For most women, flying while pregnant is generally safe and does not increase the risk of miscarriage or early labor. However, there are important factors to consider to ensure a safe and comfortable journey.
When is it safe to fly?
The safest time to fly is before 37 weeks for a single pregnancy and before 32 weeks for a twin pregnancy.
Many airlines restrict flying after 37 weeks, so it's crucial to check with your specific airline before booking.
When is flying not recommended?
Flying may not be advised if you have certain conditions, such as:
A condition affecting blood cells like anemia or sickle cell disease
Heart or lung conditions that cause breathing difficulties
A history or risk of premature labor
Recent vaginal bleeding
Before You Book Your Flight
Consult Your Healthcare Provider: It's highly recommended to speak with your GP, or obstetrician before flying.
Airline Rules: After 28 weeks, airlines may require a letter from your doctor or midwife confirming your due date and that you're not at risk of complications.
Medical Facilities: Research the availability of maternity hospitals and facilities for premature babies at your destination.
Travel Insurance: Ensure your travel insurance covers pregnancy-related medical care, including potential hospital stays and associated costs. If traveling in Europe, obtain a free European Health Insurance Card for access to public health services.
Vaccinations: If traveling to a region requiring vaccinations, consult your healthcare provider to ensure you receive the correct ones.
Common Concerns and How to Address Them
Worsened Pregnancy Symptoms: Flying can worsen pregnancy symptoms such as a blocked nose or ears, swollen legs, and morning sickness.
Airport Security: Walking through airport security scanners is safe for both you and your baby.
Seatbelts: You must wear a seatbelt while flying, and the cabin crew can assist you if needed.
Radiation: Occasional flights do not pose a risk from increased radiation exposure. However, if you are a flight crew member or fly frequently as part of your job, speak to your manager or occupational health department.
Deep Vein Thrombosis (DVT)
Increased Risk: Pregnancy increases the risk of developing DVT, especially on long-haul flights (over 4 hours).
Prevention: To minimize your risk of DVT:
Wear loose clothing and comfortable shoes
Take regular walks and do in-seat exercises
Drink plenty of water
Wear graduated elastic compression stockings (your GP, or pharmacist will need to measure you)
In some cases, blood thinners may be recommended by your doctor.
Going into Labor on a Plane
It can be a frightening experience to go into labor or have your waters break on a plane.
There may be medical professionals on board or the cabin crew may be trained, but this is not guaranteed.
The pilot may need to divert the plane to the nearest airport for assistance.
What to Pack
Any medications, including folic acid and iron table, in your hand luggage.
A letter from your GP and any medical notes or antenatal card (pink book).
Frequently Ask Questions: Traveling During Pregnancy
When is the safest time to travel during pregnancy?
The second trimester (14 to 28 weeks) is generally considered the safest time to travel, as morning sickness usually subsides, energy levels are higher, and movement is still relatively easy. The risks of common pregnancy emergencies are also lowest during this time. However, individual circumstances vary, so consulting with your doctor is crucial.
What pre-travel medical advice should I seek before traveling during pregnancy?
It is essential to consult with your doctor or a travel health clinic at least 4-6 weeks before traveling. Discuss your travel plans, including destination and activities, and any existing pregnancy complications or health conditions. The doctor can assess travel risks, provide personalized recommendations, update vaccinations, and discuss necessary medications or precautions, including malaria and Zika prevention. Ensure you have a prenatal check-up to confirm your due date.
What are the main risks associated with travel during pregnancy, and how can I minimize them?
Key risks include deep vein thrombosis (DVT) on long journeys, exposure to infectious diseases (like malaria, Zika, and food/water-borne illnesses), and access to adequate medical care in case of complications. You can minimize DVT risk by staying hydrated, wearing loose clothing, taking regular breaks to walk and stretch, and wearing compression stockings (after consulting with your doctor). Prevent infections by practicing strict food and water safety, using insect repellent, and avoiding travel to areas with high infection risks. Research healthcare facilities at your destination and ensure your travel insurance covers pregnancy-related issues.
Are there any specific destinations or activities that pregnant women should avoid?
Yes, pregnant women should generally avoid travel to developing nations with lower standards of medical facilities. Regions with ongoing Zika or malaria transmission should also be avoided or approached with extreme caution. Certain activities also pose risks, including scuba diving, water-skiing, horseback riding, and high-altitude activities (over 8,200-12,000 feet). Saunas and hot tubs should also be avoided.
What are the airlines' restrictions on flying during pregnancy?
Most airlines allow domestic flights until around 36 weeks of pregnancy, while restrictions may be stricter for international flights. After 28 weeks, airlines may require a letter from your doctor or midwife confirming your due date and the absence of complications. Some airlines do not allow flying after 37 weeks (32 weeks for twins). It's essential to check with the specific airline before booking your flight.
What should be included in a travel health kit for pregnant travelers?
A travel health kit should include: prenatal records, preparations for common pregnancy complaints (heartburn, thrush, constipation, hemorrhoids), oral rehydration preparations, multivitamins, urine dipsticks (if required), any prescribed medications, insect repellent, sunscreen, hand sanitizer, and a basic first-aid kit.
What precautions should pregnant women take during air travel?
During air travel, wear your seatbelt low on your hip bones, under your belly, to protect both you and your baby. Drink plenty of water to prevent dehydration and reduce DVT risk. Take regular walks up and down the aisle to improve circulation. Consider wearing compression stockings and avoid gassy foods/drinks. In case of shortness of breath, ask for oxygen. If possible, book an aisle seat.
What special considerations apply to car travel during pregnancy?
If taking a car trip, plan frequent stops to stretch and move around. Wear your seat belt correctly, with the lap sash across your lap and under your bump, and the shoulder sash above your bump. Adjust your seat to maximize distance from the dashboard and steering wheel. Drink plenty of fluids and eat regularly to maintain energy levels.
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