Travel In Pregnancy

Travel When You Are Pregnant 

Is it safe to travel during pregnancy? 

 Usually it is safe to travel during the first 8 months of pregnancy. The main concerns with travel during pregnancy are access to medical care, discomfort, getting enough exercise and fluids, and having a healthy diet. If you have any medical or obstetric complications, such as poorly controlled diabetes, placental problems, or pregnancy-induced high blood pressure, your provider may recommend that you not travel at any time during your pregnancy. If you plan to travel, discuss the trip with your health care provider. Talk about: 

• the distance and length of the trip
• the mode of travel
• any suggestions for things you should or should not do before, during, and after the trip.

 Generally, the safest time to travel during pregnancy is the second trimester (13 to 28 weeks). At this time you probably feel your best and you are in the least danger of having a miscarriage or premature labor. Avoid traveling any long distance during the last 2 or 3 weeks before your due date. If labor starts early, you will want to be close to home. 

What are the general guidelines for travel during pregnancy? 

• See your health care provider just before you leave on your trip. Ask your provider if you will need any prenatal care visits while you are traveling, and if so, where you might go for prenatal care.
• Take a copy of your prenatal record with you.
• Ask your healthcare provider for the name of a doctor in the city or area you will be visiting.
• Wear comfortable shoes and clothes.
• Eat healthy meals and snacks. Meals may be unpredictable while traveling. Carry snacks with you.
• Drink at least 6 to 8 glasses of water a day. Carry a water bottle with you.
• Do not take any medicines, including nonprescription medicines, without your health care provider's permission.
• Get up and walk often while you are traveling. If you have to sit for a long time, alternate pointing and raising your feet often. Walking and moving your arms improves blood flow in your body. This prevents blood clots from forming in the legs and pelvis.
• Unless it is absolutely necessary, do not plan any trips during the third trimester of your pregnancy.

What are the guidelines for traveling by car? 

• Do not ride in the car more than 6 hours each day. Stop every 1 to 2 hours for some exercise, such as walking.
• Always wear a seat belt. A seat belt is safe for both the mother and baby when worn properly. If the seat belt is only a lap belt, place it below your abdomen. If you have a shoulder and lap belt, place the lap portion under your abdomen and the shoulder belt across your shoulder and between the breasts. Air bags are safe but you must also wear the seat belt. The gas used in air bags is won't hurt you or the baby. If you are in an accident, you should see a doctor to check you and make sure you and your baby are fine.
• Motorcycle travel is not recommended during pregnancy.

What if I am traveling by bus or train? 

• You may have less opportunity to walk every couple of hours when you travel by bus. Take advantage of any stops the bus makes to get some exercise.
• When you are traveling by train, get up and walk every hour or two.
• Remember that there are fewer bathrooms on a bus than a train.
• The motion of a train ride will not cause any problems with the pregnancy, such as starting labor.

Are there special concerns for traveling by air? 

 Flying is usually a safe way to travel. Most domestic airlines will allow a pregnant woman to fly up to the 36th week of pregnancy if there are no problems with the pregnancy. Each airline has policies regarding pregnancy and flying. Check with your airline when you reserve your tickets to see if you need to complete any medical forms. Suggested guidelines for traveling by air are: 

• Try to get an aisle seat at the bulkhead (the wall that separates first class from coach) to have the most space and comfort. If you are more concerned about a smoother ride, you may prefer a seat over the wing in the midplane region.
• Wear layered clothing because the temperature in the cabin may change during the flight.
• Drink a lot of fluids because the air in the plane can be very dry.
• If you want a special meal on the plane, you can usually order it in advance on most flights.
• During smooth flights, walk every half hour and flex and stretch your ankles often to avoid swelling.
• Wear a seat belt below your abdomen whenever you are in your seat.

Are there any problems with traveling by sea or ship? 

 Seasickness is a concern for many people traveling by sea. Your health care provider may recommend medicine that helps prevent motion sickness and is safe during pregnancy. You might also consider trying acupressure wristbands. Be aware that the medical services on ships medical services are very limited. 

What are the guidelines for traveling internationally? 

 You should not travel out of the country without discussing it first with your health care provider. Your provider may decide foreign travel is not safe for you. If it is safe, your provider will let you know what should be done before you leave and when you arrive at your destination. You may want to register with an American Embassy or Consulate after you arrive. It is important things to make sure you have had all the shots you need for the countries you are planning to visit. Some immunizations cannot be given to pregnant women. Make sure your health insurance is valid abroad and during pregnancy. Also check that the policy covers a newborn if you were to give birth during your travels. Be especially cautious about what you eat in countries where traveler's diarrhea might be a problem. Diarrhea can cause dehydration, which reduces the blood flow to the placenta and your baby. 

• Boil potentially contaminated water.
• Eat only well-cooked meats and pasteurized dairy products.
• Avoiding pre-prepared salads.
• When you are pregnant, you should not use medicines that help prevent traveler's diarrhea.

 The Centers for Disease Control and Prevention (CDC) has an International Travelers Hotline for information on disease and world travel. The phone number is (404) 332-4559. The CDC travelers' health Web site is http://www.cdc.gov/travel.