can i travel 3 months pregnant

Pregnancy Travel Tips

Medical review policy, latest update:, can you travel while pregnant , read this next, when should you stop traveling while pregnant, how should you prepare for a trip during pregnancy, what do pregnant women need to know about travel and the zika virus, travel tips for pregnant people, when should you seek medical care while traveling during pregnancy.

While traveling during pregnancy is generally considered safe for most moms-to-be, you’ll need to take some precautions before making any plans — and get the green light from your practitioner first.

What to Expect When You’re Expecting , 5th edition, Heidi Murkoff. WhatToExpect.com, Zika Virus and Pregnancy , October 2020. WhatToExpect.com, What to Know About COVID-19 if You’re Pregnant , February 2021. American College of Obstetricians and Gynecologists, Travel During Pregnancy , August 2020. Johns Hopkins Medicine, Traveling While Pregnant or Breastfeeding , 2021. Centers for Disease Control and Prevention, COVID-19 Travel Recommendations by Destination , May 2021. Centers for Disease Control and Prevention, Pregnant and Recently Pregnant People , May 2021. Centers for Disease Control and Prevention, Pregnant Travelers , December 2020. Centers for Disease Control and Prevention, Travel: Frequently Asked Questions and Answers , April 2021. Centers for Disease Control and Prevention, COVID-19 and Cruise Ship Travel , March 2020.

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Pregnant Travelers

Pregnant travelers can generally travel safely with appropriate preparation. But they should avoid some destinations, including those with risk of Zika and malaria. Learn more about traveling during pregnancy and steps you can take to keep you and your baby healthy.

Before Travel

Before you book a cruise or air travel, check the airlines or cruise operator policies for pregnant women. Some airlines will let you fly until 36 weeks, but others may have an earlier cutoff. Cruises may not allow you to travel after 24–28 weeks of pregnancy, and you may need to have a note from your doctor stating you are fit to travel.

Zika and Malaria

Zika can cause severe birth defects. The Zika virus is spread through mosquito bites and sex. If you are pregnant, do not travel to  areas with risk of Zika . If you must travel to an area with Zika, use  insect repellent  and take other steps to avoid bug bites. If you have a sex partner who lives in or has traveled to an area with Zika, you should use condoms for the rest of your pregnancy.

Pregnant travelers should avoid travel to areas with malaria, as it can be more severe in pregnant women. Malaria increases the risk for serious pregnancy problems, including premature birth, miscarriage, and stillbirth. If you must travel to an area with malaria, talk to your doctor about taking malaria prevention medicine. Malaria is spread by mosquitoes, so use  insect repellent and take other steps to avoid bug bites.

Make an appointment with your healthcare provider or a travel health specialist  that takes place at least one month before you leave. They can help you get destination-specific vaccines, medicines, and information. Discussing your health concerns, itinerary, and planned activities with your provider allows them to give more specific advice and recommendations.

Plan for the unexpected. It is important to plan for unexpected events as much as possible. Doing so can help you get quality health care or avoid being stranded at a destination. A few steps you can take to plan for unexpected events are to  get travel insurance ,    learn where to get health care during travel ,  pack a travel health kit ,  and  enroll in the Department of State’s STEP .

Be sure your healthcare policy covers pregnancy and neonatal complications while overseas. If it doesn’t get travel health insurance that covers those items. Consider getting medical evacuation insurance too.

Recognize signs and symptoms that require immediate medical attention, including pelvic or abdominal pain, bleeding, contractions, symptoms of preeclampsia (unusual swelling, severe headaches, nausea and vomiting, and vision changes), and dehydration.

Prepare a  travel health kit . Pregnant travelers may want to include in your kit prescription medications, hemorrhoid cream, antiemetic drugs, antacids, prenatal vitamins, medication for vaginitis or yeast infection, and support hose, in addition to the items recommended for all travelers.

During Travel

Your feet may become swollen on a long flight, so wear comfortable shoes and loose clothing and try to walk around every hour or so. Sitting for a long time, like on long flight, increases your chances of getting blood clots, or deep vein thrombosis. Pregnant women are also more likely to get blood clots. To reduce your risk of a blood clot, your doctor may recommend compression stockings or leg exercises you can do in your seat. Also, see CDC’s Blood Clots During Travel page for more tips on how to avoid blood clots during travel.

Choose safe food and drink. Contaminated food or drinks can cause travelers’ diarrhea and other diseases and disrupt your travel. Travelers to low or middle income destinations are especially at risk. Generally, foods served hot are usually safe to eat as well as dry and packaged foods. Bottled, canned, and hot drinks are usually safe to drink. Learn more about how to choose safer  food and drinks  to prevent getting sick.

Pregnant women should not use bismuth subsalicylate, which is in Pepto-Bismol and Kaopectate. Travelers to low or middle income  destinations  are more likely to get sick from food or drinks. Iodine tablets for water purification should not be used since they can harm thyroid development of the fetus.

After Travel

If you traveled and feel sick, particularly if you have a fever, talk to a healthcare provider immediately, and tell them about your travel. Avoid contact with other people while you are sick.

More Information

CDC Yellow Book: Pregnant Travelers

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Is it safe to fly during pregnancy?

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

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

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

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

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

When you fly:

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

Blood clots

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

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

Mary Marnach, M.D.

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

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Travel During Pregnancy

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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Is traveling while pregnant safe?

When to avoid pregnancy travel, when is the best time to travel while you're pregnant , can pregnant women travel during covid, when should you stop traveling while pregnant, your pregnancy travel checklist, when to call your doctor while traveling.

Yes, it's generally safe to travel during pregnancy as long as you're not too close to your due date and you're not experiencing any serious pregnancy complications. There are special precautions to take, of course, and you may find yourself stopping to use the bathroom more than you're used to, but that babymoon can be within reach.

Before you pack your suitcase, talk with your healthcare provider to make sure it’s safe for you to travel and that your destination is a good choice. You'll want to avoid places where infectious diseases are prevalent (or there are high outbreaks of Zika or malaria, for example). The COVID-19 pandemic has made people reconsider where they feel safe traveling as well; if you're fully vaccinated, the CDC says you can travel Opens a new window , but it's always best to check with your doctor first.

And bear in mind that the activities you take part in might be different than normal – you'll want to skip the Scuba diving lessons, for example (though snorkeling is okay!).

It's safe to fly when you're pregnant as well, and most airlines will allow you to fly domestically until about 36 weeks of pregnancy. International routes may have different rules, so be sure to check with your airline before booking anything. Your doctor will tell you to avoid flying, however, if you have a health concern that might require emergency care or any other health conditions that aren’t well controlled.

It's best to avoid traveling while pregnant if you have any health conditions that can be life-threatening to both you or your baby. If you have any of the following conditions, your doctor will almost certainly advise you against travel:

• Placental abruption  
• Preeclampsia
• You're in preterm or active labor
• Cervical insufficiency  (incompetent cervix)
• Premature rupture of membranes (PROM)
• A suspected ectopic pregnancy
• Vaginal bleeding

You might also need to be extra-cautious or skip travel if you're experiencing intrauterine growth restriction , you have placenta previa , or you have other conditions that may place your pregnancy at a higher risk. It’s always a good idea to discuss your concerns with your healthcare provider before travel regarding any medical conditions you have, and they'll be able to advise you on what's best, depending on the trip.

The sweet spot for pregnancy travel is during your second trimester , between 14 weeks and 27 weeks. By the second trimester, any struggles you’ve had with morning sickness and fatigue during the earlier weeks of pregnancy should have hopefully subsided – and after 12 weeks, your risk of miscarriage decreases significantly as well. And you're not too far along to worry about third trimester exhaustion or going into preterm labor yet, either.

Your energy levels are likely to be good during your second trimester too (bring on the sightseeing!), and it will still be relatively easy and comfortable for you to travel and move around at this time. Keep in mind that once you hit that third trimester, pregnancy travel might be more difficult as you find it harder to move around and stay still for long periods of time.

It's complicated (and often a personal decision based on your own risk factors), but the CDC says that if you're fully vaccinated against COVID-19, you can travel. Of course, it's important you still do everything you can to keep yourself and others around you safe, including following all mask-wearing and social distancing guidelines in the destination you visit.

