travel and pregnancy

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• Section 6 - Medical Tourism
• Section 7 - Travel & Breastfeeding

Pregnant Travelers

Cdc yellow book 2024.

Author(s): Romeo Galang, I. Dale Carroll, Titilope Oduyebo

• The Pretravel Consultation

Infectious Disease Concerns

Environmental health concerns, transportation considerations.

Pregnancy can cause physiologic changes that require special consideration during travel. With careful preparation, however, most pregnant people can travel safely.

Pretravel Consultation

The pretravel consultation and evaluation of pregnant travelers ( Box 7-01 ) should begin with a careful medical and obstetric history, specifically assessing gestational age and the presence of factors and conditions that increase risk for adverse pregnancy outcomes. A visit with an obstetric health care provider also should be a part of the pretravel assessment to ensure routine prenatal care and identify any potential problems. Instruct pregnant travelers to carry with them a copy of their prenatal records and physician’s contact information.

Review the pregnant person’s travel itinerary, including accommodations, activities, and destinations, to guide pretravel health advice. Discourage pregnant travelers from undertaking unaccustomed vigorous activity. Swimming and snorkeling during pregnancy generally are safe, but falls during waterskiing have been reported to inject water into the birth canal. Most experts advise against scuba diving for pregnant people because of risk for fetal gas embolism during decompression (see Sec. 4, Ch. 4, Scuba Diving: Decompression Illness & Other Dive-Related Injuries ). Riding animals, bicycles, or motorcycles presents risks for abdominal trauma.

Educate pregnant people on how to avoid travel-associated risks, manage minor pregnancy discomforts, and recognize more serious complications. Advise pregnant people to seek urgent medical attention if they experience contractions or premature labor; symptoms of deep vein thrombosis (e.g., unusual leg swelling and pain in the calf or thigh) or pulmonary embolism (e.g., unusual shortness of breath); dehydration, diarrhea, or vomiting; severe pelvic or abdominal pain; symptoms of preeclampsia (e.g., severe headaches, nausea and vomiting, unusual swelling, vision changes); prelabor rupture of the membranes; or vaginal bleeding.

Box 7-01 Pretravel consultation for pregnant travelers: a checklist for health care providers

☐ Review vaccination history (e.g., COVID-19, hepatitis A, hepatitis B, measles, pertussis, rubella, varicella, tetanus) and update vaccinations as needed (see text for contraindications during pregnancy)

☐ Policies and paperwork

• Discuss supplemental travel insurance, travel health insurance, and medical evacuation insurance; research specific coverage information and limitations for pregnancy-related health issues
• Advise travelers to check airline and cruise line policies for pregnant travelers
• Provide letter confirming due date and fitness to travel
• Provide copy of medical records

☐ Prepare for obstetric care at destination

• Advise traveler to arrange for obstetric care at destination, as needed

☐ Review signs and symptoms requiring immediate care, including

• Contractions or preterm labor
• Deep vein thrombosis or pulmonary embolism symptoms, which include unusual swelling of leg with pain in calf or thigh, unusual shortness of breath
• Pelvic or abdominal pain
• Preeclampsia symptoms (e.g., unusual swelling, severe headaches, nausea and vomiting, vision changes)
• Rupture of membranes
• Vomiting, diarrhea, dehydration

Contraindications to Travel During Pregnancy

Absolute contraindications are conditions for which the potential harm of travel during pregnancy always outweighs the benefits of travel to the pregnant person or fetus. Relative contraindications are conditions for which travel should be avoided if the potential harm from travel outweighs its benefits ( Box 7-02 ).

Although travel is rarely contraindicated during a normal pregnancy, pregnancies that require frequent antenatal monitoring or close medical supervision might warrant a recommendation that travel be delayed. Educate pregnant travelers that the risk of obstetric complications is greatest in the first and third trimesters of pregnancy.

Box 7-02 Contraindications to travel during pregnancy

Absolute contraindications.

• Abruptio placentae
• Active labor
• Incompetent cervix
• Premature labor
• Premature rupture of membranes
• Suspected ectopic pregnancy
• Threatened abortion / vaginal bleeding
• Toxemia, past or present

RELATIVE CONTRAINDICATIONS

• Abnormal presentation
• Fetal growth restriction
• History of infertility
• History of miscarriage or ectopic pregnancy
• Maternal age <15 or >35 years
• Multiple gestation
• Placenta previa or other placental abnormality

Planning for Emergency Care

Obstetric emergencies are often sudden and life-threatening. Advise all pregnant travelers (but especially those in their third trimester or otherwise at high risk) to identify, in advance, international medical facilities at their destination(s) capable of managing complications of pregnancy, delivery (including by caesarean section), and neonatal problems. Counsel against travel to areas where obstetric care might be less than the standard at home.

Many health insurance policies do not cover the cost of medical treatment for pregnancy or neonatal complications that occur overseas. Pregnant people should strongly consider purchasing supplemental travel health insurance to cover pregnancy-related problems and care of the neonate, as needed. In addition, pregnant travelers should consider medical evacuation insurance coverage in case of pregnancy-related complications (see Sec. 6, Ch. 1, Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance ).

Medications

Over-the-counter drugs and nondrug remedies can help a pregnant person travel more comfortably. For instance, pregnant people can safely use a mild bulk laxative for constipation. In addition, several simple available remedies are effective in relieving the symptoms of morning sickness. Nonprescription remedies include ginger, available as a powder that can be mixed with food or drinks (e.g., tea), and as candy (e.g., lollipops). Similarly, pyridoxine (vitamin B6) is effective in reducing symptoms of morning sickness and is available in tablet form, as well as lozenges and lollipops. Antihistamines (e.g., dimenhydrinate, meclizine) often are used in pregnancy for morning sickness and motion sickness and appear to have a good safety record.

Carefully consider appropriate pain management and use of analgesics during pregnancy. Acetaminophen remains the nonopioid analgesic of choice during pregnancy. Although low-dose aspirin has been demonstrated to be relatively safe during pregnancy for certain clinical indications, it should be used cautiously. Aspirin can increase the incidence of abruption, and other anti-inflammatory agents can cause premature closure of the ductus arteriosus.

Various systems are used to classify drugs with respect to their safety in pregnancy . Refer to specific data about the effects of a given drug during pregnancy rather than depending on a classification. Counsel patients to help them make a balanced decision on the use of medications during pregnancy.

Vaccinations

In the best possible scenario, people should be up to date on routine vaccinations before becoming pregnant. The most effective way of protecting the infant against many diseases is to vaccinate the pregnant person. See a summary of current Advisory Committee on Immunization Practices (ACIP)  guidelines for vaccinating pregnant people .

Coronavirus Disease 2019

Pregnant people are more likely to become more severely ill from coronavirus disease 2019 (COVID-19) than people who are not pregnant. Having COVID-19 during pregnancy increases a person’s risk of complications that can affect their pregnancy. For these reasons, the Centers for Disease Control and Prevention (CDC) recommends that people who are pregnant, trying to get pregnant, or who might become pregnant in the future get vaccinated against COVID-19 . As of August 2022, the COVID-19 vaccines authorized or approved for use in the United States are nonreplicating vaccines that do not cause infection in the pregnant person or the fetus. Pregnant people may choose to receive any of the COVID-19 vaccines authorized or approved for use in the United States; the ACIP does not state a preference.

COVID-19 vaccination can be safely provided before pregnancy or during any trimester of pregnancy. Available vaccines are highly effective in preventing severe COVID-19, hospitalizations, and deaths; data have shown that the benefits of vaccination during pregnancy, to both the pregnant person and their fetus, outweigh any potential risks. Pregnant people might want to speak with their health care provider before making a decision about receiving COVID-19 vaccine , but a consultation is not required before vaccination. Side effects from COVID-19 vaccination in pregnant people are like those expected among nonpregnant people. Pregnant people can take acetaminophen if they experience fever or other post-vaccination symptoms.

The ACIP recommends that all people who are or who will become pregnant during the influenza season have an annual influenza vaccine using inactivated virus. Influenza vaccines can be administered during any trimester.

The safety of hepatitis A vaccination during pregnancy has not been determined; because hepatitis A vaccine is produced from inactivated virus, though, the risk to the developing fetus is expected to be low. Weigh the risk associated with vaccination against the risk for infection in pregnant people who could be at increased risk for exposure to hepatitis A virus. According to the ACIP, pregnant people traveling internationally are at risk of hepatitis A virus infection; ACIP recommends vaccination during pregnancy for nonimmune international travelers.

Limited data suggest that developing fetuses are not at risk for adverse events resulting from vaccination of pregnant people with hepatitis B vaccine (for details, see Sec. 5, Part 2, Ch. 8, Hepatitis B ). ACIP recommends vaccinating pregnant people identified as being at risk for hepatitis B virus infection during pregnancy; risk factors include >1 sex partner during the previous 6 months, being evaluated or treated for a sexually transmitted infection, recent or current injection drug use, or having a HBsAg-positive sex partner. In November 2021, ACIP recommended vaccination of all adults 19–59 years old.

Japanese Encephalitis

Data are insufficient to make specific recommendations for use of Japanese encephalitis vaccine in pregnant people (see Sec. 5, Part 2, Ch. 13, Japanese Encephalitis ).

Live-Virus Vaccines

Most live-virus vaccines, including live attenuated influenza, measles-mumps-rubella, live typhoid (Ty21a), and varicella, are contraindicated during pregnancy. Postexposure prophylaxis of a nonimmune pregnant person exposed to measles can be provided by administering measles immune globulin (IG) within 6 days of exposure; for varicella exposures, varicella-zoster IG can be given within 10 days. Advise people planning to become pregnant to wait ≥4 weeks after receiving a live-virus vaccine before conceiving.

Yellow Fever

Yellow fever vaccine is the exception to the rule about live-virus vaccines being contraindicated during pregnancy. ACIP considers pregnancy a precaution (i.e., a relative contraindication) for yellow fever vaccine. If travel is unavoidable, and the risk for yellow fever virus exposure outweighs the vaccination risk, it is appropriate to recommend vaccination. If the risks for vaccination outweigh the risks for yellow fever virus exposure, consider providing a medical waiver to the pregnant traveler to fulfill health regulations. Because pregnancy might affect immune responses to vaccination, consider performing serologic testing to document an immune response to yellow fever vaccine. Furthermore, if a person was pregnant (regardless of trimester) when they received their initial dose of yellow fever vaccine, they should receive 1 additional dose before they are next at risk for yellow fever virus exposure (see Sec. 5, Part 2, Ch. 26, Yellow Fever ).

Meningococcal

According to the ACIP , pregnant (and lactating) people should receive quadrivalent meningococcal vaccine, if indicated. Meningococcal vaccine might be indicated for international travelers, depending on risk for infection at the destination (see Sec. 5, Part 1, Ch. 13, Meningococcal Disease ).

No adverse events linked to inactivated polio vaccine (IPV) have been documented among pregnant people or their fetuses. Vaccination of pregnant people should be avoided, however, because of theoretical concerns. IPV can be administered in accordance with the recommended immunization schedule for adults if a pregnant person is at increased risk for infection and requires immediate protection against polio (see Sec. 5, Part 2, Ch. 17, Poliomyelitis ).

