips can help you ensure your pre-baby travel is safe, comfortable and fun.

Travel When You're Most Comfortable

According to the ACOG, the best time for pregnant women to travel is between 14 and 28 weeks, or during the middle of your pregnancy.

The most common pregnancy problems occur in the first and third trimesters, according to the health organization. "During midpregnancy, your energy has returned, morning sickness usually is gone, and it is still easy to get around," according to the ACOG.

If you have the option to be flexible with your travel dates, steering clear of early and late pregnancy trips may save you from having to endure an unenjoyable experience.

[Read: 9 Reasons Getting Away for the Weekend is Good for Your Mental Health .]

Have a Plan B

Robert Quigley, senior vice president at International SOS and MedAire, says you should meet with your doctor and get cleared to travel before you depart on any trip. Also, take the time to research medical facilities near where you'll be staying, he says, since you won't want to have to frantically figure out where to go if you experience complications.

Early planning can include checking nearby hospitals that you contact ahead of your trip, and locating pharmacies and additional prenatal resources in your destination should you go into early labor.

"This may also include a communication plan for friends or family should they need to join you, and an evacuation plan to upgrade your care in the event of a complication," he says.

Purchase Travel Insurance

Travel writer and mom of two Natalie Preddie, who blogs at NattyPOnline.com , says you should buy travel insurance that includes medical coverage before your trip if you're visiting a destination where your health insurance won't apply.

Preddie says when she was pregnant, she had to go to a hospital in Florida during a trip because she thought her baby wasn't moving. She says she was glad her health insurance was accepted right away, but she worries what would have happened if she had to pay for a lengthy hospital stay or tests out of pocket.

Bring Your Medical Records with You

Lee Roosevelt, who works as nurse midwife at the University of Michigan – Ann Arbor, says you can gain peace of mind and expedite any medical care you might need by bringing a copy of your pregnancy-related medical records along on your trip.

"Offices can take a day or two to return a request for records, and if you need care quickly it means your team of providers [is] making decisions without knowing the details of your pregnancy," she says.

Be Proactive About Your Health

Roosevelt also says that when it comes to pregnancy, you should take steps to avoid common health problems regardless of whether you're on a trip or at home. She recommends taking plenty of walking breaks since "pregnant women are at higher risk for blood clots and prolonged sitting increases that risk."

You should try to get up and walk for five to 10 minutes every few hours if you can, even if you're on an airplane.

Roosevelt also noted that buying and wearing compression socks during air travel can help you avoid swelling, blood clots and more.

[Read: 30 Travel Accessories That Make Vacationing Easier .]

Stay Hydrated

In the same vein of being mindful about your health and wellness, drink lots of water so you stay hydrated. Dehydration can make you feel unwell and put you at risk for pre-term contractions, Roosevelt says.

Plan to bring your own refillable water bottle while you travel so you can stay hydrated no matter where you are, whether that's on the road or in the air.

Pack Healthy Snacks

Airports don't always have many healthy dining options, and what is available tends to be expensive. To save money and avoid having to nosh on empty calories, it can help to bring your own selection of sensible snacks along.

Consider packing healthy snacks like dried fruit and vegetables if you can. The U.S. Department of Health and Human Services also recommends eating whole grain toast or crackers when you’re feeling nauseous or unwell, and healthy crackers should be easy to pack in your bag and bring along.

Bring Sanitizing Wipes and Gel

The ACOG says that, if you're going on a cruise specifically, you'll want to take steps to avoid norovirus – a group of viruses that can spread quickly and cause severe nausea and vomiting.

Washing your hands frequently is the best way to avoid it, but antibacterial hand gel can help you ward off germs as well. Meanwhile, disinfecting wipes are good to have on hand to wipe down airplane tray tables and arm rests.

The Government of Canada also recommends pregnant women vigorously wash their hands before eating or preparing food as well. Following these recommendations is especially important when you're in a busy airport or dining on a germ-infested airplane.

Keep Car Rides Short

If you're planning a road trip or need to drive a long distance to reach your destination, it can be beneficial to break up your travel over several days. That way, you'll only have to sit for shorter spurts of time rather than long stretches that can leave you vulnerable to swelling, blood clots and other pregnancy-related complications.

The ACOG also notes that you should buckle your seatbelt low on your hipbones, below your belly, and "place the shoulder belt off to the side of your belly and across the center of your chest."

Plan to make frequent stops so that you can get out and stretch your legs, and your car ride will be more enjoyable and keep you and the baby safe.

Book an Aisle Seat When You Fly

If you plan to fly while you're pregnant, book an aisle seat ahead of time – even if you need to pay extra for it. Having an aisle seat will make it easier for you to get up and walk around, and to head to the toilet for the many bathroom breaks you'll likely need to take.

If you can, splurge (or use points ) for business class to score some extra room.

Don't Overbook Yourself

Sightseeing is a lot of fun pregnant or not, but don't forget that your energy levels may be lower by the time you're ready to depart.

Make sure to plan an itinerary that includes plenty of breaks and downtime. You may even want to plan a relaxation-themed trip altogether, such as a spa getaway or a trip to an all-inclusive resort .

Be Choosy About Your Destination

Be mindful of seasonal weather trends and how they might work for your pregnant self. If you are planning a beach getaway in the middle of July and considering Naples in southern Florida, for example, it's smart to know ahead of time that daily high temperatures usually reach 89 degrees and humidity levels often fall in the "oppressive" or "miserable" range in the summer. Doing your research could help you find a destination with better weather, such as a beach spot with lower humidity like Virginia Beach, Virginia or Cape Cod, Massachusetts .

When it comes to trip planning, Google is your friend. Make sure you know how the weather might look no matter where you are planning to travel or you could live to regret it.

[See: 30 Relaxing Meditation Retreats Around the World .]

Pack a First-Aid Kit

There's nothing worse than being in transit for hours without supplies for headaches, heartburn and other pregnancy-related ailments. If you're prone to not feeling well at home or when you travel, you may want to bring a small first-aid kit along.

While your kit can include whatever you want, consider packing medicine for heartburn, bloating, gas and nausea – or whatever has been bugging you the most.