Women are at an increased risk for severe illness if they contract COVID-19 while pregnant , and they're more likely to experience preterm birth and other poor pregnancy outcomes. (This is why the CDC, the American College of Obstetricians and Gynecologists, and the Society for Maternal-Fetal Medicine all recommend that women who are pregnant, breastfeeding, or are planning on becoming pregnant get the COVID vaccine .)

If you're vaccinated and decide to travel, the CDC advises avoiding international destinations that are designated Level 4, due to high rates of local COVID-19 transmission.

Take all this information into account and talk to your doctor before you decide on where and when to travel while you're pregnant. And if you experience any symptoms of COVID-19, whether while traveling or at home, call your healthcare provider as soon as possible.

The guidelines for when to stop traveling while you're pregnant vary based on your mode of travel, but more or less, you should wrap up travel before you're 36 weeks pregnant.

Most airlines will let pregnant women fly domestically until they're 36 weeks pregnant – and many cut that off earlier for international travel. This rule is often enforced on an honor system policy, but some airlines may ask for a doctor’s note – so make sure you have that from your healthcare provider if you're traveling in the third trimester, just in case.

Most cruise ships don't allow travel after 24 weeks of pregnancy. Some cruise lines' cutoff dates vary, so verify policies before booking a cruise.

As for road trips, there's no official deadline for when you need to stop traveling, but your personal comfort level (physically and emotionally) – and your doctor's advice – might help you decide. You can drive while pregnant all the way up until your due date, but things may get considerably less comfortable on longer trips as you approach full term.  

Travel of any kind requires advance preparation, but when you're pregnant and traveling, that pre-trip checklist gets a little longer. Give yourself a little more time than usual to plan for a trip – and use the tips below to stay safe and comfortable on your next adventure.

Before you travel

• Talk to your healthcare provider to determine if your trip is safe for you and if there are any medical concerns to consider. It's a good idea to discuss any activities you plan to do while you're away too. If you're planning an international trip, make sure to ask about any vaccines you may need for the areas you're visiting.
• Make sure you know your prenatal test schedule. Plan travels around any prenatal tests you need to schedule, including ultrasounds and other important screening tests.
• Book an aisle seat. You'll likely be more comfortable being able to get up to stretch or go to the bathroom on longer flights.
• Buy travel insurance. You don't need special travel insurance when you're pregnant, but it's never a bad idea to secure a policy. You may want to consider one with a “cancel for any reason” clause that reimburses you for money lost on cancelled trips for reasons (read: any reason) beyond what’s listed on the base policy. Check with your personal health insurance, too, to make sure it covers potential pregnancy complications while traveling internationally (some don’t). Consider adding evacuation insurance as part of a travel insurance plan, too.
• Gather your medical records and health information . If you’re in your second or third trimester, ask your ob-gyn or midwife for a digital copy of your prenatal chart, and have that easily accessible during your trip. Typically, this chart includes your age, your blood type, the name and contact information for your healthcare provider, the date of your last menstrual period, your due date, information about any prior pregnancies, your risk factors for disease, results of pregnancy-related lab tests (including ultrasounds or other imaging tests), your medical and surgical history, and a record of vital signs taken at each visit.
• Keep a list of key names and numbers you may need in the event of an emergency saved on your phone and written on a piece of paper (in case your battery dies).
• Have a contingency plan for doctors and hospitals that will take your insurance where you're going in case you go into labor early or experience pregnancy complications that require urgent care while you're away from home.
• Pack medicines and prenatal vitamins. That might include an extended supply of prescriptions and over-the-counter remedies , too. Bring enough to cover your entire trip and a written prescription that you can fill if you lose anything. It's a good idea to keep prescription medicine in its original container, so if your bags are searched it will be clear that you're not using medication without a prescription.
• Prepare for the unexpected. On a road trip, that might mean an unexpected breakdown, so join an auto club that provides roadside assistance. Download any apps you use for renting cars and accessing boarding passes before you leave so you can easily reschedule things in the event of a last-minute cancellation.
• If you're flying during your third trimester, be sure to call the airline to check about the cutoff week for pregnancy travel. A note from your doctor that says you’re cleared to travel is always good to have when traveling during your third trimester.

During your trip

• Drink plenty of water and continue to eat healthy foods . Keep in mind that many restaurants abroad commonly serve unpasteurized foods (like soft cheeses and milk), which can be dangerous for pregnant women due to the presence of listeria.
• Avoid eating raw or undercooked meat or fish , drinks with ice (which may be contaminated), non-bottled water, and other foods that can cause traveler's diarrhea, which can be more of a problem for pregnant women than other people.
• On long flights and drives, take time to stretch by pulling over for a walk or strolling up and down the airplane aisle. And when seated, always wear your seat belt .
• Maternity compression socks are handy to have along – both in transit and worn under your clothes while you’re out and about exploring – because they can ease the symptoms of swollen feet and legs. These are a few of our favorite pregnancy compression socks .
• Take advantage of help. Many countries have dedicated lines in shops and airports for pregnant travelers, so don't feel any shame taking a shorter wait if you see one.
• Go easy on yourself. Remember, you're growing a baby. You might not have quite the stamina for sightseeing and late nights like you used to pre-pregnancy. Make the most of your vacation but don't fret you miss out on things because you need more downtime from exploring than you usually would.
• Don’t forget to get photos of your bump. When your baby is older, you'll have fun showing them all the places you traveled with them before they were born.
• Go for the comfy shoes. Travel during pregnancy is the best reason ever to forgo those strappy stilettos for your favorite sneakers .
• Pack snacks so you always have something to curb your appetite if there’s a long wait for a restaurant or you get stuck in transit or someplace remote with no food offerings.
• Try to be in the moment with your travel partners as much as possible. Once your baby is born, your attention will be pulled in a whole new direction.

If you have any medical concerns traveling while pregnant, don’t hesitate to pick up the phone and call your doctor for advice. The below are a few symptoms that definitely warrant calling your ob-gyn or health care provider or seeking emergency care while traveling or at home:

• Signs of pre-term labor (including a constant, low dull backache, bleeding, etc.)
• Ruptured membranes (your water breaks)
• Severe cramping
• Spiking blood pressure
• Severe nausea or vomiting
• COVID-19 symptoms

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BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies .

AAFP. 2020. Ultrasound during pregnancy. American Academy of Family Physicians.  https://familydoctor.org/ultrasound-during-pregnancy/ Opens a new window [Accessed April 2023]

ACOG. 2020. FAQ055: Travel during pregnancy. American College of Obstetricians and Gynecologists.  https://www.acog.org/womens-health/faqs/travel-during-pregnancy Opens a new window [Accessed April 2023]

CDC. 2019. Pregnant Travelers. https://wwwnc.cdc.gov/travel/yellowbook/2020/family-travel/pregnant-travelers Opens a new window [Accessed April 2023]

CDC. 2022. Domestic Travel During Covid-19. https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-during-covid19.html Opens a new window [Accessed April 2023]

CDC 2023. International Travel During Covid-19. https://www.cdc.gov/coronavirus/2019-ncov/travelers/international-travel-during-covid19.html Opens a new window [Accessed April 2023]

CDC. 2022. Covid-19: Pregnant and Recently Pregnant People. https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html Opens a new window [Accessed April 2023]

Terry Ward is a freelance travel, health, and parenting writer who has covered everything from flying with toddlers to why you should travel with your kids even when they're too young to remember it. She lives in Tampa, Florida, with her husband and their young son and daughter, and enjoys camping, sailing, scuba diving, skiing, and almost anything else done in the great outdoors.

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Travelling in pregnancy

With the proper precautions such as travel insurance, most women can travel safely well into their pregnancy.

Wherever you go, find out what healthcare facilities are at your destination in case you need urgent medical attention. It's a good idea to take your maternity medical records (sometimes called handheld notes) with you so you can give doctors the relevant information if necessary.

Find out more about getting healthcare abroad .

Make sure your travel insurance covers you for any eventuality, such as pregnancy-related medical care during labour, premature birth and the cost of changing the date of your return trip if you go into labour .

When to travel in pregnancy

Some women prefer not to travel in the first 12 weeks of pregnancy because of  nausea and vomiting and feeling very tired during these early stages. The risk of  miscarriage is also higher in the first 3 months, whether you're travelling or not.

Travelling in the final months of pregnancy can be tiring and uncomfortable. So, many women find the best time to travel or take a holiday is in mid-pregnancy, between 4 and 6 months.

Flying in pregnancy

Flying isn't harmful to you or your baby, but discuss any health issues or pregnancy complications with your midwife or doctor before you fly.