Administer rabies postexposure prophylaxis with rabies immune globulin and vaccine after any moderate- or high-risk exposure to rabies; consider preexposure vaccine for travelers who have a substantial risk for exposure (see Sec. 5, Part 2, Ch. 18, Rabies ).

Tetanus-Diphtheria-Pertussis

Tetanus, diphtheria, and acellular pertussis vaccine (Tdap) should be given during each pregnancy irrespective of a person’s history of receiving the vaccine previously. To maximize maternal antibody response and passive antibody transfer to the infant, optimal timing for Tdap administration is between 27 and 36 weeks’ gestation (earlier during this time frame is preferred), but it may be given at any time during pregnancy.

Malaria Prophylaxis

Malaria, caused by Plasmodium spp. parasites transmitted by mosquitoes, can be much more serious in pregnant than in nonpregnant people and is associated with high risks of illness and death for both mother and fetus. Malaria in pregnancy can be characterized by heavy parasitemia, severe anemia, and profound hypoglycemia, and can be complicated by cerebral malaria and acute respiratory distress syndrome. Placental sequestration of parasites might result in fetal loss due to abruption, premature labor, or miscarriage. An infant born to an infected mother is apt to be of low birth weight, and, although rare, congenital malaria is possible.

Because no prophylactic regimen provides complete protection, pregnant people should avoid or delay travel to malaria-endemic areas. If travel is unavoidable, the pregnant person should take precautions to avoid mosquito bites and use an effective prophylactic regimen.

Chloroquine is the drug of choice for pregnant travelers going to destinations with chloroquine-sensitive Plasmodium spp., and mefloquine is the drug of choice for pregnant travelers going to destinations with chloroquine-resistant Plasmodium spp. Doxycycline is contraindicated because of teratogenic effects on the fetus after the fourth month of pregnancy. Primaquine is contraindicated in pregnancy because the infant cannot be tested for glucose-6-phosphate dehydrogenase deficiency, putting the infant at risk for hemolytic anemia. Atovaquone-proguanil is not recommended because of lack of available safety data. A list of the available antimalarial drugs and their uses and contraindications during pregnancy can be found in Sec. 5, Part 3, Ch. 16, Malaria .

Travel Health Kits

In addition to the recommended travel health kit items for all travelers (see Sec. 2, Ch. 10, Travel Health Kits ), pregnant travelers should pack antacids, antiemetic drugs, graduated compression stockings, hemorrhoid cream, medication for vaginitis or yeast infection, prenatal vitamins, and prescription medications. Encourage pregnant travelers to consider packing a blood pressure monitor if travel will limit access to a health center where blood pressure monitoring is available.

Respiratory and urinary infections and vaginitis are more likely to occur and to be more severe during pregnancy. Pregnant people who develop travelers’ diarrhea or other gastrointestinal infections might be more vulnerable to dehydration than nonpregnant travelers. Stress the need for strict hand hygiene and food and water precautions (see Sec. 2, Ch. 8, Food & Water Precautions ). Drinking bottled or boiled water is preferable to chemically treated or filtered water. Pregnant people should not consume water purified by iodine-containing compounds because of potential effects on the fetal thyroid (see Sec. 2, Ch. 9, Water Disinfection ).

As mentioned previously, pregnant people are at increased risk for severe COVID-19–associated illness (e.g., requiring invasive ventilation or extracorporeal membrane oxygenation) and death compared with people who are not pregnant. Underlying medical conditions (e.g., chronic kidney disease, diabetes, obesity) and other factors (e.g., age, occupation) can further increase a pregnant person’s risk for developing severe illness. Additionally, pregnant people with COVID-19 are at greater risk for preterm birth and other adverse outcomes.

Pregnant people, recently pregnant people, and those who live with or visit them should take steps to protect themselves from getting COVID-19. CDC recommends that people (including those who are pregnant) not travel internationally until they are up to date with their COVID-19 vaccines . Additional information for international travelers is available at CDC's International Travel website.

Hepatitis A and hepatitis E are both spread by the fecal–oral route (see Sec. 5, Part 2, Ch. 7, Hepatitis A , and Sec. 5, Part 2, Ch. 10, Hepatitis E ). Hepatitis A has been reported to increase the risk for placental abruption and premature delivery. Hepatitis E is more likely to cause severe disease during pregnancy and could result in a case-fatality rate of 15%–30%; when acquired during the third trimester, hepatitis E is also associated with fetal complications and fetal death.

Listeriosis & Toxoplasmosis

Listeriosis and toxoplasmosis (see Sec. 5, Part 3, Ch. 23, Toxoplasmosis ) are foodborne illnesses of particular concern during pregnancy because the infection can cross the placenta and cause spontaneous abortion, stillbirth, or congenital or neonatal infection. Warn pregnant travelers to avoid unpasteurized cheeses and uncooked or undercooked meat products. Risk for fetal infection increases with gestational age, but severity of infection is decreased.

Other Parasitic Infections & Diseases

Parasitic infections and diseases can be a concern, particularly for pregnant people visiting friends and relatives in low- and middle-income countries. In general, intestinal helminths rarely cause enough illness to warrant treatment during pregnancy. Most, in fact, can be addressed safely with symptomatic treatment until the pregnancy is over. On the other hand, protozoan intestinal infections (e.g., Cryptosporidium , Entamoeba histolytica , Giardia ) often do require treatment. These parasites can cause acute gastroenteritis, severe dehydration, and chronic malabsorption resulting in fetal growth restriction. E. histolytica can cause invasive disease, including amebic liver abscess and colitis. Pregnant people also should avoid bathing, swimming, or wading in freshwater lakes, rivers, and streams that can harbor the parasitic worms (schistosomes) that cause schistosomiasis (see Sec. 5, Part 3, Ch. 20, Schistosomiasis ).

Travelers’ Diarrhea

The treatment of choice for travelers’ diarrhea is prompt and vigorous oral hydration; azithromycin or a third-generation cephalosporin may, however, be given to pregnant people if clinically indicated. Avoid use of bismuth subsalicylate because of the potential impact of salicylates on the fetus. In addition, fluoroquinolones are contraindicated in pregnancy due to toxicity to developing cartilage, as noted in experimental animal studies.

Vectorborne Infections

Pregnant people should avoid mosquito bites when traveling in areas where vectorborne diseases are endemic. Preventive measures include use of Environmental Protection Agency–registered insect repellants , protective clothing, and mosquito nets (see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods ). For details on yellow fever vaccine and malaria prophylaxis during pregnancy, see above.

Zika virus is spread primarily through the bite of an infected Aedes mosquito ( Ae. aegypti and Ae. albopictus ) but can also be sexually transmitted. The illness associated with Zika can be asymptomatic or mild; some patients report acute onset of conjunctivitis, fever, joint pain, and rash that last for several days to a week after infection.

Birth defects caused by Zika virus infection during pregnancy include brain, eye, and neurodevelopmental abnormalities. Because of the risk for birth defects, CDC recommends pregnant people avoid travel to areas with a Zika outbreak, and, for the duration of the pregnancy, to avoid sex or use condoms with anyone who has traveled to a risk area.

Advise pregnant people considering travel to areas with Zika to carefully assess the risks of Zika infection during pregnancy; provide information about prevention strategies, signs and symptoms, and the limitations of Zika testing. Pregnant people should strictly follow steps to prevent mosquito bites and sexual transmission. See additional information, including the most current list of countries and territories where Zika is active . Guidance for pregnant people can be found on the CDC Zika website .

Pregnant people should be aware of specific current environmental issues in their international destinations (e.g., natural disasters, special events or gatherings, travel warnings). More information can be found at the CDC Travelers’ Health website and on the destination pages of the US Department of State website.

Air Quality

Air pollution causes more health problems during pregnancy because ciliary clearance of the bronchial tree is slowed, and mucus is more abundant. For more details on traveling to destinations where air quality is poor, see Sec. 4, Ch. 3, Air Quality & Ionizing Radiation .

Extremes of Temperature

Body temperature regulation is not as efficient during pregnancy, and temperature extremes can create more physiological stress on the pregnant person (see Sec. 4, Ch. 2, Extremes of Temperature ). In addition, increases in core temperature (e.g., heat exhaustion, heat stroke), might harm the fetus. The vasodilatory effect of a hot environment and dehydration might cause fainting. For these reasons, then, encourage pregnant travelers to seek air-conditioned accommodations and restrict their level of activity in hot environments. If heat exposure is unavoidable, the duration should be as short as possible to prevent an increase in core body temperature. Pregnant travelers should take measures to avoid dehydration and hyperthermia.

High Elevation Travel

Pregnant people should avoid activities at high elevation unless they have trained for and are accustomed to such activities; those not acclimated to high elevation might experience breathlessness and palpitations. The common symptoms of acute mountain sickness (insomnia, headache, and nausea) frequently are associated with pregnancy, and it might be difficult to distinguish the cause of the symptoms. Most experts recommend a slower ascent with adequate time for acclimatization. No studies or case reports show harm to a fetus if the mother travels briefly to high elevations during pregnancy; recommend that pregnant people not sleep at elevations >12,000 ft (≈3,600 m) above sea level, if possible. Probably the greatest concern is that high-elevation destinations often are inaccessible and far from medical care (see Sec. 4, Ch. 5, High Elevation Travel & Altitude Illness ).

Advise pregnant people to follow safety instructions for all forms of transport and to wear seat belts, when available, on all forms of transportation, including airplanes, buses, and cars (see Sec. 8, Ch. 5, Road & Traffic Safety ). A diagonal shoulder strap with a lap belt provides the best protection. The shoulder belt should be worn between the breasts with the lap belt low across the upper thighs. When only a lap belt is available, pregnant people should wear it low, between the abdomen and across the upper thighs, not above or across the abdomen.

Most commercial airlines allow pregnant travelers to fly until 36 weeks’ gestation. Some limit international travel earlier in pregnancy, and some require documentation of gestational age. Pregnant travelers should check with the airline for specific requirements or guidance, and should consider the gestational age of the fetus on the dates both of departure and of return.

Most commercial jetliner cabins are pressurized to an equivalent outside air pressure of 6,000–8,000 ft (≈1,800–2,500 m) above sea level; travelers might also experience air pressures in this range during travel by hot air balloon or on noncommercial aircraft. The lower oxygen tension under these conditions likely will not cause fetal problems in a normal pregnancy. People with pregnancies complicated by conditions exacerbated by hypoxia (e.g., preexisting cardiovascular problems, sickle cell disease, severe anemia [hemoglobin <8.0 g/dL], intrauterine fetal growth restriction) could, however, experience adverse effects associated with low arterial oxygen saturation.

Risks of air travel include potential exposure to communicable diseases, immobility, and the common discomforts of flying. Abdominal distention and pedal edema frequently occur. The pregnant traveler might benefit from an upgrade in airline seating and should seek convenient and practical accommodations (e.g., proximity to the lavatory). Pregnant travelers should select aisle seating when possible, and wear loose fitting clothing and comfortable shoes that enable them to move about more easily and frequently during flights.

Some experts report that the risk for deep vein thrombosis (DVT) is 5–10 times greater among pregnant than nonpregnant people, although the absolute risk is low. To help prevent DVT, pregnant travelers should stay hydrated, stretch frequently, walk and perform isometric leg exercises, and wear graduated compression stockings (see Sec. 8, Ch. 3, Deep Vein Thrombosis & Pulmonary Embolism ).