Check If You Need Clearance to Fly

While most airlines let you fly without question until you're up to 36 weeks pregnant, some international carriers, including Cathay Pacific and Emirates, need verification of your health from your doctor with a medical certificate before you board the plane.

If you plan to fly domestically or abroad, make sure to check with the air carriers you're considering as you organize the trip. Most airlines typically list this information on their websites, but you can also call to ask if you'll need any specific documentation.

Choose the Right Luggage

Finally, don't forget to bring luggage that's easy to move around from place to place. Spinner-style luggage on wheels is typically the easiest to transport, and you should strive to pack light (within reason) so you're not stuck lugging around all the clothing and shoes you own.

Don't hesitate to check your luggage either – especially if you have a layover to endure. The less you have to carry around, the smoother your trip should be.

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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.

• Second Trimester
• Travel During Pregnancy

Checklist: What to Bring When Traveling While Pregnant

Whoever said it’s about the journey and not the destination has never flown economy while pregnant. Whether you’re on vacation or a business trip, the usual indignities only get worse when you’re expecting—crowded seats feel super-cramped, and dry, recirculating air does extra damage on pregnancy-sensitive skin. Then there’s the heightened risk of blood clots and dehydration, just to name a few more inconveniences standing in the way between you and that sandy-white beach (or a drab but now appealingly expansive conference hall). We can’t make the misery disappear, but we can recommend a few expert-approved items to stash in your carry-on that’ll make a world of a difference.

1. Anti-nausea Treatment

Not-so-fun fact: Women who are prone to motion sickness are likelier to suffer from morning sickness , says Shannon M. Clark, associate professor of maternal-fetal medicine at University of Texas Medical Branch in Galveston. If you’re one of the unlucky ducks vulnerable to this double-whammy, then you definitely need to bring your ginger tea or lollipops , prescription anti-nausea meds or motion-sickness bands —whatever works for you on the ground will help in the air.

2. Comfortable Shoes

Note the plural. That’s because you need to make sure to wear flats onto the plane. (We’re partial to ballet flats—they’re cute, easy to slip on and off at the security gate, and are comfy for walking up and down the aisle during the flight—which you definitely should do to keep that circulation going). But you should also pack a pair of flip-flops, which Clark did when traveling with twins on the way. “Your feet will swell up, so your size at the end of the trip won’t be necessarily the same as they were in the beginning of the trip,” Clark says. Rather than cramming them into your shoes, flip-flops are an easy solution (as are some other light but stretchy weather-appropriate shoe).

3. Compression Socks

These are helpful even if you’re not pregnant, but if you are, they’re practically mandatory, given that your circulation will be poor in the lower part of your legs. Wear these socks on board and you’ll keep your circulation humming along, preventing varicose veins as well as potentially life-threatening clots. Choose a pair that feels snug but not restrictive. (And yes, you still need to walk around every couple of hours, even when you’re wearing these socks.)

What kind depends on you. If you’re suffering from back pain, you might consider a lumbar support pillow—you know, the kind you slip onto an office chair. Others might prefer a neck-support pillow or a moldable pillow, which you can squish any which way until you feel comfortable. Clark says she was comfy with just a pillow from home.

5. Pregnancy Support Belt

If you’ve got a big-time belly, these belly bands can provide support, whether you’re racing from gate to gate at the airport or trying to get comfortable in your seat, Clark says.

6. Panty Liners and an Extra Panty

We don’t have to remind you that pregnancy can bring along more discharge than usual. An extra pair of underwear and a good stash of liners can keep you feeling a teensy bit fresher than you would otherwise.

7. Reflux Meds

If you’re experiencing GI troubles, you’re more likely to suffer from them while traveling, so be sure to pack whatever you’ve been taking at home. (By the way, remember to grab your prenatal vitamins when traveling too.)

You’re shivering one moment but raging hot the next. Dress in layers (complete with a tank top as your base layer) and don’t leave home without this handy cover-up, which also doubles as a blanket. Bring it in a neutral color and it’ll work as an extremely versatile accessory too.

Cravings don’t stop just because you’re thousands of feet up in the air, and those tiny pretzel packets won’t cut it. Spare yourself the misery and keep a stash of your favorites on your person at all times. (High-protein picks keep cravings in check—anything with peanut butter or full-on nuts is a good bet.)

Obviously. Grab a bottle size that’s appropriate for the duration of your trip—plus an extra. “You never know if you’ll end up with delays,” says Clark, who prefers to bring her own bottle. “I like to see where my water comes from,” she says. If you end up having to ask your flight attendant for water, specify that you want “water from a bottle,” she adds.

Published December 2017

Plus, more from The Bump:

Travel Tips for Moms-to-Be

How Late is Too Late to Fly While Pregnant?

11 Babymoon Trips and Tips from Real Couples

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Traveling Abroad while Pregnant: Firsthand Advice from a Pregnant Travel Addict

When I told people that I was planning to travel to a foreign country while 7 months pregnant, I got looked at like I was crazy.  The look turned into shock when they heard I was going to a developing country: Egypt.

“Is it safe to travel while pregnant?”

“Can you fly while pregnant?”

“What if something happens???”

There are some legit concerns about traveling abroad while pregnant – but those can easily be addressed by making some smart travel choices and precautions.

This is NOT Your Last Chance to Travel

Apparently, most people believe that their lives come to a screeching halt once they have a baby.  They have to travel “while they still can.”  There is even a name for these pregnancy holidays – a “ babymoon .”

Fear that this is your “last chance to travel” is a terrible reason to plan a trip!!!

It is perfectly possible to travel with a baby .  In some ways, traveling with a baby is even more fun (such as how you get priority treatment and meet locals easier).  So don’t feel pressured to rush out and take a trip “while you still can.” There will be plenty of opportunities to travel later on.

Get the Timing Right

I am one of those unlucky women who gets hyperemesis gravidarum during pregnancy.  Don’t confuse HG with morning sickness.  I’m talking about puking blood because the vomit has eroded your throat.  I’m talking about getting IV transfusions because I couldn’t keep water down…

So it was a bad mistake to go backpacking while 4 weeks pregnant . I ended up having to cut the trip short.  It’s no fun puking all over the trail!!!