The chance of going into labour is naturally higher after  37 weeks (around 32 weeks if you're carrying twins), and some airlines won't let you fly towards the end of your pregnancy. Check with the airline for their policy on this.

After week 28 of pregnancy, the airline may ask for a letter from your doctor or midwife confirming your due date, and that you are not at risk of complications. You may have to pay for the letter and wait several weeks before you get it.

Long-distance travel (longer than 4 hours) carries a small risk of blood clots (deep vein thrombosis (DVT)) . If you fly, drink plenty of water and move about regularly – every 30 minutes or so. You can buy a pair of graduated compression or support stockings from the pharmacy, which will help reduce leg swelling.

Travel vaccinations when you're pregnant

Most vaccines that use live bacteria or viruses aren't recommended during pregnancy because of concerns that they could harm the baby in the womb.

However, some live travel vaccines may be considered during pregnancy if the risk of infection outweighs the risk of live vaccination. Ask your GP or midwife for advice about specific travel vaccinations. Non-live (inactivated) vaccines are safe to use in pregnancy.

Malaria tablets

Some anti-malaria tablets aren't safe to take in pregnancy so ask your GP for advice.

Zika virus is mainly spread by mosquitoes found in some parts of the world. For most people it's mild and not harmful, but can cause problems if you're pregnant.

If you are pregnant, it is not recommended to travel to parts of the world where the Zika virus is present, such as parts of:

• South and Central America
• the Caribbean
• the Pacific islands

Check before you travel

It's important to check the risk for the country you're going to before you travel.

Find out more about the Zika virus risk in specific countries on the Travel Health Pro website

Car travel in pregnancy

It's best to avoid long car journeys if you're pregnant. However, if it can't be avoided, make sure you stop regularly and get out of the car to stretch and move around.

You can also do some exercises in the car (when you're not driving), such as flexing and rotating your feet and wiggling your toes. This will keep the blood flowing through your legs and reduce any stiffness and discomfort. Wearing compression stockings while on long car journeys (more than 4 hours) can also increase the blood flow in your legs and help prevent blood clots.

Tiredness and dizziness are common during pregnancy so it's important on car journeys to drink regularly and eat natural, energy-giving foods, such as fruit and nuts.

Keep the air circulating in the car and wear your seatbelt with the cross strap between your breasts and the lap strap across your pelvis under your bump, not across your bump.

Road accidents are among the most common causes of injury in pregnant women. If you have to make a long trip, don't travel on your own. You could also share the driving with your companion.

Sailing in pregnancy

Ferry companies have their own restrictions and may refuse to carry heavily pregnant women (often beyond 32 weeks on standard crossings and 28 weeks on high-speed crossings ). Check the ferry company's policy before you book.

For longer boat trips, such as cruises, find out if there are onboard facilities to deal with pregnancy and medical services at the docking ports.

Food and drink abroad in pregnancy

Take care to avoid food- and water-borne conditions, such as stomach upsets and travellers' diarrhoea . Some medicines for treating stomach upsets and travellers' diarrhoea aren't suitable during pregnancy.

Always check if tap water is safe to drink. If in doubt, drink bottled water. If you get ill, keep hydrated and continue eating for the health of your baby, even if you're not hungry.

Find out about a healthy diet in pregnancy , and foods to avoid in pregnancy .

Page last reviewed: 17 August 2022 Next review due: 17 August 2025

What to expect when traveling in each trimester of pregnancy

So you're pregnant? Congrats! It's an exciting time but also one in which many aspects of your life will begin to change, including travel. While you'll quickly need to understand the airline industry's rules for flying while pregnant , there are some more personal tips I'd like to share with you based on my experience traveling throughout the first, second and third trimesters of both of my pregnancies.

A few truths about pregnancy

Picky, starving moms need to travel with snacks.

I didn't know I was pregnant when I took the first flight of my second pregnancy. I was on a mileage run from Houston to Los Angeles, and by the time we landed, I was super tired, kinda grumpy and oh-my-so-hungry.

Then began a mad search for food. Luckily, Counter Burger was open and serving up sweet potato fries and burgers. Out of habit, I went for the veggie burger but I quickly regretted my decision, which left me far from satisfied with ground-up veggie mush.

In the early stages of pregnancy, your normal travel habits of going a little hungry for a while, or making due with what's around, may not work well.

Throughout your pregnancy, travel with water to stay hydrated and snacks to stave off hunger pangs and keep you going through travel delays. If you're feeling particularly food sensitive, research the food options at your destination ahead of time. I virtually lived on chicken noodle soup for a whole week early in my pregnancy and then, for a couple of days, all I wanted were hush puppies. I know how to get those items at home but when you are on the road, you either need to do more research or be more flexible -- which is sometimes easier said than done.

Related: 4 tips for planning travel while planning a pregnancy

Research and make choices about inflight radiation and other risks

I'm not an expert, but because I fly often, I have given some thought to inflight radiation exposure , especially during the early stages of pregnancy.

For pregnant flight attendants and pilots, the Federal Aviation Administration recommends a limit of 1 mSv during pregnancy, with no more than 0.5 mSv per month. I don't fly as much as an airline employee, but it doesn't take much research to learn that the amount of radiation you (and your gestating baby) are exposed to in the air varies dramatically from route to route. The highest-level routes are typically longer, higher-altitude polar routes. Here's some information from NASA about polar flights and radiation .

Every expectant mother should discuss the risks of flying during pregnancy with her doctor before getting on a plane. For me, nine months was a tiny moment in my traveling life, so I was OK adjusting my behavior a bit out of an abundance of caution. However, I didn't adjust to the point of never leaving my house. We still flew when I was pregnant, but I was judicious about when and where I would fly.

Check your health insurance policy

If you aren't familiar with your medical insurance coverage for when you travel, brush up on those facts now. Look at in-network and out-of-network benefits, as well as coverage for procedures for medical emergencies in other countries, if relevant. Most likely, if you do have coverage for treatment in other countries, you will still be on the hook to pay for your care up front and then submit for reimbursement from your health insurer. Plan accordingly and plan for the unexpected. If your baby decides to arrive early, for instance, check to make sure your insurance would cover possible extended and expensive care in an intensive care unit in a hospital away from your home.

Be sure to check what your health insurance coverage provides if you deliver at another facility later in your pregnancy. I once had an insurance plan that specifically did not cover out-of-network deliveries after 36 weeks, so that is something you would want to know before venturing away from home late in pregnancy.

Consider travel insurance

Trip insurance can be helpful if you are traveling while pregnant. Read the plan's fine print to determine what might be covered and whether you are covered if you already knew you were pregnant when you purchased the plan. Typically, a normal pregnancy or normal delivery would not be covered but if there are unexpected complications with the pregnancy, then related trip-cancellation or trip-interruption coverage may kick in on certain plans in certain situations.

Here are some travel insurance providers to check out: Allianz Travel Insurance, Travel Guard and Travelex Insurance . You can also compare a variety of plans at a portal like SquareMouth .

Here are some articles that will help you brush up on your travel insurance knowledge:

• The best travel insurance policies and providers
• What is independent travel insurance and when is it worth it?
• When to buy travel insurance versus when to rely on credit card protections
• Is credit card travel insurance sufficient on its own?
• Why I buy travel insurance

Traveling in the first trimester

Traveling in the first trimester can range from "no big deal" to "I think I'm going to die from misery right this very instant." Symptoms in early pregnancy can vary widely and can change by the day. A flight in your first trimester may be no different from any other flight you've ever taken or it may feel like you are flying with the worst hangover of your life.

Unless you are very high risk or have other extenuating medical issues, your doctor will probably give you the green light to travel in early pregnancy. Feeling extra tired, nauseous and queasy doesn't make for the perfect travel experience, so here are some tips to make travel easier:

Pick an aisle seat and move about the cabin

When you do hit the skies early on, choose a seat where you will be the most comfortable, likely an aisle seat so you can get to the restroom easily. I also recommend getting up to walk around and stretch your legs. (Here are tips for credit cards that will defeat basic economy and let you get a seat assignment in advance.)

Room service come to the rescue

In my first trimester of my second pregnancy, I went on a trip with my daughter and parents to New York City to see the Macy's Thanksgiving Day Parade and I was met with another challenge. I was at the point in my pregnancy when I needed food immediately upon waking or I was going to get queasy. Since I was staying in a hotel room with my young daughter, this meant room service. I also had granola bars and fruit on hand, but that was not enough to really do the trick some mornings. Had my husband been there, he could have gone in search of a warm bagel and juice, but since he wasn't on this trip, we had to improvise. Thanks goodness Marriott elite status helped defray the cost of most of the breakfast!

