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Travelling when Pregnant

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  • Flying at 7 and 3/4 months pregnant
  • Planning a Pregnancy and a Trip to Europe

    Flying at 7 and 3/4 months pregnant

    I would like to attend a meeting in Washington, D.C., but I will be about 7 and 3/4 months pregnant. My doctor advises not to fly in the 8th month. I am just looking for some advice. Should I go?? And do airlines have regulations about very pregnant women flying?
    My OB told me the concern was (1) that one would inconveniently go into labor on the flight; (2) one would not have a regular OB at the far-away site. He did not think that changes in cabin pressure might bring labor on, however, and I flew at about 7 months without any difficulty. Clearly, it's possible to arrange for a doctor in DC beforehand, but the first problem could be a real doozy. A flight to DC lasts about 6 hours, and one could be well along in labor by the end of that time. I dunno, it's sort of a crap shoot at 8 months - but I have a LOT of friends who delivered at 34, 35, 36 weeks.
    On flying while 7 3/4 months pregnant. Most of the people I know who fly that late in their pregnancy don't find it a pleasant experience. I've known more than one couple who traveled in the 3rd trimester of pregnancy and ended up with premature labor, in one case a premie birth far from home. As the mom of 2 premie babies (but never got anywhere near getting to choose whether to travel in the 8th month), I can say that there are a lot of conference opportunities there in your future, but this baby will only go through gestation once, and if you encounter any problems, it's a whole lot nicer to be close to home and to your prenatal care network. Premature birth may not seem that much of an issue to you, if you'll be at almost 8 months, but even at that age babies can have problems that keep them hospitalized for more than the normal period, and flying home postpartum with a newborn wouldn't be all that much fun either. Of course, probably the majority of pregnant travellers have no problems, but I'd say go with the doctor's advice. Even the "successful" late pregnancy travellers I know found it very uncomfortable and in retrospect would have happily skipped the trip. So consider the long term perspective--your career will recover from one missed conference much more easily than you would recover from any complications that arose out of the trip. Good luck!
    I did this (flew to Michigan when I was 7 and half months pregnant) this summer. I flew Southwest. When I called the airline ahead of time to see if they had restrictions, they said I'd need a doctors note saying it was ok, but on the trip out nobody asked to see it. On the trip back somebody asked if I had one, but when I said I did but it would take a minute to get it out, they said they didn't need to see it.

    In terms of whether you should go or not:does your doctor have a reason that you shouldn't (i.e. is there a higher-than-average risk that you'll give birth this early?). I didn't have any problems with the flight--just walked around a lot and drank lots of water.

    (My biggest fear wasn't medical, but insurance-related. We had called Kaiser to see if I would be covered if by some chance I gave birth early; the person in the business office said that I wouldn't be covered if it was a "normal birth". When we pressed to find out what a "normal birth" was--wouldn't a birth that early not be normal?--we were told that they could only determine if it was normal after the fact!)