Cosmic radiation during air travel poses little threat to the fetus but might be a consideration for pregnant travelers who fly frequently (see Sec. 9, Ch. 3, . . . perspectives: People Who Fly for a Living—Health Myths & Realities ). Older airport security machines are magnetometers and are not harmful to the fetus. Newer security machines use backscatter x-ray scanners, which emit low levels of radiation. Most experts agree that the risk for complications from radiation exposure from these scanners is extremely low.

Cruise Ship Travel

Most cruise lines restrict travel beyond 24 weeks’ gestation (see Sec. 8, Ch. 6, Cruise Ship Travel ). Cruise lines might require pregnant travelers to carry a physician’s note stating that they are fit to travel, including the estimated date of delivery. Pregnant people should check with the cruise line for specific requirements or guidance. For pregnant travelers planning a cruise, provide advice about gastrointestinal and respiratory infections, motion sickness (see Sec. 8, Ch. 7, Motion Sickness ), and the risk for falls on a moving vessel, as well as the possibility of delayed care while at sea.

The following authors contributed to the previous version of this chapter: Diane F. Morof, I. Dale Carroll

Bibliography

Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al.; PregCOV-19 Living Systematic Review Consortium. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ. 2020;370:m3320.

Bisson DL, Newell SD, Laxton C; on behalf of the Royal College of Obstetricians and Gynaecologists. Antenatal and postnatal analgesia. BJOG. 2018;126(4):114–24.

Centers for Disease Control and Prevention. Guidelines for vaccinating pregnant women. Atlanta: The Centers; 2014. Available from: www.cdc.gov/vaccines/pregnancy/hcp-toolkit/guidelines.html .

Dotters-Katz S, Kuller J, Heine RP. Parasitic infections in pregnancy. Obstet Gynecol Surv. 2011;66(8):515–25.

Hezelgrave NL, Whitty CJ, Shennan AH, Chappell LC. Advising on travel during pregnancy. BMJ. 2011;342:d2506.

Irvine MH, Einarson A, Bozzo P. Prophylactic use of antimalarials during pregnancy. Can Fam Physician. 2011;57(11):1279–81.

Magann EF, Chauhan SP, Dahlke JD, McKelvey SS, Watson EM, Morrison JC. Air travel and pregnancy outcomes: a review of pregnancy regulations and outcomes for passengers, flight attendants, and aviators. Obstet Gynecol Surv. 2010;65(6):396–402.

Rasmussen SA, Jamieson DJ, Honein MA, Petersen LR. Zika virus and birth defects—reviewing the evidence for causality. N Engl J Med. 2016;374(20):1981–7.

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• Pregnancy Classes

Travel During Pregnancy

As long as there are no identified complications or concerns with your pregnancy, it is generally safe to travel during your pregnancy. The ideal time to travel during pregnancy is the second trimester .  In most cases, you are past the morning sickness of the first trimester and several weeks from the third stage of pregnancy when you are more easily fatigued .

Is it safe to travel during pregnancy?

Traveling by air is considered safe for women while they are pregnant; however, the following ideas might make your trip safer and more comfortable.

• Most airlines allow pregnant women to travel through their eighth month. Traveling during the ninth month is usually allowed if there is permission from your health care provider.
• Most airlines have narrow aisles and smaller bathrooms, which makes it more challenging to walk and more uncomfortable when using the restroom. Because of potential turbulence that could shake the plane, make sure you are holding on to the seatbacks while navigating the aisle.
• You may want to choose an aisle seat which will allow you to get up more easily to reach the restroom or just to stretch your legs and back.
• Travel on major airlines with pressurized cabins and avoid smaller private planes. If you must ride in smaller planes, avoid altitudes above 7,000 feet.
• Although doubtful, the risk of DVT can be further reduced by wearing compression stockings.

The Royal College of Obstetricians and Gynaecologists and the International Air Travel Association recommend that expecting mothers in an uncomplicated pregnancy avoid travel from the 37th week of pregnancy through birth. Avoiding travel from 32 weeks through birth is recommended for women who have complicated pregnancies with risk factors for premature labor, such as mothers carrying multiples.

Risk factors that warrant travel considerations include the following:

• Severe anemia
• Cardiac disease
• Respiratory disease
• Recent hemorrhage
• Current or recent bone fractures

Traveling by Sea During Pregnancy

Traveling by sea is generally safe for women while they are pregnant; the motion of the boat may accentuate any morning sickness or make you feel nauseous all over again. There are a few considerations to make your trip safer and more comfortable:

• Check with the cruise line to ensure that there is a health care provider on board in case there are any pregnancy complications .
• Review the route and port-of-calls to identify if there is access to any medical facilities if needed.
• Make sure any medications for seasickness are approved for women who are pregnant and that there is no risk to the developing baby.
• Seasickness bands use acupressure points to help prevent upset stomach and maybe a good alternative to medication.

International Travel During Pregnancy

Traveling overseas has the same considerations that local or domestic travel has, but it also has additional concerns that you need to know about before making an international trip. The information below is provided to help you assess whether an international trip is good for you at this time:

• It is important to talk with your health care provider before you take a trip internationally to discuss safety factors for you and your baby.
• Discuss immunizations with your health care provider and carry a copy of your health records with you.
• With international travel, you may be exposed to a disease that is rare here in the United States but is common in the country you visit.
• Contact the Centers for Disease Control and Prevention at (800) 311-3435 or visit their website at www.cdc.gov to receive safety information along with immunization facts related to your travels.
• Diarrhea is a common concern when traveling overseas because you may not be used to the germs and organisms found in the food and water of other countries. This can lead to a problem of dehydration .

Here are some tips to avoid diarrhea and help keep you safe:

• Drink plenty of bottled water
• Used canned juices or soft drinks as alternatives
• Make sure the milk is pasteurized
• Avoid fresh fruits and vegetables unless they have been cooked or can be peeled (such as an orange or a banana)
• Make certain that all meat and fish has been cooked completely; if you are unsure, do not eat it

Travel Tips During Pregnancy

Whether you are going by car, bus, or train, it is generally safe to travel while you are pregnant; however, there are some things to consider that could make your trip safer and more comfortable.

• It is essential to buckle-up every time you ride in a car. Make sure that you use both the lap and shoulder belts for the best protection of you and your baby.
• Keep the airbags turned on. The safety benefits of the airbag outweigh any potential risk to you and your baby.
• Buses tend to have narrow aisles and small restrooms. This mode of transportation can be more challenging.  The safest thing is to remain seated while the bus is moving. If you must use the restroom, make sure to hold on to the rail or seats to keep your balance.
• Trains usually have more room to navigate and walk. The restrooms are usually small. It is essential to hold on to rails or seat backs while the train is moving.
• Try to limit the amount of time you are cooped up in the car, bus, or train. Keep travel time around five to six hours.
• Use rest stops to take short walks and to do stretches to keep the blood circulating.
• Dress comfortably in loose cotton clothing and wear comfortable shoes.
• Take your favorite pillow.
• Plan for plenty of rest stops, restroom breaks and stretches.
• Carry snack foods with you.
• If you are traveling any distance, make sure to carry a copy of your prenatal records.
• Enjoy the trip.

Want to Know More?

• How to Treat Jet Lag Naturally During Pregnancy

Compiled using information from the following sources:

1. Planning Your Pregnancy and Birth Third Ed. The American College of Obstetricians and Gynecologists, Ch. 5. William’s Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 8.

2. Royal College of Obstetricians and Gynaecologists, Air Travel and Pregnancy (Scientific Impact Paper No. 1), https://www.rcog.org/uk, May 22, 2013.

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9 Tips for Traveling While Pregnant

An ob-gyn shares advice about traveling while pregnant and what you can do to stay safe..

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For many, the holiday season is a time to travel and gather with family and friends. For expectant mothers, holiday travel, coupled with the ongoing challenges posed by the flu, RSV (respiratory syncytial virus), and COVID-19, can introduce a unique set of considerations and uncertainties. Traveling while pregnant may require some extra precautions to ensure their comfort and safety as well as the baby’s safety.

“For those with a low-risk pregnancy, travel is generally considered safe,” says Dr. Cassandra Simmons , division chief of General Obstetrics & Gynecology at NewYork-Presbyterian Westchester. “Most patients should feel comfortable benefiting from the positive aspects of travel during holidays — by car or by plane — and be able to enjoy their time with friends and family.”

Health Matters spoke with Dr. Simmons to learn what advice she has for people traveling while pregnant.

Dr. Cassandra Simmons

1. Check in with your doctor before traveling.

Travel is not recommended for those with certain complications, such as preeclampsia , preterm labor, or pre-labor rupture of membranes (PROM).

According to Dr. Simmons, there may be slightly higher risk associated with traveling in the first trimester (when there is a greater risk of bleeding) and the third trimester (when you’re closer to delivery). Most doctors advise a pregnant person not to fly by commercial flight after 36 weeks of pregnancy. In fact, most airlines restrict air travel for pregnant people if they are close to their due date. “As one approaches their due date, the risk of labor exists, and medical care in flight is limited or not available at all,” says Dr. Simmons.

2. Plan for unexpected situations.

Locate the closest obstetric healthcare provider and hospital, regardless of where you’re traveling. “When traveling domestically and internationally, you should ensure that there are options for obstetric care near your destination so that you have a place to go if you experience unexpected symptoms related to your pregnancy while traveling,” says Dr. Simmons.

3. Stay up to date on vaccinations.

Make sure you’re up to date on your flu and COVID-19 vaccines. If you plan to travel internationally, keep in mind that some countries require specific vaccines. While some vaccines are safe during pregnancy, others may not be. “Communicate with your provider as to what vaccines are recommended based on the country to which you plan to travel,” says Dr. Simmons.

4. Take extra precautions when traveling internationally.

It’s best to avoid areas with a high risk of infectious diseases — such as malaria or Zika, two mosquito-borne diseases. Check the Centers for Disease Control and Prevention (CDC) website for current information on countries where Zika and malaria are reported. Dr. Simmons reminds pregnant people that “the main way to mitigate risk with regard to malaria and Zika is to avoid infection altogether.”

If you absolutely must travel to areas where malaria and Zika are reported, you will need to use long-acting insect repellents that are safe for use while pregnant, like EPA-registered bug spray with DEET, picaridin, IR3535, or oil of lemon eucalyptus. Wear long-sleeved shirts and pants to protect against mosquito bites. If you’re going to a malaria-endemic area, your doctor will prescribe anti-malarial pills that are safe during pregnancy.

If you’re in a country where tap water is unsafe to drink, remember to stick with bottled water — even for things like brushing your teeth — to reduce the risk of gastrointestinal (GI) infection.

5. Wear your seat belt low and snug across your hips, not over your belly.

“For comfort and safety, avoid placing your seat belt on top of your pregnant abdomen,” says Dr. Simmons. It should be worn under your belly, just above your hips.