Take it easy when you need to

Once you are further along in your pregnancy and you actually look pregnant, you will sometimes get a little sympathy or, at least, empathy while traveling. Strangers may offer to help with your bag and people may have more patience with you if you're moving slowly. However, in the first trimester nobody can tell you are pregnant, and no one is going to feel sorry for you. If you act queasy on the plane, you will pretty much be treated like you have Ebola, and any other issue or ailment will pretty much not interest anyone. I once told the flight attendant I was pregnant when she was giving me the eye about looking queasy.

Take care of yourself, don't overdo it and know when to say enough is enough. You may be used to very busy travel days, but now find yourself needing a nap during your first trimester, and that's OK. Listen to your body and adjust accordingly.

Traveling in the second trimester

You have probably heard that the second trimester is generally the easiest of the three trimesters for most expecting moms. You usually aren't as sick and or as tired as in the first trimester, and you aren't as large, uncomfortable and exhausted as in the third trimester. From roughly weeks 13 to 27 of a pregnancy, your activity and comfort levels are often good, and this means that it can be a great time to travel. Couples that like to take "babymoons" (one last couples trip before the baby arrives) often try to schedule them in the second trimester.

Related: The best babymoon destinations for every month of the year

The beginning and end of the second trimester are quite different

You will probably enter the second trimester not really looking pregnant, and end it looking quite different. This means that you may feel very different at the beginning and end of the second trimester. The second trimester is when lots of belly growing happens and this can mean that some types of travel will be more uncomfortable toward the end of these few months of pregnancy than at the beginning.

Consider where you are comfortable traveling

A very personal and important decision to make during the second trimester is to determine if there are certain restrictions you will place on yourself in terms of where you're comfortable traveling. Some types of travel will ban women from traveling during the second trimester. For example, many cruise lines will not allow a woman to book a cruise if she will enter her 24th week of pregnancy (or later) while on the voyage.

Royal Caribbean's policy bars pregnant women from sailing at and after the 24th week. It was developed in concert with the Cruise Lines International Association endorsement of the American College of Emergency Physicians Health Care Guidelines for Cruise Ship Medical Facilities .

Many consider unborn fetuses to be viable if born beginning around 24 weeks (though that age threshold is getting earlier and earlier). This means that a baby born at 24 weeks gestation would have anywhere from a 50% to 70% chance of survival outside the womb if (and only if) there is immediate access to advanced medical care. A cruise ship clearly doesn't have an advanced neonatal care unit on board, so presumably the policy is related to why cruise lines draw the line for pregnant passengers.

I personally draw the line for travel at 23 or 24 weeks when talking about destinations that don't have the same level of advanced medical care as the United States -- or long flights or a flight path that could hinder prompt access to advanced medical care if I happened to unexpectedly go into labor. The Maldives is an example of somewhere I would not want to travel in this instance because there would be significant delays in obtaining medical care on these remote islands.

Plan big, but not too big

The second trimester is a great time to squeeze in a pre-baby trip or two since you will probably feel relatively like to your pre-pregnant self much of the time. We went to Aruba when I was 14 weeks pregnant and it was a fantastic trip. I had lots of energy and a normal appetite. Flying was not uncomfortable because my belly was still pretty small and the only real adjustment was to make sure I had a somewhat larger bathing suit before the trip.

At 23 weeks, I traveled to Spain and still felt pretty energetic and "normal." I will admit that the flight in economy wasn't super comfortable since I did have a belly that was hindering curling up in positions that usually help me sleep on the plane, but our time on the ground in Spain wasn't really impacted at all by the pregnancy other than missing out on the Spanish wine.

The great thing about both of those trips was that they were at my own pace. This meant that if I didn't feel like doing much one afternoon, I could take it easy. Even though you may feel great in the second trimester, you can still tire more quickly than normal, so be sure to limit your vacation activities to those you can manage. There are also activities that some doctors might advise against by the second trimester like thrill rides, scuba diving or horseback riding, so double-check any restrictions before planning more adventurous outings.

Traveling in the third trimester

Pregnancy isn't an illness or disease. For many families, it's just a normal phase in a woman's life before a new baby joins the family. Assuming things are going well, it's not a time when you have to cancel all travel. However, once the third trimester rolls around, travel can get a more complicated and does eventually have to stop.

The beginning and end of the third trimester are quite different

Changes come even more quickly in the third trimester. You enter the third trimester about 28 weeks pregnant and end it with a newborn. This means that types of travel that are possible at 27 and 28 weeks pregnant may be inadvisable, or even prohibited, at 37 and 38 weeks pregnant.

Select destinations and activities carefully

In the final months of pregnancy, some activities are probably going to be more comfortable and enjoyable than others. For example, swimming and spa time may be exactly what you need.

I give strong preference to visiting beach and resort destinations in the final trimester. Trust me when I say that few activities are as comfortable in the third trimester as floating in the water! We went to The Phoenician (a Marriott property) in Scottsdale, Arizona, when I was about 31 weeks pregnant and even with my big belly, it was the perfect mix of spa, swimming and fun activities for our 5 year old before both our lives changed.

You are going to get uncomfortable

Maybe this isn't universal and there are some magical creatures out there who never feel uncomfortable during pregnancy, but every mom I know eventually hit a point in her pregnancy when she wasn't comfortable. For many, this means that sitting for an extended time in a small airline seat, standing in long lines or trekking around in the heat to explore a city all day eventually become pretty miserable activities.

No one can tell you when you will hit that point, but it will likely happen in the third trimester. For me, my back started giving me a bunch of trouble at around week 30 or 31. I was incredibly grateful there were no more flights scheduled during that pregnancy beyond that point.

If you are going to fly during the later weeks of your third trimester and have the ability to secure a more comfortable seat up front, or at least one with extra legroom so you can stretch out, it may well be a good investment in your comfort. I brought a tennis ball with me when I flew so I could give myself a bit of a "back massage" against the airplane seat.

Bring your own pillows

Sleep becomes a challenge in the third trimester for many women and a pillow fort of sorts becomes a necessity to get some good shut-eye. Many pregnant moms find that using some sort of body pillow or pillow arrangement helps to keep their bellies supported and comfortable at night. You can't assume that the hotel will have similar pillows, so bring your own if they become essential to good rest in your third trimester. I had no shame in hauling my pillow fort with me on our last road trip at eight months pregnant.

See if you are allowed to fly

Even if your doctor OKs it, many airlines have rules about women flying in the third trimester. Check out airline rules for traveling while pregnant for complete details, but generally speaking, most U.S. airlines don't have many flight restrictions until the last month of pregnancy. However, many international airlines do have restrictions and documentation requirements beginning at 28 weeks. If you are pregnant with more than one baby, the restrictions kick in even earlier.

Decide when to stop traveling

I'm all for traveling while pregnant but, realistically, most women will want to stop traveling at some point in the third trimester. I would imagine by about 36 or 37 weeks, most women will probably decide to stay closer to home. I went on a road trip about three hours from home at 35 weeks and then called it quits for the rest of the pregnancy. There's still a whole new world of travel waiting once a new baby joins the family .

Bottom line

There is usually no reason to stop traveling when you're expecting. During my last pregnancy, I went on 12 trips, 28 flights, visited four countries and I'm very glad I had the opportunity to stay that active. I'm also glad that I grounded myself from flight after 31 weeks and from road trips at 35 weeks because those were the right decisions for my comfort level.

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Flying while pregnant: 1 month, 2 months, 3 months, etc.

Is the tropical sun calling out to you and your pregnant belly? Do not panic! Little Guest (collection of luxury family hotels) has compiled a list of various airline requirements for all future globe-trotting mothers and some « mum-to-be routines » to be followed before boarding and during the flight, depending on your pregnancy month.

First, let’s make it clear: air travel is likely to be safe for healthy pregnant women for the first 7 months. Although it is not advisable to travel by plane during the first trimester of pregnancy, note that you may suffer from the pains typical of the first few months of pregnancy under zero gravity. Travel becomes much more comfortable from the second trimester onwards. This period is best for long-haul flights. On the other hand, flying during the last trimester of pregnancy, especially during the last month, may pose some risks and is not recommended.