    I flew at 34 weeks, which my doctor felt was the latest I could do it. Many HMOs have rules about leaving town when it gets down to 6 weeks before the baby is due. I heard a horror story about a woman in Southern CA who had driven a couple of hours away from home, went into labor, delivered at a HealthNet certified hospital, but HealthNet wouldn't pay because it was outside of her medical group (they specify how many miles away you can go). If you do fly late in pregnancy, do try to keep your feet up to avoid swelling and drink lots of water.
    To the person who wanted advice about flying while 7 3/4 months pregnant: do it if you want to, if you feel comfortable, and if your doctor thinks its fine. I took a trip to DC when I was 8 1/4 months pregnant, with my doctor's permission. I had one week before United would have refused to let me fly, but they never asked to see a doctor's note or anything like that. I loved visiting friends, getting some work done, and generally travelling alone for what I knew would be the last time for a while. My friends took beautiful care of me while I was in DC, and I hope you can arrange for someone to do the same for you. The servers on the airplane were also very helpful with lots of extra water, friendly advice, extra snacks, and so on. Before I went I got some recommendations for hospitals and doctors in DC, for "just in case," and checked into my insurance coverage for out of area. I never needed it though, and you probably won't either. I hope you enjoy your trip!
    I'm not sure why they recommend not flying besides being away from your doctor close to your due date. One thing to consider is the change of pressure when you descend and ascend. I think one reason my baby was born three weeks early is because there was a high pressure system moving through our area that night - there were about thirty babies born that 24 hour period at Alta Bates. A nurse told me that many babies were early and labor came on becausa of water breaking and that it is common when there is a high pressure system. I guess any weakness in the sac can be tested during changes in pressure. That said, I have no idea if that has any bearing on someone who isn't yet 36+ weeks and if a plane can cause that kind of problem.
    I'm sure your question will draw a response from just about everyone who's ever traveled pregnant, but here's my two bits anyway. I flew from Amman, Jordan to the U.S. at the end of the 7th month of my pregnancy. I had heard that was about the latest airlines will let you fly, and just to be sure I wouldn't have problems I obtained a paper from my doctor certifying my due date. I can't remember if anyone actually asked to see it. I suppose if you don't show much (I was HUGE) you might get away with flying later. (?) The rumor I heard about why the airlines are reluctant to let you fly when you're very far along is that the stress of flying (pressure changes etc.?) might cause you to go into labor early (?) and in any case they don't want you to deliver on board. The other rumor I heard was that if you do deliver on an airplane, the airline will give you and baby free flights for life -- supposedly a friend of a friend of mine received this privilege (for her labors.) (Ha ha.) At any rate, personally I would never WANT to make a long flight after the 7th month -- my flight from Amman was *extremely* uncomfortable and in spite of my efforts to take regular strolls in the airplane, my feet and ankles swelled to almost double. Even at 7 months I'd never do a long flight again if I could help it! Sorry all this info is only ancecdotal -- but you can always call the airplane you plan to travel with and ask for their policy.
    Discuss this with your Ob/Gyn of course. If you really want to go, make very good plans. Find out where the nearest/best hospital for delivery is near your meeting. Figure out all the insurance stuff. Make sure that you are comfortable giving birth in Wash if you need to. Or on the plane. Have a plan for your husband/partner/coach. Realize that most babies are full term, but yours could come early.
    I flew across the country to attend my sister's wedding 5-6 weeks before my due date, with my OB's go ahead. Other doctors in the same practice disagreed with my OB, but after much consideration (particularly since I had complications in the second trimester) we decided to go. Had it been something less important to me than my sister's wedding I don't think I would have flown. But as it turned out it was a wonderful trip. As for airline policies: I've been told that most airlines do not allow women who are 8 months or more pregnant (4 weeks prior to due date) to fly, though a letter of permission from your doctor may sway them. I brought a letter from my doctor just in case, but was never questioned about it. Our OB said there wasn't any danger in flying itself, but what everyone is concerned about is that a pregnant woman could go into labor unexpectedly or have some other complication during the flight. If your pregnancy has been smooth then it may not be such a difficult decision. (I think there is a lab test that costs $200 that can estimate whether you are likely to go into labor in the next two weeks; I didn't take it but considered it.) I was relieved during our flight when I found another very pregnant mom sitting in the seat in front of me! Good luck!
    I flew to Vermont for a week, returning on the first day of my last month of pregnancy. My midwife approved, I had no risks, and I took along a letter of my midwife's approval. No problem with airline, but I did wear loose clothes to avoid extra attention.( I also checked with my HMO about what would happen if I delivered there.) I had a great time, although the long flight left me with such a sore lower back I had to find a chiropractor there to treat me. Have a great time!
    After reading the postings regarding flying when pregnant, and having had a trip planed for my 30 week of pregnancy, I realized that perhaps I also should contact my doctor to get their advice. I belong to Kaiser and can tell you that the advice nurse all but laughed at me when I told her my situation. She said that she would forward the message to my doctor but could tell me immediately that the doctor was NOT going to approve it. Granted, my situation is slightly different as I was planning on flying to a wedding one day, and returning the next. Wanting to get a second opinion, and make sure that Kaiser was not overreacting to prevent a potential lawsuit I sent email to my father-in-law who is a retired general practitioner. Below is his reply. Hence, my trip has been cancelled.
    "The third trimester is a time when complications occur, which can be abrupt. As an example, if membranes rupture in the seventh or eighth month, labor can be very rapid, all within the period of an airplane flight. Although the odds are fairly low, such complications, unfortunately are common, and you would have much better chances for a favorable outcome if you are near your physician and hospital. My answer was always no. My usual response was that, although you'll miss the wedding, it is far better to visit later, and show off your new baby."

