Travel and pregnancy

Description
Most women are able to safely travel during pregnancy. Before you make travel plans, however, consult your doctor. Your travel may be restricted if you're at high risk for complications -- if you have high blood pressure, diabetes or episodes of vaginal bleeding, for example.

Trimester travel
First trimester: You may simply be too tired to travel much during early pregnancy. The risk of miscarriage is highest during this trimester, and you may want to stay close to your doctor.

Second trimester: Midpregnancy may be the best time to take a trip. You'll probably be less fatigued, and, if all goes as expected, labor is still months away. If you are at risk for preterm labor, however, your doctor may not want you to travel at all.

Third trimester: If you must travel now, make it as early in the trimester as possible. It's a good idea to have an exam with your doctor before your trip. You may want to take a copy of your prenatal records with you. As a general rule, don't travel far from the hospital during the last month of your pregnancy.


Automobile travel tips
Automobile accidents are the leading cause of maternal death. Wearing your seat belt is the most important safety measure you can take for you and your baby while traveling on the road. Fasten the lap belt snugly below your abdomen and above your upper thighs -- never wear it across your belly. Place the upper strap between your breasts. According to preliminary data, it's not necessary to disconnect air bags for pregnant women.
Because sitting for long periods of time can impair circulation, remember to stop at least every two hours for short walks. Seat exercises, such as stretches or ankle rolls, can also help your circulation. In case you get hungry, pack drinks and healthy snacks.


Aircraft travel tips
Travel in commercial pressurized planes is considered safe for pregnant women. Before buying your ticket, however, check with the airline about any restrictions. Some airlines restrict travel for pregnant passengers, especially during the last month of pregnancy.
During the trip, wear your lap belt snugly below your abdomen whenever you're seated. Turbulence can occur at any time, potentially putting you and your baby at risk for trauma if you're not belted in properly. To help improve circulation, do some seat exercises while you're seated.

Although flying in small nonpressurized planes is typically safe up to 10,000 feet, there is a risk of oxygen deprivation to the developing baby. Most authorities recommend avoiding nonpressurized aircraft travel during pregnancy.


General travel tips
Allow plenty of time for rest and relaxation during your trip. Make wise food choices and include plenty of water and fiber in your diet to help prevent constipation. Don't forget your prenatal vitamins or other prescription medications. To decrease the chance of a urinary infection, urinate when you have the urge. Carry pertinent medical information, including your blood type, allergies, medications and your doctor's name and phone number. It's also helpful to have the name of a local obstetrician you can call if necessary.

Considerations
Remember that hot climates may be uncomfortable for you. If you'll be traveling to a higher altitude, discuss precautions with your health care provider. You or your baby may be at risk for altitude sickness or oxygen deprivation. It's also important to check with your doctor if you'll be traveling to an area far from medical facilities.
Before planning international travel, check out any restrictions on food or water. You'll also need to know what vaccines are required and if you can safely receive them during pregnancy. Finally, check with the Centers for Disease Control and Prevention before your trip to see if there are any disease outbreaks at or near your international destination.