Questions you may have before the flight

«  Is it risky to fly when pregnant? »

British researchers from the RCOG (Royal College of Obstetricians and Gynaecologists of the United Kingdom) stated in a report published in January 2015 that travelling by air does not pose any risk to the health of the fetus or the expectant mother . Experts explain that variations in atmospheric pressure would not affect the mother and child during any month of the pregnancy. Neither would the aircraft cause miscarriage, premature delivery or water break. Air travel is actually the safest means of transport for pregnant women!

«  What are the guidelines to follow? »

Consult your gynaecologist or midwife before flying, to ensure that there are no safety concerns with you flying. These specialists will review the situation with you as it relates to your particular circumstances. In case of high risk or pathological pregnancy – history of miscarriage or ectopic pregnancy – have an ultrasound scan done before departure to make sure everything is fine. Use the opportunity to request for a medical certificate. While flying, remember to drink plenty of water and move about as much as possible. Avoid alcohol and caffeine, do not eat too much salt and stay zen until arrival. Remember that contrary to what you might think, planes are safe for babies.

«  Compression stockings, futile or useful?  »

Flying can increase the risk of varicose veins and phlebitisis. Also known as venous thrombosis, phlebitis is brought on by prolonged sitting. Seat compression can cause venous stasis in the lower limbs that can induce a pre-thrombotic state. To ensure good blood circulation , the Royal College of Obstetricians and Gynaecologists of the United Kingdom recommend to put on compression stockings before departure and state that the wearing of suitable stockings is sufficient to reduce the risk of thrombosis. At the time of booking, choose an aisle seat to allow you to move more easily. It is important to move as much as possible during the flight.

«  Are airport scanners safe? »

According to RCOG researchers, security gates are considered safe for everyone , including pregnant women and their fetuses. If you are concerned about X-rays entering your body and radiating your baby, you need to first stop watching science fiction movies as the detectors do not use X-rays but use electromagnetic fields, they emit to measure fluctuations in the presence of metals. Be aware that the amounts of radiation are minimal or negligible, and that low-level exposure is safe.

Advices and tips by month of pregnancy

1 month pregnancy flight

The great pregnancy adventure begins! There is nothing to show at the moment that a little fellow is growing inside you, except perhaps that your breasts are fuller, but who can testify to that? There are no obvious physical changes or actual physiological disruptions at this stage, so you can travel comfortably without posing any risk to your child’s development.

2 months pregnancy flight

The embryo begins its journey to the endometrium (the mucous membrane that covers the uterus) from the fourth week of life and the placenta gradually sets in place. Pregnancy hormones multiply, doubling almost every 24 hours. By the fifth week, the embryo begins developing at a high rate, with mothers often feeling more tired . Mood swings are now part of your daily routine. Flying is not discouraged, but keep in mind that flying at this stage of pregnancy is not always pleasant and sometimes even stressful. Symptoms of the first few weeks: nausea, heavy fatigue, cravings, bloating and heartburn can increase tenfold during the flight. Here are some tips to relieve your aches and pains: split meals, hydrate, add pieces of ginger root or lemon to your drinks and wear an anti-nausea bracelet .

3 months pregnancy flight

There are no problems with flying during this pregnancy phase, however, the third month is often synonymous with nausea and vomiting that can increase with altitude and make flying uncomfortable. Your uterus, which is now the size of a grapefruit, presses on your bladder, increasing the urge to urinate . Consider taking a seat in the aisle to provide easy access to the toilet in case of pressing need. Note that while the risk of miscarriage is higher during the first three months of pregnancy, the plane has no influence on this.

4 months pregnancy flight

At this point in your pregnancy, you are increasingly less tired, you no longer feel nauseous and vomiting is already a distant memory. Your belly gets rounded, your nails and hair glow, your complexion looks good, your face lights up: you feel like you’re growing wings. This is the perfect time to fly! Make sure you drink plenty of water, stretch your legs regularly (about every hour) and sit comfortably in your seat to enjoy the flight.

5 months pregnancy flight

You are now entering your fifth month of pregnancy and your fetus is constantly moving ! «  I turn, I swirl, I fly and twirl. Exhausted, I fall asleep. I wake up. A life molecule in a prime magma. The warmth, the softness stimulate me. I swim, I move, I turn around . » Fortunately for Mom, these grand gestures are tiring, causing the fetus to rest for nearly 20 hours a day. The little downside is that their sleep hours may not be in line with yours or flight hours. The fetus can start moving and kicking at any time. Consider reserving a seat with legroom . Rest at the slightest opportunity for calm, sleep is essential.

6 months pregnancy flight

Pregnant women can travel by air during the sixth month of pregnancy without restriction. The body is adapting increasingly to the fetus, while the belly is becoming even more rounded. It is common for expectant mothers to be prone to hot flashes and to sweat unusually from the 23rd week onwards. Remember to wear light and loose clothing in which you are comfortable. Your comfort is more important now than ever because once the plane has left the tarmac there is no question of turning around. During the flight, make regular round trips between the front and rear of the aircraft to stretch your legs and improve blood circulation.

7 months pregnancy flight

Your baby has grown considerably, its organs and brain continue to develop, it is becoming more sensitive to what is happening outside and is now able to hear the world around it. However, this does not mean that expectant mothers cannot fly. The trip has no impact on the baby. As a precautionary measure, take out insurance to cover health and repatriation costs before booking tickets. Like all passengers, be sure to fasten your seat belt under your abdomen . Place a cushion between your rounded stomach and the lower belt strap to avoid direct pressure on the uterus. Sit comfortably in your seat, with your legs stretched out to move your ankles and toes. Also try to walk as regularly as possible during the flight.

8 months pregnancy flight

You are in your eighth month of pregnancy and are starting to think about giving birth as your baby is ready to point the tip of his nose. If you wish to fly at this stage of pregnancy, seek the advice of your doctor or midwife to make sure you are able to make the trip. If it is not recommended to fly at the end of pregnancy it is not due to an increased risk of water ruptures at altitude but because it is possible that the delivery may be triggered prematurely. The World Health Organization (WHO) advises against air travel for pregnant women after the 36th week of pregnancy or four weeks before the expected due date. Since labour can begin at any time during the last few weeks, it is recommended to avoid travelling during this period. It is also important to know in advance the flight conditions of the company you are travelling with.

Airline conditions

Each company has its own policy on travel and pregnancy , although the majority do not encourage women to fly in the third quarter and generally refuse flights beyond the 36th week. Some companies invite expectant mothers to submit a certificate from the doctor or midwife indicating the expected date of the birth.

To take an Air France flight, you do not need a medical certificate. While the company has no restrictions , however, it recommends consulting a doctor or midwife before taking a flight. The French company also advises against travel from the 37th week of pregnancy onwards. See all the conditions to travel when you’re pregnant .

Until which week can I fly? 37th week

Do I have to bring a medical certificate? It is recommended to provide a doctor’s certificate

British Airways

With British Airways  you can not travel after the end of the 36th week if you are expecting a baby and the end of the 32nd week if you expect twins. You must also bring a medical certificate if complications are expected. See all the conditions to travel when you’re pregnant .

Until which week can I fly? 36th week

Do I have to bring a medical certificate? Yes, from the 28th week onwards

Brussels Airlines

With Brussels Airlines , you can travel until the 36th week of pregnancy as long as you present a medical certificate stating that the pregnancy does not present any complications, mentioning the expected date of delivery and indicating that the flight is suitable for the patient. In case of risk, an authorization from a qualified doctor is required. See all the conditions to travel when you’re pregnant .

Do I have to bring a medical certificate? Yes

Emirates applies similar modalities. You can travel until the 36th week of pregnancy in the case of a single pregnancy and the end of the 32nd week for twins. After the 29th week of pregnancy, a medical certificate or letter signed by the doctor is required indicating that the pregnancy is simple or multiple, that it is uncomplicated, that the future mother is in good health and that she is suitable the flight. The company reserves the right to refuse access if in doubt as to the pregnant woman’s ability to make the trip. See all the conditions to travel when you’re pregnant .

Until which week can I fly? 36th week (32nd week for twins)

Do I have to bring a medical certificate? Yes, after the 29th week

Easy Jet authorizes travel until the end of the 35th week for single pregnancies and the end of the 32nd week for twins. Pregnant women are allowed to travel with a baby on their knees. See all the conditions to travel when you’re pregnant .