    Planning a Pregnancy and a Trip to Europe

    My husband and I are going to try to get pregnant soon. I am in my early 30's. My husband is off his medication at this time since it would cause birth defects. He can't be off his medication for too long. So, in terms of timing, we hope to get pregnant soon. However, we also want to take a trip overseas for 2 weeks before we have a baby. I have not researched this out yet and did not see anything in the archives about it. This is my first attempt.

    Here is what I need advice about: In terms of morning sickness, nausea, this being the first baby, pregnancy risks, doctors, weather, airplane flight/altitude, eating unfamiliar foods.... is it ok for us to travel overseas to Europe? Once I get pregnant, will I get morning sickness right away? When does it usually happen? Would it be too risky to travel to Europe? If things go as planned, I might be 3 or 4 months pregnant at the time we travel to Europe.


    I don't think it is risky at all to travel to Europe during your third or fourth month. Although, no one can guarantee how you will react to pregnancy and if and when you will have morning sickness, most people feel better once they begin their second trimester. So, it is best to wait until your fourth month if possible. I know I got a second burst of energy in my second trimester. In my first I just wanted to sleep.

    Also, you did not mention where in Europe you are travelling. Just be careful with food and water if it is in a more desolate or underdeveloped area. If so, I would always pass on the ice and be careful about what you it (i.e. some areas leave the mayonnaise at room temperature.) But, if it is in one of the bigger cities, I am not as careful. For example, I still take ice in my drinks, but prefer bottled water, which most restaurants serve anyway. Don't give up your trip to Europe while you are pregnant, as long as your doctor agrees. It will be harder to go later!! Enjoy this time alone.


