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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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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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Is it safe to fly during pregnancy?

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

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

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

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

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

When you fly:

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

Blood clots

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

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

Mary Marnach, M.D.

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

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Travel during pregnancy

Being pregnant doesn’t mean you have to be stuck at home. If you’re going on a business trip or taking a vacation, there are ways you can stay healthy and safe when traveling during pregnancy.

Is it safe to travel when you’re pregnant?

If you have a healthy pregnancy, it’s usually safe to travel. But talk to your health care provider before planning any trip.

If you have a health condition, such as heart disease, or if you’ve had pregnancy complications, such as  gestational diabetes , your provider may suggest you limit travel.

Even if your pregnancy is healthy, tell your provider about your travel plans. You may need to rearrange your prenatal care visits so you don’t miss any while you’re away.

When is the best time to travel during pregnancy?

The best time to travel depends on how you feel. Many pregnant women like to travel during the second trimester. At this time, you may not have as much  morning sickness  or be as tired as you were at the beginning of your pregnancy. And while your belly’s getting bigger, it’s still comfortable for you to move around. As you get closer to your  due date , walking, sitting and even sleeping can be very uncomfortable.

During the second trimester, you’re also less likely to have a pregnancy emergency, such as  miscarriage  or preterm labor. Miscarriage is when a baby dies in the womb before 20 weeks of pregnancy. Preterm labor is labor that happens too early, before 37 weeks of pregnancy.

How can you get ready for your trip?

Plan ahead and follow these tips to stay safe when traveling during pregnancy:

• Ask your airline if they have a cut-off time for traveling during pregnancy. You can fly on most airlines up to 36 weeks of pregnancy. But if you’re flying out of the country, the cut-off time may be earlier.
• Check to see what medical care your health insurance covers. Health insurance helps you pay for medical care. Most insurance plans cover emergency medical care no matter where you are. But you need to know what your plan means by “emergency” to know exactly what it will pay for.
• Think about buying travel insurance. This is insurance you buy in addition to your regular health insurance. It covers you for medical care while traveling in another country. You also can buy travel insurance that refunds some of your costs if you have to cancel your trip. Visit  USA.gov  to learn more about the different kinds of travel insurance.
• Learn about medical care available where you’re headed. Your provider may be able to recommend a provider in the area where you’re going. If you’re traveling in the United States, you can find a provider through the  American Medical Association . If you’re traveling overseas, find a provider through the  International Association for Medical Assistance to Travelers’ database .
• Pack a copy of your medical records, your provider’s phone number, your  prenatal vitamins  and any medicine you need. Keep these things in your purse, a carry-on or a bag you plan to have with you at all times. This way, they’re always handy.
• Visit the  Centers for Disease Control and Prevention (CDC)  for information about  vaccinations ,  travel alerts , managing health conditions during your trip and other ways you can stay healthy during travel.
• If you can, travel with someone. Don’t travel alone if you don’t have to.

Is it safe to travel to places where Zika is spreading if you're pregnant?

Zika virus (also called Zika) can cause illness that lasts several days to a week. It usually spreads to people through mosquito bites. But if you get infected with  Zika during pregnancy , you can pass the virus to your baby. Zika infection during pregnancy can cause serious problems for your baby. 

If you're pregnant or trying to get pregnant, don't travel to a Zika-affected area unless you absolutely have to. If you do travel, protect yourself and your family from mosquito bites. Check  CDC travel alerts  often for updates. 

When should you seek medical care during travel?

If you have any of the following signs and symptoms during your trip, get medical help right away:

• Belly pain or cramps
• Contractions  (when the muscles of your uterus get tight and then relax)
• Severe headaches
• Leg swelling or pain
• Vaginal bleeding  (when blood comes out of your vagina) or you pass blood tissue or clots
• Vision problems
• Your water breaks. This can be in a large gush or a continuous trickle.

How can you stay safe when traveling by plane?

If your pregnancy is healthy, it’s usually safe to travel by plane.

Follow these tips when traveling by air:

• If you’ve had morning sickness during pregnancy, ask your provider if you can take medicine to help with nausea.
• Book an aisle seat so you don't have to climb over other passengers when you need to get up to use the restroom or walk around. Try sitting towards the front of the plane where the ride feels smoother.
• Drink plenty of water. Don’t drink carbonated drinks, such as soda. And don’t eat foods, such as beans, that may cause gas. Gas in your belly can expand at high altitudes and make you feel uncomfortable.
• Fasten your seat belt when you’re in your seat. This can help keep you from getting hurt in case of turbulence. Turbulence happens when the air around a flying plane causes a bumpy ride.
• Wear loose, comfortable clothing. Flex your ankles during the flight, and take a walk when it's safe to leave your seat. Doing these things can help your blood flow and lower your risk of deep vein thrombosis (DVT), a blood clot inside a vein. Sitting for long stretches of time during any kind of travel raises your chances of having DVT. Ask your health care provider if you should wear support stockings during your flight. They may help prevent DVT. But if you have  diabetes  or problems with blood circulation, you probably shouldn’t wear them.
• Tell the flight attendant if you feel sick or very uncomfortable during your flight. Contact your provider as soon as you can.

How can you stay safe when traveling by car?

If you're pregnant and traveling by car, follow these tips:

• Wear your seat belt.
• Try not to drive more than 5 to 6 hours per day. If you can, break your trip into several days with shorter drive times each day.
• During long drives, drink water, wear loose-fitting clothes and take breaks to get out of the car to walk around and stretch. And ask your provider if you should wear support stockings. Doing these things can lower your risk of DVT. Don’t turn off your car’s air bags. Airbags can keep you and your baby safe in a crash.
• Tilt your seat and move it as far as possible from the dashboard or steering wheel. If you’re driving, though, make sure you can reach the foot pedals.
• If you’re in an accident, get medical help right away.

How can you stay safe when traveling by ship?

If you’re pregnant and traveling on a ship, such as a cruise vacation, follow these tips:

• Call your cruise line to confirm that a health care provider will be on the ship at all times. Ask what medical care may be available at each port stop. Ask if your ship has passed a  CDC health inspection .
• Ask your provider if you can take medicine to help prevent or treat sea sickness.
• Wash your hands  often and wash any fruits and vegetables you eat during the cruise to help avoid getting infections.

How can you stay safe when traveling out of the country?

If your pregnancy is healthy, it may be safe for you to travel abroad. But check with your provider before you make plans. If you have certain pregnancy complications, such as incompetent cervix (when the cervix opens too early), or if you’re pregnant with  twins, triplets or more , your provider may recommend that you not travel out of the country.

If you’re thinking about traveling out of the country, follow these tips:

• Talk to your provider about your travel plans. Ask about pregnancy complications and if it’s safe to travel to the country you’re planning to visit. Ask your provider about vaccinations you need before your trip and about taking medicine with you.
• Find out what your health insurance covers when traveling outside the country. And think about buying travel insurance.
• Find a provider or a medical center in the country you’re planning to visit before you leave home. Look for a center where providers can manage pregnancy complications, perform emergency  cesarean sections (c-sections)  and care for premature babies. The  International Association for Medical Assistance  can help find this kind of information.
• Make sure the country you’re planning to visit regularly screens stored blood for  HIV , hepatitis B and hepatitis C. This is very important if you need a blood transfusion or if your baby is at risk of  Rh disease . Visit the  U. S. Department of State website  for information on blood screening by country.
• Take a copy of your medical records with you. Know what your blood type is.
• Register with the American embassy or consulate  once you arrive. Staff there can help if you need to get out of the country during an emergency.
• If you don’t speak the local language, take a dictionary.

Last reviewed: April, 2016

Traveling While Pregnant

Planning to travel while you're pregnant? You'll want to know what's safe, what isn't, and which precautions to take before, during, and after your trip.

There are several factors that can affect travel during your pregnancy: your pregnancy stage when the trip is planned; whether there have been any complications during the pregnancy; the type of travel; and the distance that the trip will take you from home.

Pregnancy Stage: Travel Implications

Travel during the first and second trimesters is usually considered to be safe, although it may be more tiring than usual.

Traveling during the first trimester of pregnancy may pose a few challenges, especially if you're experiencing morning sickness, nausea, or fatigue. And the risk of bleeding or miscarriage is the greatest during these months.

The second trimester is the time in your pregnancy when you probably feel the best and have the most energy. This is a great time for a trip. In fact, vacationing with your partner during this period might be an ideal chance to spend some fun time alone together before the baby arrives!

Travel in the third trimester may be uncomfortable and can be risky, because you could go into labor many miles away from your own healthcare providers and hospital. Some airlines do not let women fly during their last month of pregnancy without a doctor's letter of permission. Quite often, that letter must be written within 72 hours of flight time.

Types of Travel

Traveling by car is likely to be the most comfortable means of getting around during pregnancy. When driving or riding in a car, stop every hour or two and walk around to stretch your legs — this will promote good circulation. Remember to always fasten your seat belt. Place the lap belt portion under your abdomen and position the shoulder harness between your breasts.

Flying shouldn't cause any problems in your first two trimesters. Be sure to:

Plan your schedule so that you're not rushed and have plenty of time between connecting flights

Request an aisle seat so that you have a little more room and can easily get to the bathroom as needed.

Walk up and down the aisle every hour or so to promote circulation in your legs.

While sitting, flex your feet toward your face and make circles with your feet.

Wearing support hose or flight socks also stimulates circulation in your legs when you have to sit for long periods of time.

Drink enough fluids to stay well hydrated.

Travel by boat, particularly if it's a large cruise ship, also should pose no particular problems in the first two trimesters. And most cruise ships have medical personnel aboard should you need assistance. If you're sensitive to motion, you might want to take medication to prevent motion sickness; ask your healthcare provider what would be safe to take during pregnancy. You can also wear the anti-nausea acupressure wristbands that are available over-the-counter at your pharmacy.

Long Distance and International Travel

If you plan to travel far from home, you can be prepared by being sure there are good sources of medical care at your destination. Take your pregnancy records with you, including tests you've had done, medications you're taking, your blood type, and any other information that might be helpful when you're out of town.

If you have to travel out of the country, it is important to take copies of your prescriptions for medications, in case your medications become lost. Be sure your immunizations are up to date before planning a trip to countries where vaccinations are necessary; also, keep in mind that some vaccines may not be safe to update during pregnancy.

Be aware that changes in climate or altitude and types of food could cause you more discomfort when you're pregnant. Limit exertion for a couple days after your arrival at your destination, particularly if the climate is hot or the altitude is high; this will allow your body to adjust to these changes.

In addition to the above considerations, always consult your healthcare provider before planning a trip, particularly if you'll be experiencing changes in altitude. She may be able to give you a medical contact in the area of your destination, in case you'd need to see a physician while you're away from home.

With a little advance planning and some wise precautions, travel during your pregnancy can be safe and enjoyable. Bon voyage!

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

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

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

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

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

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

1. Talk To Your Health Care Provider

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

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

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

2. Plan for Your Second Trimester

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

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

3. Prepare for the Pregnancy Road Trip

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

4. Drink Enough Water

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

5. Bring Extra Medications or Supplements

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

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

6. Always Wear a Seat Belt

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

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

7. Get Out and Stretch Often

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

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

8. Dress Comfortably

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

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

9. Avoid Remote Locations

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

10. Have an Emergency Plan in Place

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

11. Relax and Have Fun

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

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

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

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

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

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

Related Articles

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

Is it safe to travel while pregnant? Is it safe to fly?

Pregnancy is undoubtedly a very special stage that generally does not prevent a woman from traveling if the pregnancy is developing normally and without complications.

However, in the case of pregnant women, they should take into account a series of recommendations and guidelines to be followed so that the trip does not pose any risk to them or to the baby.

In any case, since each pregnancy is different, it is important to consult with the specialist before embarking on the trip. In this way, the obstetrician will be able to assure the woman that there are no problems and may even be able to give her some indication.

Provided below is an index with the 8 points we are going to expand on in this article.

• 1. Is it possible to travel during pregnancy?
• 2. When is travel during pregnancy contraindicated?
• 3. What is the best transportation for pregnant women?
• 3.1. Aircraft
• 3.4. Other transportation
• 4. Recommendations for travel during pregnancy
• 5. FAQs from users
• 5.1. Can you travel at 8 months pregnant?
• 5.2. Is it possible to travel or fly by plane in week 8 of pregnancy?
• 5.3. Is travel recommended during the 2WW?
• 5.4. Is it possible to travel if there is a threat of miscarriage?
• 6. Suggested for you
• 7. References
• 8. Authors and contributors

Is it possible to travel during pregnancy?

In general, if the pregnancy is developing normally (when there are no complications and it is not a risky pregnancy), the woman can travel pregnant. However, in order for the pregnant woman to travel more safely, it is advisable to plan the trip for the second trimester of pregnancy, between the 18th and 28th weeks.

In the first trimester, the risk of miscarriage is higher and, in addition, the pregnant woman may have typical first trimester discomfort such as nausea, dizziness... which will make traveling uncomfortable. On the other hand, in the third trimester of pregnancy, the main reason why travel is less advisable is the risk of premature delivery.

However, in the second trimester, the pregnant woman will have the energy to enjoy the trip and, surely, the increased volume of the belly will not yet hinder her mobility too much.

In any case, in addition to the gestation period, it is important to correctly choose the best means of transport to make that pregnant trip and, of course, pay close attention to whether the chosen destination is the most suitable to go during pregnancy. In addition, the specialist should always be consulted if there are any contraindications.

When is travel during pregnancy contraindicated?

As mentioned above, in a normal pregnancy a woman can travel during pregnancy. However, in circumstances such as the following, the specialist may recommend that the pregnant woman not travel:

• Date close to the FPP.
• Existence of complications or risky pregnancy .
• Unfavorable history of previous pregnancy.
• Multiple pregnancy .
• Arterial hypertension .
• Gestational diabetes .
• Severe anemia .
• Cardiac disease in the mother.

However, there may be other circumstances particular to the pregnant woman that may also make travel during pregnancy inadvisable, so always consult with the specialist if there is any inconvenience before starting to organize the trip.

What is the best transportation for pregnant women?

Not all means of transportation are equally comfortable and this difference can be even greater if you are traveling pregnant. Therefore, it is advisable to take some aspects into account if you are going to travel during pregnancy.

In addition, it is important to know the possible requirements for pregnant travelers of the company with which the trip is made.

Air travel is safe during pregnancy and is a good option for travel to destinations that are a considerable distance away. In general, there would be no impediment to air travel up to 36 weeks of gestation (32 weeks for multiple pregnancies) if the pregnancy is developing normally without complications.

In any case, the specialist should always be consulted about air travel, in case there are any contraindications.

Likewise, you should consult the possible requirements that the airline may have for pregnant women in terms of the week of gestation in which they are, if a medical certificate is necessary to fly or the existence of specific requirements for pregnant women with flights to international destinations.

As a recommendation, you should carry in your carry-on baggage your pregnancy documentation, a change of clothes and anything else you consider important, in case you lose your checked baggage.

The high-speed train is one of the most comfortable ways to travel during pregnancy. The seats are comfortable , the pregnant woman can walk freely in the aisles during the trip to reduce the risk of blood clots, and she can easily go to the bathroom.

However, care should be taken with trains that cover shorter distances and have a lot of rattling, as they may be particularly uncomfortable for pregnant women.

Traveling in a pregnant car is a comfortable option for short trips and, especially, if the woman is the co-driver and someone else is driving. There is a certain time during pregnancy when a woman will not be able to drive because of the size of her belly, which will lead her to move the seat away from the steering wheel to maintain a safe distance and, perhaps, she will no longer be able to reach the pedals. In addition, during the last months of pregnancy, it is recommended not to drive.

However, if the pregnant woman is the copilot, she can perform ankle movements (flexion and extension) between stops, which will reduce the risk of blood clots. Even so, it is recommended to stop every two hours at the most to be able to walk for a few minutes and go to the bathroom.

Finally, it is advisable to avoid roads that are in poor condition or dangerous, as well as, of course, violent driving.

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Other transportation

During pregnancy, traveling by boat may be less advisable than by other means of transportation (such as train) because the pregnant woman may experience motion sickness and nausea with the swaying of the waves.

In case of sailing, it is important to make sure that there is medical service on board and possible special requirements for pregnant women such as a medical certificate.

The bus is also not highly recommended for travel during pregnancy. Seat space is limited, buses often do not have toilets and pregnant women cannot get up to walk down the aisle (they will have to do exercises to move their legs and flex and extend their ankles in the seat itself). In addition, the stops are fixed and limited.