6. If you’re on a long flight or long car ride, get up and move often to help prevent blood clots.

During pregnancy, you are at an increased risk of developing what is called deep vein thrombosis (a blood clot in a deep vein in the body, like in the leg). Sitting for too long, as during a car or plane ride, can exacerbate blood clots. “Avoid sitting or standing in one position for extended periods,” explains Dr. Simmons. Anything you can do to improve blood flow helps. For flights, stand and walk up and down the aisle of the plane every hour. Choosing an aisle seat may make it easier to get up often. For long car rides, try and stop every hour to stretch your legs. If you can’t get up and walk around, “even calf raises in your seat help with circulation when you are sedentary during travel,” says Dr. Simmons.

“Wearing compression socks is another way to promote circulation while on a long trip,” adds Dr. Simmons. These tight-fitting socks reach up to the knees and help with blood flow and circulation.

"Most patients should feel comfortable benefiting from the positive aspects of travel during holidays — by car or by plane — and be able to enjoy their time with friends and family." — Dr. Cassandra Simmons

7. Be prepared with comfortable clothing, snacks, water, and anti-nausea medicines.

Whether you have a two-hour drive or a six-hour flight ahead of you, wear comfortable clothing and shoes. Keep snacks and water on hand as well, “to stay hydrated and keep up with the metabolic demands of being pregnant,” says Dr. Simmons. And if you’re feeling nauseous or have GI discomfort while traveling, Reglan, Dramamine, and Imodium are considered safe to take while pregnant.

8. Mask up and use hand sanitizer.

“I advise my pregnant patients to wear a mask when traveling or when in the presence of large crowds, as an added precaution for safety for themselves and their unborn babies,” says Dr. Simmons. Because COVID-19, RSV, and the flu are all airborne viruses — meaning they spread through tiny respiratory droplets in the air — wearing a mask adds a layer of protection. You may also want to ask family members, friends, and loved ones to take a COVID-19 test prior to large gatherings.

And don’t forget to wash your hands and use hand sanitizer often. Keep sanitizer handy, especially if you are traveling with young children. Keep their hands sanitized as well to help keep your family safe.

9. Upon arrival, avoid any unsafe activities.

“It’s important that you enjoy your planned activities, but try and avoid adventures that may significantly increase your risk of trauma while pregnant,” says Dr. Simmons. For example, if you’re going to an amusement park or participating in an activity that could put you at risk of falling or for sudden jerky movements (like skiing or other high-impact sports), it’s important to proceed cautiously. Stick to lower-impact exercises and sports like jogging, walking, or swimming.

Cassandra Blot Simmons, M.D. , is chief of the Division of General Obstetrics & Gynecology at NewYork-Presbyterian Westchester and NewYork-Presbyterian/Columbia University Irving Medical Center. She is also an assistant professor of obstetrics and gynecology at Columbia University Vagelos College of Physicians and Surgeons. Dr. Simmons specializes in women’s gynecological health and obstetrics care before, during, and after pregnancy.

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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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Here Are the Rules for Flying When You're Pregnant

Whether you're newly pregnant or planning a babymoon right before welcoming your baby, here's what parents-to-be need to know about airline travel during each trimester.

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Expectant parents need to know: Can you fly when pregnant?

While it's mostly OK to travel until the last few weeks of pregnancy, there are some precautions to take depending on when you decide to book a trip and how high risk your pregnancy is. Here's what you need to know before your next vacation.

Pregnancy and Flying: Your Trimester by Trimester Guide

As a general rule of thumb, most airlines will allow pregnant people to fly right up until week 36 of pregnancy, but you should absolutely do your research before booking your flight to check restrictions. You'll also want to consult with your OB-GYN or midwife before traveling—especially if you're at a higher risk for complications during pregnancy.

Before you travel

While you may be accustomed to planning a vacation on a whim or only packing your usual necessities, there's one extra thing you should consider doing before booking a flight during your pregnancy: Opt for travel insurance.

Should travel restrictions change, your health care provider recommends you stay home, or if you experience any concerning symptoms —like bleeding, abdominal pain, swelling, headaches, vision changes, or decreased fetal movement—you'll want to postpone or cancel your plans and see your doctor as soon as possible.

According to the ACOG, travel is not recommended for pregnant people with certain complications like preeclampsia, premature rupture of membranes (PROM), or who are at risk of preterm labor.

First trimester

Flying earlier on in pregnancy is actually considered pretty safe. And, no, metal detectors won't harm your fetus.

"Pregnant women can observe the same basic precautions for air travel as the general public," Raul Artal, M.D., former vice chairman of the American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice, previously told Parents .

One thing pregnant air travelers should take extra precautions to avoid at any trimester? Blood clots, which pregnant people are 7 times more likely to develop—especially during long flights. To help minimize your risk, you can book an aisle seat, walk around every so often, and wiggle your legs and toes while seated.

And since morning sickness and fatigue might be your biggest first trimester complaints, you may want to check with your health care provider about bringing anti-nausea medicine with you.

Second trimester

According to the ACOG, "The best time to travel is mid-pregnancy (14 to 28 weeks). During these weeks, your energy has returned, morning sickness is improved or gone, and you are still able to get around easily. After 28 weeks , it may be harder to move around or sit for a long time."

If you're flying during your second trimester, it's a good idea to stay hydrated, think about wearing support stockings to reduce edema and clot risk, and make sure you've done your research on hospitals located near your destination should an emergency arise.

Carrying twins or more? Your health care provider might recommend you stop traveling earlier due to the higher risk of complications.

Third trimester

How late in pregnancy can you fly? If you're relatively healthy—and not at risk of complications like preterm labor, preeclampsia, gestational diabetes, or placenta previa—then you're usually OK to travel up until 36 weeks, though some OB-GYNs may prefer you stay closer to your home near the end should you encounter any complications or in case your baby comes sooner than expected.

High-risk patients—and especially those with pregnancy-induced hypertension, diabetes, and sickle-cell disease—may be advised not to fly after 24 weeks—or not at all.

Check with your doctor before traveling at the end of your pregnancy.

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Travelling while pregnant

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

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

On this page

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

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

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

Before leaving Canada:

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

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

Pre-travel vaccines and medications

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

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

The decision can depend on:

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

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

Description of malaria risk by country and preventative measures.

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

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

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

Latest travel health advice on Zika virus.

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

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

Learn more about Zika virus and pregnancy:

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

Monitor your health and be prepared

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

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

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

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

Transportation

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

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

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

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

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

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

Always stay well hydrated while travelling.

Land travel

The risk of deep vein thrombosis can be reduced by:

• stopping the vehicle to walk around every couple of hours

Motion sickness

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

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

Environmental and recreational risks

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

High altitude

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

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

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

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

Personal protective measures

Food-borne and water-borne diseases.

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

This can include:

• toxoplasmosis
• listeriosis
• hepatitis A and E

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

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

Illnesses acquired from insect and other animals

Protect yourself from insect bites:

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

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

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

For help with emergencies outside Canada, contact the:

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

More information on services available at consular offices outside Canada.

Related links

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

Pregnancy Info

Your pregnancy Special considerations Travel and pregnancy

• Your pregnancy
• Special considerations
• Travel and pregnancy

Can I travel while I’m pregnant?

Most women need to travel at least some distances often locally and by car. Some women will have the need or desire to travel longer distances perhaps by car or airplane or other means . For most pregnant women, travel will be no problem in the first 20-24 weeks of pregnancy. Once you are past 24 weeks, you will need to consider how far you will be from home, what hazards the area you are travelling to may pose, and how you will get there. Long flights or road trips may be difficult once you are into the later stages of pregnancy. There may be issues regarding unanticipated needs for care related to the pregnancy while outside of Canada. This can be quite expensive and having Canadian health care coverage will probably not cover all the costs. Consider obtaining commercial coverage and ensure what the benefits are. If you will be travelling bring with you a copy of your pregnancy records to be given to the health care provider where you may be if necessary.

How do I travel by car safely while pregnant?

When travelling by car, always wear your seat belt and have it adjusted properly. This means having the lap belt across the bones of the pelvis. The cross-chest belt, as the uterus gets bigger, should be worn across the uterus. This protects both mother and baby in the case of an accident. If you will be travelling for long distances there is the risk of increased swelling your feet from prolonged sitting at a rare but serious risk of developing blood clots in veins in the legs. About every two hours, stop and get out and walk around for a few minutes. Remain well hydrated. In the later stages of pregnancy as delivery approaches, be sure you have a proper newborn child seat fitted to your vehicle.

Can I travel by air while I’m pregnant?

Major travel plans should be discussed with your health care provider as you may need vaccinations or other precautions while you are gone. If you are travelling internationally, check the Public Health Agency of Canada website for travel health and safety . Most airlines will allow pregnant women to fly up to and including the 36 th week of pregnancy. You may need a note from your health care provider – talk to your airline before you fly. It’s also a good idea to check that your travel insurance will cover your costs if you were to go into labour, and that it will cover the costs of your baby should your baby need special care. If you are traveling away from the community where you plan to deliver, ask your caregiver for a copy of your prenatal record in case you need to seek care while you are away. When you are on a longer flight, be sure to get up and stretch frequently and stay hydrated.

I’m travelling while pregnant, should I take any special precautions?

Vaccines. Depending on the area you are travelling to, you may need vaccines . In general, pregnant women are advised not to get live vaccines (measles, mumps, rubella), but can safely be given inactivated vaccines (Hepatitis B, tetanus, diphtheria).

Malaria . Travelling to areas where contracting malaria is possible is best avoided. Getting malaria while you are pregnant can cause health problems for both you and your baby. If you have no choice but to travel to an area where malaria is present, talk to your health care provider about the possibility of taking an anti-malarial medication.

Zika virus . Zika virus is a mosquito-transmitted virus that generally causes mild symptoms, but is associated with microcephaly in infants whose mothers contract the virus during pregnancy. Avoid travel to areas of where there are outbreaks of Zika virus . If this is unavoidable, you should follow strict measures to prevent yourself from getting mosquito bites. The SOGC and the Public Health Agency of Canada are continuing to monitor Zika’s spread and impact. The SOGC’s Infectious Disease Committee has prepared an FAQ on the latest guidance on Zika virus.

Deep vein thrombosis . Deep vein thrombosis is when you develop blood clots, often in the legs. If your travel plans will require you to sit for prolonged periods of time, be sure you get up and stretch your legs regularly. A walk up and down the aisle every 30-60 minutes can reduce your risk.

High altitude. Except for air travel, pregnant women should avoid altitudes above 3658 m (12,000 ft.). In later pregnancy, or if your pregnancy is high risk, you should stay below 2500 m (8,200 ft.).

Safe food and water. If you are travelling to an area where the drinking water may be of poor quality or food-borne illness is common, take extra precautions. Drink only bottled water and eat well cooked food. Avoid unpasteurized dairy products and raw or undercooked meat or fish. If you develop diarrhea or vomiting, contact a health care provider as soon as possible. Don’t use Pepto Bismol® to treat any stomach upset.

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Advice for pregnant travellers.

If you're pregnant and planning to travel overseas, research your destination before you go. Consult your doctor and understand potential risks to you and your unborn child. Being informed about the risks will help you manage them. It will increase your chance of having a great time overseas. Explore this page to learn about:

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

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

Planning for travel during pregnancy

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

Timing your travel

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

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

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

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

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

Choosing where to travel when you're pregnant

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

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

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

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

See a doctor before you go

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

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

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

Buy travel insurance to cover pregnancy

You need travel insurance.