But, because this was my second pregnancy, I knew that I would probably stop puking at 6 months. So that’s when I planned my Egypt trip for.

You don’t know how you’ll feel as pregnancy progresses, so here’s what I’d recommend about planning a trip abroad:

• Go during months 6 or 7: In general, these are the best months for most pregnant women. The hormones and morning sickness have leveled off, but you aren’t so huge that you tire easily.
• Wait until the last minute to plan your trip: If possible, hold off on planning your trip until you know how you feel.
• Check refund policies: Most travel insurance policies don’t allow pregnancy as a reason for cancellation . So, be sure you understand cancellation/refund policies. Otherwise you’ll be out a lot of money if you decide to cancel the trip because you feel too crappy.

You Probably Can’t Get Travel Health Insurance while Pregnant

One of the biggest issues with traveling abroad while pregnant is that almost no travel insurance company will give coverage to pregnant women.

If something happens while on your trip, you’ll be stuck with the bill!

Consider the case of Jennifer Huculak-Kimmel and her “ million dollar baby .” The Canadian couple were on vacation in the USA when Jennifer went into premature labor.  Two months in the ICU ran up a hospital bill of $950,000 – none of which was covered under her insurance policy!

I admit that the idea of being saddled with a huge hospital bill terrified me.  Before going to Egypt, I intensely researched the cost of giving birth there, as well as how much a night in ICU would cost.   Egypt is a poor country, so the costs weren’t too high – so I was willing to take the risk.

Know Airline Policies for Pregnant Women

Flying while pregnant is perfectly safe . The real reason that airlines put restrictions on flying while pregnant is because they are afraid you will give birth in the air.

Thus, a lot of airlines won’t let pregnant women fly after 36 weeks (or 32 weeks if you are having multiples).  You may need a doctor’s note before being allowed to fly.  This was the case with Air Cairo.  The note had to be no more than 7 days old, so I actually had to visit a gynecologist while in Egypt – which was actually a cool part of the trip.

You can find a good breakdown on airline pregnancy restrictions here .

Choose the Right Climate

Since you are already going abroad, you might as well choose an agreeable climate!  The entire reason we chose Egypt for our trip was because it was January.

While everyone else was battling snow, we were swimming in the Red Sea!

However, there is no way in hell that I’d go to Egypt in summer while pregnant.  For a summer trip, I would have chosen a cooler country like Norway or gone into the mountains.

Only Plan ONE Activity Per Day

In general, I’m not the type of traveler who tries to see/do a zillion things.  But I knew to take it even easier while pregnant.

I made a list of the things I absolutely wanted to do in each destination.  Then planned to do just one per day.  Some days we managed to do more than one thing, but only if I still felt up to it. This kept the pace relaxed so I didn't inadvertently overexert myself.

Consider the Bathroom Situation

One piece of travel advice for pregnant women which commonly gets overlooked is the bathroom situation.   Since pregnancy makes you pee like crazy, this is not something which should not be overlooked.

Going to the bathroom actually ended up being the hardest part of traveling abroad while pregnant.  After this ordeal, here’s what I’d recommend to other pregnant travelers:

• Make sure you can squat: Public bathrooms aren’t exactly known for their cleanliness – do you really want to sit on them? If you can’t squat over them, you are going to be in for some trouble. Squats are great exercises for preparing for childbirth anyway. 😉
• Consider a pee funnel: If you can’t squat, then get a pee funnel . This makes it possible to pee standing up.
• Map out some nicer restaurants: As is the case in many developing countries, it was very hard to find a bathroom in Egypt. The local restaurants didn’t have bathrooms (seriously!) and cafes usually only had a bathroom for men (which might just be a bucket in a corner!!!).  The tourist restaurants consistently had nice bathrooms, so I mapped these out so I knew where to go to pee.
• Carry TONS of wet wipes and antiseptic gel: Once you have a baby, you’ll be carrying tons of these anyway. 🙂 For traveling abroad, these come in handy for wiping down disgusting surfaces and sanitizing your hands – don’t expect soap in every bathroom!

Budget for Luxury Transportation

Normally I’m fine taking cramped minibuses and crowded trains.  But, at 7 months pregnant, I wasn’t keen about shoving into Egypt’s crowded local transportation.

It probably would have ended with me puking or passing out. Or, worse, someone banging into my stomach.

Luckily we were able to afford taxis everywhere (we used Uber to avoid haggling with the crooked taxi drivers).   We took things a step further and even hired a private driver to take us between cities.

Since it was Egypt (and not, for example, Norway), it wasn’t too expensive.  In developed countries, this sort of luxury travel will definitely cost more.

Even a short taxi ride each day in somewhere like Europe can add a huge amount to your travel budget. But in developed countries the public transportation won’t be as crazy.  So really think about the cost vs. hassle of public transport and budget your trip accordingly.

Some Activities Will Be Off-Limits While Traveling Pregnant

In the weeks before my Egypt trip, I was Googling things like “Can you ride a camel while pregnant?”

It turns out that riding a camel is a relatively safe activity while pregnant (riding a horse, however, is not).  But, to play it safe, I still decided not to ride a camel while at the pyramids.

I also had to pass on sandboarding, quad biking, and going into certain tombs (because of low oxygen levels inside).  Unfortunately, it was only  after I got into a jeep on our excursion into the desert that I realized that off-roading might be off-limits too! Luckily, the ride wasn't too bumpy — but I still held on tightly to prevent my stomach from getting bounced too much.

Playing It Safe with Food while Pregnant

Another major concern I had about traveling to Egypt (or any developing country) while pregnant was getting a stomach bug from tainted water or food.

Most of the time, food poisoning while pregnant isn’t particularly danger.  The biggest risk is that you’ll get dehydrated.

