american airlines pregnancy travel

Flying while pregnant? Here’s what you need to know

Editors note: This guide has been updated with the latest information.

During pregnancy, seemingly harmless things like eating deli meat and cleaning your cat's litter box are suddenly off-limits, along with more obvious restrictions on sports like skiing and scuba diving.

But what about "grey area" activities like flying in an airplane?

There's no single set of guidelines governing air travel during pregnancy and every airline has different restrictions, timelines and requirements. Some airlines may also require a medical certificate from a primary attending doctor or midwife for air travel during the final months of pregnancy, though even that varies, with U.S. airlines typically offering more flexibility than international carriers.

In the absence of clear guidelines, TPG turned to Dr. Nithya Gopal , a board-certified OB-GYN physician and the Director of OB-GYN services at Viva Eve in New York City, for her expert recommendations on safe air travel during pregnancy.

Here's what she had to say:

Is it safe to fly when you are pregnant?

There is no evidence of adverse pregnancy outcomes due to flying, according to Dr. Gopal.

"The general consensus is that it is safest to fly in the first and second trimesters," Dr. Gopal told The Points Guy. "While the first and third trimesters tend to be when the most obstetric emergencies are going to happen, I personally become more cautious with my patients after 32 weeks because of the increased risk for premature labor and the possibility of needing urgent medical attention when you are in the sky."

The most important thing you can do, no matter how far along you are in your pregnancy, is to consult with your healthcare provider before flying.

"Any time you are planning to fly during pregnancy , you should be having that conversation," Dr. Gopal said. Your provider will be familiar with any safety precautions you should take to ensure a safe and healthy flight.

Related: Guide to flying in each trimester of pregnancy

The airline you are flying may have its own cutoff, so you will want to confirm with it beforehand whether you will be allowed to fly if you are in (or nearing) your third trimester. We've included a chart below that outlines the rules for most major airline carriers.

What can you do to stay comfortable on a flight?

When you factor in morning sickness and general pregnancy discomfort with the increased risk for blood clots that all fliers need to be aware of, flying during pregnancy can be uncomfortable even when it is deemed safe.

Dr. Gopal shared her recommendations for addressing these common issues when you take to the (baby-) friendly skies during pregnancy. Her number one tip for staying comfortable while in flight is to wear compression socks to help maintain blood flow and reduce swelling in the legs.

In addition, "I also tell my patients to get up and move at least every hour when they are on the plane," Dr. Gopal said.

To prevent clotting, "some doctors may also prescribe a low-dose aspirin," she added. "It isn't something that is recommended by the American College of Obstetricians and Gynecologists (ACOG), but it isn't harmful, either."

If it's nausea or acid reflux that ail you, there are medications generally considered safe that you can take to alleviate your symptoms. These would be the same ones prescribed by your doctor for morning sickness, so speak with your provider before your flight to ensure you have what you need at the ready.

Dr. Gopal also advises wearing loose, unrestrictive clothing (along with your seatbelt, or course) and drinking extra fluids to counteract the pressurized air in the cabin and keep you hydrated.

"Over-the-counter Gas-X may also help with bloating that can happen as a result of the pressurized air," Dr. Gopal said.

Related: What happens when a baby is born in flight?

Must you speak with your healthcare provider before flying?

Even if your pregnancy is considered low-risk, it's always a smart idea to speak with your healthcare provider before flying. "There are a number of potential risks that go along with flying during pregnancy and those risks can change from week to week and month to month, so it's important to have that honest conversation with your doctor," Dr. Gopal said.

Related: Things You Should Do Before, During and After Flying to Stay Healthy

There are certain pregnancy conditions that may make flying more risky or unadvisable. If you are hypertensive, asthmatic or prone to clotting disorders, it's even more critical to speak with your doctor before flying.

Airline policies differ, but if you need documentation, it never hurts to include enough detail to satisfy the most stringent airline requirements.

"As with many things related to air travel, it's better to be safe than sorry," Dr. Gopal said. "It's definitely worth it, and sometimes necessary, to have medical documentation from your provider's office."

A thorough medical certificate or waiver should state:

• The number of weeks of pregnancy.
• The estimated delivery date.
• Whether the pregnancy is single or multiple.
• Whether there are any complications.
• That you are in good health and fit to travel through the date of your final flight.

Additionally, the certificate should be:

• Written on official clinic or hospital letterhead if possible.
• Signed by the doctor or attending midwife.
• Be dated no later than 72 hours before the departure date.
• Be written in clear, simple English.

Carry this certificate with you on your flight. Some airlines won't ask to see it, but others will. Some airlines also may have their own documentation requirements. See the chart below to find out which airlines require it.

Airline policies for pregnant women

Bottom line.

Even though it may be deemed safe, flying during pregnancy can be uncomfortable — and it is perfectly acceptable to implement your own cutoff for flying with your baby bump in tow. The majority of the time, though, flying is perfectly safe during pregnancy, providing that you follow the guidelines of the airline and your healthcare provider. Read on to learn more about traveling before, during and after pregnancy:

• What to expect in every trimester of pregnancy
• 4 tips for planning travel while planning a pregnancy
• Babymoon boom! These are the top 10 spots for a US getaway before the baby comes
• Flying with a baby checklist

Additional reporting by Katherine Fan and Tarah Chieffi.

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Flying While Pregnant – Your Guide to Airline Policies [2024]

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Table of Contents

Flying while pregnant overview, u.s. airline pregnancy policies, international airline pregnancy policies, tips for flying while pregnant, final thoughts.