Until which week can I fly? 35th week (32nd week for twins)

Do I have to bring a medical certificate? No

KLM  requires written authorization from the physician for women who have experienced complications during their pregnancy. If you have more than one baby, please consult your doctor first. The flight is not recommended for pregnant women beyond 36 weeks. See all the conditions to travel when you’re pregnant .

Do I have to bring a medical certificate? Only in case of complications

Pregnant women can fly with Lufthansa without gynaecological authorization until the end of the 36th week as long as the pregnancy is proceeding without complications. It is nevertheless recommended to provide a certificate from the 28th week of pregnancy (you can download it here, Lufthansa flight certificate ). In the case of multiple pregnancies, access to the plane is possible until the 28th week. The company also recommends that future mothers wear compression stockings for the duration of the flight. The company stresses that it is not responsible for a rebuttal to enter a foreign territory because of pregnancy and advises pregnant women to learn about the legal provisions of the destination country. See all the conditions to travel when you’re pregnant .

Until which week can I fly? 36th week (28th week in case of twins)

Do I have to bring a medical certificate? Yes, from the 28th week

With  Ryanair , it is necessary to submit a letter of proficiency (the medical confirmation template can be downloaded here in pdf format) completed by a doctor or midwife at the boarding gate. For single pregnancies, Ryanair records the trip at the end of the 36th week and the end of the 32nd week if you expect twins or triplets. See all the conditions to travel when you’re pregnant .

Until which week can I fly? 36th week (32nd week for multiple pregnancies)

Do I have to bring a medical certificate? Yes, a flight aptitude letter is required

3 Luxury hotels for (expectant) mothers

Hôtel Royal Evian

With breathtaking views of Lake Geneva and the surrounding mountains, the prestigious Hôtel Royal Evian welcomes future mothers to its 1,200 m 2 spa. The establishment, which recently won the « palace » award, has specifically designed an exclusive, tailor-made wellness program for young mothers and their babies aged 4 to 10 months . Mom learns how to massage her baby in the morning, and gets pampered herself in the afternoon by experienced masseuses.

Asia Gardens Hotel & Thai Spa

Asia Gardens , a 5-star hotel, is only 10 minutes from the most beautiful beaches of Alicante. Surrounded by lagoon pools and Asian-inspired gardens, this family destination is renowned in northern Spain for its Thai-inspired spa. It provides free yoga, Pilates, tai chi or chi-kung lessons to parents, as well as traditional afternoon massages and tea tastings.

The Slate *****

Located in Phuket, the superb hotel The Slate ***** , nestled in a small corner of paradise with lush vegetation, surrounded by silver-blue palm trees and lulled by the sound of birdsong, offers exceptional prenatal care for expectant mothers. On the agenda:  90 minutes of relaxation in the region’s top spa with a relaxing back massage and a foot drainer . Specially trained therapists apply specific techniques that have proven to be safe and soothing for pregnant women. Aches and pains that are common during pregnancy are treated with a gentle, soothing touch. And why not conclude this wellness break with a luxurious manicure and pedicure? We are, after all, here to have fun!

Travelling by plane is not your cup of tea? You prefer to travel a little slower but still have the opportunity to observe the landscape ? No problem, at Little Guest we have thought about everything. Have a look at our article on train travel during pregnancy ! Spoiler alert: the train is pregnant woman’s best friend!

Audrey , 24 years old, journalist, from Brussels, Belgium

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

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

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

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

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

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

1. Talk To Your Health Care Provider

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

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

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

2. Plan for Your Second Trimester

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

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

3. Prepare for the Pregnancy Road Trip

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

4. Drink Enough Water

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

5. Bring Extra Medications or Supplements

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

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

6. Always Wear a Seat Belt

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

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

7. Get Out and Stretch Often

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

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

8. Dress Comfortably

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

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

9. Avoid Remote Locations

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

10. Have an Emergency Plan in Place

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

11. Relax and Have Fun

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

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

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

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

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

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

Related Articles

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

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

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

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

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

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

Is it possible to travel during pregnancy?

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

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

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

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

When is travel during pregnancy contraindicated?

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

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

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

What is the best transportation for pregnant women?

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

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

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

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

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

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

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

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

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

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

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

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Other transportation

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

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

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

Recommendations for travel during pregnancy

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

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

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

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

FAQs from users

Can you travel at 8 months pregnant.

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

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

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

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

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

Is travel recommended during the 2WW?

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

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

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

Suggested for you

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

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

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

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

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

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

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

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

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

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

Ziegler CC. Travel-related illness. Crit Care Nurs Clin North Am. 2013 Jun;25(2):333-40. doi: 10.1016/j.ccell.2013.02.015. Epub 2013 Apr 2. PMID: 23692948. ( View )

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

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Ready Steady Baby

Travelling when pregnant.

Whether you’re doing short journeys in the car or getting on a plane for a holiday abroad, it’s important to take extra care of yourself when you’re pregnant. Making a few small changes and planning ahead will help to make sure you have a comfortable and safe journey.

Wherever you’re going, it’s a good idea to take your maternity notes with you in case you need medical help.

It’s fine to drive or be a passenger in a car while you’re pregnant.

It’s important to wear a seat belt as you normally would. Make sure the straps don’t go over your bump by:

• placing the lap strap across your hips so it fits comfortably under your bump
• placing the diagonal strap between your breasts and around your bump

Take regular breaks when driving and make sure you bring some water and snacks with you for the journey.

Going on holiday or abroad

If you’re planning a holiday, seek health advice as early as possible.

You should give some thought to where you want to go as:

• the things you may normally love, like hot sunny weather, may not be a great idea if you’re uncomfortable or finding it hard to sleep
• you shouldn’t travel to areas where there’s malaria or the Zika virus if you can avoid it

You should also consider the quality of medical care in the country you plan to visit.

Fitfortravel has more advice for pregnant travellers

Staying safe on holiday

Activities like walking and swimming are fine while you’re pregnant, but it’s not a good idea to do any activity where you might fall.

Take care to avoid coming into contact with water or food that could cause tummy upsets. Some medicines for treating diarrhoea may not be suitable in pregnancy.

Talk to your midwife if you have questions.

Travel vaccinations

You’ll need vaccinations before you travel to certain countries.

There are some vaccinations you shouldn’t have when you’re pregnant, especially in the first 3 months, so always check before you book anything.

Find out which travel vaccinations you might need

Travel insurance

Before you travel, you’ll need special travel insurance that:

• covers any medical costs
• allows you to cancel for any issues with your pregnancy

If you don’t tell your insurer you’re pregnant before you travel, your insurance may not be valid.

If you’re travelling in Europe, the European Health Insurance Card (EHIC) may allow you to use the health services in these countries.

Apply for a European Health Insurance Card

Flying while pregnant

Air travel is generally safe if you’re having an uncomplicated pregnancy.

If you have any pregnancy complications, check with your midwife or GP that there’s no medical reason to stop you flying, such as high blood pressure or a risk of deep vein thrombosis .

Most airlines won’t let you fly if you’re within about a month of your due date. Some will need a letter from your GP or midwife saying you’re fit to fly when you’re 7 months pregnant. Check with the airline before you book.

Having a comfortable flight

When travelling by plane:

• drink plenty of water as you’re much more likely to get dehydration while flying.
• take healthy snacks with you so you can follow your own eating plan
• take whatever makes you more comfortable, such as an extra pillow or warm socks

Be aware it may take you a bit longer than before to recover from jet lag.

Deep vein thrombosis

Deep vein thrombosis (DVT) is a blood clot in a deep vein in your leg, calf or pelvis.

You’re more likely to get DVT if:

• you sit for long periods of time
• do very little activity

If you’re travelling on a long-distance flight or sitting for 4 hours or more, talk to your midwife as you may need medication. F ollow your midwife or doctor’s advice.

More about deep vein thrombosis

Further information, other languages and alternative formats

Translations and alternative formats of this information are available from   Public Health Scotland .

If you need a different language or format, please contact [email protected].

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Last updated: 14 December 2023

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07th May 2024

Everything you need to know if you’re flying this summer while pregnant

Sophie Collins

If you’re pregnant and planning a trip abroad soon, you probably have lots of questions

Do I need a scan before I fly? Is it safe for me to be on a plane at this point in my pregnancy? Does flying heighten my risk of miscarriage?

The list of questions goes on and on.