The best thing to do is avoid food poisoning in the first place:

• Only drink safe water. I stuck to bottled water. I also have a Sawyer Mini water filter in case bottled water isn’t available.
• Remember to avoid ice cubes and juices too! Unless you know these were made with safe water, don’t drink them.
• Be cautious about street food. My doctor told me to not eat any street food. But that’s half the fun of traveling abroad! So I instead was careful about the street food I ate.  I stuck with thing that were deep fried since this would have killed most bacteria. I’m vegetarian, but would have avoided all street meat regardless.
• Take probiotics the first few days. This will help your body adjust to and combat any “bad” bacteria it comes in contact with.

In case you do develop a stomach bug, the CDC says it is best to wait for it to go away on its own (if it’s severe, that’s when you’ll want to contact a doctor).  You’ll need to stay hydrated while waiting for the diarrhea and vomiting to subside.

My traveler’s first aid kit is always stockpiled with electrolytes.  It also has activated charcoal and other remedies for food poisoning.

Enjoy the Memories

Taking a trip while I was 7 months pregnant was by far the best decision I made – for both me and my family.

It was a much-needed break from all the pregnancy woes. For the first time in months, I stopped frantically Googling everything pregnancy related. I was able to RELAX and enjoy myself!

Even more importantly, I was able to spend some quality time with my husband and older daughter.

If I had a high-risk pregnancy, then I wouldn’t have done the trip.  But for any other pregnant travel addicts who need a break from focusing on their growing baby, a trip is great for your mental health.

My only regret is that I didn’t take more photos using my bump.  It would have been great to have a funny picture of my belly with a pyramid coming out of it. 🙂

Have you traveled abroad while pregnant? What tips would you add?

Image credit:  squat toilet , by  Maksym Kozlenko ,  Creative Commons   Attribution-Share Alike 4.0 International  license

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Advice for pregnant travellers.

If you're pregnant and planning to travel overseas, research your destination before you go. Consult your doctor and understand potential risks to you and your unborn child.

Being informed about the risks will help you manage them. It will increase your chance of having a great time overseas. Explore this page to learn about:

• planning for travel during pregnancy
• medications and pregnancy
• terminating a pregnancy overseas
• going overseas to give birth
• how the Australian Government can help overseas

This page is for Australians who are pregnant, or planning to get pregnant overseas. If you're looking for information about adopting a child or engaging in surrogacy, refer to surrogacy and adoption .

Planning for travel during pregnancy

Travelling when pregnant can be challenging, but there are things you can do to stay safe and comfortable and reduce your risks.

Timing your travel

Visit your doctor or obstetrician at least 8 weeks before you go. Discuss the timing and location of your trip. Check if you're allowed to travel and if they recommend travel.

If they advise against travel, don't go. Find time to travel later, when the risk has passed.

Airlines and cruise lines have specific rules on when you can travel while pregnant. If you're having more than one baby, the rules may differ again. Most airlines won't let you fly beyond 28 weeks of pregnancy.

Ask your airline or cruise line about any rules or restrictions that could affect you while in transit.

Read more about pregnancy and travel (Victorian Government Department of Health and Human Services).

Choosing where to travel when you're pregnant

Consider the risks of going overseas, including the risks to your unborn child.

You and your baby will be more at risk in some countries. Avoid countries with poor sanitation, hygiene and medical facilities. Read the travel advisory for each country you're visiting. Note the health risks.

If the travel advisory says do not travel to that country, then do not travel at this time. You're putting yourself and your unborn child at serious risk.

Things can go wrong quickly when you're pregnant. Check how close you'll be to good medical facilities. Stay within reach of hospitals and doctors.

See a doctor before you go

See a doctor at least once before you travel. Your doctor will advise what vaccines and medications you can take when you're pregnant.

If you have a high-risk pregnancy, your doctor may advise against travel. If they advise against travel, then don't go. You're putting yourself and your unborn child at serious risk.

Most airlines will ask you to show a letter from your doctor.

Buy travel insurance to cover pregnancy

You need travel insurance.

Ask your travel insurer if your policy covers:

• pregnancy, and until what stage
• IVF pregnancy, if applicable
• pregnancy complications or premature birth while you're away
• cancellation of your trip due to pregnancy or birth issues

For cover during pregnancy, you may need to pay extra. You may need medical evidence.

You may face limitations to your cover, depending on where you're going. For example, in Saudi Arabia, medical insurance won't cover pregnancy unless you're married.

Read more about travel ins urance .

Medications and pregnancy

Not all medication available over the counter or by prescription in Australia is available in other countries. Some may even be considered illegal or a controlled substance, even if prescribed by an Australian doctor.

Get the facts, before you go.

• See if your medication is legal in your destination .
• Ensure you have enough medication for your trip.
• Check with a doctor that your medication is suitable for travel.

Refer to the 'Look after your health' section on Advice for women travellers for more information. Also see our advice on travelling with medications .

Terminating pregnancy overseas (abortion)

Abortion and the law.

Abortion may be illegal in the country you're visiting.

You're subject to all local laws and penalties, including those that may appear harsh by Australian standards. Research local laws before considering an abortion.

If you're arrested or jailed for having an abortion, the Australian Government will do what it can to help you. However, we can't get you out of trouble or out of jail.

• Understand our limits. Read the Consular Services Charter .

Health care standards overseas can vary. If you choose to end your pregnancy, find a proper medical facility to help you.

Choose the safest option, not the cheapest option.

Read more about medical assistance overseas .

Medical treatment for ending a pregnancy can be costly. As with other medical procedures overseas, get a quote from the hospital first.

Find out if this procedure is covered by your travel insurance . If not, consider the cost of having this procedure overseas versus back in Australia. You may be eligible for subsidised care in Australia through Medicare.

Read more about travel insurance .

Going overseas to give birth

If you choose to give birth overseas, you'll need to check:

• healthcare costs and travel insurance
• safety and quality of care
• your budget to pay for a private hospital, if you aren't covered by the public health system via a partner or a reciprocal agreement
• any changes to your legal status, marriage and parent rights
• if you need a special visa as a medical tourist

Citizenship and passports

Giving birth overseas doesn't automatically grant your child citizenship of that country. Research local immigration and citizenship laws before you travel.

If authorities think you're planning to give birth there for visa reasons, they may refuse you entry.

In Australia

To register your child's birth with Australian authorities, you'll need to contact your state or territory registry of births, deaths and marriages (Australian Government).