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Whether heading on a vacation or babymoon, traveling for work, or visiting family for the holidays, flying while pregnant is extremely common and generally safe when following standard air travel precautions.

As always, wearing a seatbelt and staying hydrated is very important, but so is checking with your doctor, as well as your airline, to confirm any additional requirements.

Depending on your destination and airline, policies may vary, so we created a guide to help make the process just a little bit easier for expectant moms.

Let’s look at what you can expect on your next flight if you are expecting.

Many airlines allow pregnant women to fly if they haven’t passed 36 weeks of gestation .

However, that number may vary based on medical conditions as well as the destination of the flight, as international flights can have different rules.

Airline Policy Chart

Alaska Airlines

Alaska Airlines does not have any specific policy for flying while pregnant.

American Airlines

American Airlines requires pregnant passengers to provide a doctor’s certificate stating they’re fit to fly if they’re due within 4 weeks of the flight.

If the flight is within 7 days of the delivery date, your physician must complete a special approval form, and a special assistance coordinator from American Airlines will be assigned to you.

For international travel or travel over water within 4 weeks of your due date, a physician’s note stating that you are fit to fly after being examined within 48 hours of the flight is required.

Avelo Airlines

Pregnant passengers do not face any restrictions when flying on Avelo and a medical certificate is not required for you to travel.

Breeze Airways

Breeze does not have restrictions or require a medical certificate for pregnant passengers.

Delta Air Lines

Delta Air Lines has no restrictions for pregnant passengers and does not require medical clearance, regardless of the due date.

Frontier Airlines

Frontier Airlines requires a medical certificate starting at the 36th week of pregnancy.

Alternatively, a waiver may be signed at the ticket counter, releasing the airline of liability.

Hawaiian Airlines

Hawaiian Airlines requires a medical certificate if you’re due within 7 days when flying within Hawaii.

For international flights or between North America, an exam completed within 48 hours of your flight and a certificate are required if the flight is within 30 days of your due date.

JetBlue only requires a medical certificate if you’re due within 7 days of the flight. The exam must be completed within 72 hours of the departure date.

If you are past due, you will not be allowed to fly, even with documentation.

Southwest Airlines

Southwest Airlines recommends against air travel for passengers at or past 38 weeks of pregnancy but does not prohibit it.

The airline may, however, ask pregnant passengers not to sit in the emergency row.

Spirit Airlines

Spirit Airlines “urges” pregnant passengers past 8 months (32 weeks) to get a doctor’s exam before flying to confirm it is safe to travel.

However, no mention of a medical certificate being needed to fly.

United Airlines

United Airlines has no restriction for up to 36 weeks of pregnancy.

Starting the 36th week, an obstetrician’s certificate (original and 2 copies) is required, stating that mother and baby are fit for travel. The certificate must be dated within 72 hours of the flight, although it is preferred to be within 1 day of departure if possible.

The due date must be after the final flight on the itinerary.

Aeromexico passengers who are 33 weeks pregnant or more must provide a medical certificate that can be uploaded 48 hours before the flight departure.

The exam must be completed within 5 days of the flight, and it is a good idea to bring a copy of the certificate to the airport just in case.

Air Canada has no restrictions for passengers until their 36th week of pregnancy. After 36 weeks, there is no official statement or requirements.

Air France does not require medical clearance before flying. However, the airline recommends seeking a doctor’s opinion before flying.

Although it is not prohibited, Air France recommends avoiding air travel starting at 37 weeks of pregnancy.

British Airways

British Airways does not permit pregnant women to fly after the 36th week if they’re pregnant with 1 baby or after the 32nd week for more than 1 baby.

The airline recommends expectant mothers travel with a note from their doctor or midwife confirming:

• If the pregnancy is single or multiple
• Expected due date
• No complications with the pregnancy

This note should be completed as close to the travel dates as possible.

Cathay Pacific

The table below shows the requirements and certificates needed to travel for those with uncomplicated pregnancies.

Cathay Pacific advises that you may be denied boarding if you’re not carrying a required medical certificate or if that certificate is outdated or incomplete.

Emirates has flight restrictions starting at 29 weeks of pregnancy.

Expectant mothers traveling during or after 29 weeks must bring a medical certificate signed by a doctor or midwife that includes:

• Single or multiple pregnancies
• Estimated due date
• The latest date your doctor expects you to be fit for travel
• You are in good health
• That there is no known reason that would prevent you from flying

Passengers are prohibited from flying after the 36th week of a single pregnancy or the 32nd week of a multiples pregnancy.

If you need to request an exception to the rule, you can apply for medical clearance by submitting a medical information form .

Etihad Airways

Etihad Airways has flight restrictions starting at 29 weeks of pregnancy.

From weeks 29 to 36 (29 to 32 for a multiples pregnancy), a medical certificate is required to fly.

Passengers are prohibited from flying once reaching the 37th week of a single pregnancy or the 33rd week of a multiples pregnancy.

If you need to submit a medical certificate, you can download it before arriving at the airport.

Japan Air Lines requires a medical certificate  for the following circumstances:

• When the expected delivery date is within 28 days or is uncertain
• When expecting multiple births
• When there were previous premature births

KLM advises expectant mothers not to fly after reaching 36 weeks of pregnancy. Getting medical clearance to fly is not required, but it is recommended.

LATAM allows pregnant passengers of up to 29 weeks to fly without authorization. From the 30th week on, a medical certificate is required.