Recommendations for travel during pregnancy

The following is a list of recommendations that pregnant women should take into account in order to travel comfortably and safely:

• Consult with the obstetrician about the convenience of making the trip.
• Try to travel accompanied .
• Maintain all safety measures during the trip. For example, the correct use of seat belts in transportation such as cars and airplanes is important.
• Hydrate frequently and carry a healthy snack.
• Avoid foods that may cause gas and carbonated beverages, especially if traveling by plane.
• Always wear sunscreen , even when it is not summer.
• Walking frequently (every hour) for several minutes, either in the aisle of the plane, train or making stops if traveling by car. This will help reduce the risk of blood clots in the lower extremities. Flexing and extending the ankles between walks or if there is no possibility of walking, for example, on a bus.
• Choose seats that are next to the aisle and near the restroom, whenever possible, when traveling by plane or train.
• Wear comfortable and loose-fitting clothing , avoiding tight-fitting garments. Footwear should also be comfortable.

• Do not carry weight .
• Do not take medication , for example for dizziness, if you have not previously consulted with the specialist that it is safe to do so in pregnancy.
• Check that the trip does not coincide with a prenatal control visit . In such a case, the trip or consultation must be rescheduled or, especially if the trip is a long one, arrangements must be made to carry out the consultation at the destination.
• Search for a hospital at the destination where they can attend to medical emergencies of pregnancy. In addition, all medical documentation should be carried at all times in case of unforeseen circumstances.
• Assess whether medical insurance or travel insurance is necessary.
• Find out if any vaccinations are required to travel to the destination of your choice and, if necessary, check with the specialist that it is safe to have them during pregnancy. Usually, this type of vaccinations to travel to more exotic places are not compatible with pregnancy, so it would be advisable to avoid this type of destinations during pregnancy.
• Do not travel to areas with active outbreaks of infectious diseases .
• Take special care with food and with the hygienic measures of water and food, due to the possible transmission of diseases.

The most important thing is to rest and enjoy the trip while pregnant. It is not advisable to finish exhausted and, especially, if it is hot.

FAQs from users

Can you travel at 8 months pregnant.

Long journeys at such an advanced gestational age are not advisable, not only due to the risks associated for both the mother and the fetus, but just because of the number of discomforts for the pregnant woman.

Most airlines require pregnant women to present a medical certificate stating that she is in good condition for traveling. In any case, whether you are traveling by plane or not, you should ask your doctor previously.

Is it possible to travel or fly by plane in week 8 of pregnancy?

Yes, in principle, there is no problem in taking a trip, whether by car, train or plane, at this stage of pregnancy.

Women who decide to go sightseeing during their pregnancy should be careful to stay well hydrated and take as many breaks as necessary to avoid fatigue.

Is travel recommended during the 2WW?

There is no problem in going away for a few days to relax, whenever it is without getting too tired or making great efforts. In case of nausea, a long car trip can increase the anxiety and cause vomiting.

Is it possible to travel if there is a threat of miscarriage?

Many specialists advise pregnant women who are in a situation of threatened miscarriage not to travel, at least until this dangerous situation has passed.

Suggested for you

In this article you can read more information about driving while pregnant: Driving pregnant: posture and seat belts .

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ACOG Committee Opinion No. 443: Air travel during pregnancy. Obstet Gynecol. 2009 Oct;114(4):954. doi: 10.1097/AOG.0b013e3181bd1325. PMID: 19888065. ( View )

Cannegieter SC, Rosendaal FR. Pregnancy and travel-related thromboembolism. Thromb Res. 2013 Jan;131 Suppl 1:S55-8. doi: 10.1016/S0049-3848(13)70023-9. PMID: 23452744. ( View )

Coffey CH, Casper LM, Reno EM, Casper SJ, Hillis E, Klein DA, Schlein SM, Keyes LE. First-Trimester Pregnancy: Considerations for Wilderness and Remote Travel. Wilderness Environ Med. 2023 Jun;34(2):201-210. doi: 10.1016/j.wem.2022.12.001. Epub 2023 Feb 25. PMID: 36842861. ( View )

Freedman DO, Chen LH. Vaccines for International Travel. Mayo Clin Proc. 2019 Nov;94(11):2314-2339. doi: 10.1016/j.mayocp.2019.02.025. PMID: 31685156. ( View )

Hagmann SHF, Rao SR, LaRocque RC, Erskine S, Jentes ES, Walker AT, Barnett ED, Chen LH, Hamer DH, Ryan ET; Global TravEpiNet Consortium and the Boston Area Travel Medicine Network. Travel Characteristics and Pretravel Health Care Among Pregnant or Breastfeeding U.S. Women Preparing for International Travel. Obstet Gynecol. 2017 Dec;130(6):1357-1365. doi: 10.1097/AOG.0000000000002360. PMID: 29112671; PMCID: PMC5909816. ( View )

Jones CA, Chan C. Bon voyage: an update on safe travel in pregnancy. J Obstet Gynaecol Can. 2014 Dec;36(12):1101-1106. doi: 10.1016/S1701-2163(15)30389-3. PMID: 25668047. ( View )

Ram S, Shalev-Ram H, Neuhof B, Shlezinger R, Shalev-Rosental Y, Chodick G, Yogev Y. Air travel during pregnancy and the risk of venous thrombosis. Am J Obstet Gynecol MFM. 2023 Jan;5(1):100751. doi: 10.1016/j.ajogmf.2022.100751. Epub 2022 Sep 15. PMID: 36115570. ( View )

Shalev Ram H, Ram S, Miller N, Rosental YS, Chodick G. Air travel during pregnancy and the risk of adverse pregnancy outcomes as gestational age and weight at birth: A retrospective study among 284,069 women in Israel between the years 2000 to 2016. PLoS One. 2020 Feb 6;15(2):e0228639. doi: 10.1371/journal.pone.0228639. PMID: 32027691; PMCID: PMC7004371. ( View )

Vouga M, Chiu YC, Pomar L, de Meyer SV, Masmejan S, Genton B, Musso D, Baud D, Stojanov M. Dengue, Zika and chikungunya during pregnancy: pre- and post-travel advice and clinical management. J Travel Med. 2019 Dec 23;26(8):taz077. doi: 10.1093/jtm/taz077. PMID: 31616923; PMCID: PMC6927317. ( View )

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FAQs from users: 'Can you travel at 8 months pregnant?' , 'Is it possible to travel or fly by plane in week 8 of pregnancy?' , 'Is travel recommended during the 2WW?' and 'Is it possible to travel if there is a threat of miscarriage?' .

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Is It Safe to Travel During Pregnancy? Safety Measures and Tips

Pregnancy is a beautiful journey, but it often prompts questions about travel safety. Many expecting mothers wonder about the risks and precautions associated with traveling during pregnancy, they have generally a question in mind “ is it safe to travel in pregnancy?”  Understanding the safety measures to take while traveling during this time is crucial for both the mother’s and the baby’s well-being.

Table of Contents

Is It Safe to Travel in Pregnancy?

Pregnancy itself is not an impediment to travel; however, certain considerations and safety measures should be observed for a smooth and secure journey. Here are key insights and safety precautions expectant mothers should keep in mind when planning travel during pregnancy:

Safety Measures for Traveling During Pregnancy

1. consult your healthcare provider:.

• Description: Before planning any travel, it’s imperative to consult your obstetrician or healthcare provider. They can provide personalized advice based on your specific pregnancy needs, trimester, and any potential risks associated with travel.
• Importance: Your doctor’s guidance is vital to ensure a safe and healthy trip for both you and your baby.

2. Choose the Right Timing:

• Description: Opt for travel during the second trimester, commonly considered the safest period for pregnant women to travel. This phase often brings more comfort and stability compared to the first trimester’s morning sickness or the third trimester’s fatigue and increased risk of preterm labor.
• Importance: Timing your travel during the second trimester can mitigate potential discomfort and health risks.

3. Plan Your Mode of Transportation Carefully:

• Description: Whether traveling by car, train, plane, or ship, ensure you are comfortable and have ample space to move around. Frequent breaks during long drives or flights help in circulation and reduce the risk of blood clots.
• Importance: Choosing a comfortable mode of transportation is crucial for the expecting mother’s physical well-being.

4. Pack Essentials and Medical Documentation:

• Description: Pack necessary medications, prenatal vitamins, and copies of your medical records. Also, carry your healthcare provider’s contact information in case of emergencies.
• Importance: Being prepared with essential items and medical documentation ensures you are equipped to manage any unforeseen situations while away from home.

5. Stay Hydrated and Mindful of Diet:

• Description: Hydration and maintaining a healthy diet are essential during pregnancy. Carry water and healthy snacks to keep yourself nourished and energized throughout the journey.
• Importance: Proper hydration and a balanced diet are critical for the well-being of both the mother and the growing baby.

6. Avoid High-Risk Destinations:

• Description: Steer clear of areas with potential health risks, such as regions with prevalent diseases, extreme altitudes, or locations lacking adequate medical facilities.
• Importance: Avoiding high-risk destinations helps minimize potential health complications during travel.

7. Practice Proper Seat Belt Use:

• Description: While traveling by car, ensure proper seat belt use. Wear the lap belt under the abdomen and the shoulder belt between the breasts.
• Importance: Correct seat belt usage protects the mother and baby from potential injuries in case of sudden stops or accidents.

8. Prioritize Comfortable Accommodations:

• Description: When booking accommodations, opt for comfortable and safe places to stay. Consider factors such as accessibility, proximity to medical facilities, and amenities that cater to expectant mothers’ needs.
• Importance: Ensuring a comfortable and relaxing environment during your trip is essential for managing the physical demands of pregnancy.

9. Know Emergency Contact Information:

• Description: Familiarize yourself with emergency contact numbers and medical facilities at your travel destination. Locate nearby hospitals or clinics in case immediate medical attention is necessary.
• Importance: Being informed about local healthcare services can be invaluable during emergencies.

10. Minimize Exposure to Infections:

• Description: Protect yourself from infections by practicing good hygiene. Carry hand sanitizers, tissues, and disinfectant wipes to maintain cleanliness, especially when traveling to crowded or public places.
• Importance: Reducing the risk of infections is crucial to safeguard both maternal and fetal health.

Navigating Travel During Pregnancy: Solutions of is it Safe to Travel in Pregnancy  

11. comfortable clothing and footwear:.

• Description: Wear loose, comfortable clothing during travel to avoid constriction and enhance circulation. Choose supportive footwear to minimize discomfort and potential swelling of feet and ankles.
• Importance: Proper attire contributes significantly to comfort, reducing the risk of discomfort or health issues during travel.

12. Hygiene and Food Safety:

• Description: Maintain proper hygiene practices, including frequent hand washing and avoiding risky foods to prevent foodborne illnesses. Opt for freshly prepared, well-cooked meals from reputable establishments.
• Importance: Hygiene and safe food practices are crucial for preventing infections that could harm both the mother and the baby.

13. Consider Travel Insurance:

• Description: Explore travel insurance options that offer coverage for pregnancy-related complications or emergencies during your trip. Ensure the policy comprehensively covers your needs.
• Importance: Travel insurance provides financial security and access to healthcare services in unforeseen medical situations.

14. Stay Well-Rested and Relaxed:

• Description: Prioritize rest and relaxation during your travels. Take breaks, nap if needed, and practice stress-relieving activities to maintain well-being.
• Importance: Adequate rest and stress management are vital for the physical and emotional health of expectant mothers.

15. Pack Essentials in Your Carry-On:

• Description: Keep essential items, such as medications, comfortable clothing, snacks, and a water bottle, easily accessible in your carry-on bag during flights or long journeys.
• Importance: Having necessary items within reach ensures comfort and convenience, especially during extended travel times.

16. Engage in Light Exercise:

• Description: Incorporate light stretching or simple exercises recommended by your healthcare provider to promote circulation and alleviate discomfort during travel.
• Importance: Gentle exercises aid in reducing the risk of blood clots and muscle stiffness associated with prolonged sitting.

17. Be Mindful of Environmental Factors:

• Description: Consider environmental factors such as temperature extremes, humidity, and air quality at your destination. Dress appropriately and stay hydrated to adapt to different climates.
• Importance: Being aware of environmental conditions helps in planning and adapting to potential challenges.

18. Plan for Comfortable Seating:

• Description: If possible, pre-book seats with extra legroom or aisle seats for easier access and mobility during the journey.
• Importance: Comfortable seating arrangements contribute significantly to the comfort and convenience of the travel experience.

19. Inform Travel Providers of Your Pregnancy:

• Description: Inform airline staff, hotel personnel, or tour operators about your pregnancy to receive necessary assistance or accommodations.
• Importance: Notifying travel providers ensures they can offer appropriate support and guidance during your trip.

20. Stay Informed About Local Healthcare Services:

• Description: Research and note down contact details and locations of healthcare facilities or English-speaking doctors at your travel destination.
• Importance: Having access to medical services and resources is crucial in case of unforeseen medical needs.

FAQs: Answers to Common Questions about is it Safe to Travel in Pregnancy

Q 1. can i travel during my first trimester.

Ans 1: While possible, it’s advisable to consult your doctor due to potential morning sickness and fatigue.

Q 2. Are There Activities I Should Avoid When Traveling?

Ans 2: Yes, avoid strenuous activities and prolonged standing or sitting. Opt for moderate physical movement instead.

Q 3. Should I Take Travel Insurance?

Ans 3: Yes, obtaining travel insurance with pregnancy coverage is recommended for unexpected medical emergencies.

Q 4. Is Air Travel Safe During Pregnancy?

Ans 4: Generally, air travel is safe, but consult your doctor before planning any flights, especially during the third trimester.

Q 5. Can I Travel Internationally During Pregnancy?

Ans 5: International travel is possible, but be cautious of specific country risks and access to healthcare.

Q 6. How Often Should I Take Breaks During Long Journeys?

Ans 6: Aim for breaks every 1-2 hours to stretch your legs and maintain circulation, especially during extended trips.

Q 7. Is Cruise Travel Safe When Pregnant?

Ans 7: Consult your healthcare provider; cruises can be comfortable but ensure adequate medical facilities on board.

Q 8. Are Vaccinations Required Before Traveling?

Ans 8: Vaccinations may be necessary for certain destinations; discuss with your doctor before traveling.

Q 9. Can Stress Affect Pregnancy During Travel?

Ans 9: Yes, excessive stress can impact pregnancy ; prioritize relaxation and stress-reducing activities during travel.

Q 10. What Should I Do in Case of Emergency While Traveling?

Ans 10: Contact emergency services and seek immediate medical attention. Carry medical documents for reference.

Traveling during pregnancy is feasible with adequate precautions and proper planning. By adhering to safety measures, seeking medical guidance, and being prepared, expectant mothers can enjoy a safe and comfortable travel experience, creating cherished memories during this remarkable journey of motherhood.

For further insights and expert advice on pregnancy-related topics, visit Parentology to explore more informative resources.

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How to Make Long Flights More Comfortable When You're Pregnant

By Joanna Carrigan

All products featured on Condé Nast Traveler are independently selected by our editors. However, when you buy something through our retail links, we may earn an affiliate commission.

Preparing for a newborn can feel like an exhilarating task; on the one hand, there’s a long-anticipated, already much-loved new arrival making an entrance into your life. On the other, getting yourself into a birthing headspace can feel like a marathon. I’ve already lost count of the amount of  stroller reviews , hypno-birthing manuals, crib catalogs, and paint samples I’ve flicked through in my quest for newborn nirvana. 

With that in mind, many couples are now opting to take a break from the organizational overload in the form of a  long-haul babymoon —a pre-birth couples vacation—as a way of spending those last special moments together as a family of two. And in fact, air travel can generally be considered  safe for most expectant mothers , with advice from your doctor recommended. 

“All pregnancies and mums have individual needs and varying circumstances,” says Marie Louise, midwife and author of  The Modern Midwife’s Guide To Pregnancy . “If mums have any health complications or are close to giving birth, travel should be very carefully considered. Otherwise, mums need a break—it’s good to enjoy and relax on your travels.”

Pregnancy can often feel like a long-haul adventure in itself, and whilst the thought of an extensive flight may not jump out at the top of your to-do list, there are ways to make that coveted trip—and any other air travel during pregnancy that comes up—more comfortable.

Below, I’ve curated an essential list for what to pack in your carry-on for air travel during pregnancy, based in part on my own experience traveling to Europe whilst expecting. 

Strategic carry-ons

A great place to start is your carry-on itself, as the right style can help not only to make your essentials more accessible, but the correct product can be re-used as a diaper bag once your pre-baby vacation is a distant happy memory. The key to  choosing the perfect carry-on is not only to be mindful of the airline guidelines set out around dimensions and weight restrictions, but to think from your own perspective about what will be easiest for you to carry. If back issues prevail—a common complaint during pregnancy—a stylish rucksack may be more suitable than a tote. And if you’re looking for post-pregnancy practicality, a duffel can tick that cross-functional box. 