Consular officials can assist with your child's passport .

There may be higher costs for processing a passport for your baby while you're overseas.

• Learn more about Australian citizenship by descent (Department of Home Affairs).

Becoming a new parent can feel overwhelming. Consider how you'll find support overseas, both practically and emotionally.

Supplies and services

Prepare ahead for how you'll travel with your new baby. Make sure you have all the medications and supplies you need.

The Australian Government can't help with medical costs or services overseas.

Learn more about medical assistance overseas .

If our travel advisory for the country in which you plan to give birth says ' do not travel ', then don't travel there. You're putting yourself and your unborn child at serious risk.

Learn more about staying safe and avoiding danger .

Consular services and pregnancy

The Australian Government is limited in how and when it can help Australians overseas.

In most cases, when you need help overseas you, or your travel insurer, must organise and pay for it.

What we can do

• We can give you a list of local medical facilities with doctors who speak English.
• We can give you a list of local lawyers who speak English.
• We can help you contact your family in Australia in an emergency.
• We can notify you when we update our travel advice for your destination . Learn more about subscriptions .

What we can't do

• We can't guarantee your safety when you travel.
• We can't pay for your bills if you need medical assistance overseas .
• We can't get you out of jail if you're arrested because you've broken a local law. Be aware laws vary greatly on abortions, medications and sex outside of marriage.
• We can't give you medical or legal advice.

Final tips before you go

Prepare before you travel:

• get medical advice, vaccinations and a health check
• know the laws about pregnancy, adoption, surrogacy and abortion overseas
• arrange adequate travel insurance and check coverage
• arrange emotional and practical support
• Read our general advice for people travelling with children .
• See information about international surrogacy .
• See information about going overseas to adopt .
• Before you go, get travel insurance that covers your pregnancy.
• See more advice on pregnancy and travel (Victorian Department of Health and Human Services).
• Read more about travelling while pregnant (CHOICE).

Related content

Information for Australians going overseas for surrogacy. Learn about types of arrangements, laws, citizenship and visas.

In many countries age, gender and sexual preferences can pose challenges. Understanding the culture and laws in your destination will help things go smoothly.

All travellers face risks overseas. In certain countries or cultures, women face greater risks than men and may be more vulnerable.

SafeWise is an independent review site. We may earn money when you click links on our site. Learn more .

Home | Travel Safety | How to travel safely when pregnant

How to travel safely when pregnant

SafeWise experts have years of firsthand experience testing the products we recommend. Learn how we test and review . 

Travelling while pregnant is not for everyone. However, holidays or weekends away before the baby is born (affectionately named 'babymoons') are becoming increasingly popular. We've compiled some ways you can make your trip as safe as possible and minimise the risks associated with travel. 

Plan your travel accordingly

As your birth date approaches, you can get pretty restricted in how much you can travel. Travelling at the start of your pregnancy also carries risks, as the first 12 weeks can put you at a higher risk of miscarriage. 

The safest time for you to travel is during the second trimester. Between 14 and 28 weeks, you’ll likely feel your best, and you’re at the lowest risk of complications and premature labour. The only exception to this is if you’re experiencing, or have experienced any complications through the course of your pregnancy. This includes gestational diabetes, high blood pressure, a miscarriage or an ectopic pregnancy. If so, it's advised you do not travel. Especially if it's your first time being pregnant and you’re over 35, we’d reschedule the holiday.

Avoid travel to developing nations

Travelling when pregnant can be risky. However, it gets even riskier when you’re in a country where poor sanitation, hygiene, and medical facilities are the norm. We’d discourage going to any developing nations or places that have recently experienced a Zika or Malaria outbreak, like Ethiopia, Papua New Guinea, Uganda, and Central America. 

If you contract the Zika virus or Malaria while pregnant, it can have serious consequences on your growing baby. Contracting a Malaria infection can stunt your baby’s growth, prompt premature labour, and even cause miscarriage. Zika can also be passed on to your baby, potentially causing microcephaly, a condition where the child is born with an intellectual disability and an abnormally small head.

The Department of Health advises anyone who is currently pregnant or trying to get pregnant to avoid going to countries that have recently been subject to an outbreak. 

Before you book any flights, visit the Smart Traveller’s travel advisory . This page contains advice on whether or not you should travel to a country based on its health risks, any current outbreaks and political or civil tensions that could place your health and safety at risk.

Things can go wrong quickly when you’re pregnant. To avoid undue stress that can put you and your baby’s health at risk, stay within reach of high-standard medical facilities, hospitals, and doctors, and choose your destination wisely.

Know the risk of foodborne illness

Traveller's diarrhoea is what happens when you consume food or water that contains parasites or bacteria like salmonella and E. coli. These micro-organisms may seem harmless, as the local population have developed immunity. However, they can still cause serious issues for mum and bub. Not only can excessive diarrhoea make you feel tired and dehydrated, but severe cases of foodborne illness can cause premature delivery, malnourishment, miscarriage, or stillbirth. 

You’re more likely to develop traveller’s diarrhoea in a place with lower sanitation and hygiene standards, like certain regions of Asia, the Middle East, and Africa. 

No matter the country, it's important for food to be treated and stored properly . If your food has been left out, sitting at room temperature, or exposed to flies, it's not fresh and can make you sick. This includes open-air buffets and stews that have been sitting out in the sun. Do not consume lukewarm food either – if it's cold, it should be chilled, and if it's hot it should be steaming. This prevents it from falling into the temperature danger zone that allows bacteria to grow and make you sick.

While it’s unlikely you’re consuming any of the following foods at home or abroad, it's still worth mentioning, as getting sick overseas can be much worse than getting sick in Australia. 

• Raw or undercooked meat
• Raw or shelled seafood like prawns, oysters, or sashimi 
• Raw or undercooked eggs 
• Unpasteurised animal products (including cheese, mayonnaise, and milk)
• Bushmeat or wild local game (like bats, monkeys, or rats)
• Tap water that has not been treated

Countries like the Maldives, Mexico, and the Bahamas also have tap water that is unsafe for visitors to drink. While many hotels will provide treated or bottled water, it’s a good idea to bring your own or double-check with your accommodation to make sure. If do not have access to bottled water, you treat the tap water by boiling it for five minutes before using it. Avoid using iodine to treat unsafe water, as this can cause harm to your baby.

