Flying While Pregnant: Is it Safe? What You Need to Know

The moment you find out you are pregnant, your life changes. You suddenly have another person to think about with every decision you make. Pregnant women have a lot to do when it comes to their health and the health of their baby. Many women wonder if they can still do the things they used to do, including air travel, or if doing so will prevent them from having a healthy pregnancy.

More: Can you drink coffee while pregnant?

We all know that life goes on during pregnancy and that includes air travel. Whether you're booking a flight for business or pleasure, here are the things to consider when wondering whether it's safe to fly while pregnant during the first trimester or until your due date.

Do airlines allow pregnant women to fly?

According to the American College of Obstetricians and Gynecologists (ACOG), most airlines allow pregnant women to fly from the first trimester through the third trimester up to 36 weeks gestation. However, some international flights may limit travel earlier during pregnancy. ACOG recommends checking with your airline for rules on air travel during pregnancy.

Many pregnant women worry about wearing airline seat belts during flights. ACOG recommends that all pregnant women buckle up on airplanes. This is to avoid injury that can occur if there is turbulence during flight. Place the seat belt under your stomach and position the shoulder strap between your breasts for the best fit.

Flying in the first trimester

If you are in good health and your OB-GYN gives you the go-ahead, flying in the first trimester is generally safe. According to ACOG, there is no increased risk of harm to you or your baby from radiation exposure or metal detectors, nor are there any issues with cabin pressure or noise vibrations.

Women considered to be at risk are generally discouraged from flying. This includes women with high blood pressure, sickle cell anemia, or at risk of preterm labor. Your gynecologist will discuss with you any risks that will determine whether you can travel while pregnant.

Many women fear swelling and the risk of blood clots when flying because of the long periods of sitting. All air travelers, as well as pregnant travelers, should be aware that sitting for long periods of time causes blood clots to form. If possible, book an aisle seat so you can get up and walk up and down the aisles to keep blood flowing. Wearing compression stockings can also prevent blood clots.

You should also drink plenty of water to avoid dehydration. If you're prone to morning sickness during your first trimester, ask your gynecologist about anti-nausea medications that are safe if you also get motion sickness. If possible, avoid morning flights to minimize the risk of nausea.

Flying in the second trimester

The second trimester (14-28 weeks gestation) is usually the sweet spot of pregnancy and usually the best time to fly. Morning sickness has usually subsided and you no longer have the back pain or pressure on your abdomen that you will experience during your third trimester. You should have a good amount of energy and be able to get around.

The same advice applies when it comes to booking an aisle seat to make it easier to move around and avoid blood clots. You can also wear compression stockings during your second trimester if they are comfortable for you.

When booking your trip, you want to know where the nearest hospital is in case of an emergency. If you are planning international travel, your gynecologist may be able to help you find a health care provider to use while you are away.

Flying in the third trimester

This is when things can start to get difficult. As mentioned above, most women are free to travel by air up to the 36th week of pregnancy. However, you may change if you are at risk for preeclampsia, placenta previa, or gestational diabetes. Your OB-GYN at this point will likely put the kibosh on any air travel during pregnancy to avoid pregnancy complications.

If you get permission to travel during your third trimester, you'll definitely want to know where the nearest hospital is and have a healthcare provider on speed dial. We all know that babies have a mind of their own and can come before your due date. While you cannot predict what they will do, you can be as prepared as possible.

Flying while pregnant during COVID-19

If traveling while pregnant isn't enough to worry about, the coronavirus brings even more concerns. According to the Centers for Disease Control and Prevention, the coronavirus poses a greater risk to pregnant women. Pregnant women have a greater chance of getting sick, being hospitalized, and even spending time in the intensive care unit. The CDC currently recommends no travel until you are fully vaccinated. This is two weeks after the last dose of your vaccination. Your gynecologist will advise you on whether it is safe for you to get the COVID vaccine while pregnant and what to do when traveling by air.

Frequently asked questions about flying during pregnancy

Do I need a pre-trip check-up?

It's generally a good idea to see your gynecologist before you fly. He or she can check that your vaccinations are up to date and that you are generally healthy.

Why does my gynecologist need to check my vaccinations before I travel?

Depending on where you are traveling to, you may need additional vaccinations. This is especially true if international travel is on your itinerary.

What should I be aware of when traveling that might indicate a problem?

According to ACOG, you should look out for the following:

  • vaginal bleeding
  • pain in the pelvic area
  • membrane tears
  • Severe vomiting and/or diarrhea
  • Signs of deep vein thrombosis (DVT) (formation of blood clots)

If you experience any of these symptoms while traveling, you should contact a doctor as soon as possible.

Are airplane cabins safe for pregnant women?

Yes, airplane cabins are safe for pregnant women. Lower air pressure during a flight can reduce the amount of oxygen in your blood, but your body adapts. Radiation exposure increases when you are at higher altitude, but should not be a problem if you are pregnant.

When is it not a good idea to fly while pregnant?

If you have a pre-existing medical condition or pregnancy that could be made worse by flying, keep your feet on the ground. In any case, your doctor should let you know if this is the case well in advance of booking your flight.

What are the best ways to feel comfortable while flying?

Booking an aisle seat can be extremely helpful as it allows you to get up and walk around the cabin when it is safe. It's also a good idea to stretch in your seat. If you're lucky enough to have an empty seat next to you, use it to stretch out. Staying hydrated can also help you feel good all over.

Final Thoughts

If you're thinking about flying while pregnant, always talk to your gynecologist beforehand so you can discuss any risks or issues that may make flying dangerous. Remember that flying during your second trimester is generally the best and safest time to fly while pregnant. When you are in your third trimester, flying may become more uncomfortable and there may be greater risks involved. There is also always a chance that you could deliver before your due date. Because of this, you want to know where the nearest hospital is and learn about local healthcare providers.

Ultimately, your health and that of your baby always comes first when flying and remember to consult your doctor before booking flights. If you decide to travel after your bundle of joy arrives, check out how early can toddlers fly on airplanes?

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