After 39 weeks, travel is prohibited.

Lufthansa does not require medical clearance until after the 28th week of pregnancy.

Beyond the 28th week, it is recommended that you travel with a certificate that includes:

• Confirmation that the pregnancy does not have any complications
• A statement from an obstetrician stating that the pregnancy does not prevent you from flying

From the 36th week, this certificate is required to fly. In the case of twin or multiples pregnancy, flying is prohibited after the 32nd week.

Qatar Airways

Qatar Airways recommends traveling with a doctor’s certificate until the 29th week of pregnancy. After the 29th week arrives, the certificate is required.

At the beginning of the 33rd week, a doctor’s certificate, as well as a MEDIF form , is required and must include the following:

• Patient’s name and date of birth
• Estimated date of delivery
• Proposed dates of air travel
• Confirmation of uncomplicated pregnancy
• Confirmation that the patient is fit for travel
• Date, stamp, and contact details of a qualified doctor

After the 36th week of pregnancy begins, Qatar Airways will not allow you to fly, or 33 weeks in the case of a multiples pregnancy.

Singapore Airlines

Singapore Airlines has no requirements until after the 28th week of pregnancy.

From the 29th week to the 36th week (32nd week for a multiples pregnancy), a medical statement is required to fly that includes:

• Fitness to travel
• Number of weeks pregnant

This certificate must be dated within 10 days of the first flight.

After the 36th week (or the 32nd week for a multiples pregnancy), air travel with Singapore Airlines is not allowed.

Virgin Australia

After 28 weeks, you will be required to provide a letter from your doctor, dated within 10 days of travel, “outlining the estimated due date, single or multiple pregnancies, the absence of complications, and your fitness to fly for the duration of the flight(s) booked.”

Medical clearance is required for any pregnancy with complications or within 5 days of normal vaginal delivery.

The following conditions are unacceptable for travel:

Virgin Atlantic

Virgin Atlantic has no requirements until the 28th week of pregnancy.

From the 28th week to the 36th week (32nd week for a multiples pregnancy), a doctor’s certificate may be requested at the airport or onboard. The certificate should state that there have been no complications and show the estimated due date.

After the 36th week (or 32nd week for a multiples pregnancy), air travel with Virgin Atlantic is prohibited. Travel after the cut-off date may be permitted in special circumstances.

WestJet only recommends that expectant mothers check with their physician or midwife before traveling if they are more than 36 weeks pregnant.

Hot Tip: Are you planning your first trip with your little one? Read the ultimate guide to booking a lap child on your next flight .

Most of these travel tips are helpful for everyone, but especially for expectant mothers.

Choose the Right Seat

Choosing the right seat can make a big difference on an airplane. By sitting in a bulkhead or an aisle seat, you will have more room to stretch your legs and more freedom to get up to use the bathroom if needed.

Also, this may be a good time to splurge on a business or first class seat so you can lie flat and get some rest.

Wear Comfortable Clothing

Wearing comfortable clothing is travel 101, but wearing comfortable layers will give you options if you find the cabin too hot or cold.

Wear Compression Socks

A popular travel hack (even if you aren’t pregnant) is to wear compression socks to reduce swelling and help with blood flow.

However, it may be a good idea to speak with your doctor if you haven’t used them before.

Get Up and Stretch

Walking up and down the aisle is a great way to get your blood flowing and keep oxygen levels up.

Stay Hydrated

Planes are notorious for being dry and sucking moisture out of the air. Pack a big water bottle and ask for more while onboard to ensure you don’t get dehydrated.

Beat Nausea

If you are prone to nausea, bring remedies such as candies and crackers (or whatever works for you) because smells can sometimes be unavoidable inside a plane.

Buy Travelers Insurance

Having travelers insurance is always a good idea, especially if you are traveling far from home — even more so if you are late in your pregnancy.

Hot Tip: Once your little traveler is born, they will want to fly with you. Here is the ultimate guide to baby bassinet seats on 50+ airlines .

Pregnancy is a beautiful thing, and combining it with travel can be a recipe for some wonderful memories.

If you’re planning a bucket list babymoon or just need to keep working and traveling, knowing which airlines will best accommodate you is essential when booking travel.

This guide has plenty of information, and when you’re ready to start traveling with your little one in tow, be sure to come back and read our family travel guides!

All information and content provided by Upgraded Points is intended as general information and for educational purposes only, and should not be interpreted as medical advice or legal advice. For more information, see our  Medical & Legal Disclaimers .

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Here are 14 major airlines' policies for flying pregnant

Commercial airlines have a lot of rules when it comes to letting mothers-to-be on board. Shuttling off during the first or second trimester is usually A-okay, but the last 13 weeks is when restrictions get tricky — let's be honest, nobody  wants your baby to pop at 45,000 feet . While  traveling with a new baby  can bring challenges, traveling pregnant can bring a whole other set of problems. For one thing, there's often a lot of paperwork involved. Different airlines have different rules, and here's what expecting mothers should know before they book flights on these 14 airlines:

Air Canada : You can only fly up to four weeks before your due date, no exceptions.

Air France : No medical clearance needed.

Alaska Airlines : No restrictions.

American Airlines : On domestic flights, traveling up to seven days before your due date is a no go, unless your doctor provides a note and fills out a passenger medical form (requested over the phone). On international flights, you'll need the same documents up to four weeks before your due date, and they can only be filled in 48 hours before take-off.