Ask your travel insurer if your policy covers:

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

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

Read more about travel ins urance .

Medications and pregnancy

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

Get the facts, before you go.

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

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

Terminating pregnancy overseas (abortion)

Abortion and the law.

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

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

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

• Understand our limits. Read the Consular Services Charter .

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

Choose the safest option, not the cheapest option.

Read more about medical assistance overseas .

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

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

Read more about travel insurance .

Going overseas to give birth

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

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

Citizenship and passports

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

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

In Australia

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

Consular officials can assist with your child's passport .

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

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

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

Supplies and services

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

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

Learn more about medical assistance overseas .

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

Learn more about staying safe and avoiding danger .

Consular services and pregnancy

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

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

What we can do

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

What we can't do

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

Final tips before you go

Prepare before you travel:

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

Related content

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

Many Australians adopt children from other countries. There are legal implications surrounding overseas adoptions both in Australia and in the child's country.

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

Pregnant And Traveling Solo: Is It Safe?

• Last updated Aug 28, 2024
• Difficulty Beginner

• Category Travel

Travelling while pregnant is generally considered safe, but there are a few things to keep in mind if you're planning a trip. Firstly, it's always a good idea to check with your healthcare provider beforehand to ensure that you don't have any medical conditions or complications that could make travelling risky. The second trimester is usually considered the ideal time to travel during pregnancy, as the risk of complications is lowest during this period, and nausea from the first trimester has typically faded. It's also important to be aware of any outbreaks of illness or disease at your destination, such as Zika or COVID-19, which can be harmful to both pregnant women and their fetuses. Having travel insurance that covers pregnancy-related medical care is essential, and taking precautions such as wearing compression stockings and staying hydrated can help prevent blood clots during long journeys.

What You'll Learn

Travel insurance, travel vaccinations, flying while pregnant, car travel in pregnancy, cruise travel in pregnancy.

Pregnancy is typically not considered a pre-existing medical condition, but it is important to declare your pregnancy to your travel insurance provider to ensure you are covered for any pregnancy-related issues. Standard travel insurance may cover pregnancy-related medical care, but specialised pregnancy travel insurance can offer more comprehensive coverage for single trips, including pregnancy complications and early birth.

The ideal time to travel during pregnancy is generally considered to be the second trimester, as the risk of complications is lower and nausea from the first trimester has likely subsided. However, it is always best to consult with a healthcare provider before booking a trip, as they can advise on the safest time to travel based on individual circumstances.

Vaccinations and Destinations:

When travelling while pregnant, it is important to be cautious about destinations that require certain vaccinations or have a risk of diseases like Zika or malaria, which can be harmful during pregnancy. The NHS strongly advises pregnant women to avoid travel to such areas. Always consult a healthcare provider for advice on vaccinations and travel destinations.

Airline Policies:

Different airlines have varying policies regarding travel during pregnancy, and it is essential to check these policies before booking a flight. Some airlines may require a medical certificate or a letter from a healthcare provider confirming the due date and fitness to fly, especially for travel during the later stages of pregnancy.

Documentation:

When travelling while pregnant, it is recommended to carry relevant documentation, including travel insurance policy details, maternity notes, and a valid GHIC/EHIC card if travelling to Europe. Keeping receipts and paperwork is also important in case a claim needs to be made.

Medical Advice:

It is crucial to seek medical advice before travelling while pregnant. Travelling against medical advice may invalidate travel insurance policies, and it is important to ensure that the trip is safe for both mother and baby. Healthcare providers can also advise on vaccinations, activities to avoid, and any necessary precautions.

Making Secure Travel Arrangements: A Step-by-Step Guide to Purchasing Traveler's Checks

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Travelling while pregnant is generally considered safe, but it is always a good idea to consult a healthcare professional before making any travel plans. The second trimester is often cited as the best time to travel during pregnancy, as the risk of complications is lowest during this period, and nausea from the first trimester has likely passed.

When it comes to travel vaccinations, it is important to note that most vaccines that use live bacteria or viruses are not recommended during pregnancy due to potential harm to the baby. However, some live travel vaccines may be considered if the risk of infection is higher than the risk of live vaccination. Non-live or inactivated vaccines are generally safe to use during pregnancy.

• Influenza vaccine: This vaccine is recommended for pregnant women as it reduces the risk of hospitalisation from the flu. It also provides protection for the baby, reducing the risk of influenza in infants by 48% and lowering the risk of hospitalisation by 72%.
• Tdap (tetanus-diphtheria-acellular pertussis) vaccine: The Tdap vaccine is recommended during pregnancy to protect against tetanus, diphtheria, and pertussis (whooping cough). It is advised to get the Tdap vaccine between 27 and 36 weeks of pregnancy to safeguard the baby during their first two months, until they receive their first Tdap vaccine.
• COVID-19 vaccine: Pregnant women who contract COVID-19 are at a higher risk of requiring hospitalisation, including ICU admission. The COVID-19 vaccine protects both the mother and the newborn, as antibodies are passed through the placenta.
• RSV (respiratory syncytial virus) vaccine: In August 2023, the FDA approved the use of the RSV vaccine in pregnant women to prevent lower respiratory tract disease (LRTD) caused by RSV. The vaccine provides protection for newborns up to six months of age.
• MMR (measles, mumps, and rubella) vaccine: The MMR vaccine is not recommended during pregnancy because it is made from a live, attenuated (weakened) virus. While studies have shown no risk to the pregnancy, contracting rubella during pregnancy can lead to adverse outcomes such as miscarriage, preterm birth, stillbirth, and birth defects.
• Chickenpox (varicella) vaccine: Similar to the MMR vaccine, the chickenpox vaccine is also made from a live, attenuated virus, so it is recommended that pregnant women avoid it.
• HPV (human papillomavirus) vaccine: The HPV vaccine is not recommended during pregnancy because it has not been extensively studied in pregnant women. However, if a woman finds out she is pregnant after starting the HPV vaccine series, the remaining doses should be delayed until after pregnancy.
• Malaria: Malaria in pregnancy poses significant risks, including miscarriage, premature delivery, low birth weight, severe illness, and death for both the mother and the unborn baby. Therefore, non-essential travel to malaria-endemic areas should be avoided. If travel is unavoidable, seek expert advice on malaria medication and mosquito bite prevention.

It is important to consult with a healthcare professional to determine which vaccinations are appropriate for your specific travel plans and pregnancy. They will be able to advise on the risks and benefits of each vaccine and ensure that you are adequately protected during your journey.

How Can a Travel Agency Assist with Visa Application Submissions?

The second trimester is usually considered the ideal time to travel during pregnancy. This is when the risk of complications is lowest, and the discomfort of the first trimester has likely passed. However, as you get closer to your due date, it is generally advised to stay closer to home.

If you do fly during pregnancy, be mindful of the risk of blood clots, especially on long-distance flights. To reduce this risk, it is important to stay hydrated, move around regularly (at least every 30 minutes), and wear compression stockings. Additionally, avoid carbonated drinks before and during the flight, as gas expands at high altitudes and can cause discomfort.

Before flying, ensure you have all the necessary documentation, including a letter from your healthcare provider confirming your due date and any relevant medical records. It is also essential to have adequate travel insurance that covers any pregnancy-related eventualities, such as pregnancy-related medical care, premature birth, or changing your return trip if needed.

Britons' Wanderlust: Abroad or Homebound?

Car travel is generally safe for most pregnant people. However, if you have complications, your doctor may advise you to stick to shorter journeys closer to home. Unless you're on bed rest or have other doctor-imposed limitations, you should be able to travel by car.

Planning and Preparation

Before embarking on your journey, it is important to consult with your doctor to ensure you are medically fit to travel. They can provide valuable guidance based on your health conditions and the stage of your pregnancy. It is also recommended to have a prenatal check-up before you leave, where your doctor can confirm your due date and advise whether you are up-to-date on your vaccinations.

It is advisable to plan your route in advance, including frequent stops to stretch your legs, use the restroom, and take short walks to promote circulation. Identify safe places to stop along the way, and be mindful of your destination—avoid travelling to extremely remote areas where medical care may be difficult to access in an emergency.

On the Journey

It is important to stay hydrated by drinking water regularly and eating natural, energy-giving foods such as fruits and nuts. Keep snacks and water within easy reach during the journey.

Wear comfortable, loose-fitting clothing and avoid restrictive shoes to promote circulation and prevent swelling.

Ensure the car has good air circulation and that you are comfortable. Adjust the car seat to a position that supports your back, and use cushions or pillows for additional support, especially for your lower back.

Seat Belt Safety

Always wear your seat belt. The National Highway Traffic Safety Administration (NHTSA) recommends wearing the shoulder belt away from your neck and across your chest, with the lap belt secured below your bump and across your hips. Keep as much distance as possible between your bump and the steering wheel while still being able to reach the wheel and pedals comfortably.

Preventing Blood Clots

Pregnant people have a heightened risk of developing blood clots, and this risk increases with travel. To help prevent blood clots, wear compression stockings or support hosiery, especially on long car journeys (over 4 hours).

Get out of the car and walk around at least every two hours to increase blood flow to the lower body. Perform simple exercises in the car (when not driving) such as flexing and rotating your feet and wiggling your toes.

Travelling Companions

If possible, don't travel alone on long car journeys. Share the driving with a companion if you can, to avoid prolonged sitting, which can be uncomfortable in the later stages of pregnancy.

Emergency Plan

Have an emergency plan in place in case any unexpected health concerns arise. Take a copy of your medical records with you, and know the locations of hospitals or medical centres along your route and near your destination.

A Step-by-Step Guide on Converting Travel Credit to Refund

Congratulations on your pregnancy! If you're considering a cruise, there are a few things to keep in mind to ensure a safe and enjoyable trip. Firstly, it's important to consult with your doctor before planning any travel, especially if you've had a complicated pregnancy history. Most cruise lines restrict travel for pregnant women beyond the second trimester, which is typically considered the safest time to travel.

Choosing a Cruise Line

When choosing a cruise line, it's important to review their pregnancy policies. Many cruise lines have strict restrictions on travel for pregnant women starting from the third trimester due to potential pregnancy complications and the risk of preterm birth. Some cruise lines, such as Royal Caribbean International and Celebrity Cruises, do not allow passengers who are more than 23 weeks pregnant at any time during the cruise. These policies are in place because most cruise ships do not have the medical equipment and staff to handle pregnancy-related emergencies.

Travel Insurance and Medical Care

It is highly recommended to obtain travel insurance with medical coverage when booking a cruise during pregnancy. This will provide financial peace of mind in case of any pregnancy-related emergencies or the need for emergency medical evacuation. Most cruise ships offer limited medical facilities, but they may not have specialised obstetric or gynecological care. In the event of a serious complication, you may need to be transferred to a hospital onshore, which could be expensive and logistically challenging.

Shore Excursions and Activities

When booking shore excursions, pregnant women should consider their physical limitations and avoid activities that could pose a safety risk, such as ziplining, parasailing, or scuba diving. Onboard activities like rock climbing or skydiving simulations should also be approached with caution. Swimming is a great option for low-impact exercise, but pregnant women should avoid hot tubs and saunas. Spa treatments, such as prenatal massages and manicures, can be a relaxing option, but always consult with your doctor before booking any treatments.