Pregnancy support bands

Glamour takes a back seat with this essential, but your posture and ligaments will thank me later. If you’re flying internationally or just maneuvering your way through a large airport, you may face long walks between terminals, which can place strain on the lower back. Bump support bands are designed to help relieve the pressure that the additional weight of your bump is putting on your back, and therefore can make a sensible addition to your carry-on packing list. 

Anti-nausea pregnancy methods 

Not every foray into the world of parenthood is a smooth one, and unfortunately  nausea and sickness can play a starring role in pregnancy, especially in the early stages. My first 16 weeks of pregnancy were punctuated with frequent trips to the restroom, and with many flights taken during this time, I became accustomed to having to rely on a few tricks to see me through those difficult moments. 

Travel bands can be an excellent way to relieve pregnancy related nausea, and they’ve taken a high-tech turn in recent years. Hypnotherapy podcasts can also be a calming way to reduce feelings of sickness, and are best listened to with noise-canceling headphones and an eye mask . 

Hydrating skincare for expectant mothers 

Pregnancy can present some interesting  skincare dilemmas , with many people experiencing a change at some point across their nine months. Dry patches, oily T-zones, and acne outbreaks are all common complaints. To help skin stay hydrated when flying, there are many pregnancy-safe products out there which can help replenish and restore your skin's natural barrier. La Mer The Mist Facial Spray is a particular favorite of mine—easy to apply, super lightweight, and long-lasting. 

Travel pillows

During pregnancy, ligaments in the hips and back loosen in preparation for birth and this can often cause secondary strain across the top of the shoulders and neck which can be very uncomfortable for expectant mothers. If you’re traveling whilst pregnant, I recommend investing in a travel neck pillow , and packing your pregnancy pillow if you’re flying in a seat with a lie-flat bed. 

Compression socks

“During pregnancy, you are at an increased risk of developing a blood clot,” Louise says. “That’s why compression socks , hydration, and movement—walking, stretching, and circling ankles—is recommended.”

Again, it’s not the most glamorous addition to your carry-on, but this footwear is important nonetheless. Try to stretch your legs every hour or so if possible, with a walk down the aisle or some lower leg exercises. 

While packing a well-stocked carry-on will undoubtedly enhance your flying experience, there are other ways to ensure that you’re prepared for a relaxing trip. Here are my top three tips for flying while pregnant:

Food and beverage choices 

Whilst it’s unlikely you’ll be able to see the full on-board menu in advance, it’s often a good idea to pre-select your meal genre if you’re having  aversions or preferences during your pregnancy. Being able to rule out meat, dairy, or even opt for a lighter option may be preferable for some mothers-to-be. It could be worth packing a couple of extra snacks in your carry-on, just in case. I’ve been stashing ginger tea bags and plenty of dried fruit and nuts ( dried banana chips are a particular craving of mine) to see me through. 

The airport experience

Lounge access can not only be an enjoyable way to kick-off your vacation, it can also be a lifesaver for tired feet. Having access to a clean and comfortable restroom can also often be advantageous, so if your travel tickets don’t include a lounge as standard, it could be worth a  pay-for-access option to give you peace of mind that you’ll be spending time in a calm and restful environment before or in between flights. 

Your travel outfit

While a stylish airport look is always desirable, comfort should definitely reign supreme during this important period, since your body is already coping with so much. Activewear can provide comfort and support during long-haul travel, and there are  plenty of options out there. I look to brands like  Alo Yoga and  Lululemon for pieces that satisfy both the style and comfort stakes. 

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Pregnancy Travel Tips: How to Make Travel Safe and Fun While Pregnant!

By Liesel Teen

BSN, RN, Practicing Labor and Delivery Nurse

This article may contain affiliate links. This means that if you make a purchase through these links, we may earn a small commission at no additional cost to you. Learn more about affiliate links.

Questions surrounding pregnancy travel come up a lot over in my DMs and just in general with the pregnant people in my life.

So many of us are interested in traveling, whether it’s to see family, go on a babymoon, work-related, or just an escape! But we all want to make sure we’re doing it safely!

Here we’re going to talk about safe travel during pregnancy, share some pregnancy travel tips to keep you feeling your best during your getaway, and address a little bit about babymoons too!

Are you ready to get your travel on? Then you’re in the right place!

4. Take precautions against gas pains

4. what to pack.

Follow @mommy.labornurse on Instagram to join our community of over 640k for education, tips, and solidarity on all things pregnancy, birth, and postpartum!

Travel safety during pregnancy

First off, make sure you talk to your provider about traveling before you travel – even if it’s in the car! They can provide specific guidelines for you in YOUR pregnancy.

They will be able to give you tips and advice for staying comfortable. But they will also be able to talk you through when to call and what to do if anything happens. You just never know what can happen in pregnancy, so it’s always best to communicate changes to your normal routine.

You’ll also want to make sure your destination is pregnancy-friendly from a health standpoint. Your provider can help you determine this, as well as the CDC website . At the broadest level, this means that the destination does not currently have a Zika outbreak and that COVID transmission levels are low.

Airplane travel during pregnancy

Can I fly during pregnancy?

So, the quick answer is that it depends on where you’re at in pregnancy, whether you are high-risk or not, and where you are going!

It’s true that most domestic airlines allow low-risk pregnant women to fly up to the 36th week of their pregnancy. But some airlines will request a travel certificate from your provider saying what week you are – so make sure to check if they need one!

International airlines all kind of differ based on the airline, flight duration, and destination. For this reason, I recommend calling directly to ask about their protocols. International flights almost always require a travel certificate.

If you are considered high-risk your provider may recommend you stop travel well before 36 weeks, so it’s important to have a chat with them.

How to stay comfortable flying

1. stay hydrated.

I know that whenever I fly, pregnant or not, I get super dehydrated. Embrace the fact that you are going to have to pee a lot and overcompensate. You will feel so much better and energized by upping your water intake while traveling.

What’s more, dehydration in pregnancy can lead to uterine cramping, Braxton Hicks , make swelling worse, and in extreme cases even preterm labor! So drink up, mama.

2. Book an aisle seat if possible

It is recommended to take walking and stretching breaks about every hour while flying. This helps prevent blood from pooling and can reduce swelling, which is a common complaint of many pregnant women who fly.

I also recommend wearing loose clothing and compression socks. These things will also help combat swelling and deep vein thrombosis too.

It’s also likely that you will need to take some additional trips to the bathroom. Having the aisle seat will make getting up a lot less of a hassle.

3. See if you can board early or upgrade to priority seating

Many airlines don’t explicitly state special arrangements for pregnant passengers, but if you say something at the desk when you arrive at your gate, I’m willing to bet some perks are coming your way.

Typically, this means preboarding, and they may be able to change your seat if there is availability. By boarding early you can ensure overhead storage space and room to navigate the tiny plane.

Yes, this is a thing you should have on your radar! Avoid foods & drinks that can cause gas for you, and bring some gas medication just in case you need it on the flight.

Gas can be quite uncomfortable, and it expands in low air pressure in airplane cabins, which can cause you lots of discomforts!

Road trips during pregnancy

At a certain point in pregnancy, sitting in a car for long periods just isn’t going to be comfortable. So, if a road trip is on your bucket list, most experts recommend the second trimester or early third trimester – but this isn’t a hard and fast rule!

Similar to airplane travel tips, swelling and circulation can be an issue with being in the car for long periods of time. You want to make sure you’re staying well-hydrated and wearing loose-fitting clothing.

You’ll also want to plan to get out and stretch your legs at least every 2 hours to keep your blood flowing.

Related Reading: 8 Fun Things to do During Pregnancy

Other tips for pregnancy travel

1. be mindful of general safety best practices.

What do I mean here?

• Make sure that you are always wearing your seatbelt properly
• Follow general pregnancy safety recommendations re: activities and diet
• Be aware of the nearest hospital/urgent care clinic at your destination
• Wear sunscreen as appropriate
• Be mindful about your water intake
• Listen to your body!

2. Don’t over-plan and take breaks

With all of that baby-growing happening, you will get more tired than usual, no matter your point in pregnancy.

Don’t plan too many big outings and make sure to have a good mix of more active events and downtime. Take naps and be sure to put your feet up to avoid swelling.

3. Ask for help

If you’re pregnant and traveling, I advise you to play the pregnancy card! Seriously. I’m not one who wants extra attention all the time, but during pregnancy, it’s okay to ask for help!

Don’t be shy about asking for a seat on the train instead of standing, seeing if airlines can make extra accommodations, asking for help with luggage, or even if you can get a table a little sooner at that crowded restaurant.

When it comes to pregnancy and travel – I highly recommend prioritizing comfort! And with all the great options these days you can definitely achieve style and comfort with ease. Some of my favorite options are from Kindred Bravely , Belly Bandit , and Amazon of course!

Bring some comfortable footwear, too! Especially if your travel involves lots of walking and exploring. A lot of women deal with swollen feet during pregnancy so a shoe with great arch support and a wide footbed is ideal. I’ve heard good things about BOBs actually.

You also don’t want to forget to pack your prenatal vitamins and other medications/supplements. This means prenatal vitamins and any other supplements or prescriptions you might be on during pregnancy. Make sure to bring a few extra days’ worth in case your travel plans are disrupted.

You’re pregnancy-travel ready!

The bottom line on pregnancy travel is to check in with your provider, drink lots of water, listen to you body, and keep safety in mind! The rest of the tips in this article will help fill in the gaps.

Now, you should be feeling calmer about your upcoming travel so that you can plan accordingly for a fun, comfortable, and most of all safe trip!

Bon voyage, mama!

Liesel Teen

As a labor and delivery nurse, I’ve spent countless hours with women who felt anxious — even fearful — about giving birth. I want you to know it doesn’t have to be that way for you!

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25 Best Places To Travel While Pregnant | Safe + Zika Free In 2024

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Home » 25 Best Places To Travel While Pregnant | Safe + Zika Free In 2024

Expecting parents are usually both excited and nervous in the months before the baby arrives. There is often lots of planning and prepping, especially for first-time parents.

This is exactly why babymoons are such a good idea. 

Take some time, before your family travel including strollers and diaper changes, and enjoy some adult time.

A babymoon gives couples memories to cherish, final moments to relax, and even the chance for a really cute pregnancy photoshoot.

The list of best places to go on a babymoon is long, but we’ve narrowed it down to 25 of the best and listed them here for you. 

What is a Babymoon Trip?

A babymoon is a vacation taken by expecting parents before the baby is born. It offers a chance to spend some quality time together before the baby is born and life gets a little chaotic. 

It usually happens before the first baby, to give couples a chance to reconnect with each other before their family expands.

But there’s no set rule saying you can’t have a babymoon for your second or even third baby – just round up the babysitters for the kids at home or at the resort. 

All that you have to do is to choose from one of the pregnancy-friendly travel destinations.

So let’s get to it! Here is a list of some of the best places to travel while pregnant.

25 Best Places To Travel While Pregnant in 2024

Unless you’re having a high-risk pregnancy, there’s absolutely no reason you shouldn’t be traveling overseas. You should however choose destinations that are safe for your little one.

The destinations from our list are all Zika-free. According to the CDC Zika infection during pregnancy can cause serious birth defects. So please be careful with other lists on the internet as I have seen many of them list destinations that have ZIKA.

It is important to choose one of the safe places to travel when pregnant from our list, and if you opt for a different destination due your due digilicence with research to make sure there is no Zika, malaria or rubella in that destination.

We’ve put together 25 of the best vacations for pregnant couples, solo moms, or groups of bump-buddies. These all offer a fun and relaxing getaway, without having to worry about mama’s well-being.

Our first destination on our list of where to travel while pregnant is Hawaii. Hawaii is a popular destination for babymoons, especially for USA travelers.

It’s a short flight and offers plenty of enjoyable activities. There are many islands you can choose from, and the beaches on all of them are perfect for lazy days. 

Depending on the island you choose, you’ll have stunning parks, tasty restaurants and cafes, and magnificent waterfalls to discover.

You’ll find a sun-filled, affordable, island vacation with the chance to spend some quality time while sipping on a mocktail and staring out at the sunset. 

If you don’t get to Hawaii for your babymoon, it also happens to be one of the best destinations to visit with a baby , so you can visit once your bub is born.

Whilst all the Hawaiian Islands are beautiful, we recommend Maui for your trip.

Maui is the perfect destination for a babymoon, as there are plenty of things to do that make sure you’ll enjoy your holiday while pregnant. Whether it’s relaxing at one of Maui’s luxurious resorts and spas or exploring its beautiful beaches, this paradise island has something for everyone.

Perfect Luxury Resort For Your Babymoon to Hawaii

We love a good adults-only pool for our babymoon trips. So we can’t go past recommending the luxurious Four Seasons Resort Maui at Wailea for your stay.

Enjoy some mocktails , a prenatal massage next to the ocean, and some lazy pool hours. The setting of this luxury hotel is purely stunning!

2. Venice, Italy

Italy is one of my favorite countries and there are so many beautiful destinations for pregnant travel, but one of our favorites is Venice.

We all know Venice has a big reputation for being one of the most romantic cities in the world. Which makes it one of the best babymoon destinations in Europe.

Trips to St. Mark’s Basilica , Doge’s Palace, and exploration of the colorful Fisherman’s home will leave you with a lifetime of memories.

It’s one of those cities that do require some healthy walking, but what’s also great about it is that you can see the city by boat.

Not only is Venice romantic (see a list of romantic th i ngs to do in Venice here), but it’s also a great place for soaking up the sun and getting some downtime before the baby arrives.

Italy overall is one of the best places to travel when pregnant, so if Venice doesn’t tickle your fancy, you can choose any other destination in Italy for a safe trip.

Perfect Luxury Hotel For Your Babymoon In Venice

For the perfect babymoon in Venice, we recommend you book your stay at the luxury boutique hotel: Ca’di Dio . It is an adorable 5-star hotel that offers all the luxury a pregnant Woman could possibly want.

Choose one of the suites with canal views for an unforgettable romantic trip.

3. Cork, Ireland

If you’re expecting a baby in the summer or spring, a winter vacation in Ireland is a dream come true! Ireland is one of the best countries to visit while pregnant.

Cozy up by a warm fire, marvel at the ancient castles, or walk along the endless strand of beach.

The coastal city of Cork is pure magic. With rolling green hills, churches and cathedrals, and an array of museums, it’s all about tranquility.

And in case you don’t know, Ireland is all about wholesome, heartwarming food. Head to the English Market to soothe your cravings, where you can pick up some fresh cheese, fruits, and bread to keep the belly happy.

Click here to book your tour of food tasting around Cork.

Where To Stay In Cork During Your Babymoon

The Imperial Hotel Cork City is perfect for expectant parents. It is a gorgeous luxurious hotel . Their Junior Suit e is perfect for your stay. They also have a lovely spa where you can enjoy some pampering during your stay.

4. Byron Bay, Australia

If you are looking for safe places to travel while pregnant – which of course you are! Then look no further than beautiful Australia.

Australia is a great choice for pregnancy vacations. With so many fantastic holiday destinations and places to be seen, we’d have to say that Byron Bay is one of the favorites.

With its health-conscious attitude, mellow vibe, and white sand beaches. Boost up your energy and nutrients, with the superfood fruit selections, yummy mocktails ( mindful drinking for pregnant mamas) and gorgeous walks along the coast.

Day spas in Byron Bay are totally kitted out when it comes to pregnancy packages. Take your pick from facials, massages, and even some spiritual practices that all cater to the needs of the baby mama.

You could also enjoy some a beautiful road trip from Byron Bay. The scenic drive around here will take you along some beautiful beaches.

Where To Stay For Your Babymoon In Byron Bay

You can’t beat the boutique luxury of Aabi’s at Byron . The hotel is rated at 9.3/10 . It has stylish elegant rooms and a sweet little saltwater pool to enjoy. It also has a hot tub (better for your partner than preggy women).

It is located in the perfect spot – only a short walk to Jonson Street where you can find a range of yummy restaurants.

5. Vancouver Island, Canada

Looking for a babymoon trip that offers gorgeous landscapes and ample artistic beauty? What about picturesque lakes and waterfalls?

Vancouver Island, in British Columbia, has all of this – and more. 

Book yourselves in for a time here and enjoy luxury accommodation with views over wide open spaces.

There are mineral pools, rejuvenating spas, and rustic log cabins to bring you close to nature and completely revitalize you. 

Canada is one of the best places to travel during pregnancy because it is so safe, and disease-free and the country has a high medical quality of care.

Where To Stay For Your Babymoon On Vancouver Island

If you love a combination of both the beach as well as a pool, then we recommend The Beach Club Resort — Bellstar Hotels & Resorts .

The 4-star oceanfront offers easy access to the beach and an oceanfront restaurant . It includes an indoor pool and a full-service spa. Perfect for any babymoon.

6. Nantucket, Massachusetts

Another destination on our list of pregnancy-safe travel destinations is of course the United States.