If you develop traveller’s diarrhoea, be wary of taking certain medications. Before you leave the country, consult your doctor and discuss what medications you could take in case you contract traveller’s diarrhoea. 

Air vs car travel

While you might prioritise getting the all-clear to fly from your doctor, you might also want to check with the airline you’re flying with. Some airlines won’t allow women over 35 weeks pregnant to fly, as they don’t want to be held liable for any complications.

Air travel in the final 6 weeks of your pregnancy can also trigger premature labour, which is why we’d recommend rescheduling the flight if you can. Check if the airline requires a sign-off from your doctor, especially if you’re in the third trimester. 

Consider booking a seat next to an exit for some extra room to flex your legs, or an aisle seat to make frequent bathroom breaks easier. When pregnant, your circulation is already under strain. When the pressure inside of an aeroplane cabin is reduced, it can increase your risk of developing a blood clot in the veins of the leg, otherwise called deep vein thrombosis.

This is why it's important to stretch and move your legs regularly (try walking up and down the aisle when the stewardess gives you the green light). Additionally, consider wearing compression stockings to reduce the risk of a blood clot. 

As with aeroplane travel, it's important to factor in frequent breaks to stretch your legs and take bathroom breaks to reduce the risk of developing deep vein thrombosis. 

If you’re sitting in the front passenger seat, move your seat far back from the dashboard to reduce airbag impact in case of a collision. If you are unfortunate enough to be involved in an accident (no matter how minor) always see your doctor.  

The risks of travel

Whether you get to your destination by plane or by car, 1 in 1,000 pregnant women develop deep vein thrombosis. Any long periods where you’re not moving can increase your risk, meaning it's vital you prioritise frequent leg exercises and schedule time to walk around the aircraft cabin or get out of the car to stretch your legs. 

Ensure you always consult your doctor before staying stationary for a long time and consider wearing compression stockings during the journey to minimise your risk. 

The risks of holiday activities

Hot tubs and saunas –  when using a sauna, hot tub, or spa, your body is unable to effectively lose heat without sweating. It's possible that a rise in your core body temperature without an effective way to reduce it can be harmful to your baby, especially during the first 12 weeks. 

Horseriding – If it is early on in your pregnancy, you’re an experienced rider, and you’re only riding at a slow pace, the danger to your baby is low. However, as your pregnancy progresses, so does the risk of serious injury. The motion of horse riding can increase your risk of placental abruption, and getting kicked by or thrown from a horse can be fatal for your baby. 

Skiing, gymnastics, and hockey – any sport or activity that poses a risk of falling can cause damage to your baby. We’d leave those activities until the next trip.

Scuba diving – Snorkeling or scuba diving is generally fine at depths of less than 18 metres, but be aware that any changes in blood gases can harm your baby. 

Extreme heat – If you’re travelling to a tropical location that's known for its high temperatures, be aware of how dangerous it can be for you and your baby. Increases in your body’s core temperature can lead to heat exhaustion, heat stroke, dehydration, and fainting. This can lead to preterm labour and damage to your baby. 

High altitude activities – The oxygen levels at heights of over 3,000 metres are low. This means there's less oxygen available to you and your baby, making you more vulnerable to breathlessness, palpitations, and symptoms of high altitude sickness (most notably nausea and headaches). Unless you’re accustomed to such activities, we’d advise against it. 

Know your immunisations

Per our previous point, any travel to developing countries during your pregnancy should be avoided. When visiting overseas destinations where the risk of disease is higher, it's expected you’ll get vaccines to protect against typhoid fever, yellow fever, and live viruses like mumps, measles, and rubella.

Unfortunately, because they haven't been extensively tested on pregnant women, we recommend receiving these vaccines before you begin your pregnancy, if possible. 

The exception to this rule is the influenza vaccine, which is strongly recommended. If you’re considering getting a vaccine other than influenza, consult your doctor.

Consider the country's standard of medical care

If something in your pregnancy goes wrong while you’re abroad, you’ll need medical attention. This is why it's important to consider the standard of medical care in the country you’re visiting and plan for the worst. 

If you’re completing high-altitude activities, make sure you plan for a slow ascent and acclimate to the conditions well before. Most importantly, ensure you are not far from emergency medical care in case something goes wrong. 

Some countries (like Sweden, Italy, New Zealand, Norway, and the UK) have reciprocal healthcare arrangements (RHCA) with Australia. This means that if you need to undergo emergency or medically necessary care for something that can't wait until you get home, you won’t need to pay fully out of pocket. 

You will still need to obtain health insurance before you go, but if you need to stay in a hospital, visit a GP or a specialist, or ride in an ambulance, you can do so at the expense of Medicare or for a reduced fee, depending on the country.

Always consult your doctor

Doctors know how to give you the appropriate care based on what trimester you’re at, as well as the risks travelling brings. If you’re unsure about which vaccines to receive and how best to protect yourself while travelling, it's best to consult your doctor, especially if your pregnancy is high-risk. 

Travelling when you’re pregnant can scary, especially when seeing the level of risk it can bring. The important thing is abide by the wishes of your doctor and don’t travel to any countries where poor sanitation and hygiene practices can put you and your baby at risk. Wherever you’re travelling, its best to know the risks and keep emergency medical care in arms reach, just in case.

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Ticket for Two – International travel during pregnancy

By Stacie Dunkle

“We don’t recommend international travel during pregnancy for first-time mothers,” said my nurse midwife. Those words stopped me in my tracks. As an officer in the Epidemic Intelligence Service with three years of experience working overseas, I couldn’t believe what this nurse was telling me. Rarely a month went by that I wasn’t waiting in a security line at the airport. “Why?” I asked. I was up-to-date on all of my vaccines, even yellow fever, which I knew shouldn’t be given during pregnancy, and I was well-practiced in methods for staying healthy in developing countries (wearing seatbelts and avoiding untreated drinking water, food from street vendors, raw vegetables, etc.). I began to wonder how I was going to break the news to my supervisor that I wouldn’t be able to conduct the investigation we were planning in Nepal in two weeks. We had been preparing for over a month. Our colleagues on the ground were ready to go, and my plane tickets were already booked.