British Airways : No flying after 36 weeks, or 32 weeks with more than one bun in the oven. After 28 weeks, a doctor's note and pregnancy record are both required to fly.

Cathay Pacific : After 28 weeks, a detailed medical certificate is required, dated up to 10 days before the flight. The good news is that passengers up to 36 weeks into a healthy pregnancy are allowed.

Delta Airlines : No restrictions.

JetBlue : Similar to American Airlines, documentation is required up to four weeks before delivery date, filled out 48 hours before the flight.

Ryanair : If you're between 28 and 36 weeks, get your doctor to fill out this fit to fly form .

Southwest Airlines : No restrictions, but you may be asked not to sit in the emergency exit row (We know, that extra leg space would've been amazing).

Spirit Airlines : Spirit's website says a medical exam is a good idea, but doesn't ask specifically for any formal documents.

Swiss Internationa l : No flying after 36 weeks. After 28 weeks, a doctor's note and compression stockings  are recommended.

United Airlines : Traveling in the ninth month of pregnancy requires a medical certificate (and two copies) dated within 72 hours of departure.

Virgin Atlantic : Traveling between 28 and 36 weeks requires a doctor to fill out a  pregnancy knformation form . After that, a flight is only allowed for "urgent medical or compassion reasons".

For more tips and tricks on flying as an expectant mother, check out Baby Center .

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Flying While Pregnant? Check Out the Policies on 25 Global Airlines

In the absence of obstetric or medical complications, occasional air travel during pregnancy is generally safe, according to the American College of Obstetrics and Gynecology  (ACOG). Like other travelers, pregnant women should use seat belts while seated. 

Most commercial airlines allow pregnant women to fly up to 36 weeks of gestation, with some restrictions on international flights. 

ACOG does not recommend air travel for pregnant women with medical or obstetric conditions that may be exacerbated by flight or that could require emergency care. It advises checking flight durations when planning travel and that the most common obstetric emergencies occur in the first and third trimesters.

Once aboard a flight, conditions including changes in cabin pressure and low humidity, coupled with the physiologic changes of pregnancy, do result in adaptations, including increased heart rate and blood pressure, reports ACOG. And those traveling on long-haul flights face the risks associated with immobilization and low cabin humidity. This can cause issues such as lower extremity edema and venous thrombotic events.

ACOG recommends preventive measures to minimize these risks, including the use of support stockings, regular movement of the lower extremities, avoid wearing restrictive clothing and encourage regular hydration. It also advises against consuming gas-producing foods or drinks before a flight.

Other ways for pregnant women to be comfortable on their flights include: booking a bulkhead seat for more legroom; reserving an aisle seat for easy access to lavatories and to walk; elevating your legs on a carry-on bag to avoid swelling and cramps; and wearing a layered, comfortable outfit for changing cabin temperatures.

Airlines around the world have different rules and regulations on when and how long pregnant women can fly. Below are the policies from 25 airlines around the world.

The French flag carrier does not require pregnant women to carry a medical certificate for travel during pregnancy. It recommends avoiding travel in the final month of pregnancy, as well as during the first seven days after delivery. The airline also recommends expecting mothers seek their doctor's opinion before traveling.

India’s flag carrier allows expectant mothers in good health to fly up to and including their 27th week of pregnancy. After 27 weeks, if the pregnancy is anticipated to be a normal delivery, an expectant mother will be accepted for travel up to the 35th week, but a medical certificate confirming the mother is fit to travel is required by an attending obstetrician and dated within three days of travel.

Air New Zealand

For single, uncomplicated pregnancies and clearance from a doctor or midwife women can take flights more than four hours up to the end of their 36th week. For flights under four hours, it's up to the end of the 40th week. Women pregnant with twins can fly more than four hours up to their 32nd week and less than four hours until the 36th week.

The airline recommends that women past their 28th week carry a letter from a doctor or midwife that says you are fit for travel, confirming your pregnancy dates and that there are no complications.

The airline's medical team must offer clearance for women experiencing the following: a complicated pregnancy, such as placenta previa or bleeding; a multiple pregnancy; a history of premature labor; or have begun the early stages of labor. 

Italy's flag carrier has no travel restrictions for expectant mothers during the first eight months of pregnancy. But if traveling within the last four weeks of pregnancy, expecting multiple births, or having a complicated pregnancy, medical clearance is required. Completion of a Medical Information Form, MEDIF , prior to travel and signed by both the passenger and doctor is required.

Alitalia advises pregnant not to fly seven days prior to and seven days after giving birth, or if there is a risk of a premature birth or other complications. It will make staff available to escort pregnant women from the airport check-in counter to the boarding gate. Staff onboard the flight will help stow carry-on luggage. Seats can be pre-assigned and women cannot sit in an exit row.

All Nippon Airways

The Japanese carrier requires women within 15 to 28 days of their due date to fill out and carry a medical information form . Women within 14 days of their due date are required to have a medical form and travel with a doctor. The form must indicate there are no complications of pregnancy, that the passenger has no health problems preventing them from flying and the due date. It must be completed by a doctor and submitted no more than seven days prior to departure.

American Airlines

The Fort Worth-based carrier has different rules for international and domestic flights. If a due date is within four weeks of a flight, you must provide a doctor’s certificate stating that you’ve been recently examined and you’re fit to fly. For domestic flights under five hours, pregnant women won’t be permitted to travel within seven days (before and after) their delivery date. Those who need travel within this timeframe will need approval from a physician and help from a special assistance coordinator . The pregnant woman's physician will be required to fill out a passenger medical form before a flight. A special assistance coordinator will send the form directly to your physician.