If big crowds and cities aren’t your things, why not explore the idyllic town of Nantucket? A tiny island just off Cape Cod in Massachusetts that feels like its own world.

The cobblestoned streets, postcard-perfect scenery, quaint yacht harbors, and gorgeous beaches make it the perfect place for some downtime.

As for some ideas of what to do, the seashores are great for spending some time outdoors. It’s known as a prime whale-watching destination.

Here is a list of 15 US babymoon destinations , if Nantucket isn’t the spot for you.

Where To Stay In Nantucket

One of the best places you can stay in Nantucket is the White Elephant Hotel. They offer babymoon packages that include prenatal massages and coupons for spa treatments.

And guess what? Dad gets a little something, too. A complimentary cigar with a baby-themed ribbon.

Tip: Are you traveling around Massachusettes and staying in Boston too? You might be interested in what Food Tours in Boston are good to take part in.

7. Wales, United Kingdom

There’s no denying that the English countryside steals hearts.

Escape the business of London and head on a two-hour journey to whales. Explore the sleepy town and its magical villages with many untouched valleys.

If you are in the mood for some entertainment, don’t let the sleepiness of the town fool you. Head into Cardiff where you’ll find a healthy dose of fun and excitement.

Visit trendy neighborhoods and discover sites such as Cardiff Castle and the beautiful Cardiff Bay .

Click here to book your tour on a Hop-On Hop-Off Bus around Cardiff to see as much of the city.

Where To Stay In Cardiff For Your Babyboom

If you are looking for a hotel to stay at during a “babymoon” in Cardiff, Wales, then consider the Park Plaza Cardiff Hotel. It offers luxurious rooms and amenities perfect for couples looking for some rest and relaxation before their baby arrives.

8. Amsterdam, The Netherlands

The Netherlands is incredibly tiny, so Amsterdam is an ideal base spot for touring the Dutch landscape.

What we love about Holland is that almost everyone speaks English. The people are friendly, the culture is unique and for a country so small, it has so much to offer!

Visit the tulip fields and feast your eyes on thousands of colorful tulips that line the cities. Stop at the markets for your afternoon snacks. Visit the city of Museums and discover the arts of Van Gogh, Banksy, and Rembrandt .

There is a whole range of wonderful Amsterdam attractions to keep you busy if you to love to explore.

Click here to book your tour of the Keukenhof tulip fields just outside of Amsterdam.

Where To Stay For Your Babymoon In Amsterdam

For 4-star luxury , the best choice is Hotel Estheréa . This hotel has the most stunning rooms I have seen .

It is set along the Singel canal in the center of Amsterdam and some rooms have pretty canal views . It is in the perfect location for walking and sightseeing.

9. Palm Springs, California

With a pleasant climate and a laid-back attitude, California has a variety of exciting cities for pregnant vacations.

One of the best cities to check out would have to be Palm Springs.

You’ll come across plenty of exciting activities that are pregnancy-friendly.

Glide along the Palm Springs Aerial Tramway and discover the dramatic desert settings.

Gaze at the art at the Palm Spring Art Museum or do your fair share of shopping at the ‘Rodeo Drive of the Desert’.

When you’re not gawing at the mountainous views, find a beautiful trail to walk along or visit the quaint nearby towns.

Where To Stay For Your Babymoon In Palm Spring

If you are looking for a hotel in Palm Springs for a babymoon stay, consider staying at the Omni Rancho Las Palmas Resort & Spa .

This luxurious resort boasts beautiful grounds and amenities, such as a 27-hole golf course, spa services, three pools (including an adult-only pool), and a lazy river .

10. Cape Town, South Africa

Babymoon trips differ for each couple, since not every traveler is after the same experience.

The great thing about a  visit to South Africa , is that you can experience a collection of holiday types in one place. 

Now whilst you definitely need to avoid areas that have malaria in South Africa, Cape Town is malaria free.

Cape Town is an absolutely stunning destination to visit. The views over Table Mountain just never stop to amaze. And there is such a wide variety of activities that a pregnant momma can enjoy.

Enjoy a trip up to the top of Table Mountain for some glorious views (easy to do with cable cars).

Laze around and soak up some sun on Camps Bay beach or maybe say hello to the gorgeous little penguins at Boulders Beach.

There are some absolutely beautiful walks or hikes at the Cape of Good Hope and the drive there is truly gorgeous!

Whilst you might not be able to enjoy sipping on wine just yet, the wineries around Franschhoek and Stellenbosch are beautiful. Head out and have a delicious lunch at one of the popular vineyards there.

Here is a fabulous post full of ideas for things to do in Cape Town .

Where To Stay For Your Babymoon In Cape Town

If you are looking for a place to stay in Cape Town for your babymoon, we suggest The Bay Hotel . It has a beautiful view of the ocean and many amenities like a spa (as well as in-room massages) and four pools .

The rooms are spacious and comfortable , perfect for a relaxing stay. Plus, the hotel staff will make sure you have everything you need to make your babymoon special.

11. Iceland

Perhaps not an obvious choice, but Iceland actually offers a splendid babymoon vacation.  There are so many reasons why you should visit Iceland.

Iceland is a safe destination, with almost zero crime, and absolutely no mosquitos.

Iceland is a stunning country full of amazing sights, activities, and experiences that make it one of the most captivating places to visit in the world.

From the iconic Blue Lagoon to incredible glaciers, Iceland’s natural beauty is awe-inspiring. Not to mention the majestic waterfalls, hot springs, geysers, and volcanoes scattered across the land.

If you’re looking for a unique way to explore Iceland, take a day trip out to the Westfjords. These stunning fjords offer breathtaking views, secluded beaches, and plenty of exciting activities.

And if you’re lucky, you might even spot some of the native wildlife like whales and puffins!

While not the cheapest spot to go on a babymoon, this offers a glorious change from the usual tropical island travel. 

Where To Stay For Your Babymoon In Iceland

If you are looking for a babymoon in Iceland, consider staying at the Hotel Ranga . It is an excellent choice with cozy rooms and beautiful views . Their staff will ensure that your stay is comfortable and relaxing.

Plus, you can enjoy a wide range of activities onsite, such as a stargazing observatory , spa treatments , and horseback riding (check with your doctor if it is safe for you to enjoy horseback riding).

12. Bahamas

The Bahamas have been cleared of the Zika virus risk since early 2018, and now offer babymoon bliss for many.

This is also a great spot for USA travelers since the flight is short and there won’t be too much extra travel time.

The Bahamas is the perfect destination for a babymoon. With its beautiful crystal-clear waters, warm sunny days, and luxurious resorts, the Bahamas are sure to provide the perfect backdrop for a memorable babymoon.

The islands offer a wide range of activities, from snorkeling to exploring the local culture and cuisine.

You can also take some time to relax and reconnect with your partner while taking in the stunning views of the turquoise waters.

Where To Stay For Your Babymoon In The Bahamas

Margaritaville Beach Resort Nassau in the Bahamas is a great place for parents-to-be to go for a special vacation before their baby arrives.

From the ultimate spa experience to fine dining , there’s something for everyone at Margaritaville Beach Resort Nassau. And with its beautiful beachfront accommodations and world-class service , you won’t have to worry about a thing!

13. Greek Islands

There is no risk for malaria in the tourist areas of Greece, but do practice caution when visiting the agricultural regions from May to October as the summer conditions bring more mosquitoes. The country also remains Zika-free. 

You’re truly spoiled for choice in Greece as it offers rich history, vibrant culture, and alluring beaches in abundance. 

Thanks to its gorgeous scenery, warm weather, and laid-back atmosphere, it’s the ideal babymoon escape. 

Unwind and soak up some sun on one of the island’s many glistening beaches. Many of the Greek isles boast trendy beach clubs and exciting boat trips such as this thrilling volcanic islands cruise . 

Note: There are quite a few steps in some of the main cities which you might want to avoid depending on your mobility. 

If you were wondering where exactly to go— Mykonos , Corfu , Naxos, Athens , Santorini , Zakynthos , Kefalonia , and Crete are all excellent options while pregnant. 

Find a full list of the best places to visit in Greece for your first trip here.

Where To Stay For Your Babymoon In Santorini

If you are looking for a place to stay in Santorini for your babymoon, we recommend the Canaves Oia Suites . It is a beautiful hotel and it has amazing views of the Mediterranean Sea .

The hotel also has two amazing restaurants with an incredible selection of Greek and international dishes. The staff is friendly and attentive, and the rooms are spacious and well-appointed – make sure you grab one with its own private plunge pool.

You will not regret choosing this luxurious option for your babymoon in Santorini!

BIG Tip: Yes, we have you covered here. Check out our list of best hotels in Santorini with a private pool .

14. Mauritius

Mauritius can be an unforgettable getaway during a stressful pregnancy. There are fantastic spa facilities and an array of restaurants offering tantalizing local cuisine and a laid-back vibe. 

With all the lush forests, epic waterfalls, and tropical climate, you can see why they call this Paradise Island. While there, enjoy a thrilling dolphin cruise or head to some of the best beaches in Mauritius such as the Flic en Flac and Grand Baie.  

This island has an enticing blend of cultures and cuisine that makes it so unique. For a taste, visit Le Capitaine, Escale Creole, or Le Pescatore, among the top restaurants. 

Mauritius is known for its unmatched hikes that often end in a beguiling waterfall sight. You can trek the Pont Naturel or Le Souffleur and Savinia Beach trails for a leisurely walk in under an hour. 

Where To Stay For Your Babymoon In Mauritius

If you are looking for a hotel in Mauritius for a babymoon, consider The Oberoi , Mauritius. It is an award-winning resort that offers luxurious accommodations with stunning views of the Indian Ocean.

The resort also offers an array of activities and amenities, including a spa, fitness center, swimming pools , and private beach access . The Oberoi is the perfect escape for a romantic getaway or Babymoon.

15. Mallorca, Spain

Mallorca is quite an obvious choice for many when it comes to all forms of vacation. Whether it be for honeymoons or babymoons, this destination surely won’t disappoint. 

While Mallorca is a safe destination for pregnant mamas, it would be best to avoid its tap water. 

This island is a beach paradise with many hidden gems and coves to explore. Its calm turquoise waters beckon, and the weather won’t let you down. 

Apart from the sandy beaches covering its long stretch of coastline is the majestic Tramuntana Mountains, a UNESCO World Heritage Site. These limestone mountains are home to breathtaking viewpoints, wineries, and charming villages you can explore. 

You’re guaranteed a leisurely affair between its stunning beaches, luxurious resorts, and quaint mountain villages. 

Where To Stay For Your Babymoon In Mallorca

We recommend staying at the Hotel Sant Francesc in Mallorca. The hotel is also conveniently located in the heart of Palma , so you can walk around and explore at your leisure.

Plus, it’s close to some of Mallorca’s most beautiful beaches for some much-needed relaxation. For something really special, book a romantic dinner on their rooftop terrace with stunning views of the old city .

The hotel also offers spa treatments for couples so you can truly enjoy your time together.

16. The Florida Keys

If you crave some relaxation in a peaceful and safe environment, then you can’t go wrong with the Florida Keys. This is a coral cay archipelago just off Florida’s southern coast. 

You can spend your days dozing off on a beach—Key Largo’s beautiful beachside comes highly recommended. Key West also offers balmy beaches, conch-style architecture to admire, and historic sites. 

Visiting Bahia Honda State Park is a must if you want to experience a beach haven with a marine sanctuary. Then pop in at the Hemingway Home and Museum or Dolphin Research center for a fun and knowledgeable activity. 

The Florida Keys has plenty of restaurants offering sublime meals and views dotted along its keys. Sadly most of these will offer tons of seafood, but you’re sure to find a delicious alternative, such as the famous Key lime pie. 

Where To Stay For Your Babymoon In Florida Keys

The Capitana Key West is a luxury waterfront resort located in Key West, Florida. The resort features a variety of amenities, including a private beach, a swimming pool, a spa, and several restaurants and bars.

For a babymoon, the resort offers a variety of packages, including a Babymoon Package that includes accommodations, a couples massage, a bottle of sparkling cider, and a gift for the baby.

17. Menton, France

Menton is a quaint, charming town, and a hidden gem for now, on the French Riviera between Monaco and Italy.

Known for its gorgeous gardens, sunny weather (316 days of sunshine), and Mediterranean cuisine, you can see why this destination is growing in popularity. And for our expecting mommas, it’s totally safe and has a quiet atmosphere. 

This town’s enchanting, colorful buildings reflect beautifully on its crystal-clear shores. While Menton’s beauty might lure you in, all the relaxing activities and beautiful sites will entice you to stay. 

You can’t visit Menton without strolling through its ethereal gardens. Make your way to Jardins Biovès or Val Rahmeh-Menton Botanical Garden for some magical, camera-worthy scenery. 

Where To Stay For Your Babymoon In Menton

Best Western Premier Hotel Prince de Galles is a 4-star hotel located in the heart of Menton . The hotel is situated just a few steps from the beach and within walking distance of the town’s main attractions.

The hotel offers a range of amenities, including a restaurant, a bar, a fitness center, and a spa. The spa features a sauna, a steam room, and a relaxation area , making it an ideal place to unwind during your babymoon.

Another destination that belongs on our list of the best places to visit when pregnant is Norway.

The welcoming nature of Norwegians, high levels of safety, and cozy cabins make Norway an obvious choice for mums-to-be. 

Norway is home to postcard-like islands, exceptional wildlife, and numerous enchanting fjords. While it’s primarily a skiing, hiking, and fishing destination, there are still plenty of easy-going things to pick up. 

You simply must drive out to Tromsø to catch a glimpse of the Northern Lights. In fact, it’s the best place in the world to see this glowing wonder. 

Other relaxed activities include wandering the Viking Ship Museum or strolling through Vigeland Park. 

Norway boasts a slew of Instagrammable cafes where the locals are just as warm and sweet as the Nordic-style coffee. 

19. Portugal

Portugal is a top destination in the world thanks to its robust blend of architectural designs and epic beach spots. 

It’s also safe and friendly, with many places allowing mums-to-be to skip lines (yay). Portugal is a hit amongst wine lovers, avid beachgoers, and history buffs, but now it can be your favorite baby mooning destination. 

After lounging on famous beaches such as Porto, Lagos, or Albufeira, you can enjoy a stroll along the cobblestone streets while taking in picturesque buildings. 

Portugal has various historical landmarks, such as Belém Tower and Castelo de S. Jorge, which you can spend hours exploring. 

This beautiful country boasts 300-plus days of sun so that you can show off your baby bump with daring summer outfits (*wink*). 

Where To Stay For Your Babymoon In Portugal

Vila Vita Parc Resort & Spa is located on a stunning cliff-top setting overlooking the Atlantic Ocean .

Their Vila Vita Parc’s spa is one of the best in Portugal, offering a wide range of treatments including pre-natal massages that will help you unwind and relax during your babymoon.

The resort also has several restaurants, including two Michelin-starred options, that offer a variety of cuisines to satisfy any cravings you may have during your pregnancy.

20. Whitsundays, Australia

Escaping to one of the beautiful resorts on Whitsundays will do you wonders. Once there, you can take in the rugged, green-clad islands surrounded by azure waters and soft white sand. 

Whitsundays is a dreamy location offering seclusion and tranquility to those in need.

We highly recommend booking yourself into an all-inclusive resort where you can indulge in spa sessions, massages, and fine dining with ocean views. If you are after seclusion and luxury we recommend you stay on Hayman Island.

But if you want to research the islands more, you can see a great comparison post on Daydream Island vs Hayman Island vs Hamilton Island here.

Experience the ultimate tropical bliss by sinking your toes into the soft silica sand of Whitehaven Beach, one of the world’s best beaches. 

Unlike scuba diving, snorkeling is safe while pregnant which you can take up at the Great Barrier Reef. 

Where to Stay On The Whitsundays For Luxury and Seclusion

For a truly luxury stay we can’t recommend the InterContinental Hayman Island Resort enough. We booked a room that had access to the swimming pool and it was perfect.

The resort also has a range of amenities, including a spa, swimming pools, restaurants and bars , and access to a private beach.

The beach on this island is stunning as well and you can enjoy some really fun day trips from here as well.

21. Sardinia, Italy

A pre-baby break filled with sunshine and tranquility is promised in Sardinia, Italy.

This large Italian island boasts an extensive unspoiled coastline covered in sandy beaches for relaxing. 

While mosquitoes become a problem in Sardinia during its warmer months (May to September), traveling anywhere in Italy without worrying about mosquito diseases is still safe. 

This fascinating rocky island overlooks warm Mediterranean waters. It’s often forgotten thanks to the more famous Sicily, but Sardinia is one of Italy’s most diverse and gorgeous places. 