Reality Check

When my partner and I decided to have a baby, I knew that once our little one arrived, my life would change dramatically. There would be no more hopping on planes to far-off places during public health emergencies—I’d have to think about who would watch my baby and how I’d cope with potentially missing all those precious moments with him. Still, the decision was easy since I had always wanted to have children and I was finally at a point in life when the timing felt right. Pregnancy can be a difficult thing to plan, of course, so when it did happen, somehow it still felt unexpected. Even more unexpected was how much my life was suddenly changing before the baby had even arrived.

“You’ll be taking a big risk,” the nurse said. “You can’t take any of the drugs we usually prescribe to prevent malaria.” Although most pregnant women can take a drug called mefloquine to prevent malaria, I couldn’t take it because of my personal health history. I wasn’t just thinking about myself anymore; I also had to consider my baby. Because of the serious risk associated with getting malaria during pregnancy, I decided it was best to cancel my trip.

Of course, my supervisor was very understanding. He had been planning to travel to Nepal as well, and with his guidance, our partners were able to carry out the investigation on their own. Although I was disappointed to not participate fully, I changed my focus to health issues that were closer to home and still traveled quite a bit. During my second trimester, I flew to Mexico, Ohio, Michigan, Canada, Arizona, and Florida. It’s too bad I couldn’t get double the frequent flyer miles while traveling for two! During these flights, I avoided lifting heavy baggage, always requested an aisle seat, and was careful to drink plenty of fluids and walk around every 30 minutes or so. Of course, the latter was no problem since I had to use the restroom that often anyway! I enjoyed traveling while pregnant and laughed thinking that my baby would be born already familiar with the sound of jet engines and having memorized the safety features aboard aircrafts. 

The Home Stretch

When my third trimester arrived, I was offered an opportunity to travel to Lima, Peru to attend a training summit. It would be a valuable trip for me professionally because it would provide background for a project I was working on. I would be able to network with colleagues and focus my work to make it more useful to them. When I looked at the dates for the trip, I realized I would be 33 weeks pregnant upon departure and staying for a little over a week. I hesitated because many physicians don’t recommend traveling after 32 weeks, and most airlines restrict travel after 36 weeks for single, uncomplicated pregnancies. I was fortunate to have been very healthy during pregnancy and decided the trip was worth the risk, but swore I would cancel if any concerns came up before departure.

I still took a number of precautions before I committed to traveling. These included getting approval from my certified nurse midwife and reviewing CDC’s website of “ Health Information for Travelers to Peru .” My biggest concern was premature delivery in an unfamiliar country where Spanish is the primary language. My experience with Spanish is limited to high school classes and a few weeks traveling in Spain and Mexico. If I had to ask anything more than, “Dónde están los baños?” I would be out of luck; that included trying to describe symptoms I might be experiencing to a doctor. Fortunately, I have a friend who had just recently moved back to the US after living in Lima for a year. She was able to provide local English-speaking contacts and recommended an obstetrician and hospital where I could receive care. I also checked to make sure my health insurance would cover any medical expenses I might have had while travelling.

To everyone’s surprise, I went into labor six days later. My mind raced with questions. Will my baby be healthy arriving at 35 weeks? What would have happened if I had gone into labor in Peru without the support of my loved ones? After reviewing my medical records, my midwife predicted that my due date was off by at least a week and I was closer to full term than we had originally thought. My son was born the following night, completely healthy, into the loving arms of his mother, father, and grandparents. The question I kept asking myself was: if I had it to do again, would I have travelled so far knowing I was so close to delivery?

What do you think?

We want to hear from you. Have you traveled during pregnancy or had to pass on a trip because you were expecting? How has being a parent changed your career?

If you would like more information on traveling during pregnancy please visit http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-8-advising-travelers-with-specific-needs/pregnant-travelers.htm

15 comments on “Ticket for Two – International travel during pregnancy”

Comments listed below are posted by individuals not associated with CDC, unless otherwise stated. These comments do not represent the official views of CDC, and CDC does not guarantee that any information posted by individuals on this site is correct, and disclaims any liability for any loss or damage resulting from reliance on any such information. Read more about our comment policy » .

I was a little over 20 weeks pregnant with our first. We lived in Seoul, South Korea at the time. We were coming back to the states to visit for Christmas vacation. I was less then enthused about enduring a long 20 hour travel time haul to Boston. I have to say, we flew on Korean Air and it was a wonderfu! From my experience the flight crew on international airlines take great care of their passengers, especially the pregnant women!

Do you regret missing overseas opportunities and wish you had gotten pregnant after EIS?

(From Author Stacie Dunkle) Not at all. EIS is about developing skills to respond to disease outbreaks that occur both here in the US as well as internationally. It’s very important to me to have a balance of career and family. Thank you for your question!

We are currently a year into a journey the length of the Andes from Ushuaia to the the north of Colombia, and my wife became pregnant in Peru. We are frustrated by the lack of coherent advice available. Apart from the not at all helpful ‘Don’t go if you are pregnant’ which you encountered, we have read widely differing reports of risk levels in Colombia. Advice as to the safe altitudes varies from ‘anything above 800m to >1700m. The British seem to have Colombia as low risk for chloroquine resistant malaria anywhere outside the Amazon. The WHO have high risk areas in the Amazon AND along the pacific coast with particular pockets of danger near Panama and Venezuela. As we are travelling by vehicle the oft trotted out advice that you are safe in all cities is of no comfort to us as we have to drive between them through rural areas.

Another dilemma is what anti-malarials are safe in pregnancy. Mixed reports on Mefloquine although the CDC have just come out saying it’s safe (reflecting new FDA guidelines) despite reports of teratogenicity in rats. We tried the top three hospitals in Quito and none had anything but chloroquine despite Ecuador also having choloroquine resistant malaria. The official line from all of them is denial…that there is no malaria in Ecuador. We’re finding the same thing in Colombia…”As long as you don’t go to the jungle there’s no malaria here. Just use DEET (also contraindicated in pregnancy) and wear long sleeves and don’t go out after dusk”. My experience of the tropics is that determined mosquitoes are rarely put off by repellents for long.