Dietary Restrictions and Health Considerations

Pregnant women should be mindful of dietary restrictions during their cruise. The American Pregnancy Association advises avoiding raw or undercooked meats, fish with high mercury levels, smoked or raw seafood, raw eggs, and unpasteurized cheeses. Caffeine and alcohol consumption should also be limited or avoided. It is important to stay hydrated, especially in warm climates, and to take precautions to avoid communicable diseases like norovirus, which can be more dangerous during pregnancy.

Travel to the Cruise Port

If flying to your cruise port, review the airline's policies regarding travel for pregnant women, as they may have restrictions, especially in the later stages of pregnancy. Additionally, long-distance travel (over 4 hours) carries a small risk of blood clots, so staying hydrated and moving around regularly is important.

In summary, cruising during pregnancy can be a wonderful way to celebrate your growing family, but it requires careful planning and consultation with your doctor. Always prioritise your health and the well-being of your unborn child, and don't hesitate to ask for assistance from the cruise line or your travel advisor if needed.

Ensuring Safe Travels: Guidelines for Carrying Small CO2 Canisters in Checked Baggage

Frequently asked questions.

Travelling while pregnant is generally safe, but it is always best to consult your doctor or midwife before booking any trips. It is also important to be aware of the facilities at your destination in case you need urgent medical attention.

The second trimester (weeks 4-6 or 14-28) is often considered the best time to travel during pregnancy. By this point, nausea and vomiting from the first trimester have usually passed, and you are not yet in the final months of pregnancy, which can be tiring and uncomfortable.

It is recommended that you have a check-up with your doctor or midwife before travelling to ensure that it is safe for you to do so. You should also make sure you have travel insurance that covers any pregnancy-related situations, and carry a copy of your prenatal records and any relevant ultrasounds.

If you need to travel in the late stages of pregnancy, it is important to plan ahead. Research the locations of hospitals and medical centres near your destination, and make sure you have the contact information for your doctor or midwife. It may also be a good idea to research the nearest embassy or consulate in case you need to leave the country due to an emergency.

• Karisa Garcia Author Reviewer Traveller

• Alain Brady Author Reviewer

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Travelling While Pregnant: The 15 Best Places for a Babymoon With Points

Scheduling some travel while pregnant can be a thrilling and rejuvenating experience before the arrival of your child. However, selecting a country that meets your needs while being safe and comfortable can be difficult.

I’ve compiled a list of the 15 best places to travel while pregnant, ranging from relaxing beach holidays to cultural and historical sites, family-friendly vacations, and nature and outdoor areas. While there are many more destinations safe for travelling while pregnant such as Japan , Australia , New Zealand, etc., they are quite far away from Canada.

Credit Card and Point Strategies for Expecting Couples

The places to travel while pregnant mentioned in this article can easily be booked with Aeroplan points.

Furthermore, if you do not have the necessary points to make your babymoon come true, you can quickly earn the required amount to any of the destinations by simply signing-up for one or two credit cards:

Some of these credit cards are free the first year, others have a high fee that’s not exempt, but you should always think of it as the amount you have to pay to buy those precious points. Paying $599 to get enough points for your trip is a lot cheaper than $1,500!

The ® " href="https://milesopedia.com/en/go/amex-platinum-card/" rel="noindex">Platinum Card ® from American Express is also an excellent card for this purpose, as it allows you to earn a significant amount of Membership Rewards points in a short space of time, and in some cases, one card can be enough for both of you. Then you can transfer these points to your preferred programs for booking, whether Aeroplan , Avios, Flying Blue or others.

Paying a high fee for ® " href="https://milesopedia.com/en/go/amex-platinum-card/" rel="noindex">The Platinum Card ® by American Express can also be justified with the many travel perks the card provides, such as excellent travel insurance , access to over a thousand VIP lounges worldwide and much more.

Relaxing Beach Destinations for Pregnant Women

While the Zika outbreak has dialled down, physicians seem to have diverging opinions on whether to avoid some destinations or not while pregnant. Therefore, it is best to check with your doctor and assess your risk tolerance before considering them.

The following places are Zika-free so they are ideal for traveling while pregnant.

Hawaii, United States

Hawaii is a dream destination for many people, especially when traveling while pregnant for a relaxing beach vacation. The warm weather, calm ocean waters and magnificent beaches create a dreamy atmosphere ideal for relaxing and rejuvenation.

Pregnant travellers can enjoy various activities, including hiking, snorkelling, and surfing, in addition to chilling out on the beach.

Hawaii is very accessible with points, whether with Aeroplan or with travel rewards. Indeed, deals can be found both with Aeroplan and with cash prices, so make sure to check your valuation as cheap flights pop up frequently on Google Flights .

Activities to put on your agenda include a visit to the island of Oahu and a tour of the Wet ‘n’ Wild Hawaii water park , also on the island of Oahu.

Greek Islands

The Greek Islands are another excellent choice for pregnant travellers looking for a peaceful and scenic beach getaway. These islands provide a serene and rejuvenating atmosphere that is great to travel while pregnant, with crystal clear waters, lovely blue and white-themed villages, and delicious cuisine.

You can visit historic sites, stroll through picturesque streets, or relax on the sand and soak up the rays. The Greek Islands are a top pick for pregnant travellers searching for a beach vacation, with a variety of islands to opt for, each with its own distinct charm.

This advice applies to all those looking for flights to Europe; when availability is scarce with points, try to find the cheapest entry points on the continent. Then, purchase a ticket on a low-cost carrier to reach your final destination.

Activities include a sunset dinner cruise on Santorini or a catamaran trip around the Santorini Caldera with lunch .

Portugal ‘s breathtaking coastline, world-class beaches and beautiful cities make it an ideal destination for pregnant women looking for a mix of relaxation and culture. Indeed, the Algarve is exceptionally beautiful, and you can enjoy as many pasteis de nata as you like; Portuguese cuisine just might satisfy your pregnancy cravings!

You can visit historical sites such as the castles in Sintra, sample the succulent local cuisine, or just lay on the beach and take in the breathtaking scenery.

A guided tour of the Quinta da Regaleira and the Biester Palace is a must, as is a visit to the Douro region .

Cultural and Historical Destinations for Expecting Mothers

Some people, like myself, like to explore different cultures, so here are some suggestions for travel while pregnant destinations you can easily squeeze in before becoming a mother.

Morocco is an excellent choice for pregnant women looking for a cultural and historical trip. Morocco offers a unique and unforgettable travel experience with its bustling markets, rich history and stunning architecture. One activity I suggest is a camel ride through the palm groves .

You can spend your time exploring the bustling markets, marvelling at the millions of tiles on their buildings, or just soaking in the lively atmosphere of this fascinating country. Chefchaouen, or the Blue Medina, is an excellent place for a photo shoot in case you are looking for a unique way to immortalize your pregnancy.

For a touch of enchantment, let yourself be tempted by a night in the Agafay desert .

London, United Kingdom

London is an excellent destination to travel while pregnant if you seek a balance of culture and comfort. There are world-class museums (that are mostly free), galleries, and historical landmarks throughout the city, as well as cozy cafes and restaurants. Or relax in one of the city’s many parks and gardens.

You might think of London as a prime destination to use your Avios on British Airways. However, compare your different options, as Aeroplan might be better depending on the dates (off-peak or not).

Among the activities, you could book a visit to Harry Potter Studios by train from London or a sunset cruise on the Thames .

New York City, United States

For pregnant travellers, New York City has an abundance of things to do and is also ideal for a short getaway if you do not want to take too much time off before embarking on maternity leave.

This bustling metropolis has something for everyone, from Broadway shows to department stores to iconic landmarks.

We suggest a visit to the Statue of Liberty and Ellis Island , and a tour of New York’s rooftops .

Croatia is an ideal destination for pregnant travellers seeking a blend of culture and natural beauty. The country is known for its magnificent beaches, crystal-clear waters and picturesque villages. It also has a rich history to discover, with ancient ruins and historic towns to visit; the ramparts of Dubrovnik are among my favorite experiences of all my travels.

You could also book a tour of the Game of Thrones filming locations and an excursion to Mostar and the Kravice waterfalls .

Italy is a popular destination for pregnant travellers who want to combine gastronomy, relaxation and culture. Italy has much to offer, from the charming canals of Venice to the historic streets of Rome.

It is known for its world-class cuisine, stunning architecture, and breathtaking natural beauty, such as the picturesque Amalfi Coast and Tuscany’s rolling hills.

Pregnant travellers can also go shopping in Milan or explore the art-filled city of Florence. Italy offers an ideal combination of relaxation, history, culture and adventure for any expectant mother.

Departing from Florence, you could opt for an excursion to Pisa, San Gimignano and Siena or an excursion to San Gimignano, Siena, Chianti and Monteriggioni .

Spain is another popular destination for pregnant women, for those looking for warm weather, delectable cuisine, and cultural experiences. The country has a variety of activities available, ranging from exploring historical medieval sites to devouring an infinite number of tapas.

Barcelona has beautiful architecture, beaches, and world-class museums, whereas Madrid has a lively atmosphere with its bustling nightlife and art-filled streets.

Pregnant travellers seeking a more relaxed holiday can head to the southern coast, where they can enjoy relaxing beach vacations.

Don’t hesitate to combine activities, such as a visit to the Sagrada Familia and Parc Güell , or take the time to visit Madrid by tuk-tuk .

Nature and Outdoor Destinations for Pregnant Women

If you are active travellers, you will lust for the great outdoors even while expecting. Check with your physician, but there should be no problem with looking to travel while pregnant and hike if that is already something you are used to doing.

Alaska, United States

Alaska is an excellent choice for pregnant travellers looking for an outdoor adventure; you can either go independently or on a cruise from Vancouver.

Alaska, with its stunning natural beauty, glaciers, mountains, and wildlife, provides an unforgettable travel experience. Expectant mothers can enjoy the breathtaking scenery of Denali National Park or go whale watching in Juneau. You can also go on a scenic train ride or a kayaking excursion to get up close and personal with the wildlife.

The state’s pristine wilderness and unspoiled landscapes provide a peaceful haven for pregnant travellers looking to escape the hustle and bustle of daily life, especially if you book a cruise.

If you fly to Vancouver for a cruise instead of Anchorage, you will avoid the air transportation charges for US flights .

You should enjoy a boat trip on the Portage Glacier , as well as a visit to the Alaska Wildlife Conservation Center.

Switzerland

The Swiss Alps have breathtaking views and are a tranquil haven to travel while pregnant . Hiking is one of the best outdoor activities available in the area. Expectant mothers can also take a scenic train ride through the mountains or explore the region’s charming towns and villages. In the summer, they can go on a relaxing boat ride on Lake Geneva or go hiking in the lush green hills.

Discover all Geneva’s places of interest on this panoramic tour of Geneva , including a boat trip on the waters of Lake Geneva.

Scotland is a breathtaking place for pregnant travellers seeking natural beauty and a peaceful retreat. Scotland has some of the most gorgeous landscapes in the world, from the rugged highlands to the stunning lochs.

