Travelling during pregnancy can be a wonderful experience, whether it’s for a relaxing vacation or visiting family. Many expectant mothers wonder about the safety and best time to fly. With the right precautions and information, air travel can be safe for most women throughout much of their pregnancy. This guide will provide you with essential information to help you make informed decisions about flying while pregnant.
Best Time to Fly During Pregnancy
Many women find that the second trimester, roughly between 14 and 27 weeks, is the most comfortable time to travel. This is often when morning sickness has subsided and energy levels have returned, making travel more enjoyable.
First Trimester
Some women prefer to avoid flying during the first 12 weeks of pregnancy. This is primarily due to common early pregnancy symptoms such as nausea and vomiting, and fatigue. Additionally, the risk of miscarriage is naturally higher in the first trimester, although flying itself does not increase this risk.
Second Trimester: The Ideal Window
The second trimester is often considered the sweet spot for travel. Morning sickness usually eases, and the discomfort of late pregnancy isn’t yet a factor. Energy levels are generally higher, making it a more comfortable and enjoyable time to fly.
Third Trimester: Considerations and Restrictions
Travelling in the final months of pregnancy can be more tiring and less comfortable. Airlines also often have restrictions on flying in late pregnancy due to the increased chance of going into labour.
Airline Policies and Flying Restrictions
While flying is generally safe during pregnancy, airlines have their own policies regarding pregnant passengers. These policies are mainly concerned with flights in the later stages of pregnancy when there is a higher chance of labour.
Most airlines will allow you to fly up to 36 weeks for single pregnancies and 32 weeks for multiple pregnancies. However, it is crucial to check the specific airline’s policy when booking your flight, as these rules can vary.
After 28 weeks of pregnancy, many airlines require a letter from your doctor or midwife confirming your due date and stating that you are fit to fly and not at risk of complications. This letter is usually valid for a specific period, often around 7-14 days before your outbound and return flights. Be sure to factor in the time and potential cost of obtaining this letter.
Health Considerations for Flying While Pregnant
While flying is generally safe, there are a few health considerations to keep in mind when pregnant.
Deep Vein Thrombosis (DVT)
Long-distance travel, especially flights longer than four hours, carries a small risk of blood clots, known as deep vein thrombosis (DVT). Pregnancy itself slightly increases this risk. To minimize the risk of DVT during flights:
- Stay Hydrated: Drink plenty of water throughout your flight.
- Move Regularly: Get up and walk around the cabin every 30 minutes or so. If space is limited, perform ankle and calf muscle exercises while seated.
- Compression Stockings: Consider wearing graduated compression stockings, which are available from pharmacies. These can help improve blood circulation in your legs and reduce swelling.
Travel Vaccinations and Malaria
When planning international travel, vaccinations and malaria precautions are important considerations.
- Travel Vaccinations: Most live vaccines are generally not recommended during pregnancy due to potential risks to the baby. However, inactivated vaccines are usually safe. Discuss necessary vaccinations with your doctor or midwife, weighing the risks of infection against the risks of vaccination.
- Malaria: Some anti-malaria medications are not safe during pregnancy. Consult your doctor for advice on safe malaria prevention methods for your destination. In some high-risk areas, it may be advised to avoid travel altogether during pregnancy.
Zika Virus
The Zika virus is a significant concern for pregnant women. It is transmitted by mosquitoes and is present in parts of South and Central America, the Caribbean, the Pacific Islands, Africa, and Asia. Zika virus infection during pregnancy can cause serious birth defects.
It is generally recommended that pregnant women avoid travelling to areas with a known Zika virus risk. Always check the latest travel advisories and health information for your destination before booking any travel.
Other Travel Modes During Pregnancy
While this article focuses on flying, it’s worth briefly considering other modes of transport during pregnancy.
Car Travel
Long car journeys can be tiring during pregnancy. If you must travel by car:
- Take Frequent Breaks: Stop regularly (every 1-2 hours) to stretch your legs and walk around.
- Stay Comfortable: Ensure good air circulation in the car and wear your seatbelt correctly, with the lap belt under your baby bump and the shoulder strap between your breasts.
- Stay Nourished and Hydrated: Eat healthy snacks and drink plenty of fluids.
Sailing
Ferry and cruise companies also have restrictions on pregnant passengers, particularly in later pregnancy. Check with the specific company regarding their policies before booking, especially for longer voyages.
Food and Drink Safety Abroad
Regardless of your mode of transport, food and water safety is always important when travelling, especially during pregnancy. Pregnant women are more susceptible to foodborne illnesses, and some medications for stomach upsets are not suitable during pregnancy.
- Drink Bottled Water: If you are unsure about the tap water safety, stick to bottled water.
- Be Food Safe: Follow general food safety guidelines, such as ensuring food is thoroughly cooked and avoiding unpasteurized dairy products.
Conclusion
Flying during pregnancy is generally safe, particularly in the second trimester. However, it’s essential to be informed and take necessary precautions. Always consult your doctor or midwife before travelling, especially if you have any pre-existing health conditions or pregnancy complications. Check airline policies regarding pregnancy, and ensure you have adequate travel insurance that covers pregnancy-related medical needs. By planning carefully and prioritizing your health, you can enjoy safe and comfortable travel during your pregnancy.