You can witness the rich cultural heritage of Sardinia through its quaint coastal villages and unique, vibrant food.  

Some of the top attractions on this island include the San Benedetto market, Porto Istana Beach, Capo Caccia Vertical Cliffs, and Spiaggia Rena Bianca Beach. 

You can find a list of all the best beaches to visit in Sardinia here.

Where To Stay In Sardian For Your Babymoon

Sardinia has many beautiful romantic luxury resorts , but one that stands out for a babymoon is the Hotel Romazzino , a Luxury Collection Hotel, located in Costa Smeralda.

This hotel offers stunning views of the Mediterranean Sea and the beautiful white sand beach of Romazzino.

The rooms and suites are elegantly decorated and equipped with all the modern amenities that you would expect from a luxury resort, including private terraces or balconies with sea views .

22. New Zealand

New Zealand is perfectly safe for expecting moms. However, you do need to travel with a letter from a specialist doctor or midwife confirming that you’re OK to fly. Otherwise, most airlines won’t let you fly if you’re far along or have any complications. 

Still, if you’re in the mid-pregnancy stage, we highly recommend spending a few days in this magical island country. 

Apart from being one of the safest countries in the world, Kiwis are very welcoming and friendly to tourists. Admire the picturesque landscape and enjoy the unique vibe influenced by the Māori culture. 

New Zealand is the home of adventures and the location of Real Middle earth™, fascinating fauna and flora, world-famous coffee, and unmissable fjords. 

Here is a fantastic cultural tour around New Zealand to see the mystical Mitai Maori Village. Here is a handy post with the best places to visit in New Zealand so you can pick the perfect base for your vacation.

Where To Stay In New Zealand For Your Babymoon

New Zealand offers a range of romantic luxury resorts for a babymoon, but one that stands out is Huka Lodge in Taupo.

Huka Lodge is a world-renowned luxury resort that offers a perfect romantic getaway for couples. It is located on the banks of the Waikato River and is surrounded by beautiful gardens and breathtaking natural scenery.

The resort offers a range of luxurious accommodations , including suites, cottages, and a private Owner’s Cottage.

23. Croatia

Croatia is yet another fantastic destination for your babymoon. It’s safe and has a lively atmosphere, being dubbed “the new Ibiza” of Europe. 

Make sure you have a valid doctor’s approval if you’re more than 28 weeks and less than 36 weeks pregnant. 

Lying along the Adriatic Sea, this country consists of scenic pebbled beaches kissed by crystal clear waters. Moving further away from these precious coastlines, you’ll come across the captivating architecture of Croatian cities. 

These areas encompass a blend of Romanesque, Renaissance, and Baroque architectural styles. So you definitely want your camera ready as you take it all in, including the handful of museums. 

The Museum of Illusions, Museum of Broken Relationships, and Museum of Hangovers are all pretty interesting, to say the least!

Where To Stay In Croatia For Your Babymoon

One highly recommended romantic luxury beachfront resort for a babymoon in Croatia is the Dubrovnik Palace Hotel .

Located on the Lapad peninsula just a short distance from Dubrovnik’s Old Town , this resort offers stunning views of the Adriatic Sea.

The resort features elegant rooms and suites with modern amenities and private balconies overlooking the sea.

The hotel also has a spa with a range of treatments designed for expectant mothers , as well as several restaurants serving delicious cuisine.

In case you are venturing out around Croatia, and planning to stay in Split, we have a handy blog post for you about the best luxury hotels in Split . Check it out.

24. Turkey 

While Turkey does have mosquitoes, it has never had any cases of zika. That fact, combined with the beauty of the Turquoise Coast, a fascinating history, and delicious food, makes Turkey a fantastic babymoon destination.

First on the menu, a Bosphorus ferry rides atop the waters where the Black and Mediterranean seas meet. You should also stop by the Aqua Vega Aquarium, an underwater aquarium complete with exotic marine life.

 Silence those intense cravings by sampling some of the best flavors courtesy of the vibrant Turkish cuisine. Not to mention, Turkish dishes are nutrient-rich and feature lots of cooked veggies (perfect for growing tummies). 

Turks often indulge in hummus, grilled meat, pastries and vegetables such as eggplant and tomatoes. The Tarihi Bankalar Lokantası, Konyali Restaurant, and Deraliye Ottoman Cuisine are a few of the excellent options to get your hands on authentic Turkish food. 

Don’t forget to grab some souvenirs from one of the many colorful bazaars here.

Helpful to Know: Here is a great post with Turkey travel advice and tips that you should know before you go.

Where To Stay In Turkey For Your Babymoon

One option for a romantic luxury beachfront resort for a babymoon in Turkey is the Mandarin Oriental Bodrum . This resort is located on the Bodrum Peninsula and offers stunning views of the Aegean Sea.

The resort features private beach access, a spa, multiple restaurants , and spacious suites with private terraces or balconies.

Poland offers an exciting blend of breathtaking scenery, timeless architecture, and captivating culture. For a magical city adventure, visit Krakow, or if you want your breath taken away with majestic mountains, head to Zakopane.

In Krakow, stop by the stunning Wawek Royal Castle for splendid greenery and amazing architecture. If you’re a history buff, you’ll enjoy stopping by the city’s most popular sites and getting some bits of history onboard a chauffeured electric car.

There are plenty of other things to do in Krakow , however, my favorite thing to do there is to simply stroll around and enjoy the streets, architecture, and atmosphere.

While a mountainous region that screams adventure, Zakopane actually has several easy-going activities on offer. Instead of hiking your way around Tatra National Park, you can take in natural beauty from the comfort of the Kasprowy Wierch Cable Car Ride.

You can also stroll the pedestrian-only street of Krupowki, which has markets with cool trinkets and great grub. During December, you’ll find an incredible Christmas Tree that lights up the street.

You can find more suggestions of things to do in Zakopane for your stay here.

Where To Stay In Zakopane For Your Babymoon

Hotel Rysy is located in the heart of the Tatra Mountains, and offers stunning views of the surrounding landscape.

The rooms at Hotel Rysy are spacious and luxurious , with plush beds and modern amenities. The hotel also has a spa , which offers a range of treatments and massages that are perfect for expectant mothers.

You (or your partner as it is safer for pregnant mommas to not get too hot) can relax in the hot tub, sauna, or steam room.

How to Choose the Best Babymoon Destination

The best place to travel when pregnant will depend on where you will be traveling from, as well as what you are in need of from your trip. You can definitely enjoy and international trip if you head off early enough in your pregnancy.

Choosing your babymoon destination will mean considering a few things. 

• Weather : This will depend on which season you’re pregnant in, and which climate you enjoy most. If you’re having a winter baby, and you’re tired of being bundled up, you’re probably going to do better in a more tropical environment for your babymoon. 
• Travel distance : Wondering where to travel when pregnant? Depending on which trimester you’re in, you may not want to travel too far from home (and I would skip destinations that require a long flight). So picking a destination only a short flight or car trip away would be best.

• Health concerns : While pregnant, you want to stay in areas that have good healthcare, just in case you need a check-up. It’s also advisable to choose destinations that are free of the Zika virus to avoid putting you and your baby at risk. This is why we recommend you use our zika-free babymoon 2024 list of destinations above.
• Babymoon packages:  Babymoons have become more popular in the last few years. You’ll find resorts and hotels offering vacation packages that suit you and your little bump perfectly (and your partner, too, of course). 
• Your bucket list : While having a baby doesn’t mean you have to stop traveling, it may mean your travel plans change for a while. So why not use this babymoon to tick off a destination on your bucket list?

Top Tips For Your Trip

Once you have chosen a destination from our list of the best places to visit while pregnant, it is important to start thinking about how you can travel safely.

• The best time to travel is during the second trimester and early in the third trimester. The first trimester works for relaxing babymoon trips as most women feel nauseous and super tired which makes exploring and road-trips ticky. Don’t travel close to your due date!
• Many expectant mothers find that they need to take more frequent breaks than usual, and so it is important to plan your trip accordingly. Try to schedule some down time into your itinerary so that you can rest when you need to.
• If you are flying, I highly recommend you book an aisle seat so you can get up freely. You will need breaks to use the restroom and also to just shake out the aches and pains from sitting too long in a cramped position whilst pregnant.
• If you’re traveling by car, it’s important to plan frequent stops so you can stretch your legs, use the restroom, and grab something to eat.
• Some pregnant women (especially in the third trimester) should also avoid strenuous activity, so consider things like walking tours or light sightseeing instead of more strenuous activities like hiking.

• If you’ll be doing lots of walking on your vacation, wear comfortable shoes with good arch support as this will help support your growing belly and reduce strain on your feet and back.
• Be sure to stay hydrated and eat regularly, especially if you are prone to morning sickness. Pack snacks and drinks with you so that you can have something on hand when you start to feel nauseous.
• Wearing comfortable clothing is also important, as you will likely be bloated and uncomfortable at times during your pregnancy. Wear loose fitting clothes and bring a scarf or shawl to cover up if you start to feel too warm.
• Flying while pregnant poses a few potential risks. One of the most dangerous risks is deep vein thrombosis (DVT). To reduce the risk of DVT while flying, be sure to drink plenty of water, get up and stretch regularly, and wear compression socks.

Final Thoughts On Best Places To Travel Pregnant

So that concludes 25 of the best places to go on a babymoon. Of course, it depends on your preference, but as you can see, being pregnant doesn’t necessarily mean you have to postpone your travel plans.

I think Europe is one of the safest places to go before the baby arrives, but all the destinations on our list are safe countries to visit while pregnant (safe from Zika, malaria, and other diseases like Rubella).

Speaking to your doctor before your travels is always a good idea. And once they’ve given you the all-clear, let the traveling commence.

And if you’re really feeling skeptical about flying pregnant, domestic travel is a great way to still squeeze in that travel time. And don’t forget to grab  travel insurance , so that you can travel with peace of mind. 

You might also like to check out my tips for traveling while pregnant for my personal experience (and tips) from traveling during each of my trimesters.

Andrzej Ejmont

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37 Best Tips For Long Road Trips While Pregnant

Are you thinking about taking a long road trip while pregnant?

Maybe you are planning a vacation and you don’t want to miss out because you are going to have a baby. Or maybe you have to travel for work, or for family, or for any other number of reasons, and you aren’t sure what things you should do to make your journey as safe and comfortable as possible.

When I was pregnant with my son, I traveled during all three trimesters, including a 22-hour road trip by myself during the third trimester. It is absolutely doable (assuming your doctor gives you the OK), and while I did have to change a few of the ways I normally travel, I was able to do it with little discomfort or issues.

So from one formally pregnant woman to you, here are all the best tips and tricks for taking long road trips while you’re pregnant.

Tips For Road Tripping While Pregnant During All Trimesters

1. talk to your healthcare provider beforehand.

I’m putting this out there right away – you shouldn’t make travel plans of any kind without your doctor’s permission. All these tips are for pregnant women who have the go-ahead from their healthcare provider to take a road trip.

If your doctor says it’s OK, then you should be able to make your decision on whether or not you are comfortable traveling. You should never travel against your doctor’s wishes because it could be harmful to you and/or your baby.

2. Stop for breaks every chance you can

I think you probably already know this, but you will be a lot more tired while pregnant. Driving long distances can be really exhausting even without growing a baby, so take lots of breaks and pull over to nap if you must.

In the same vein, make sure you stop often so you can use the restroom and stretch your legs. You will need to use the bathroom a lot more often than you used to (if you’re anything like me, every hour or so!) and your legs may get swollen and stiff quicker than usual.

Even if you are in the first trimester of your pregnancy, you should still stop more often because you should be diligent about keeping yourself hydrated, and if you’re drinking the amount of water you should be, you’ll need to stop every hour or so anyway for a restroom break.

3. Travel slower than you usually do

This also goes along with the above tips. Since you’ll probably be stopping more often, it will take you longer to get to your destination than if you weren’t pregnant. And that’s OK! Travel slower, don’t pack in as many driving hours as you might normally, and just take it easy.

This was a piece of advice I’m glad I followed when I took my 22-hour road trip from Minnesota to Pennsylvania when I was 30 weeks pregnant. Normally, I’ll do the drive in 2 days no problem, but on this trip, I broke it up into 3 days and was glad for it. My body recovered pretty well, and I attribute a lot of that to my slower pace and just taking my time.

4. Be patient with yourself

If you’re anything like me, you might not like being unable to do all the things you would do if you weren’t pregnant. Honestly, I was not one of those women who enjoyed it. I didn’t like being limited and I felt ridiculous waddling around as the due date got closer and closer.

And you know what? It’s OK to not enjoy it! But you do need to be patient with yourself. You’re growing a baby, and maybe it’s not always pleasant, but the limitations and restrictions are all worth it. Travel does not suddenly negate the fact that you need to make some changes.

And if you love pregnancy, I think that’s great! There probably will still be times you get frustrated because you can’t tie your shoe or you can’t change your flat tire. Be willing to accept help and try not to let it bother you too much – it’s only for a short time.

5. Keep stress to a minimum

Easier said than done, right? But stress is not good for you or the baby, so you should do whatever you can on your road trip to keep it to a minimum.

Maybe that means pulling over when it starts to pour. Maybe that means changing your plans so you don’t have to drive in the snow. Maybe that means getting an earlier or later start than normal so you don’t hit rush hour traffic.

Whatever will make your drive less stressful, do your best to make it work.

6. Know where the hospitals are

No one wants or expects something to happen while on a trip, but in case it does, you should be prepared. Whether you’re taking a day trip somewhere or a cross-country adventure, you should try to keep tabs on where the closest and best hospitals are around you along your route.

If you start to feel unwell, or if you get in a fender bender, you’ll want to be able to choose the hospital that will give you the best medical care. Sometimes you may not have many choices, especially if you are traveling through a more rural area, but having a general idea will help with the stressful choice later in case something does happen.

7. Wear your seat belt

I feel like this one is obvious, but I still know people who don’t wear seat belts. You are not just protecting yourself, but also your unborn baby, so make this non-negotiable.

Not only should you wear your seatbelt, but you need to make sure it’s positioned correctly. Even if you aren’t showing much yet, you still shouldn’t have the lap belt or shoulder belt across your stomach in case you are in an accident.

The shoulder strap should be worn between your breasts, to the side of your belly, and over the shoulder. The lap belt should be below your belly and across your hips.

8. Avoid bumpy roads

If you live in the United States, you know this is pretty hard to do (am I right?) but if you can help it, you should avoid super bumpy roads and off-roading while pregnant.

While the likelihood is pretty slim, all the jostling could cause problems, and at the very least, it’s going to be a lot more uncomfortable for you the farther along you get.

If you do have to drive on a dirt or unmaintained road, drive slow, drive around the big potholes, and just take your time.

9. Travel with a companion

If you can, try not to travel alone if you are on a road trip while pregnant. This will allow someone else to share in the driving and be able to help you along the way.

This may not always be possible but try to when you can. I drove solo both ways on my road trip to Pennsylvania, and while I was a little nervous about it, I made sure I kept several people in the loop about my progress. You should do the same if you have to take a long trip solo when pregnant.

I was also diligent about following the other tips in this post so I could remain comfortable, safe, and stress-free, and that helped when traveling alone in the third trimester of pregnancy.

10. Push your seat back as far as you can

You want to keep your stomach as far away from the steering wheel as you can , even in the early weeks of pregnancy, so that if you have to stop suddenly or are in a car accident, your belly is as far away from the air bags as possible.

Obviously, you want to make sure you can reach the pedals safely, but the more distance you can give between you and the wheel, the better.

Also, if you can raise the steering wheel up a little higher so it’s above your stomach more, this can be safer too.

11. Plan as much as possible

I’m a planner by nature, but I understand that not everyone is. Either way, I think that when you are pregnant, you are going to want to have more of a plan when you take a road trip.

One of the main things you are going to want to plan ahead of time is finding a good route. The route you take should have plenty of gas stations, rest stops, food options, decent phone service, and well-maintained roads. This means that highways are going to be better options than secondary roads.

Also, you should try to only drive during the daytime. Driving at night is overall more dangerous, and you won’t have as many facilities open if you need to use the restroom or grab a snack.

12. Get your car serviced

Make sure your car is checked over at least a week or two before your road trip. This is good advice whenever you take a road trip, but when you are pregnant, it’s going to be tougher and more stressful to deal with a dead battery, blown tire, or crappy windshield wipers.

It’s also a good idea to get your oil changed, tires rotated, and air and cabin filters replaced before any long road trip so that your car will run its best and get better gas mileage too.

13. Avoid caffeine

When you’re pregnant, most doctors recommend no more than 200mg of caffeine a day, which is usually about 2 cups of coffee or tea.

When you are on a road trip, you might be tempted to forgo this advice to help keep yourself more alert while driving. However, you should try to avoid caffeine as much as possible when pregnant on a road trip.