If we can find mefloquine we’ll take it but we have major concerns. Data may show that there is little chance of teratogenicity or increased risk of still birth but it is well known for serious neurological side effects such as anxiety and depression and it does cross the placenta. So what affect does it have on a developing brain? No one knows. We have also read that chloroquine along with proguanil might be a safe alternative although proguanil suppresses folic acid so the advice is to take 5mg Folic acid a day which is basically an entire packet at the dosage strengths available here! It may be a blind alley anyway as we haven’t seen proguanil on sale here yet.

We are also facing up to the fact that we may also have to alter our plans due to lack of clear guidance and safeguards.

On the plus side Echo scans are very easy to get here and in these days of internet getting hold of literature on pregnancy has been no problem. Nutrition has been an problematic issue. Fruit is plentiful here which is great but salads are hard to find and even when they are they might have been washed in unsafe water. Concerns about picking up food poisoning are ramped up considerably since we knew about the pregnancy. Any further advice you can send our way would be greatly appreciated.

Sincerely Glyn Griffiths

I felt I had to be exra careful because I was an older mom. Absolutely no risk taking for me because this might have been my last chance to be a mother.

I was also lucky to be married to a man who felt I should be an at-home mom. We gave up a lot of economic advantages but we have felt it was well worth it over the years. I have worked at home on Fetal Alcohol Syndrome information retrieval for the past 15 years.

Please do not drink before, during or after your pregnancy if you are nursing. The behavioral problems caused by prenatal alcohol exposure are not worth the risk.

I think you made a good decision by cancelling your trip due to risks in the destination country.

After reading your experience I’m more in a dilema than I was before. I have a planned trip since last year to the US. It will be the end of this March and my pregnancy will come to week 11. Everything is set, ticket bought, accomodation paid and seminar fee also paid (I will attend a week seminar). My concerns are related to long travel (22hours from my country, Indonesia) and how expensive it would be in the US if anything happens. This is my first pregnancy aswell and I’m 36-year old mother to be. I don’t want to risk it…but I’m still torn in two..go or not.

@Peggy Oba: Thanks a lot for your comments and wise words.

This is a helpful story. I will be three months pregnant and am planning to travel to Galapagos and Peru with my partner and two year old. These are work trips and I really want to go, but still trying to weigh the risks. I had a normal pregnancy with my son but am considered high-risk because I am 38.

I was pregnant once and once was enough. In labor for 50 hours. I could not even imagine flying when pregnant, but “to each his own.” I asked doctor (I had already decided on a tubal after that pregnancy) if a “second would be as bad.” He said: “It could be worse.” Thus, the tubal and I have never, ever regretted it. Only wanted one child.

As an international business executive …extensive travel comes with the territory. I am an “older mom” in that my two year old son was born when I was 37. Presently, at the age of 39, my second son is due in the late Summer. I traveled fairly extensively with my now two year old and have trips to Amsterdam/London/Puerto Rico/Miami during my final trimester. The OB is completely fine with my travel and the airlines say that up to 36 weeks is fine.

With my first pregnancy, I lived in northern India. I took precautions to avoid malaria, typhus, TB, HIV, and food poisoning. I spent time in Amritsar and Delhi. My daughter is now 12 and healthy. I’m pregnant with my second and currently in Delhi, India, waiting to fly to the States for a holiday. Women here have babies, and healthy ones at that. If one takes precautions, traveling while pregnant is safe. We’ve lived in India for four years and not contracted maleria or Dengue fever. I don’t expect to now that I’m pregnant again. My point is that you can choose to be afraid or careful. Being afraid keeps you at home. Being careful allows you to make solid decisions and take calculated risks that lead can present opportunities.

I have planned to travel to India in my 13th week and return on 24th week of my pregnancy. This is my first pregnancy and I will be travelling alone. I am worried if it is safe to take a 22 hours flight and I want to know if something happens what are the services available on board. I spoke to airline but didn’t get satisfactory reply.

I am a student admitted already to do my masters in Cyprus from Africa, I just realized I will be a month pregnant when I travel. Please its really hard on me but please what advice have you for me. Am just 20 years old.

My sister has to travel out of the country in the coming week as she is pregnant I don’t want her to go at this time. She is 4 months pregnant, she anyway wants to go that is why I have booked tickets online using CouponZeta site but I still have that fear whether it is safe for her to travel at this time or not. After reading the above article I have that question am I doing any wrong thing allowing her to travel so long?

After reading your experience I’m more in a dilema than I was before. I have a planned trip since last year to the US. It will be the end of this March and my pregnancy will come to week 11. Everything is set, ticket bought, accomodation paid and seminar fee also paid (I will attend a week seminar). My concerns are related to long travel (22hours from my country, Indonesia) and how expensive it would be in the US if anything happens. This is my first pregnancy aswell and I’m 36-year old mother to be. I don’t want to risk it…but I’m still torn in two..go or not.

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Travelling while pregnant

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

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

On this page

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

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

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

Before leaving Canada:

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

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

Pre-travel vaccines and medications

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

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

The decision can depend on:

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

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

Description of malaria risk by country and preventative measures.

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

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

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

Latest travel health advice on Zika virus.

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

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

Learn more about Zika virus and pregnancy:

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

Monitor your health and be prepared

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

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

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

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

Transportation

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

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

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

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

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

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

Always stay well hydrated while travelling.

Land travel

The risk of deep vein thrombosis can be reduced by:

• stopping the vehicle to walk around every couple of hours

Motion sickness

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

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

Environmental and recreational risks

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

High altitude

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

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

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

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

Personal protective measures

Food-borne and water-borne diseases.

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

This can include:

• toxoplasmosis
• listeriosis
• hepatitis A and E

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

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

Illnesses acquired from insect and other animals

Protect yourself from insect bites:

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

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

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

For help with emergencies outside Canada, contact the:

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

More information on services available at consular offices outside Canada.

Related links

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