Most women can travel safely while pregnant, according to the HSE , and flying does not increase your risk of early labour or miscarriage.

Here is everything you need to know if you’re planning a trip by plane in the midst of your pregnancy.

First things first

Flying may not be recommended if you:

• have a condition affecting your blood cells, such as anaemia or sickle cell disease
• have any condition affecting your heart or lungs that makes it hard for you to breathe
• are at risk of premature labour, for example if you previously had a premature birth
• recently had a vaginal bleed

Long-haul flights – anything over 4 hours – can be more uncomfortable as opposed to short haul flights. 

There is also a higher risk of developing deep vein thrombosis (clots in the legs) on long-haul flights.

Before you book

Here are a few things you should check before arranging flights, according to the HSE:

• When it is safe to fly
• If you are pregnant with 1 baby, the safest time to fly during pregnancy is before 37 weeks. If you are pregnant with twins the safest time is before 32 weeks.
• It is a good idea to speak to your GP, obstetrician or midwife before you take any flight.

Airline rules

If you’re travelling after 28 weeks, the airline you are with may ask for a letter from your doctor or midwife confirming your due date.

This is to make sure you are not at risk of complications.

Many airlines do not allow women to fly after 37 weeks, so make sure you check before booking.

Medical facilities

Before you book, it’s highly recommended that you find out if there is a maternity hospital close to your destination. 

You should also know if there are facilities for premature babies in the event of premature labour.

Travel insurance

Check that your travel insurance covers you while pregnant. This includes if you need to be admitted to hospital abroad or have other associated costs.

For example, you may have to stay in hospital for several weeks if you develop ruptured membranes or threatened pre-term labour. 

You may also not be able to fly for a period of time after discharge from hospital.

If you’re travelling to Europe, get a European Health Insurance Card.

It is free and allows you to get free access to public health services in:

• European Union (EU) countries
• European Economic Area (EEA) countries
• Switzerland
• The card gives you access to any necessary healthcare you may need if you become ill or injured while on a temporary stay. However, it does not cover private treatment.

Travel vaccines

Talk to your GP or obstetrician if you are travelling to a place which requires vaccinations. 

Make sure you get the correct vaccinations needed for risk areas.

What to pack

Make sure you bring:

• any medicines in your hand luggage, including folic acid
• a letter from your GP and medical notes, if you carry them

Common concerns

Concerns you may have include:

• Worsened pregnancy symptoms
• Pregnancy symptoms may get worse when you fly. These include a blocked nose or ears, swollen legs and morning sickness.

Airport security

You will have to go through all of the usual security checks at the airport. Rest assured, the HSE states that walking through the security scanner is not harmful for you or your baby.

Anyone who flies is exposed to a slight increase in radiation. Occasional flights do not put you or your baby at risk.

Speak to your manager or occupational health department if you:

• are a member of a flight crew (like a pilot or flight attendant)
• fly regularly as part of your job

Deep vein thrombosis

Your risk of developing deep vein thrombosis (DVT) is increased when pregnant.

DVT is a blood clot that can form in your leg and can be very dangerous.

This is more likely to happen in flights over 4 hours (long-haul flights).

To reduce your risk and help your circulation:

• wear loose clothing and comfortable shoes
• take regular walks and do in-seat exercises
• drink plenty of water
• wear graduated elastic compression stockings – your midwife, GP or pharmacist will need to measure you

If you have other risk factors, an injection of heparin (blood thinners) may be recommended.

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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

Being pregnant during an 1800s-era abortion ban was scary. We can’t go back. | Opinion

Vice president kamala harris' visits to wisconsin are designed to remind us reproductive rights are not safe. what happened in arizona is proof of that..

For those of us in Wisconsin who believe that abortion should be a private medical decision, it’s been a roller coaster over the past two years. Now that access has been restored to what it was before Dobbs, there seems to be a feeling of, “ We di d it. ” 

Which may be why the most recent Marquette Law School Poll showed that “abortion” is a distant third (13%) when voters were asked their most important issue. It was behind “the economy” (33%) and “immigration and border security (21%). Granted, people can care about more issues than one at a time, but I can’t help but wonder if the urgency around the issue has dissipated thanks to the series of wins.

Which makes Vice President Kamala Harris’ third trip in four months to Wisconsin all the more interesting. Her visit to La Crosse Monday and an event in Waukesha County in January both centered on rallying voters over abortion access, which has proven to be a winning issue for Democrats in a state which will play a big role in who wins the the presidency in November.

“Who sits in the White House could very well determine whether a national ban on abortion gets passed or doesn't,” Harris said when I had the chance to interview her before her visit . 

Wisconsin colleges are suffering. UW is running campuses like corporations.

Recognizing the polling numbers on the issue, I was left wondering if the choice to continue to campaign in Wisconsin on abortion access is more about capturing energy or attempting to stoke it back up. Maybe that would explain my lack of sustained outrage over what happened in Arizona.

Being pregnant in Wisconsin scary during 1800s-era abortion ban

When the news broke earlier this month that the Arizona Supreme Court ruled an abortion ban from 1864 could be enforced, I, admittedly, had a much more muted reaction compared to the Dobbs decision. 

Granted, after Roe fell, I was not only furious, I was also scared. Furious because I have been a reproductive health advocate my entire adult life. Scared because it wasn’t clear what it would mean for me in Wisconsin where an abortion ban from 1849 suddenly became the law. When you plan to start a family, phrases like "the life of the mother” take on a new meaning.

I did get pregnant at the beginning of 2023 and that ban was in place for the entirety of my pregnancy. During my first OBGYN appointment, I was ecstatic to see that little bean on the ultrasound but I also ended by asking my doctor, "what happens if something goes wrong with my pregnancy?" She had to assure me that they had systems in place to get me the health care I would need across the border in Illinois. 

Before each appointment, I had the gutting stories of women who were denied care for miscarriages or forced to continue nonviable pregnancies in the back of my head. When everything looked healthy at the infamous 20 week ultrasound, I finally started f to enjoy being pregnant and not be consumed with concern. Concern over not just what could go wrong but also concern over what hoops I would have to jump through to receive care if I needed it. The first concern is inevitable. The second I do not wish on anyone.

Thankfully, I had an uncomplicated pregnancy and an uncomplicated birth. I’m still concerned about my kid daily, but I’ve been told that’s a feature, not a bug, of being a parent. However, now that I have lived through being pregnant in a state where an 1800s era ban is in place, I was surprised I didn’t have the same level of outrage when the news about Arizona broke. 

Reflecting on it, I think that’s likely due to some fatigue. Fatigue from balancing multiple jobs while having an infant at home but also from banging this drum through two high stakes statewide elections.

Wisconsin’s whiplash with abortion access

Wisconsin voters have now twice voted as if abortion was on the ballot and have, in turn, gained back the access to the reproductive healthcare we had prior to June 24, 2022,when Roe v. Wade was overturned.

After Dobbs returned the issue back to the states, the path to Wisconsin overriding its 1849 ban and diverting any new laws restricting abortion was clear, but it wouldn’t be easy. It would take winning two high stakes, expensive state wide elections: the governor's race and the open seat for the Wisconsin Supreme Court. One wouldn’t do, it had to be both. 

Grocery bills drive views on economy. Wisconsin is gloomy heading into election. | Opinion

Re-electing Gov. Tony Evers meant there would be a veto for anything the Republican legislature could pass and electing Janet Protasiewicz would flip the Supreme Court’s ideological leaning, likely leading to a favorable ruling if Attorney General Josh Kaul’s lawsuit challenging the ban came before them.   

And it happened.  Evers was re-elected by a margin of 3.4% in November 2022 and Protasiewicz by 11% in March 2023. 

Since then, a Dane County judge ruled that the 1849 law applies to feticide, not consensual abortions , meaning the Wisconsin court wouldn't ban abortion and abortions are currently being provided in Wisconsin. The ruling was appealed directly to the state Supreme Court and, if the court does take up the case, it's likely to uphold the lower court's ruling. There’s not even a petition asking the court to "recognize a constitutional right to bodily autonomy, including abortion."

It’s easy to look at those hard fought wins in Wisconsin and feel relief from what we gained, and also feel tired from continuing to sound the alarm.

Harris' visits designed to remind us reproductive rights not safe

For that reason, it’s important that the Biden campaign continue to both capture the energy there is and remind Wisconsin voters how ephemeral these rights have become regardless of the wins we have had in our state.  