    I am european and when I was 4 month pregnant (first time) I did the exactly reverse of what you want to do now - a long trip to the USA. I can tell you possitively, that it is no more risky to be pregnant i Europe than it is here, Here is some advise:
    -after 4 month you will be comfortable about your pregnancy, and will probably have asked all the initial questions already
    -Morningsicknes will probably be over by that time.
    -Food: Take care only to eat pastorised milk and milk products (cheese!). Do not eat raw eggs. Most water is safe to drink in europe and in places where it is not you can by bottled water.
    -flying is no risk at that time
    -If anything unexpected should happen docters in Europe are exactly as good as the american ones. Remember to get a health insurance
    -take it easy! Do not try to se Europe in one week. You will probably need more rest than usually.
    Good luck, Bine
    For what it's worth, here's my story: I got pregnant in mid-July at the age of 37 and went to Europe (England and France) in late October. My nausea (total misnomer to call it morning sickness - it lasted 24 hours a day and even woke me up during the night) began right on schedule - exactly in between the first skipped period and the second skipped period. (I didn't learn this until after it started, so there was no suggestibility involved either). The interesting thing was that the nausea was MUCH better while I was overseas - it virtually disappeared! Even travelling on the plane (a very crowded flight in coach, sitting next to a guy with really bad B.O.) wasn't that bad. At the time I thought "great, it's gone" because the trip occurred at the beginning of the 4th month, but when I got home, the nausea came back, almost as bad as before! I don't know if there was something different about the food, the schedule, or simply that I wasn't working! Anyway, it worked out great for me - we had a fabulous time and I am SO glad we did it - but I had a textbook pregnancy and a "perfect" 9-lb baby who arrived exactly on the due date - so you should also talk to your doctor to find out if there is any reason why he/she thinks that overseas travel is a bad idea for you. Random advice, if you do it, take LOTS of snacks for the plane (they practically force alcohol on you but are very stingy with the food, and then wonder why people get "air rage"), and stay in places where you can have snacks and drinks handy in your room (even our cheap Paris hotel had a little fridge in it). We visited a lot of museums which was great because they have good food and bathrooms. Bring roomy clothing that allows for growth - I was much bigger at the end of my two week trip than I was at the start! -- the three to four month point is when you really start to pop out, and you don't want to be flying back in tight jeans! (I actually wore the same black knit drawstring waist (maternity) skirt the entire trip, which was perfect for me, it was so comfortable I could even sleep in it, yet looked fine at restaurants & theatre). As for different foods -- I ate what I felt like, within reason (which for me meant resisting raw oysters in Paris, although I did eat a little brie and several times had a glass of wine with dinner, which I know are both considered felonies by the Pregnancy Police).
    It sounds like you should read a book about the early stages of pregnancy. People's individual experiences will vary across the board, I imagine. When it comes to morning sickness, mine was bad enough that it made me throw up just driving two miles to work in the morning. Traveling was the last thing I wanted to do. Also, I started my morning sickness the first day I was supposed to have gotten my period. Usually it will go away at 3-4 months, but not always. All I know about travel is that you should not be flying definitely the last month of pregnancy. Talk to your ob-gyn about travel concerns. P.S. my husband was on his way to a one day business trip the day I went into labor - three weeks early... so you never know.
    In response to the question about traveling while pregnant, I offer the following advice. I traveled to Germany, France and Turkey when I was 5 months pregnant, and again to British Columbia when I was 7 months pregnant -- all times without problems. As many women will tell you -- the first thing to do is have your doctor ok the trip. This is the most important factor in regards to pregnancy risks. The general philosophy of most OB's is that if you are having a non-difficulty pregnancy, it is ok to travel. (2) I did have nausea on the flight, on trains and in polluted cities (such as Istanbul) and therefore carried a cloth handkerchief dotted with peppermint oil in my pocket. I found that when I felt sick, I would take out the scented handkerchief and smell the peppermint oil. The scent helped to soothe the nausea. At the suggestion of a friend, I tried the peppermint oil and amazingly it worked (there are many aroma therapy suggestions on pregnancy out there in several books if you are interested in other remedies.) (3) I suggest carrying snacks with you at all times. Often when traveling your meals are not scheduled at regular intervals. I found that always having something to eat (and plenty of water of drink) with me really helped me get through the times when we couldn't find someplace to eat. I would joke with my husband that before we planned our tourist activities, we needed to remember to feed the pregnant lady first. Eating in Europe is no different than here, you'll find plenty of healthy choices. For me, however finding healthy choices in Turkey was the big challenge. In addition, finding public restrooms in Europe is a lot easier than finding one here. (4) Be sure to rest often. We also scheduled this in during the day. It will help to keep up your stamina and therefore your interest in seeing one more site. (5) On the flight you should not have any troubles with the altitude (only later in my pregnancy( at 7mos ) was I very uncomfortable during the descent). I suggest walking around a lot during the flight. Don't be shy, and move around often and do stretching exercises. Having an aisle seat was also important. One more piece of advice, Europe is a very modern place with wonderful medical services and resources. So you'll be able to travel in peace and enjoy yourself. Good luck and have a wonderful time.
    Another thing to consider in traveling during the first trimester is jet-lag. We flew back to Europe, where we were living last year, after a longish-visit back home. I didn't realize that I was pregnant, I was just amazed at how difficult it was for me to get over jet-lag that trip; I felt like I had to sleep half the day for the first few days. If you were to take a trip of only one or two weeks, even without nausea, a significant portion of your trip could be wasted sleeping.
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