Clearance from a special assistance coordinator is required for international travel or travel over water. Within four weeks of a due date also requires a physician's note stating that you’ve been examined within the past 48 hours and you’re fit to fly. And seven days before or after delivery also requires a passenger medical form to be completed by your physician.

British Airways

The U.K. carrier does not allow pregnant women to fly after the end of the 36th week if you are pregnant with one baby or the end of the 32nd week if you are pregnant with more than one baby. While it isn't mandated, British Airways recommends all expecting mothers carry a confirmation from a doctor or midwife, such as a letter or certificate, in addition to your pregnancy record. It should be written within seven days prior to travel and confirm your approximate due date, that you're fit to travel and that there are no complications with your pregnancy.

Cathay Pacific

 Hong Kong's flag carrier requires that women with pregnancies after 28 weeks carry a medical certificate, dated within 10 days of travel that states the following: 

• single or multiple pregnancy
• estimated week of pregnancy
• expected due date 
• certifying you are in good health and the pregnancy is progressing normally, without complications
• that you are fit to travel

The airline accepts pregnant women with uncomplicated single pregnancies to travel up to 36 weeks and uncomplicated multiple pregnancies up to 32 weeks.

Delta Air Lines

The Atlanta-based carrier does not impose restrictions on flying for pregnant women, so a medical certificate is not required to travel. But the airline will not waive ticket change fees and penalties for pregnancy. The airline recommends that those flying after their eight month should check with their doctor to be sure travel is not restricted.

The U.K.-based airline has no restrictions for pregnant passengers traveling up to the end of the 35th week of single pregnancies and the end of the 32nd week for multiple pregnancies.

Pregnant women can travel up to their 29th week without a medical certificate. After that, they require a certificate or letter signed by a qualified doctor or midwife that states whether the pregnancy is single or multiple, is progressing without complications, includes an estimated due date, that you are in good health and there's no known reason to prevent you from flying. Pregnant passengers are not allowed to fly after the 32nd week of a multiple pregnancy, and after the 36th week of a single pregnancy.

This Abu Dhabi-based carrier allows women with single or multiple pregnancies to travel during the first 28 weeks without a medical certificate. For single pregnancies between 29 and 36 weeks, a medical certificate is required. After 37 weeks, pregnant women will not be allowed to travel. For multiple pregnancies, a certificate is required between the 29th and 32nd week; after that, women will not be allowed to travel.

The medical certificate must include the following: 

• Be issued and signed by a doctor or midwife
• Written on a clinic/hospital letterhead and/or stamped by the doctor or midwife
• State that the guest is fit to fly
• State if the pregnancy is single or multiple
• State the number of weeks of pregnancy and the Expected Date of Delivery 
• Easily understood and written in Arabic or English. Other languages are accepted but must be verified by Etihad Airways' check-in staff

The original medical certificate shall be accepted for the whole journey (originating, return and stopover flights), provided the above validity criteria is met for each sector. And it is valid for three weeks from the date of issue.

The New York-based carrier does not allow pregnant customers expecting to deliver within seven days to travel unless they provide a doctor's certificate dated no more than 72 hours prior to departure stating that the woman is physically fit for air travel to and from the destinations requested on the date of the flight and that the estimated date of delivery is after the date of the last flight.

The Dutch flag carrier recommends pregnant mothers not fly after the 36th week, along with the first week following delivery. For those expecting more than one baby, the carrier recommends consulting with a physician prior to flying. If you have had complications, you always need to have permission to fly from your physician.

Expectant mothers with complication-free pregnancies can fly on the German flag carrier until the end of the 36th week of pregnancy or up to four weeks before their expected due date without a medical certificate from a gynecologist. But the airline recommends that pregnant women beyond the 28th week have a current letter from a gynecologist that includes confirmation that the pregnancy is progressing without complications and the expected due date. The doctor should expressly state that the patient’s pregnancy does not prevent her from flying.

Because of the increased risk of thrombosis during pregnancy, the airline does recommend that expectant mothers wear compression stockings while flying.

Malaysia Airlines

The Malaysian flag carrier requires medical clearance for expectant mothers approaching 35 weeks for international travel or 36 weeks for domestic travel. If medical clearance is required, the MEDIF application form should be completed by a doctor and submitted to the airline through its ticketing offices or travel agents at least five working days before traveling.

Philippine Airlines

An expectant mother who is in normal health and with no pregnancy complications will be allowed to fly after filling out an EMIS form . Pregnant women may be accepted for travel if they are not beyond 35 weeks when they fill out Part One of the EMIS form. Those between 24 and 32 weeks of pregnancy will have to fill out EMIS Form Part 2. And if the expectant mother is below 21 years of age, the consent in writing of the husband, parent or guardian must be secured. For expectant mothers beyond 32 weeks of pregnancy, EMIS Part 3 must be accomplished by the Flight Surgeon or Company Physician, who shall issue the clearance for travel

After the 28th week, women are required to have a certificate or letter from a registered medical practitioner or registered midwife confirming the delivery date, whether it's a single or multiple pregnancy and that the pregnancy is routine.

For flights longer than four hours, women can fly up to the end of the 36th week for single pregnancies and the end of the 32nd week for multiple pregnancies. For flights under four hours, women can travel up to the end of the 40th week for single pregnancies and the end of the 36th week for multiple pregnancies. The carrier requires medical clearance  if there are pregnancy complications or it's not a routine pregnancy.