For example, during our conversation, the Vice President pointed out that a national ban would override anything we have secured here in Wisconsin. Regardless of Donald Trump’s current evasiveness on the issue , if it behooves him at any point to further encroach on reproductive rights and women’s health, his track record shows he will. 

Additionally, we are waiting to see if the Supreme Court ratifies a ruling from a conservative federal appeals court that would limit access to mifepristone, one of two drugs used in medication abortions . If they were to uphold the ruling, the drug would be banned regardless of a state’s abortions laws. The justices are also hearing arguments over whether a federal law on emergency treatment at hospitals must include abortions, even in states that have otherwise banned them.

The fragility of our reproductive rights is not limited abortion access either. In Justice Clarence Thomas’ concurring opinion on Dobbs, he listed Griswold v. Connecticut , the case securing access to contraception, as one of the cases the court should reconsider. In the past year, when given the chance to codify people’s right to contraception, Republican lawmakers at both the federal and state level , refused.

Arizona has shown what’s at stake. Who sits in the White House will undoubtedly play a big role in determining if women have access to health care. Wisconsin voters may well be the ones who ultimately make that choice for all women. 

Kristin Brey is the "My Take" columnist for the Milwaukee Journal Sentinel.

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Many Florida women can’t get abortions past 6 weeks. Where else can they go?

FILE - Abortion rights protesters are removed after becoming vocal, Tuesday, May 16, 2023, in Raleigh, N.C. North Carolina abortion service providers prepare for a potential influx of people from Florida after the state’s six-week abortion ban was enacted Wednesday, May 1, 2024. (AP Photo/Chris Seward, File)

FILE - Protesters on both sides of the issue hold signs as North Carolina House members debate, Tuesday, May 16, 2023, in Raleigh, N.C. North Carolina abortion service providers prepare for a potential influx of people from Florida after the state’s six-week abortion ban was enacted Wednesday, May 1, 2024. (AP Photo/Chris Seward, File)

FILE - Planned Parenthood Votes South Atlantic organizer, Emma Horst-Martz, discusses the groups’ canvassing goal of knocking at one million doors during a press conference at Bicentennial Plaza in Raleigh, N.C., Thursday, April 25, 2024. North Carolina abortion service providers prepare for a potential influx of people from Florida after the state’s six-week abortion ban was enacted Wednesday, May 1, 2024. (AP Photo/Makiya Seminera, File)

The Planned Parenthood Health Center located in Chapel Hill, N.C., is seen, Friday, May 3, 2024. The location provides abortion services, in addition to birth control and STD testing, according to its website. (AP Photo/Makiya Seminera)

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RALEIGH, N.C. (AP) — When Florida enacted its six-week abortion ban last week, clinics in several other Southern and mid-Atlantic states sprang into action, knowing women would look to them for services no longer available where they live.

Health care providers in North Carolina, three states to the north, are rushing to expand availability and decrease wait times.

“We are already seeing appointments,” said Katherine Farris, chief medical officer of Planned Parenthood South Atlantic. “We have appointments on the books with patients who were unable to get in, in the last days of April in Florida.”

Their reaction is part of a growing trend in the United States: Since the Supreme Court overturned Roe v. Wade , spurring more than 20 states to adopt laws banning or severely limiting abortions, states with looser restrictions have taken steps to welcome women who want or need to end their pregnancies.

Since the court overturned Roe in June 2022, some Democratic-controlled states have made it easier for out-of-state women to obtain abortions. Several have adopted laws protecting in-state health care workers from being investigated for providing abortion to women from states with bans. Such measures have included allowing providers to prescribe abortion pills, the most common abortion method, via telehealth.

Officials in California , New Mexico , Oregon and other states have used taxpayer money to increase abortion access.

Florida recorded more than 84,000 abortions in 2023, a slight increase from 2022. As of April 1, the state reported approximately 14,700 abortions this year, potentially leaving a substantial number of women to consider going out of state.

“Patients will travel when they’re desperate to get an abortion,” said Mara Buchbinder, a social medicine professor at University of North Carolina at Chapel Hill. “We know that.”

At one point, Florida was a go-to state for women from other Southeastern states with restrictions, including neighboring Georgia and South Carolina, which both ban abortions around six weeks of gestation, before many women even know they are pregnant.

Last year, about 7,700 abortions in Florida were for out-of-state patients, according to state data.

But the state has steadily narrowed access. In anticipation of Roe being reversed, the Legislature passed a 15-week ban in April 2022 that took effect despite a court challenge. In 2023, it passed a six-week abortion ban that would take effect only if the earlier ban held up in court. The state Supreme Court upheld the ban last month, and the new law quickly went into effect.

A referendum in November asking voters to codify abortion rights in Florida’s constitution could reverse the ban. But at least until then, Florida abortion advocacy groups will still need to organize many out-of-state trips.

For women who are more than six weeks pregnant, South Florida is now the farthest from a legal provider of any highly populated area in the U.S. Subsequently, the average cost per abortion is expected to jump from $600 or $700 to as much as $1,800 or more, said Daniela Martins, a board member and caseworker team leader at the Women’s Emergency Network, a nonprofit organization that helps people in the region pay for abortion and other reproductive health care.

Martins said her group anticipates helping women get to Virginia and places even farther north, such as Maryland and Washington, D.C. She said it is committed to not turning away clients in need, though raising enough money to honor that commitment could be challenging.

“We’ve seen a lot of outpouring of support,” she said. “It’s nowhere near what we project we’ll need.”

Another group, The Brigid Alliance, which provides travel and support across the country for women seeking abortions after 15 weeks of pregnancy, is preparing for more needs in the coming months.

Serra Sippel, the group’s interim executive director, said the alliance is adding six new logistical coordinators, including four who speak Spanish, and is partnering with a clinic in Puerto Rico, an option particularly for Spanish-speaking people.

One of the largest patient influxes is anticipated in North Carolina, where, even before Florida’s ban, 32% of abortions provided at the state’s Planned Parenthood clinics were for out-of-state patients, Farris said.

But while it might be the most convenient place for Florida women given its geographical proximity, North Carolina is not without its own set of hurdles. The state’s 2023 law allows for abortions through 12 weeks of pregnancy , but requires two in-person visits to a provider 72 hours apart.

Those extra steps can turn a single-day procedure into a weeklong affair, said Justine Orlovsky-Schnitzler, engagement director for Carolina Abortion Fund, a nonprofit in North Carolina and South Carolina that operates a helpline to assist callers with abortion care.

Providers in North Carolina also fear the arrival of new patients will lengthen the wait time for an abortion, currently five to 20 days. Planned Parenthood South Atlantic, which serves North Carolina, South Carolina, Virginia and West Virginia, is trying to avoid that by rolling out seven additional days of abortion services and adjusting providers’ schedules at North Carolina clinics to expand availability, Farris said.

“We are all willing to do the work,” she said. “Operationally, it is incredibly challenging, and I think it’s important to remember that this is a chaotic system.”

Farris, who provides abortions in North Carolina, has to turn away patients who don’t qualify under the state’s law because they are more than 12 weeks along. She initially refers them to Virginia, which allows abortions until 24 weeks. If there are no appointments available, women can travel to Maryland, Washington or places farther north.

Carolina Abortion Fund has six staff members and a volunteer network, but working there could often feel like having two full-time jobs even before Florida’s ban, Orlovsky-Schnitzler said.

Volunteers have sometimes stayed up until midnight to help someone coordinate an emergency abortion, and there have been months in which the organization has received as many as 1,000 calls, she said. After Roe was overturned, calls rose by 400%.

“That’s not an exaggeration,” she said.

The center received 650 calls in April alone, according to data it provided.

The organization often runs out of money, but Orlovsky-Schnitzler said that doesn’t stop workers from answering every call to get people the help they’re seeking.

Staff at A Preferred Women’s Health Center in North Carolina, with clinics in Charlotte and Raleigh, are fielding about 4,000 calls weekly, most from women in Southern states, Executive Director Calla Hales said.

Since Roe was overturned, about 70% of the clinics’ approximately 13,000 abortions each year have been with out-of-state patients, she said.

The center also operates two clinics in Georgia under the state’s six-week ban. The clinics’ operations there may give a preview of what’s to come in Florida, Hales said.

“As soon as they pee on a pregnancy stick, they’re running in,” she said.

Associated Press writer Amanda Seitz in Washington, D.C., contributed to this report.