The country is dotted with historic castles such as Eilean Donan Castle, charming towns, and picturesque villages, making it a great destination for those interested in learning about Scotland’s rich history and culture.

Furthermore, Scotland’s cuisine is famous for its fresh seafood, hearty stews, and traditional haggis, providing pregnant travellers with a unique culinary experience.

Do you love the Outlander series? Explore the filming locations of the Outlander series with this tour from Edinburgh.

West Coast of Canada

The West Coast of Canada is ideal for pregnant travellers looking for a combination of natural beauty, culture, and outdoor adventure. The region’s coastal scenery is breathtaking, with rugged cliffs, pristine beaches, and lush rainforests.

It also has charming towns, vibrant cities, and world-renowned museums, so pregnant travellers will have plenty of cultural experiences. Furthermore, Canada’s West Coast is a haven for outdoor enthusiasts, with activities ranging from hiking and biking to kayaking and whale watching.

This day trip to Grouse Mountain is sure to delight: you’ll visit Capilano Suspension Bridge Park, the Capilano Salmon Hatchery and Grouse Mountain.

Family-Friendly Destinations to Travel to While Pregnant

While venturing into Europe can be a great babymoon destination, travelling far away can be strenuous if you are pregnant and have other children to manage. Indeed, pregnancy often comes with fatigue, and you may have to keep the other little ones entertained to avoid tantrums.

Orlando, Florida, United States

Orlando is another family destination with plenty of activities for pregnant women. It’s the perfect place for a fun and memorable trip, with fantastic theme parks such as Disney World .

Discover Universal Studios Florida, Universal’s Islands of Adventure and Universal’s Volcano Bay: the three Universal Orlando parks. Don’t hesitate to book a ticket for Universal Orlando Resort for an unforgettable experience.

In addition to its theme parks, Orlando offers excellent shopping and world-class restaurants.

San Diego, California, United States

San Diego is a family-friendly destination offering a wide variety of activities for pregnant women. It’s an ideal destination for those looking for a relaxing getaway, with miles of world-renowned beaches.

The city also boasts family attractions such as the San Diego Zoo and SeaWorld , making it an ideal location for families.

In addition, San Diego’s thriving culinary scene offers a diverse range of dining options, from fresh seafood to Mexican cuisine, providing pregnant women with plenty of choices to satisfy their cravings.

Los Angeles is also close by, if you want to spend a few days at Disneyland or enjoy the sets and characters of your favorite films and TV series at Universal Studios Hollywood.

Precautions to Take Before Travelling Pregnant

When travelling, the risk of contracting diseases transmitted by water, mosquitoes or food increases. Precautions to take when traveling while pregnant (insurance, vaccines, illnesses, destinations to watch out for, etc.) are listed in our guide Traveling while Pregnant: How to Plan Your Trip?

Also, on long flights, the risk of developing deep-vein thrombosis is higher, so it’s advisable to wear compression stockings .

Bottom Line

Finally, travelling while pregnant can be an unforgettable and rejuvenating experience, and each of the 15 best places to travel while pregnant has something for everyone. These destinations cater to your needs, whether you want to relax on a beach, immerse yourself in a new culture, or explore the great outdoors.

However, before planning to travel while pregnant, put your health and safety first and consult your doctor. You can travel safely and enjoyably during your pregnancy if you take the necessary precautions.

Afterwards, you can start planning a credit card and points strategy for when the baby arrives!

Have you checked out our Ultimate Traveller’s Checklist ? It’ll help you make sure you don’t forget anything before you leave, and learn how to save money when planning your travels (with a downloadable pdf at the end!).

We’ve also listed all our team’s favorite travel accessories , tried and tested.

Have a good trip!

Frequently Asked Questions

Can i fly when i'm 7 months pregnant.

Most airlines impose a flight restriction on women in late pregnancy, says the Canadian government. Airlines, which have their own rules, may require a written note regarding your medical condition from a health professional. Contact your airline to find out about their conditions of carriage.

Can I travel when I'm 8 months pregnant?

Before leaving Canada, the Canadian government recommends that you consult a health care professional. You may also wish to make an appointment at a travel health clinic at least six weeks before your departure abroad.

Are you planning to fly? According to Institut national de santé publique du Québec, pregnant women can travel by plane, noting that there are no international regulations. However, airlines have their own conditions for travel.

When should I stop travelling when I'm pregnant?

The health professional monitoring your pregnancy will answer any questions you may have about your future travel plans. Your state of health will determine whether you are fit to travel.

What are the risks of the Zika virus during pregnancy?

Pregnant women should postpone travel abroad where there is transmission of the Zika virus, according to the Institut national de santé publique du Québec. The Zika virus, which is transmitted by, among other things, an infected mosquito bite, can cause malformations in babies such as microcephaly.

Do I need travel insurance during pregnancy?

The Régie de l’assurance maladie recommends that you take out private insurance before you leave. If you have a health problem, the Régie does not reimburse the full cost of health services received outside Quebec. The bill can quickly mount up if you encounter unforeseen circumstances.

What are the best destinations during pregnancy?

In this guide, we present fifteen destinations. You’re sure to find a getaway to suit your needs. If you’re looking for relaxing beaches, you could go to Hawaii, Greece or Portugal.

How do I use a seatbelt when I'm pregnant?

The lower part of the belt should be tightened over your pelvis, below your belly, says the Institut national de santé publique du Québec.

All posts by Aline Nguyen

Suggested Reading

Can you go on a cruise while pregnant?

Cruising while pregnant might sound like a dream come true — or your worst nightmare. Imagine the 24/7 snack and meal offerings that cater to all your food cravings, plus onboard crew to do all the cooking and cleaning so you can rest and savor blissful alone time with your spouse before the baby comes.

Then again, the rocking of the ship might trigger your morning sickness, you're far from your trusted obstetrician and there's no McDonald's in sight when you must have a Big Mac and fries at midnight — and no, that room service burger does not solve the problem.

Can you go on a cruise while pregnant? The answer is yes — up to a point. Don't expect to sneak in that bucket list trip to Alaska in your third trimester or schedule yourself for a foot massage in the onboard spa just weeks before your due date.

For cruise news, reviews and tips, sign up for TPG's cruise newsletter .

If you're expecting (or expecting to be soon), here's what you need to know — and what to expect — about cruising while pregnant.

How many weeks pregnant can you still cruise?

All the major cruise lines have the same pregnancy policy: Guests are allowed to cruise through their 23rd week of pregnancy. If you will enter your 24th week before or any time during your cruise, you are not allowed to sail.

The cruise lines are firm on this policy, so don't bother asking for an exception. "Neither a doctor's medical statement nor a waiver of liability will be accepted," reads Disney Cruise Line 's pregnancy policy.

Why can't you go on a cruise more than 24 weeks pregnant?

The reason you can't sail during your third trimester of pregnancy is a health-focused one.

Carnival Cruise Line 's policy, as spelled out in its contract of carriage, makes it clear.

"In addition to the limitations on medical care described in Clause 6(a), prenatal and early infant care, in particular, may require specialized diagnostic facilities and/or treatment that are not available or obtainable during the cruise on board the ship and/or ashore in ports of call. Therefore, any Guest that is unfit to travel, and any Guest who will at any time during the cruise enter her 24th week of estimated gestational age, agrees not to book a cruise or board the ship."

Why do the cruise lines draw the line at 24 weeks?

In the U.S., fetuses are considered viable at that gestational age. That means if a mother delivers a baby at 24 weeks, it has enough of a chance of survival (due to organ development and medical technology) that doctors will intervene to save it. Preterm deliveries prior to 24 weeks are predominantly miscarriages. A cruise ship's medical center is not equipped to care for an extremely premature baby, so the cruise lines make their policies to minimize the chances of a baby being born alive on board.

Setting aside premature delivery, the third trimester is simply a riskier time for the mom and the fetus.

"As the fetus is progressing, there are just more complications related to both the mom's health and also for the fetus," explains Dr. Jenny Yu, chief health officer at TPG's sister company RVOHealth . "You have increased risk for preeclampsia, high blood pressure, also gestational diabetes."

These are not medical issues you want to experience in the middle of the ocean, away from land-based hospitals with dedicated prenatal specialists. Cruise lines recognize it's not in the best interest of the mother to be far from care at this time.

Related: 5 best cruise lines for families

Do I have to tell the cruise line I'm pregnant?

Certain cruise lines specify that you do need a doctor's note to sail.

"All pregnant women are required to produce a physician's letter stating that mother and baby are in good health, fit to travel and the pregnancy is not high risk," states Princess Cruises ' FAQ section on pregnancy. "The letter must also include the estimated date of delivery (EDD) calculated from both Last Menstrual Period (LMP) and ultrasound (if performed).  Please ensure you have your doctor's letter with you when you embark."

Virgin Voyages requires a similar note if you're expecting a "new mini-Sailor" and states that "failure to bring this documentation will result in denial of boarding at your cost."

Even if your cruise line does not specifically ask for a doctor's note, it's a good idea to bring one with you. This is especially true if you're close to your 24th week, rocking a baby bump and need to assure crew members that you are permitted to sail. It could also be of use to the onboard doctors and nurses should you have a medical issue during your cruise.

Now, you might have a more devious idea in mind when asking this question. Perhaps you are considering hiding your pregnancy so you can go on a cruise early in your third trimester. TPG does not condone rule-breaking, and as I stated above, the cruise lines have good reasons for banning pregnant women from cruising in their third trimester.

Hypothetically, if your cruise line does not require a doctor's note, and you are not obviously pregnant, you could book a cruise and make it on board without anyone knowing. But you run the risk of trouble should you get caught.

"Any pregnant woman who tries to board the vessel, who has or will enter her 24th week of estimated fetal gestational age at any time during the cruise, risks denial of boarding and/or disembarkation without compensation or refund," states Carnival's policy.

Remember that cruise lines make these rules for the safety of mother and baby. Do you really want to compromise your baby's health, and yours, for a vacation? Is that the kind of parent you want to be?

Should I go on a cruise while pregnant?

Now that's the better question to ask. And the answer depends on multiple factors.

From a health perspective, Royal Caribbean recommends that "the Guest and treating physician should consider before any cruise that there is no Obstetrician/Gynecologist available on the ship, and that pregnancies, when unstable and poorly controlled, are potentially life-threatening, especially without back up. A Guest may be at sea for several days without any immediate hospital and/or specialist back up, and that since the proposed itinerary is not within the U.S., the availability of specialized shore side facilities can be problematic."

Before booking a cruise, a pregnant person should consult with their doctor to determine how great a risk travel might be to the pregnant person or fetus. Pregnant people are in a pro-inflammatory state, explains Yu, meaning "you're at increased risk for catching other viruses — Norovirus, food poisoning, salmonella. If you got dehydrated from anything that's related to a GI bug, then it puts both the mom and the fetus under more stress, and that can increase the risk of preterm labor."

She also explains that pregnancy puts you at higher risk for blood clots from sitting too long (such as on the flight to your cruise departure port). Additionally, spontaneous termination of a pregnancy is possible between six and 12 weeks, especially if you pick up an infection while traveling. You'd then have to deal with the physical and emotional repercussions of a miscarriage while on vacation.

Should something go wrong during the trip, know that you can't sue the cruise line. Disney Cruise Line clearly states that it "cannot be held responsible or liable for any complications relating to pregnancy at any stage."