Qatar Airways

 No doctor's note is required for women traveling through their 28th week of pregnancy. Expectant mothers can fly between week 29 and week 32 with a doctor's note and a pregnancy with no complications. Those with a multiple pregnancy will need a doctor's note and a  Medical Information Form (MEDIF) . Between weeks 33 and 35, women will need a doctor's note and a MEDIF. The airline does not accept women in their 36th week and beyond.

 The low-cost Irish carrier allows expectant mothers to fly up to their 28th week of pregnancy. After that, the airline requires women to have a ‘fit to fly’ letter from their midwife or doctor. For an uncomplicated single pregnancy, travel is not permitted beyond the end of the 36th week of pregnancy, while the cut-off for an uncomplicated multiple pregnancy is 32 weeks. 

Singapore Airlines

For uncomplicated single pregnancies, the carrier restricts expectant mothers from travelling beyond the 36th week of pregnancy; for uncomplicated multiple pregnancies, the restriction is the 32nd week.

For uncomplicated single pregnancies between 29 weeks and 36 weeks, expectant mothers must provide a medical certificate stating the following: (1) fitness to travel, (2) number of weeks of pregnancy and (3) estimated date of delivery. The certificate should be dated within ten days of the date of the first flight exceeding 28 weeks of pregnancy. This certificate will have to be presented at check-in when requested.

Southwest Airlines

The Dallas-based carrier advises expectant mothers at any stage of pregnancy to consult with their physicians prior to air travel. The airline recommends against air travel beginning at the 38th week of pregnancy. It warns that in some cases, traveling by air has been known to cause complications or premature labor. Depending on their physical condition, strength, and agility, pregnant women may, in some cases, be asked not to sit in the emergency exit row.

Turkish Airlines

Turkey's flag carrier allows mothers pregnant with one child to travel between the 28th and 35th week if they have a doctor's report that includes the phrase, “There is no particular reason for the patient not to fly.” For women pregnant with more then one baby, the travel cut-off is the end of the 31st week with a doctor's report. The report has to be no more than seven days from the travel date. 

United Airlines

Any woman in the first 36 weeks of pregnancy will be allowed to travel on the Chicago-based carrier without medical documentation. An expectant mother traveling after the 36 weeks of pregnancy must have the original and two copies of an obstetrician’s certificate, which must be dated within 72 hours of a flight’s departure. The original certificate should be submitted to a United representative at check-in.

Virgin Atlantic

 The London-based airline allows travel without restrictions until the 28th week of pregnancy provided that you're free from complications to that point. The carrier asks pregnant mothers to inform its Special Assistance department so they can offer appropriate inflight health advice. Between the 28th and 36th weeks of pregnancy, a doctor's or midwife's certificate is required, stating that the passenger is safe for travel and the expected due date (32 weeks if carrying multiples in an uncomplicated pregnancy). Beyond the 36th week of pregnancy, travel is only permitted for medical/compassionate reasons and the pregnant passenger is required to be accompanied by a medical escort. This travel is subject to the approval of a Virgin Atlantic doctor.

Related Articles

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American Airhub

American Airlines Pregnancy Policy

Fly at Ease while Pregnant with American Airlines Pregnancy Policy

Pregnancy brings the most blissful and happiest phase of your life. You follow precautions and take good care of yourself. But what if you have to travel when pregnant? Here comes the American Airlines Pregnancy Policy that covers you with its rules and guidelines. The policy is created in the best interest of pregnant women. That’s why when you take an AA trip during the time when you are expecting a baby, stay stress-free. So, if a situation comes up when you have to fly during pregnancy, choose American Airlines. To know more how this policy helps you and other details that make your air trip a pleasurable experience, go through this account.

What is The American Airlines Pregnancy Policy?

When you have to fly during your pregnancy, count on the policy that AA has designed for mothers to be. The policy has taken the requirements of expecting mothers into consideration as well as their health condition.

So, here are the American Airline Pregnancy Policy highlights –

Domestic Flights

• Your delivery is due within 7 days or
• You have given birth within a week

However, if you must travel within this time frame, it is mandatory to –

• Provide your physician’s approval for travel.
• Get a passenger medical form, duly filled by your doctor before your flight’s departure.

International or Over Water Trips

To travel with American Airlines during pregnancy, its policy requires you to follow a few international trip rules. Take a glance at the rules here –

• Obtain a  special assistance coordinator’s clearance.
• Moreover, provide your doctor’s approval if you are within 4 weeks of your delivery date. It should mention that you have been examined within the last 48 hours and can fly now.
• If you are traveling 7 days before or after your delivery, provide your doctor’s filled medical form.

How Many Weeks Pregnant Can You Fly Internationally with American Airlines?

To know when can you fly pregnant, scroll down –

• You can’t fly with AA on its domestic flights under 5 hours within 7 days (before and after) your delivery date.
• For women traveling within 4 weeks of their due date, a doctor’s certificate that states your recent checkup and fitness is mandatory.

Does American Airlines Allow Pregnant Women to Pre-Board?

Yes, pregnant passengers can get pre-boarding on American Airlines flights . After checking in, inform the agent at the gate about your pregnancy before the boarding starts.

Apart from pre-boarding, AA provides services to its pregnant travelers such as –

• Tilting seats
• Wider aisles
• Easier access to business class

These add-ons make your journey more comfortable and pleasurable.