To keep yourself more awake and energetic, you should make sure you are eating healthy foods with lots of protein and fiber-filled carbs and drink lots of water. This will work better in the long run than caffeine, anyway.

14. Skip the heated seats

When you’re pregnant, you aren’t supposed to get your body too warm for a long period of time. This includes saunas, hot tubs, and also heated seats.

I know that in the winter, it’s really tempting to use the heated seats, but you should try to keep yourself comfortable with layers and the interior temperature controls instead just to be safe.

15. Get a good night’s sleep

The night before your long road trip, you should make sure you get as much sleep as you can.

I know that can be hard enough when you’re pregnant because you might be getting up to pee a lot and might not be comfortable, but a solid night’s sleep can make a world of difference when it comes to road trips, especially if you have to travel by yourself.

Go to bed early and sleep in as late as you can before hitting the road.

16. Pack light

You shouldn’t be lifting anything heavy when you’re expecting a baby, so do yourself a favor and pack as light as you can.

If you have to bring a lot of things, make sure they are packed in smaller bags or boxes so you can handle them yourself. This is especially helpful if you have to stay in a hotel overnight and won’t have a friend or family member to help you take things in and out of the car and up to your room.

Tips For Road Tripping During The 1st Trimester

When I took a road trip during my first trimester, I didn’t even know that I was pregnant until I had gotten home! In fact, it was during the drive that made me wonder if I was because I was SO tired and nauseous beyond what I might normally be.

When I realized it after the fact, there were some things I wish I would have been able to do in order to make myself more comfortable. Here are some ideas if you are taking a road trip during your first trimester.

17. Know the risks

As I mentioned earlier, I am not a medical professional , but all the info I found said that the greatest risk of miscarriage is in the first trimester. There are also certain factors that might make you high risk, so you should talk to your doctor about it before any long trips.

I mention this not to scare you, but to make you aware that even though you may not be showing a baby bump yet in this trimester, you still need to take precautions and understand the risks of being away from your home hospital during this time. Pregnancy complications do happen, so you should take that seriously.

18. Accept you may not feel well

I felt pretty cruddy during the first trimester. I was exhausted, had pretty bad morning sickness, and was a bit moodier than normal.

Realize that these are all normal symptoms and while they may make the road trip a little less pleasant, there are things you can do and bring along to make it a little more bearable.

19. Keep hydrated

Staying hydrated is always important, but when you are pregnant, it’s going to be even more so. Make sure you have plenty of water with you, and if you have an upset stomach, ginger ale is a great choice too. Whatever you can do to get the water in, you should do it.

20. May have to pee more

Even in the first trimester, you may realize you have to go to the bathroom more. This is good to know so that when you are on your road trip, you stop as often as you need to so you aren’t uncomfortable trying to hold it in.

I always like to utilize the highway rest stops as much as possible, even if I don’t feel like I need to go. There’s usually a nice area to walk around, picnic tables, and often vending machines. When I see one, I tend to get off and use the bathroom, because you never know when the next one might be.

21. Bring snacks

You should always have some healthy snacks with you on a road trip , but if you are nauseous, you may not feel up to eating the things you normally would.

Have some simple snacks , like crackers, readily available if you can’t keep anything else down. You will be tired enough as it is, so stay fueled as best you can with what you can eat.

22. Consider compression socks

Even early on, you may have some swelling of the feet and ankles, so consider bringing compression stockings or socks to prevent this.

These are also a great idea because they can help prevent blood clots and deep vein thrombosis.

23. Take it easy

I mentioned it earlier, but don’t try to plan too much driving in one day . The exhaustion is no joke, and if you are by yourself, you may have to stop a lot to rest.

When my husband and I travel, I normally drive first thing in the morning because I’m most awake then, but when I was pregnant (and didn’t know it), I could hardly keep my eyes open after only an hour. I needed him to take over, and he ended up doing most of the driving that day simply because I was wiped out.

If you have another driver, let them do as much of the driving as they can so you can get some rest.

24. Try B6, ginger chews, etc. for nausea

I found that both B6 vitamins and ginger chews helped a bit with my nausea. If I had known I was pregnant, I would have had plenty of these with me on our long road trip. This is something you can try as well.

Tips For Road Tripping During The 2nd Trimester

During my second trimester with my son, my husband and I took a babymoon to Cabo when I was about 22-23 weeks along.

Even though it wasn’t a road trip per se, we still had to drive to the airport (which is over 3 hours each way) and we spent a lot of time sitting on the plane and in shuttles.

Here are a few things to know if you road trip during the second trimester.

25. You’ll probably feel your best

I felt really good during my second trimester. My nausea and exhaustion went away, I was able to start working out again (with my doctor’s permission of course) and it was still easy for me to get around. I was also still able to sleep half decent.

Many women feel their best during this trimester, so if you want to take a road trip and your doctor gives you the OK, this is the best time to do it.

You should still make sure you drink a lot of water, eat as healthy as you can, and get lots of rest, but you might start feeling more like yourself again.

26. Use a lumbar pillow

Even though I did feel good, my back started to ache after sitting in the car (and on the plane) for more than an hour. It was probably the worst thing for me on that trip.

After we got back, I went out and got a lumbar pillow and it really made a difference! This is the one I have and I love it so much, It’s still one of the best car accessories I have even though I’m not pregnant anymore!

27. Wear compression socks

If you didn’t get them for the first trimester, I definitely recommend them for the second. I was fortunate that I didn’t have any swelling when I was pregnant, but part of that might be because I wore compression socks when I traveled.

Tips For Road Tripping During The 3rd Trimester

You are in the final countdown! Now things are starting to get real, and there are quite a few more things you should be thinking about if you decide to road trip during your third trimester.

This is when I took my long trip to visit family and attend my baby shower, and while it wasn’t ideal, I took every precaution I could and had a comfortable and fairly stress-free journey.

Here are some tips for road-tripping during the third trimester.

28. Consult your doctor

As always, make sure your doctor gives you the OK. Depending on how your pregnancy is, even if it is an easy one, your doctor may not want you to travel during this trimester. You should be prepared for this and not make any solid plans until you know if you can travel.

If you are able to travel, you should make sure you have your doctor’s contact info in case you need to get in touch with them, or if you end up going to another hospital, they can contact your doctor too.

29. Know the closest hospitals on your route

Hopefully, you won’t need one, but in case you do, you should know where the closest hospitals are along your route.

You should have a list with the addresses and phone numbers so if you need to go to a hospital, you can let either the ambulance know (if you called one), or you can quickly drive yourself to the nearest one without having to do the research in the moment.

30. Use a lumbar pillow

A lumbar pillow in your third trimester is going to be a lifesaver. It helped me so much on my long road trip, and I honestly didn’t experience much back pain at all, even on my longer travel days.

31. Wear compression socks

This is another item that if you haven’t gotten it yet, you’ll definitely want to consider the closer you get to your due date.

32. Limit to short trips if at all possible

You should try to limit your road trips to short stints when in your third trimester. You probably won’t want to be too far away from home, or for too long, the closer you get to meeting your little one.

If you do want to take a longer road trip , I’d try to do it at the beginning of the third trimester, when the chances of going into early labor are a lot slimmer (and you also aren’t as uncomfortable).

33. Get out and walk around often

Stretching your legs is going to be even more important as you progress through your pregnancy. You’ll be more likely to get leg cramps, and walking around will help with the swelling and achiness, especially if you are sitting most of the day in a car.

34. You’ll still need to pee a lot

The need to pee doesn’t get any better as you get further along in your pregnancy. If anything, it gets worse as the baby grows and presses more on your bladder.

Pair your walking around stops with your bathroom breaks, about every hour or so, and you’ll be good to go.

35. Take naps when you can

If you are fortunate enough to be traveling with another person, you should try to nap when you are the passenger. You’ll start getting tired more often again at the end of your pregnancy, so take every opportunity you have to rest and get some shuteye. 

36. Have the infant car seat already installed

In the crazy happenstance that you end up giving birth while on your road trip (you just never know!) you’ll want to make sure you have the infant car seat already installed. The hospital will not let you leave without one, and as expensive as they are, you really don’t want to have to go out and buy another one because you forgot yours at home.

37. Have your hospital bag in your vehicle

For the same reason, have your hospital bag packed and in your car just in case. While you more than likely will have clothes and toiletries with you if you are staying overnight on your road trip, you may not have some of the other items you may want, like slippers, a bathrobe, your camera, baby clothes, etc.

Road Tripping While Pregnant: What To Bring

While I already mentioned a few things I recommend bringing while road-tripping when you are pregnant, here is a collective list of what I suggest.

Lots of snacks

You never know when you’ll get the munchies, and you want to keep your energy up and the hanger away.

Lots of water

Staying hydrated is important, so carry plenty of water with you. I like to have my insulated water bottle and then top it off with a gallon jug of drinking water. It’s a lot cheaper to do it this way too than to buy a bunch of individual water bottles.

This might seem like an odd one, but if you are really nauseous or susceptible to motion sickness, you’ll be much happier puking in a bucket than all over the car floor, or having to pull over every few minutes to puke outside. It’s a good idea to have one just in case.

Portable toilet/Travel John

When you have to pee as often as you do when you’re pregnant, you might have to suddenly go and realize there’s nowhere close by that has a bathroom .

I actually started traveling with the Travel John and it’s really nice for peace of mind, especially for me in the wintertime when a lot of roadside stops are closed and there are no restaurants for miles. If you have to go, you can use one of these in the car with no mess.

If you’d prefer a portable toilet, this is a great one .

Lumbar pillow

I’ve mentioned it several times before, but it really is helpful. This is the one I have and I love it.

Comfortable clothes (including shoes)

Being pregnant can be uncomfortable enough, so wear clothes that are comfy and loose. This includes shoes. I like to drive in sneakers because they are breathable and flexible, especially when I get out to walk around. Also, if your feet have swollen, you’ll need to make sure you have something that fits properly.

Compression socks

These really aren’t expensive and they can make a big difference in your comfort level while driving, and also just in general when you’re pregnant.

Prenatal/other medications

You’ll more than likely be taking a prenatal and possibly other medications when you are pregnant. Don’t forget to pack them along!

Your medical records/OBGYN phone number

These are good to have in case you have to call your doctor with a question, or if you have to be seen at another doctor’s office or hospital.

First aid kit

It’s always a good idea to travel with a first-aid kit regardless, but you should make sure it’s stocked with items you’re allowed to take.

Blood pressure cuff

I was at risk for high blood pressure when I was pregnant, so I took mine every day, but even if your blood pressure has been good, it’s not a bad idea to have it with you just in case.

If you are really uncomfortable once your belly starts to grow, a belly band might be worth looking into. This could make your drive a lot more comfortable.

Box to elevate feet

When you’re the passenger, a box to keep your feet elevated might be handy if you are suffering from swollen feet and ankles.

Pregnancy pillow

This isn’t necessarily for when you are driving, but for when you sleep at night. I loved mine ( I had this one ) and found it much easier to sleep on my side when my stomach was supported.

Travel Insurance

If you are doing any international travel or want extra protection, travel insurance is a great thing to have, even when you aren’t expecting a baby. It doesn’t cost much but is worth the peace of mind.

I use and recommend Safety Wing , but there are others out there too.

FAQs About Road Tripping While Pregnant

Is it safe to travel during pregnancy by car.

As long as your doctor has given you the OK, it generally is fine to travel by car when pregnant. However, every woman’s pregnancy is different, so how far you should travel and where you should go might vary. Always talk to your doctor before planning any travel.

How late in pregnancy can you travel by car?

Depending on what your doctor says, you should be able to travel by car up until the baby is born. However, depending on how far along you are, your doctor may not want you to travel very far or for very long.

Every pregnancy is different, so you should always talk to your doctor before taking any trip.

When is the best time for traveling while pregnant?

The second trimester is usually the best time to travel when pregnant. Most women no longer feel nauseous, their energy level is better, and they are usually still comfortable enough to travel.

However, as always, talk to your doctor about your specific pregnancy before travel.

How long should a pregnant woman ride in a car?

If you are pregnant, you should only ride in the car for an hour or two before stopping to take a break. This is good practice because you will need to stretch your legs often and use the bathroom every hour or so anyway.

Conclusion: Road Tripping While Pregnant

Road tripping when you are pregnant doesn’t have to be stressful or uncomfortable. There are plenty of things you can do to make a car trip manageable during this amazing time in your life.

I hope these tips helped you see that taking a long car ride while pregnant is doable!

Stefanie Henne is an experienced road trip travel blogger who specializes in helping others plan their dream vacation, no matter their budget or time restraints. Go here to read more about Stef's story. If you want to send Stef a message, visit her contact page here.

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• Section 5 - Rubella
• Section 5 - Smallpox & Other Orthopoxvirus-Associated Infections

Rubeola / Measles

Cdc yellow book 2024.

Author(s): Paul Gastañaduy, James Goodson

Infectious Agent

Transmission, epidemiology, clinical presentation.

INFECTIOUS AGENT: Measles virus

TRAVELER CATEGORIES AT GREATEST RISK FOR EXPOSURE & INFECTION

PREVENTION METHODS

Rubeola is a vaccine-preventable disease

DIAGNOSTIC SUPPORT

Measles virus is a member of the genus Morbillivirus of the family Paramyxoviridae .

Measles is transmitted from person to person via respiratory droplets and by the airborne route as aerosolized droplet nuclei. Infected people are usually contagious from 4 days before until 4 days after rash onset. Measles is among the most contagious viral diseases known; secondary attack rates are ≥90% among susceptible household and institutional contacts. Humans are the only natural host for sustaining measles virus transmission, which makes global eradication of measles feasible.

Measles was declared eliminated (defined as the absence of endemic measles virus transmission in a defined geographic area for ≥12 months in the presence of a well-performing surveillance system) from the United States in 2000. Measles virus continues to be imported into the country from other parts of the world, however, and recent prolonged outbreaks in the United States resulting from measles virus importations highlight the challenges faced in maintaining measles elimination.

Given the large global measles burden and high communicability of the disease, travelers could be exposed to the virus in any country they visit where measles remains endemic or where large outbreaks are occurring. Most measles cases imported into the United States occur in unvaccinated US residents who become infected while traveling abroad, often to the World Health Organization (WHO)–defined Western Pacific and European regions. These travelers become symptomatic after returning to the United States and sometimes infect others in their communities, causing outbreaks.

Nearly 90% of imported measles cases are considered preventable by vaccination (i.e., the travelers lacked recommended age- and travel-appropriate vaccination). Furthermore, observational studies in travel clinics in the United States have shown that 59% of pediatric and 53% of adult travelers eligible for measles-mumps-rubella (MMR) vaccine at the time of pretravel consultation were not vaccinated at the visit, highlighting a missed opportunity to reduce the likelihood of measles introductions and subsequent spread. Encourage all eligible travelers to receive appropriate MMR vaccination. Outbreak investigations are costly and resource intensive, and infected people—in addition to productivity losses—can incur direct costs for the management of their illness, including treatment, quarantine, and caregiving.

The incubation period averages 11–12 days from exposure to onset of prodrome; rash usually appears ≈14 days after exposure. Symptoms include fever, with temperature ≤105°F (≤40.6°C); conjunctivitis; coryza (runny nose); cough; and small spots with white or bluish-white centers on an erythematous base appearing on the buccal mucosa (Koplik spots). A characteristic red, blotchy (maculopapular) rash appears 3–7 days after onset of prodromal symptoms. The rash begins on the face, becomes generalized, and lasts 4–7 days.

Common measles complications include diarrhea (8%), middle ear infection (7%–9%), and pneumonia (1%–6%). Encephalitis, which can result in permanent brain damage, occurs in ≈1 per 1,000–2,000 cases of measles. The risk for serious complications or death is highest for children aged ≤5 years, adults aged ≥20 years, and in populations with poor nutritional status or that lack access to health care.

Subacute sclerosing panencephalitis (SSPE) is a progressive neurologic disorder caused by measles virus that usually presents 5–10 years after recovery from the initial primary measles virus infection. SSPE manifests as mental and motor deterioration, which can progress to coma and death. SSPE occurs in ≈1 of every 5,000 reported measles cases; rates are higher among children <5 years of age.

Measles is a nationally notifiable disease. Laboratory criteria for diagnosis include a positive serologic test for measles-specific IgM, IgG seroconversion, or a significant rise in measles IgG level by any standard serologic assay; isolation of measles virus; or detection of measles virus RNA by reverse transcription PCR (RT-PCR) testing. The Centers for Disease Control and Prevention’s Measles Virus Laboratory is the national reference laboratory; it provides serologic and molecular testing for measles and technical assistance to state public health laboratories for the collection and shipment of clinical samples for molecular diagnostics and genetic analysis. See detailed information on diagnostic support .