If you've done a risk analysis and are fine with travel, the question becomes whether a cruise is a good choice for a babymoon. I've cruised during both the first and second trimesters of pregnancy and can identify both pros and cons of the decision.

Related: The best cruises for couples

Cruising can be a stress-free vacation. Multiple restaurants and entertainment options are just steps away from your onboard accommodations, so you can have fun without agonizing about where to eat, where to park and what to do at night. You have access to all kinds of food and can even order it to your room. You can nap as much as you like on comfy cruise ship beds or on the pool deck in the sun, and float in the pool to relax.

Yu agrees that travel can be a good thing for an expecting couple "if you want to be able to take some time for you and your partner to disconnect and prepare for the baby." She especially touts the mental health benefits of getting out of your house and into a more natural setting. "Get outside and see nature because that can help improve mood if you're having a hard time … with the pregnancy."

The flip side of that is you won't be able to take part in some of the most popular cruise ship activities, such as sipping fruity cocktails, soaking in a hot tub, sweating in the thermal suite or eating freshly made sushi. If you're feeling tired, long or active tours might not sound appealing. If you're nauseated, a rocking ship or bus ride in port might make it worse. And if you're the type to be anxious about your pregnancy, you might have trouble relaxing when you're miles out to sea.

I found I enjoyed cruises while pregnant; I didn't mind skipping the booze (I'd have been doing that at home anyway) and I had enough energy for tours — even if I did have sudden urges to snack that I satisfied with a stash of peanut butter crackers and granola bars I brought from home.

What precautions should I take if I want to cruise while pregnant?

The first step is to pick the right time to cruise. "If you're going to choose a trimester, [the second trimester] is probably the lowest risk because that's not fetal development anymore," said Yu. "That's a period where the mom is still feeling well and the risks for complications are a bit lower in terms of preterm labor."

You also want to pick the right itinerary. "A shorter cruise like a three- to five-day (versus a seven- to 14-day) is probably a better bet than the longer cruises," Yu suggested, acknowledging the time you'll be far from your medical team.

If you're interested in a longer cruise, a port-intensive trip where you're often close to land or in port every day will keep you closer to medical care in the event of an emergency versus a transatlantic crossing with multiple days in a row spent at sea.

Once you've booked the trip, make sure you bring the right gear with you. Compression socks can help prevent blood clots; sensible shoes will reduce swelling (and tripping) when walking around the port.

You'll want to pack snacks for those sudden cravings, as well as ginger candy or Preggie Pop Drops to help with morning sickness. Don't forget a first-aid kid with approved medications for pain or heartburn relief or other common ailments.

When you're on your cruise, make sure you stay hydrated and only drink water from safe sources. Get plenty of rest and food (the latter is usually not difficult to accomplish on a ship), but also remember to take daily walks to reduce clotting.

Protect yourself from mosquito-borne illnesses like Zika by wearing bug spray and covering up in buggy areas. As always, follow the general recommendations for pregnancy, such as avoiding extreme heat and altitude, reducing alcohol and caffeine consumption and staying away from raw meat and seafood, as well as high-mercury fish.

Related: How to avoid getting sick on a cruise

What happens if something goes wrong with my pregnancy during a cruise?

All large, oceangoing cruise ships have a medical facility with doctors and nurses on call around the clock. Should you feel ill or that something is wrong, you can head down to the medical facility (it's usually on a low or crew deck) during its scheduled open hours, or call the front desk for emergency help.

The medical staff has equipment on hand to assess your condition. If they are able to, they will treat your condition on board. For example, they can give you fluids for dehydration or diagnose a miscarriage.

If they cannot adequately treat you on board, they can either transfer you to a local hospital in the next port of call or — in a true emergency — medevac you off the ship via helicopter. (I once witnessed a medical evacuation by helicopter of a crew member suffering from an ectopic pregnancy. The emergency team lowered down ropes and pulled her from the ship to the hovering chopper in a basket-style stretcher.) If you're medically disembarked, you'll be on your own to find your way back home again.

What happens if I book a cruise far in advance and then get pregnant unexpectedly?

First, determine if you still want to go on the cruise or if you'll be past your 23rd week and can't go.

If you wish to or need to cancel the cruise, your next steps depend on whether you've paid in full or not. If you have only paid a deposit, you can cancel the cruise easily. In most cases, you will recoup your deposit; however, certain special rates and fare types (such as Carnival's Early and Super Saver fares) have nonrefundable deposits, and you would lose these.

Given that final payment is typically 90 days (roughly 13 weeks) prior to sailing, you shouldn't have a problem if you discover that you're pregnant before you're 10 weeks along and cancel immediately.

If you've already paid in full, standard cancellation penalties apply. If you purchased travel insurance, you could see if your policy would cover this situation.

"There are a few plans that may offer coverage for cancellation due to your normal childbirth or pregnancy," said Meghan Walch, director of product for InsureMyTrip, a travel insurance retailer. "It is important to note that the date of conception, as noted in your medical records, must have been after the purchase of a policy."

What happens if a baby is born on a cruise?

Any baby born on a cruise ship will be extremely premature, with a minimal chance of survival. Cruise ship medical facilities are not equipped with the incubators and other equipment needed to care for a preemie. However, it has happened; in 2015, a baby was born at 23 weeks on a Royal Caribbean cruise ship and miraculously survived. In 2022, a woman who was just over five months pregnant gave birth to a two-pound baby boy on Jewel of the Seas; he also survived and was transferred to a hospital at the next port of call.

If a baby is born on a cruise ship, the doctors will do the best they can for the mother and child with the equipment available to them, and the captain will do whatever is necessary to get the family to a land-based hospital as soon as possible.

Should a baby be born on a cruise ship and survive, you might wonder what nationality that child will be given. The baby will automatically take on the citizenship of the parents.

If the baby is born in the territorial waters of a country, she might be granted additional citizenship to that country; if the baby is born in international waters, she might be granted citizenship to the country in which the ship is flagged. However, that depends on each country's laws and how it chooses to extend citizenship.

Ultimately, if you want your child to have an additional passport, giving birth prematurely on a cruise is not the best way to go about that.

Bottom line

A cruise can be an incredible babymoon for you and your partner and even a future older sibling. But cruising while pregnant at any trimester involves risks. Consult your doctor and evaluate the pros and cons before setting sail.

Planning a cruise? Start with these stories:

• The 5 most desirable cabin locations on any cruise ship
• A beginners guide to picking a cruise line
• The 8 worst cabin locations on any cruise ship
• The ultimate guide to what to pack for a cruise
• A quick guide to the most popular cruise lines
• 21 tips and tricks that will make your cruise go smoothly
• Top ways cruisers waste money
• The ultimate guide to choosing a cruise ship cabin

• Entertainment
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Bachelor star Holly Kingston recalls trying to hide pregnancy from crew when shooting Aussie travel series Luxury Escapes

A former Bachelor star tried to hide this exciting secret from cast and crew when starring on a luxe Aussie travel series.

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Former The Bachelor star and winner Holly Kingston is set to play travel host in the returning season of Aussie travel program Luxury Escapes: The World’s Best Holidays.

The former marketing manager won the heart of bachelor and now-husband Jimmy Nicholson on the Ten dating show in 2021 – and now she’s set to win viewers over on the travel series when it returns to screens on August 29, while also letting the crew in on a little secret...

The Foxtel program showcases the best hotspots in our own backyard and across the globe – and just like last season, some of Australia’s beloved celebrities such Cameron Daddo, Rebecca Gibney, Natalie Bassingthwaighte and Jane Hall have all got their passports on hand like Kingston and are ready to take viewers from one exciting destination to the next.

This season sees Greece, Mexico, Singapore, Istanbul and Germany among the many pit stops.

In the first episode airing on Thursday evening, Holly teams up with former The Living Room co-host Miguel Maestre as they go on an adventure to the Maldives.

“Like many, the Maldives has been on my bucket list for several years and I am lucky enough to have gone with my husband one month prior to heading back for filming with Luxury Escapes TV,” Holly tells news.com.au.

“Such a pinch me moment exploring this glorious destination twice in one year. I thought my husband had trouble sitting still, little did I know I hadn’t seen anything yet,” she added, before laughing, “I subbed him out for someone a tad more boisterous, Mr Miguel Maestre. Most head to the Maldives to relax and recharge, that’s not on the agenda with Mr Maestre as a travel companion.”

Stream Luxury Escapes: The World’s Best Holidays on Foxtel, available on Hubbl .

The pair stayed at the art focused resort Joali Maldives before spending a few nights at the nearby sister resort Joali Being – the only wellbeing island in the region.

“We stayed in epic overwater bungalows with private pools bigger than my local ocean pool in Bondi. I felt so spoiled,” Holly says.

“Joali felt very artsy, opulent and glamorous. This is a once in a lifetime kind of property. Diving off our overwater bungalows and going for a snorkel between shooting felt like I’d scored a pretty good gig.”

“As for Joali’s sister property, Joali Being is where you go when you want to completely switch off and indulge in some serious R&R,” she adds. “The second we arrived off the boat we felt at ease, even with my rowdy co-host in tow.”

Apart from the memorable private submarine rides, healing treatments, snorkelling, food, and crystal clear waters from both resorts, Kingston says there was another highlight of her trip: Miguel’s colourful blazers.

“I’ve never met someone who travels to a tropical destination and decides to pack 50,000 different blazers & tux jackets,” she laughs. “He had a new blazer for every shoot day, I think he even tried to pop one on for water sports!

“I headed to his room to shoot one day and as I cycled down the beautiful serene sandy pathway I knew I was getting close as I heard Ricky Martin on full blast and arrived to Miguel dancing with a cup of coffee in his 18th blazer of the trip.”

During filming, Kingston was also in the early stages of her pregnancy – and trying to hide it from Miguel and the crew became impossible.

“I had intended to keep it a secret but the second I declined wine and some Maldivian sashimi, it was evident something was up,” she tells us. “I ended up telling Miguel and the Luxury Escapes crew I was pregnant before we even told family! There were many retakes due to the wonderful Joali staff serving me mocktails and saying things like, ‘No alcohol for the pregnant lady.’ I don’t think those takes will make it to air.”

And don’t expect this soon-to-be mama and her hubby, who is a pilot, to give up the wanderlust once their first baby arrives later this year.

“We’ve had no shortage of people tell us, ‘Just wait til the baby comes, no more travel for you!’” Holly reveals. “But travel will always be a very big part of our lives and we have even got travel plans for bub’s first year.”

“I’m thinking we’ll have to get it used to planes sooner rather than later... After all its dad will probably convince it to be a pilot.”

The Maldives is on the radar too, with the pair not opposed to visiting for a third time, this time with bub in tow.

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“Maldives would be the ultimate destination for a new addition because the people are wonderful, the resorts are great with kids, there are pools galore and most of all everything you need for an epic stay is on the island,” she says.

“So in short, yes, I’ll tell Jimmy we need to book a Maldives holiday immediately!”

Luxury Escapes: The World’s Best Holidays premieres on Foxtel’s LifeStyle channel August 29 at 8.30pm AEST, also streaming on BINGE and on the LifeStyle app, available on Hubbl

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