How Long Does AA Allow Pregnant Women to Fly With it?

If you are wondering, can I fly pregnant on American Airlines flights, the following points will help you –

• 37 weeks is the limit for a normal pregnancy till the 9th month begins. This is in consideration to the fact that some women can get into the delivery phase anytime.
• For women expecting twins, 32 weeks is the limit. Follow your doctor’s advice, take care of your health, and fly at ease.

Please note

Call an American Airlines customer service representative at +1-844-203-0326 to get more information on the time frame when pregnant women can travel.

Does American Airlines Have Any Pregnancy Travel Restrictions?

When pregnant women have to travel with AA, they have to follow the restrictions and guidelines mentioned below –

• Wear comfortable clothes and footwear.
• Pack healthy food items to satiate your cravings. Carry your own water for the journey.
• Avoid food items that induce gas or bloating before boarding a flight.
• Walk every 2 hours on long-haul flights.
• Choose a seat with ample leg space for comfort.
• Pick an aisle seat so that you can easily go to the washroom.

With the above tips, you can fly comfortably and safely during your pregnancy. So, stick to these guidelines along with following the airline’s pregnancy policy. And you will enjoy your trip.

In Conclusion

So, American Airlines Pregnancy Policy makes your flight trip an experience to cherish. You can travel worry-free with the airline, thanks to its policy that takes expecting women into consideration. That’s why, when you board an AA flight, relax and enjoy your trip. And why not? With the customer-friendly pregnancy policy, American Airlines especially caters to the moms-to-be. It’s time to travel at ease, thanks to AA that keeps comfort and convenience of pregnant ladies at the forefront.

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• Pregnancy week by week

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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Can You Fly While Pregnant? Not Always

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Table of Contents

Is it safe to fly while pregnant?

Airline restrictions for pregnant passengers, when not to fly while pregnant, can you fly internationally while pregnant, tips for flying while pregnant, flying while pregnant, recapped.

Do you want to plan a trip but aren’t sure if you should hop on a plane when you’re expecting? Is it okay to fly while pregnant? How late can you fly pregnant internationally? What are the important considerations to factor in when booking? 

The short answer: Flying while pregnant is possible, so long as you and your doctor align on what is safe for you and your baby. 

That said, flying when pregnant may be a bit more complicated, especially if you’re planning a trip close to your due date. Here’s what to keep in mind when plotting your next air-based excursion and traveling while pregnant.

According to the American College of Obstetricians and Gynecologists, most people experiencing healthy pregnancies can travel by air until quite close to their due date.

How close depends on several factors, including recommendations from your healthcare provider and airline rules, which vary between carriers.

So if you’re planning a trip, start by talking with your doctor before you book a ticket, as those experiencing high-risk pregnancies may be advised not to travel.

Your provider can perform an exam, check medical records and advise when, where and how far you should travel. Every pregnancy is different, and your doctor will consider your specific needs and concerns.

Keep in mind, you can travel during nearly any point in your pregnancy, though airline restrictions may prevent you from flying too close to your due date.

If you’ve been cleared to travel, ACOG recommends to do so is in the second trimester, between 14 and 28 weeks. That’s because any morning sickness may have lessened by then, and there’s a lower risk of miscarriage. Moving around or sitting for long periods in your last trimester can also become uncomfortable.

» Learn more : How to fly with your baby

Airline policies regarding pregnant travelers vary, but most don’t require any special documentation until late into pregnancy. 

United Airlines allows pregnant travelers to board without medical documentation before their 36th week of pregnancy.

American Airlines allows pregnant passengers to fly without documentation up to four weeks before their due date.

Southwest Airlines doesn’t require any special documentation, but it doesn’t recommend travel after 38 weeks.

As you get closer to your due date, you’ll need to check with your airline, as many require special permissions to fly.

For example, on American Airlines you’ll need a doctor’s note to travel domestically within four weeks of your due date. For international travel, you’ll also need approval from a special assistance coordinator.

Airlines may provide specific guidance about what documentation is required, but typically this is a certificate from an obstetrician stating that you're fit for air travel for the dates of your trip. 

Depending on the airline, the certificate might need to be dated within 48 or 72 hours of your scheduled departure, so you’ll need to plan ahead.

No matter which airline you’re flying with, check the restrictions and requirements if you’ll be booking close to the end of your third trimester.

While many pregnant travelers are fine to hop on a plane, there are others who should avoid air travel or be cautious about it. 

This is especially true for those with the following conditions: 

A history of blood clots or heart disease.

A history of miscarriage, premature labor or ectopic pregnancy.

Those carrying twins or other multiples. 

First-time mothers who are over 35 years old. 

This list is not exhaustive, which is why it’s always a good idea to talk with your doctor to find out if air travel is safe for you.

Pregnant travelers should also choose their destinations carefully. The U.S. Centers for Disease Control and Prevention recommends expectant mothers stay away from any regions with a high risk of contracting Zika or malaria or any locales where live vaccines are required or recommended for travel.

How long should your flight be if you’re flying while pregnant? The United Kingdom’s National Health Service states that flying for longer than four hours carries a small risk of blood clots.

So not only will a shorter flight be more comfortable, it’s also safer for you and your baby.

According to the CDC, some airlines will let you fly internationally until 36 weeks, but others may have an earlier cutoff. Generally, it’s wise to check the individual airline’s policies related to flying internationally while pregnant.