A clinical case of measles illness is characterized by generalized maculopapular rash lasting ≥3 days; temperature ≥101°F (38.3°C); and cough, coryza, or conjunctivitis. A confirmed case is one with an acute febrile rash illness with laboratory confirmation or direct epidemiologic linkage to a laboratory-confirmed case. In a laboratory-confirmed or epidemiologically linked case, the patient’s temperature does not need to reach ≥101°F (38.3°C) and the rash does not need to last ≥3 days.

Treatment is supportive. The WHO recommends vitamin A for all children with acute measles, regardless of their country of residence, to reduce the risk for complications. Administer vitamin A as follows: for infants <6 months old, give 50,000 IU, once a day for 2 days; for infants 6 months old and older, but younger than 12 months, give 100,000 IU once a day for 2 days; for children ≥12 months old give 200,000 IU once a day for 2 days. For children with clinical signs and symptoms of vitamin A deficiency, administer an additional (i.e., a third) age-specific dose of vitamin A 2–4 weeks following the first round of dosing.

Measles has been preventable through vaccination since a vaccine was licensed in 1963. People who do not have evidence of measles immunity should be considered at risk for measles, particularly during international travel. Acceptable presumptive evidence of immunity to measles includes birth before 1957; laboratory confirmation of disease; laboratory evidence of immunity; or written documentation of age-appropriate vaccination with a licensed, live attenuated measles-containing vaccine 1 , namely, MMR or measles-mumps-rubella-varicella (MMRV). For infants 6 months old and older, but younger than 12 months, this includes documented administration of 1 dose of MMR; for people aged ≥12 months, documentation should include 2 doses of MMR or MMRV (the first dose administered at age ≥12 months and the second dose administered no earlier than 28 days after the first dose). Verbal or self-reported history of vaccination is not considered valid presumptive evidence of immunity.

1 From 1963–1967, a formalin-inactivated measles vaccine was available in the United States and was administered to ≈600,000–900,000 people. It was discontinued when it became apparent that the immunity it produced was short-lived. Consider people who received this vaccine unvaccinated.

Vaccination

Measles vaccine contains live, attenuated measles virus, which in the United States is available only in combination formulations (e.g., MMR and MMRV vaccines). MMRV vaccine is licensed for children aged 12 months–12 years and can be used in place of MMR vaccine if vaccination for measles, mumps, rubella, and varicella is needed.

International travelers, including people traveling to high-income countries, who do not have presumptive evidence of measles immunity and who have no contraindications to MMR or MMRV, should receive MMR or MMRV before travel per the following schedule.

Infants (6 months old and older, but younger than 12 months): 1 MMR dose. Infants vaccinated before age 12 months must be revaccinated on or after the first birthday with 2 doses of MMR or MMRV separated by ≥28 days. MMRV is not licensed for children aged <12 months.

Children (aged ≥12 months): 2 doses of MMR or MMRV separated by ≥28 days.

Adults born in or after 1957: 2 doses of MMR separated by ≥28 days.

One dose of MMR is ≈85% effective when administered at age 9 months; MMR and MMRV are 93% effective when administered at age ≥1 year. Vaccine effectiveness of 2 doses is 97%.

Adverse Reactions

In rare circumstances, MMR vaccination has been associated with anaphylaxis (≈2–14 occurrences per million doses administered); febrile seizures (≈1 occurrence per 3,000–4,000 doses administered, but overall, the rate of febrile seizures after measles-containing vaccine is much lower than the rate with measles disease); thrombocytopenia (≈1 occurrence per 40,000 doses during the 6 weeks after immunization); or joint symptoms (arthralgia develops among ≈25% of nonimmune postpubertal females from the rubella component of the MMR vaccination, and ≈10% have acute arthritis-like signs and symptoms that generally persist for 1–21 days and rarely recur; chronic joint symptoms are rare, if they occur at all). No evidence supports a causal link between MMR vaccination and autism, type 1 diabetes mellitus, or inflammatory bowel disease.

Contraindications

People who experienced a severe allergic reaction (difficulty breathing, hives, hypotension, shock, swelling of the mouth or throat) following a prior dose of MMR or MMRV vaccine, or who had an anaphylactic reaction to topically or systemically administered neomycin, should not be vaccinated or revaccinated. People who are allergic to eggs can receive MMR or MMRV vaccine without prior routine skin testing or the use of special protocols.

Immunosuppression

Enhanced replication of live vaccine viruses can occur in people who have immune deficiency disorders. Death related to vaccine-associated measles virus infection has been reported among severely immunocompromised people; thus, severely immunosuppressed people should not be vaccinated with MMR or MMRV vaccine. For a thorough discussion of recommendations for immunocompromised travelers, see Sec. 3, Ch. 1, Immunocompromised Travelers .

MMR vaccination is recommended for all people with HIV infection aged ≥12 months who do not have evidence of measles, mumps, and rubella immunity, and who do not have evidence of severe immunosuppression. The assessment of severe immunosuppression can be based on CD4 values (count or percentage); absence of severe immunosuppression is defined as CD4 ≥15% for ≥6 months for children aged ≤5 years, or CD4 ≥15% and CD4 count ≥200 cells/mL for ≥6 months for people aged >5 years.

People with leukemia in remission and off chemotherapy, who were not immune to measles when diagnosed with leukemia, may receive MMR vaccine. At least 3 months should elapse after termination of chemotherapy before administering the first dose of vaccine.

Steroids & Other Immunosuppressive Therapies

Avoid vaccinating people who have received high-dose corticosteroid therapy (in general, considered to be ≥20 mg or 2 mg/kg body weight of prednisone, or its equivalent, daily for ≥14 days) with MMR or MMRV for ≥1 month after cessation of steroid therapy. Corticosteroid therapy usually is not a contraindication when administration is short-term (<14 days) or a low to moderate dose (<20 mg of prednisone or equivalent per day).

In general, withhold MMR or MMRV vaccine for ≥3 months after cessation of other immunosuppressive therapies and remission of the underlying disease. See Sec. 3, Ch. 1, Immunocompromised Travelers , for more details.

MMR vaccines should not be administered to pregnant people or people attempting to become pregnant. Because of the theoretical risk to the fetus, people should be counseled to avoid becoming pregnant for 28 days after receiving a live-virus (e.g., MMR) vaccine.

Precautions

Personal or family history of seizures of any etiology.

Compared with administration of separate MMR and varicella vaccines at the same visit, use of MMRV vaccine is associated with a higher risk for fever and febrile seizures 5–12 days after the first dose among children aged 12–23 months. Approximately 1 additional febrile seizure occurs for every 2,300–2,600 MMRV vaccine doses administered. Use of separate MMR and varicella vaccines avoids this increased risk for fever and febrile seizures.

Thrombocytopenia

The benefits of primary immunization are usually greater than the potential risks for vaccine- associated thrombocytopenia. Avoid giving subsequent doses of MMR or MMRV vaccine, however, if an episode of thrombocytopenia occurred ≤6 weeks after a previous dose of vaccine.

Postexposure Prophylaxis

Measles-containing vaccine or immune globulin (IG) can be effective as postexposure prophylaxis. MMR or MMRV administered ≤72 hours after initial exposure to measles virus might provide some protection. If the exposure does not result in infection, the vaccine should induce protection against subsequent measles virus infection.

When administered ≤6 days of exposure, IG can be used to confer temporary immunity in a susceptible person. If the exposure does not result in modified or typical measles, vaccination with MMR or MMRV is still necessary to provide long-lasting protection. Six months after receiving intramuscularly administered IG, or 8 months after receiving intravenously administered IG, administer MMR or MMRV vaccine, provided the patient is aged ≥12 months and the vaccine is not otherwise contraindicated.

CDC website: Measles

The following authors contributed to the previous version of this chapter: Paul A. Gastañaduy, James L. Goodson

Bibliography

Centers for Disease Control and Prevention. Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: summary recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2013;62(RR-04):1–34.

 Gastañaduy P, Redd S, Clemmons N, Lee AD, Hickman CJ, Rota PA, et al. Measles. In: Roush SW, Baldy LM, Kirkconnell Hall MA, editors. Manual for the surveillance of vaccine-preventable diseases. Atlanta: Centers for Disease Control and Prevention; 2019. Available from: www.cdc.gov/vaccines/pubs/surv-manual/chpt07-measles.html .

Hyle EP, Fields NF, Fiebelkorn AP, Taylor Walker A, Gastañaduy P, Rao SR, et al. The clinical impact and cost-effectiveness of measles-mumps-rubella vaccination to prevent measles importations among US international travelers. Clin Infect Dis. 2019;69(2):306–15.

Hyle EP, Rao SR, Bangs AC, Gastañaduy P, Parker Fiebelkorn A, Hagmann SHF, et al. Clinical practices for measles-mumps-rubella vaccination among US pediatric international travelers. JAMA Pediatr. 2020;174(2):e194515.

Hyle EP, Rao SR, Jentes ES, Parker Fiebelkorn A, Hagmann SHF, Taylor Walker A, et al. Missed opportunities for measles, mumps, rubella vaccination among departing U.S. adult travelers receiving pretravel health consultations. Ann Intern Med. 2017;167(2):77–84.

Lee AD, Clemmons NS, Patel M, Gastañaduy PA. International importations of measles virus into the United States during the post-elimination era, 2001–2016. J Infect Dis. 2019;219(10):1616–23.

National Notifiable Diseases Surveillance System. Measles (rubeola): 2013 case definition. Atlanta: CDC; 2013. Available from: https://ndc.services.cdc.gov/conditions/measles/ .

Patel MK, Goodson JL, Alexander JP Jr., Kretsinger K, Sodha SV, Steulet C, et al. Progress toward regional measles elimination—Worldwide, 2000–2019. MMWR Morb Mortal Wkly Rep. 2020;69(45):1700–5.

Pike J, Leidner AJ, Gastañaduy PA. A review of measles outbreak cost estimates from the US in the post-elimination era (2004–2017): Estimates by perspective and cost type. Clin Infect Dis. 2020;1(6):1568–76.

World Health Organization. Measles vaccines: WHO position paper—April 2017. Wkly Epidemiol Rec. 2017;92(17):205–27.

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Pregnancy-related deaths have fallen to pre-pandemic levels, new US data says

NEW YORK (AP) — U.S. deaths of moms around the time of childbirth have fallen back to pre-pandemic levels, new government data suggests.

About 680 women died last year during pregnancy or shortly after childbirth, according to provisional CDC data. That’s down from 817 deaths in 2022 and 1,205 in 2021, when it was the highest level in more than 50 years.

COVID-19 seems to be the main explanation for the improvement, said Donna Hoyert, a Centers for Disease Control and Prevention maternal mortality researcher.

The coronavirus can be particularly dangerous to pregnant women. And, in the worst days of the pandemic, burned out physicians may have added to the risk by ignoring pregnant women’s worries, experts say.

Fewer death certificates are mentioning COVID-19 as a contributor to maternal deaths. The count was over 400 in 2021 but fewer than 10 last year, Hoyert said.

The agency on Thursday released a report detailing the final maternal mortality data for 2022. It also recently released provisional data for 2023. Those numbers are expected to change after further analysis — the final 2022 number was 11% higher than  the provisional one . Still, 2023 is expected to end up down from 2022, Hoyert said.

The CDC counts women who die while pregnant, during childbirth and up to 42 days after birth from conditions considered related to pregnancy. Excessive bleeding, blood vessel blockages and infections are leading causes.

There were about 19 maternal deaths for every 100,000 live births in 2023, according to the provisional data. That’s in line with rates seen in 2018 and 2019.

But racial disparities remain: The death rate in Black moms is more than two-and-a-half times higher than that of white and Hispanic mothers.

“In the last five years we’ve really not improved on lowering the maternal death rate in our country, so there’s still a lot of work to do,” said Ashley Stoneburner, the March of Dimes’ director of applied research and analytics.

The advocacy organization this week kicked off an education campaign to get more pregnant women to consider taking low-dose aspirin if they are at risk of preeclempsia — a high blood pressure disorder that can harm both the mother and baby.

There are other efforts that may be helping to lower deaths and lingering health problems related to pregnancy, including stepped-up efforts to fight infections and address blood loss, said Dr. Laura Riley, a New York City-based obstetrician who handles high-risk pregnancies.

But there’s a risk that those kinds of improvements are being offset by a number of factors that may reduce the ability of women to get medical care before, during and after a birth, she said. Experts say the list includes the closure of rural hospitals and a 2022 U.S. Supreme Court decision that did away with the federally established right to abortion — and contributed to physician burnout by causing doctors to feel constrained about providing care during pregnancy-related medical emergencies.

“I think there’s good news. We’re making strides in certain areas,” said Riley, head OB-GYN at Weill Cornell Medicine. “But the bad news and scary news is ... there are these other political and social forces that make this (reducing maternal deaths) difficult.”

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

Copyright 2024 The Associated Press. All rights reserved.

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Is Mifepristone Safe?

Mifepristone is used as an abortion regimen, but like any other drug, it may cause side effects. Learn how safe this abortion pill is.

This article is based on reporting that features expert sources.

The Washington Post via Getty Images

Although it's been prescribed for over two decades, mifepristone, or Mifeprex, is still steeped in controversy.

The nicknamed "abortion pill" mifepristone is often the focal point of many abortion ban discussions and political hearings. A 2023 lower court ruling to ban pandemic-era mail-order deliveries and telemedicine prescriptions of the drug, as well as limit its use from a typical 10 weeks to seven weeks, was put on hold in April 2024. A high court decision is expected in June 2024.

Aside from ongoing legal implications, here's what you should know about the safety of taking mifepristone and how you can access the medication if you need it.

Key Takeaways

• Mifepristone, also known as the "abortion pill," blocks progesterone, crucial for pregnancy development, and is utilized for both medical abortion and managing miscarriages, often in conjunction with misoprostol.
• Extensive data from the FDA, ACOG and independent studies support the safety and effectiveness of mifepristone, with high success rates and a low complication rate.
• Options for obtaining mifepristone include in-person clinic visits, telehealth appointments, Planned Parenthood centers and certain retail pharmacies, ensuring accessibility despite ongoing legal challenges.

What Is Mifepristone?

Mifepristone is a medication that blocks progesterone, an essential hormone for a developing pregnancy. During a healthy pregnancy , progesterone thickens the uterine lining, aiding egg implantation.

Medical professionals prescribe mifepristone for two primary reasons during pregnancy:

• To induce first-trimester abortion . Mifepristone is often used in conjunction with another medication called misoprostol, or Cytotec. "Mifepristone blocks the hormonal support for the pregnancy, and then misoprostol then helps the uterus expel the pregnancy," explains Dr. Tessa Madden, a professor of obstetrics, gynecology and reproductive sciences at the Yale School of Medicine. She is also a Yale Medicine OB-GYN and complex family planning specialist in New Haven, Connecticut. Misoprostol does this by increasing hormone-like substances called prostaglandins. Prostaglandins induce uterine contractions and soften the cervix. Both of these actions lead to easier passage of fetal tissue through the cervix and vagina.
• To medically manage miscarriage . After confirming a miscarriage through a blood test or an ultrasound, you have some options for how to manage the miscarriage. Many people opt for mifepristone and misoprostol to pass fetal remains because it avoids surgery, like dilation and curettage, and it can be done in the comfort and privacy of your own home. This method is typically not recommended for pregnancies over 11 weeks, says Dr. Jessica Lee, an OB-GYN at the University of Maryland Medical Center and assistant professor at the University of Maryland School of Medicine in Baltimore. It also varies based on individual circumstances, like personal preferences or health conditions.

Whether you use mifepristone to terminate a pregnancy or to medically manage miscarriage , it works in the same manner.

Mifepristone regimen

To terminate a pregnancy up to 10 weeks gestation, the approved regimen is as follows, according to the Food and Drug Administration:

• Day 1. On the first day, you'll take 200 milligrams of mifepristone orally.
• Days 2-3. One to two days after the initial dose, you'll take 800 micrograms of misoprostol. The medication is taken by placing it in the cheek pouch and allowing it to absorb (buccally).
• Days 7-14. One to two weeks after taking the medication, you'll follow up with your health care provider . If you have concerns or side effects prior to then, you may follow up immediately.

There is a substantial body of evidence supporting the safety and efficacy of both mifepristone and misoprostol.

"This is more data than we have for some other medications commonly used in health care," Madden explains.

Some of this data includes:

• FDA safety data . The FDA conducts periodic reviews for Mifeprex, the brand name of the drug, and the administration has not identified safety concerns for using the medication up to 70 days of gestation.
• The American College of Obstetricians and Gynecologists safety data . Madden adds that ACOG data demonstrates the combination of mifepristone and misoprostol is very effective, with a failure rate as little as 0.3% to 3.4% depending on gestational duration. "The risk of complication is low, much less than 1%," she adds.
• Independent studies . Multiple studies show that mifepristone and misoprostol can be provided safely via telehealth appointments.

Is Mifepristone FDA-approved?

The FDA approved Mifeprex, the brand name for mifepristone, over two decades ago. Since, there have been extensive studies to support its safety and efficacy.

"Mifepristone and misoprostol are widely used, accounting for 63% of all abortions in 2023," Madden says.

According to its post-market safety information, the FDA claims Mifeprex is approved based on a "thorough and comprehensive review of the scientific evidence presented that determined that it was safe and effective for its indicated use."

The FDA has additionally instituted a Risk Evaluation and Mitigation Strategy program to reduce potential complications from mifepristone.

This includes precautions like:

• Ensuring the medication is prescribed by a qualified health care provider, certified under the REMS program.
• Requiring patients to sign a patient agreement form after reviewing the risks of mifepristone treatment with their health care provider.
• Enforcing that pharmacies complete a pharmacy agreement form and agree to dispense the medication in a timely manner.

Mifepristone Side Effects

The most common side effect of mifepristone is light bleeding or spotting. The bleeding occurs due to the expulsion of pregnancy tissues, and temporary alterations to the cervix and uterine lining.

Dr. Kelly Culwell, a board-certified OB-GYN and complex family planning specialist based in San Diego, says, "Some people will have spotting or bleeding after taking mifepristone, but there is usually no spotting or bleeding until you take the second set of pills for medication abortion, which is the misoprostol."

Lee adds, "In cases where a single-drug protocol is used, just misoprostol, there is a 15% failure rate, which would potentially necessitate re-administration of the drug or a surgical procedure."

In some cases, other side effects may include:

• Headaches .
• Severe cramping.
• Heavy bleeding.
• Allergic reaction.
• Severe pain.

These side effects are rare, and if they do occur, you should contact your health care provider immediately for medical attention.

Where to Get Mifepristone

You have a few options to get mifepristone. Some of these include:

• An in-person clinic visit.
• A telehealth appointment .
• A Planned Parenthood center.
• Retail pharmacies in certain states.

"Access is such an important factor. It isn't practical or compassionate to expect anyone to drive a long distance while experiencing a miscarriage or medical abortion," Lee says. Given mifepristone's safety profile and importance to health care, access should not be hindered, Lee adds.

Is Mifepristone Legal in All States?

In states where abortion care is available, mifepristone is available, Culwell says.

"The medication is not illegal, even in states where abortion is legally restricted," she explains. "Prescribing the medication for abortion might be illegal, but the medication is still FDA approved and can be provided via telehealth by providers in states where abortion is not restricted."

This is because many states have "shield laws," which serve to protect medical providers when they prescribe medications to individuals in other states.

To learn more about the laws in your state, where to get mifepristone and if you have any legal risk to self-managing an abortion at home, visit the following resources:

• Mayday Health .
• Abortion Finder .

These sites will help you determine if medical abortion with mifepristone and misoprostol is safe for you by asking screening questions. "State laws vary regarding whether someone who takes medication abortion pills can be prosecuted, but these websites can provide guidance on this as well as how to stay safe," Culwell explains.

There are current cases moving through the court challenging the FDA's approval of mifepristone and recent changes to the requirements for how mifepristone is provided, including a case that will be decided by the Supreme Court later this summer.

The Bottom Line

Mifepristone is a medication commonly used for medical abortion and miscarriage management. It has a low complication rate, supported by its FDA data, ongoing safety data and ACOG recommendations. Mifepristone is the drug of choice for nearly two-thirds of the abortions conducted in the United States.

Despite ongoing legal battles and regulatory changes surrounding mifepristone, mifepristone remains safe and effective. You can learn more about access to mifepristone by talking to your health care provider or visiting resources like Mayday Health, Plan C, or Abortion Finder.

The U.S. News Health team delivers accurate information about health, nutrition and fitness, as well as in-depth medical condition guides. All of our stories rely on multiple, independent sources and experts in the field, such as medical doctors and licensed nutritionists. To learn more about how we keep our content accurate and trustworthy, read our  editorial guidelines .

Culwell is a board-certified OB-GYN and complex family planning specialist in San Diego.

Lee is an OB-GYN at the University of Maryland Medical Center and assistant professor at the University of Maryland School of Medicine in Baltimore.

Madden is a professor of obstetrics, gynecology and reproductive sciences at the Yale School of Medicine. She is also a Yale Medicine OB-GYN and complex family planning specialist in New Haven, Connecticut.

Tags: women's health , pregnancy , abortion

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Placenta map reveals source of pregnancy complications from infections

by Wellcome Trust Sanger Institute

The first panoramic view of infection pathways in the human placenta has been created, which could highlight potential drug targets to develop pregnancy-safe therapies for malaria, toxoplasmosis and listeria, all diseases that can cause severe pregnancy complications.

Researchers from the Wellcome Sanger Institute, the University of Cambridge, the University of Dundee, and collaborators, used novel 'mini placenta' models to map the placental response to infections in early development . This work is part of the wider Human Cell Atlas consortium, which aims to map every cell type in the human body to transform our understanding of health and disease.

The study, published in Cell Systems , focused on the pathways involved in malaria, toxoplasmosis, and listeria infection , all of which can cause pregnancy complications and miscarriage. It revealed that secondary inflammation may be the cause of pregnancy complications during these infections and uncovered that placental immune cells are likely to play a defensive role against pathogens.

Future work focusing on identifying potential drug targets in the pathways that cause complications during infection could inform the design of more directed therapies to tackle infections in early-stage pregnancies.

Infections during pregnancy are a major global health concern affecting millions of people around the world. These infections can potentially cause maternal death, sepsis, and pregnancy complications, including miscarriage, fetal developmental conditions, low birth weight, and stillbirth.

Malaria, toxoplasmosis, and listeria are widespread infections that can lead to pregnancy complications. This is of particular concern in regions where these infections are more common. For example, in Sub-Saharan Africa and parts of Southeast Asia where the malaria parasite Plasmodium falciparum is endemic.

The placenta acts as a selective barrier during pregnancy, which allows nutrients to cross from mother to baby while blocking pathogens and toxins.

However, the pathogens that cause toxoplasmosis and listeria can cross the placenta, and the parasite responsible for malaria can attach to the outside. The fetus is particularly vulnerable during early-stage development as the immune response is not fully established, meaning that the fetus relies heavily on the placental barrier for protection.

Despite the impact of infections during pregnancy, the pathways and mechanisms these infections use to cross the placenta are poorly understood, partly due to the limitations of laboratory models used and differences between humans and mice.

In the latest study from the Wellcome Sanger Institute and collaborators, the team established ex vivo explant models, or 'mini placentas' from human samples, which allowed them to map the response to infection at single-cell resolution.

The researchers identified a type of fetal immune cell, known as a Hofbauer cell, that were activated in all three types of infection but in different pathways. This is the first time that placental immune cells have been shown to play a defensive role against pathogens in a model of the human placenta .

The team found that pathogens can infiltrate these immune cells. For example, T. gondii, the parasite that causes toxoplasmosis, is likely to use these immune cells to evade the ongoing immune response and travel around the body.

They also discovered that all three infections induced a general inflammatory response in the placenta which dysregulated placental functions. This suggests that secondary inflammation may be the cause of some pregnancy complications.

Targeting these inflammation pathways could lead to pregnancy-specific treatment for infections, which is not currently possible.

In addition to this, the 'mini placenta' models developed by this team can be used in future research to gain more insights into placental response to infections as well as wider placental changes during development.

Dr. Regina Hoo, co-first author from the Wellcome Sanger Institute, said, "While infections during pregnancy have been known to cause complications, including miscarriage and stillbirth, very little has been known about the underlying mechanisms.

"Our research shows that even with pathogens that cannot cross the placenta, the secondary inflammation from the immune system may be responsible for disrupting fetal development. Identifying key processes involved with the inflammation pathway could help us develop pregnancy-specific treatments that minimize this in the future."

Elias Ruiz-Morales, co-first author from the Wellcome Sanger Institute, said, "We discovered that placental immune cells called macrophages can protect the placenta against infections. This is the first time that placental immune cells have been shown to play a defensive role in early-stage pregnancy in humans, and that these immune cells can be hijacked by toxoplasma during infection. Understanding more about how the placental immune system works can help give new insights into pregnancy complications."

Dr. Marcus Lee, co-senior author from the Wellcome Sanger Institute, now at the University of Dundee, said, "Millions of pregnancies each year are potentially exposed to malaria, and understanding how the parasite adapts during infection and how the body responds will be important in improving outcomes.

"However, studying the interactions between pathogens and the human placenta is understandably incredibly difficult and therefore the development of new models, such as the placental tissue system we used in this research, are a much-needed step forward."

Dr. Roser Vento-Tormo, co-senior author from the Wellcome Sanger Institute, said, "Infections during pregnancy can have devastating impacts, and there are limited pregnancy-specific treatment options that can help.

"By mapping the pathways involved in infection during early-stage pregnancy in single-cell resolution, and developing new placental models to study this, we hope that our research can be used by the research community worldwide to help develop new ways to understand and treat pregnancy complications that impact millions of lives every year."

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Single Tori Spelling wants to be pregnant with baby No. 6 amid menopause, wishes she froze eggs

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Tori Spelling has baby fever.

The “Beverly Hills, 90210” alum, 50, confessed to “Misspelling” podcast listeners Tuesday that she wishes she were pregnant with her sixth child.

When guest Sara Evans said she “would love to be pregnant again,” Spelling — who is going through menopause — replied, “Same, my friend!”

The former reality star later added, “I’d love to have another baby.”

Spelling jokingly asked Evans’ husband, Jay Barker, to “impregnate” them, saying she “should have” frozen her eggs.

The actress, who gushed about being “f–king fertile” at the start of the episode, is already the mother of Liam, 17, Stella, 15, Hattie, 12, Finn, 11, and Beau, 7.

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She shares her children with her estranged husband, Dean McDermott , from whom she filed for divorce in March.

Spelling told her “Mind Over Murder” co-star about her filing in a phone call featured in her podcast podcast last month.

The former couple married in 2006 and stayed together when McDermott came clean about cheating in 2014. They split for good in June 2023.

McDermott, 57, has since moved on with Lily Calo , while Spelling told Evans on Tuesday how “worried” she is about finding a future partner.

“I have five kids,” she said. “Who wants that?”

Spelling and McDermott were married to Charlie Shanian and Mary Jo Eustace, respectively, when they met and cheated on their spouses.

Eustace, 61, bashed McDermott and Spelling’s “tacky shenanigans” in an “Entertainment Tonight” interview last week.

She also told Page Six that she believed Spelling sharing her divorce filing call on her podcast was a “desperate” and “low, low, low” move .

Eustace and the actor’s 25-year-old son, Jack, meanwhile, confirmed he is estranged from his father .

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News Analysis

Florida’s Six-Week Abortion Ban Is Now Law, With Political Implications

The ban, which took effect on Wednesday, was part of Gov. Ron DeSantis’s push into cultural conservatism. But Florida politics is rarely that simple.

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By Patricia Mazzei

Reporting from Miami

As Gov. Ron DeSantis of Florida prepared to run for president last spring, he gathered anti-abortion activists in his Capitol office for an unusual bill signing, held late at night and behind closed doors.

Florida lawmakers had just approved a ban on abortions after six weeks of pregnancy, a major policy shift that would sharply restrict access to the procedure for women in neighboring states as well as for Floridians. That law took effect on Wednesday.

For Mr. DeSantis, the move seemed like something that would play well among some Republican presidential primary voters in states like Iowa. But this was Florida, and public opinion polls suggested broad opposition to such a strict law.

So Mr. DeSantis, who typically crisscrosses the state to sign bills, enacted the six-week ban in April 2023 with little fanfare, part of a headlong push into cultural conservatism meant to bolster his national campaign.

Mr. DeSantis dropped out of the presidential race in January. His culture wars appear to have peaked, at least for now. Voters in a string of states, including more traditionally Republican ones, have chosen to protect or expand abortion rights. A similar ballot measure will go before Florida voters in November, with the potential to significantly influence contests down the ballot.

Perhaps the biggest political question in Florida, though, is just how much abortion might swing the election. Is it unique enough to turn around a state that has trended reliably Republican?

The proposed constitutional amendment, known as Amendment 4, would allow abortions “before viability,” or up to about 24 weeks, and would need more than 60 percent support to pass. That threshold is high, especially in the face of an organized opposition campaign characterizing the language as too far-reaching.

“The average Floridian, when they hear the truth about this extreme amendment, they will vote it down,” State Representative Jenna Persons-Mulicka, a Fort Myers Republican, said last month.

But some Floridians, including some Republicans, have wondered whether a relentless pursuit of divisive policies ahead of Mr. DeSantis’s presidential run might now be forcing a bit of recalibration to be more in line with the state’s diverse electorate.

The governor and Republican lawmakers pursued fewer culture war fights during this year’s legislative session. They made it harder for residents to file book challenges in schools. The state also settled a lawsuit filed by opponents of a law prohibiting instruction on sexual orientation and gender identity through the eighth grade.

“We’re very much Middle America,” said the Rev. Sarah Robinson, pastor of the Audubon Park Covenant Church in Orlando, who attended a “Yes on 4” rally last month. “Middle-class people who are trying to raise families and care for their communities. And there are definitely things that they’d rather be doing than fighting these policies.”

National Democrats have expressed optimism that the abortion ballot measure could put Florida in play, despite no clear commitment of how much money the party is willing to spend in the state and a substantial Democratic disadvantage in voter registrations. President Biden briefly spoke about the six-week ban in Tampa last week, and Vice President Kamala Harris will travel to Jacksonville to draw attention to the state ban on Wednesday.

“There is one person responsible for this nightmare: Donald Trump,” Mr. Biden said in a statement about the ban.

Asked on Tuesday about Democrats’ hopeful claims, Mr. DeSantis offered a dismissive “Pfft” and laughed.

“I welcome Biden-Harris to spend a lot of money in Florida. Light up the airwaves,” he said, indicating that the funds would be poorly spent. “We are fine with you doing that here, but I can confidently predict that you will see Republican victories, not just at the top of the ticket but up and down the ballot.”

Former President Donald J. Trump, the presumptive Republican nominee, who won Florida in 2016 and 2020 and resides in Palm Beach, has refused to say whether he will vote against the constitutional amendment. He has recently suggested that some states have gone too far in restricting abortion, though in keeping with his shifting views on the issue, he has also said that the decision should lie with the states.

Democrats have tried to pin the strict state abortion laws on Mr. Trump for appointing to the Supreme Court justices who helped overturn Roe v. Wade in June 2022.

For his part, Mr. DeSantis has rarely campaigned on the ban that he signed. On Tuesday, he mostly focused on waiving admission fees for Florida state parks during Memorial Day weekend and on promoting Gulf red snapper season.

“This was done to help Ron DeSantis in his ambitious plan to run for president,” State Senator Lauren Book, the Democratic minority leader, said of the ban. “It didn’t work, and it has really created dire, dangerous consequences for women.”

Florida is full of transplants from the Northeast and Midwest, and their cultural politics have skewed more liberal — or at least more libertarian — than those in other parts of the Deep South. Floridians have elected Republicans while also approving liberal ballot proposals, including ones that raised the minimum wage to $15 an hour, restored felons’ voting rights and legalized medical marijuana.

Before Mr. DeSantis enacted a 15-week abortion ban in April 2022, Florida allowed abortions up to 24 weeks.

John Stemberger, the president of Liberty Counsel Action, an anti-abortion lobbying group, said that Florida’s 24-week law had less to do with public opinion and more to do with legal precedent set by the Florida Supreme Court in 1989. The court ruled then that a privacy clause in the State Constitution extended to abortion rights.

“It didn’t really reflect the demographics of Florida,” Mr. Stemberger said of the old ruling. “It reflected the opinion of seven justices who made a policy-oriented decision.”

The court, now conservative and nearly entirely appointed by Mr. DeSantis, reversed that position on April 1. Mr. Stemberger credited Mr. DeSantis for stocking his administration with “solid social conservatives” willing to push abortion restrictions: “Personnel is policy.”

Even with the 15-week ban in place, there was an uptick in abortions in Florida last year, in part because women from other Southern states with stricter laws had traveled to Florida for the procedure.

Stephanie Loraine Piñeiro, executive director of the Florida Access Network, a fund that helps women in Florida pay for abortions, said that requests for support doubled in April, as the countdown to the six-week ban was underway. The organization increased its budget by 25 percent for the month but still had to turn away some patients.

“The reality is that people are going to continue to need abortion access,” she said, “regardless of the election cycle.”

Patricia Mazzei is the lead reporter for The Times in Miami, covering Florida and Puerto Rico. More about Patricia Mazzei