For example, British Airways allows passengers with one baby to fly until the end of the 36th week (or the end of the 32nd week if you’re pregnant with more than one baby). Meanwhile, Delta Air Lines has no requirements for pregnant passengers and only recommends checking with your doctor before flying.

In short: How late you can fly pregnant internationally varies from airline to airline.

Consider purchasing a separate travel insurance policy or booking your trip with a credit card that offers coverage as a perk if you want more flexibility to adjust travel plans. Cancel For Any Reason coverage is an add-on option that can refund you anywhere from 50% to 75% of any upfront deposits, depending on your specific policy.

» Learn more: The best travel insurance providers

Flying while pregnant may look and feel different, so to make travel as enjoyable as possible, consider taking a few extra precautions before heading to the airport.

Talk to your doctor about vaccines and immunizations : Depending on where you’re headed, it’s important to make sure you’re up to date on important vaccines.

Reduce your risk of poor circulation : Stay hydrated, wear loose clothing, get up to stretch or walk the aisle often and talk to your doctor about whether you should wear compression socks.

Book an aisle seat : This will offer you the option to get up, move around and use the bathroom as often as you need without disturbing seatmates. Alternatively, use this time as an excuse to book a first class ticket .

Bring a well-stocked first aid kit : While every traveler could benefit from packing a first aid kit, pregnant travelers may want to add items like nausea medication, hemorrhoid cream, treatment for yeast infections, personal medicines and prenatal vitamins.

Know where the nearest hospital is at your destination : Hopefully, you won’t need to visit during your trip, but knowing where it is can help ensure you can get to medical treatment quickly if needed.

Consider buying travel insurance : Should complications happen when you’re far from home, including premature labor, travel insurance can bring peace of mind. It may also save you money if you need to return home quickly for medical reasons. Just make sure to get a travel insurance policy that suits your needs.

» Learn more : Does travel insurance cover medical expenses?

Flying while pregnant is acceptable for most people during most pregnancies.

That said, before you book your ticket, check with your doctor to make sure you’re cleared to travel. Additionally, look into airline restrictions and requirements and make plans to help you be more comfortable while flying.

Following these steps will help you have a safe and enjoyable experience, whether you’re flying across the country or around the world.

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Top tips for flying while pregnant

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Flying while pregnant doesn’t have to be scary, as long as you’re prepared and feel comfortable enough to travel. There are a number of things you can do to make traveling safe and comfortable, and we’ll walk you through our best tips to do just that. 

Flying while pregnant

1. before you go.

If you’re pregnant, it’s always wise to check with your doctor before flying, this becomes more true the further along you are. Your doctor is already intimately familiar with your pregnancy and can make the best recommendations for you.

For reassurance, it’s also a good idea to bring important phone numbers, like that of your OBGYN, midwife, family members, etc., and proof of insurance. You should also gather a list of your medications.

2. Safety and restrictions

Again, you should consult your doctor before deciding to fly if you’re pregnant. Just know, though, that generally speaking, flying is safe to do while pregnant. Your doctor will give you a recommendation for when you’re too pregnant to fly, but usually, you can fly up to 36 weeks into your pregnancy — as long as you haven’t been experiencing any issues. 

Keep in mind that each airline has a policy for flying while pregnant, though, and these policies are designed for your safety. See the table below for what these policies look like.

3. Packing the necessities

If you’re flying while pregnant, you’ll want to remember to pack any items you regularly use to keep you comfortable and healthy.

Bring along anything you need for morning sickness, as well as your medications, and vitamins. Keep these in your carry-on so you always have them handy and just in case your checked luggage goes missing. 

Also bring along things that keep you comfortable, like a neck pillow, cover-up, slippers or compression socks. It’s always important to keep yourself comfortable while traveling and even more so while pregnant.

Don’t forget snacks and water, too. Food will help keep your blood sugar levels stable and could fend off nausea. Plus, staying hydrated is of utmost importance when you’re pregnant and it can be very difficult to stay hydrated in the dry plane air.

Lastly, if you’re further along in your pregnancy, it could be helpful to carry copies of medical records and your birth plan (if you have one), just in case you go into labor while traveling. If you’ve planned to have something special with you during labor, bring that too! Some women plan out a particular playlist or want a certain sentimental item with them, like a photo of a loved one.

4. Choosing the right seat

Staying comfortable is a top priority when you’re pregnant, so obviously when in the air, a wider seat with more legroom is ideal.  And if you can get a lie-flat seat, even better!

If business or first class is out of your budget, consider premium economy or extra-legroom economy seats.  Your legs might be swollen from fluid retention, so being able to stretch them out is important. This is a great opportunity to lean on your travel credit card . You might be able to score an upgraded seat for a lower cost or even by cashing in your points — and using your points and miles for a premium seat is how you’ll get the most value from your rewards . Some cards also grant you access to airline elite status, which can get you a free upgrade as well.

If none of that works out for you, though, your next best bet is an aisle seat. This is a good option for a few reasons. For one, you’ll have easier access to the bathroom, which you’ll probably be grateful for. The aisle seat will also make it a little easier to stretch your legs, whether it’s sticking them into the aisle for a stretch (but don’t leave them there and block the way!) or allowing you the ease of getting up to move around.

With all that said, though, and keeping COVID-19 in mind, Dr. Zaher Merhi, OB/GYN and founder of Rejuvenating Fertility Center , actually recommends the window seat. “Choose a window seat in order to stay as far as possible from other passengers. Get up only if you REALLY have to. I recommend using the bathroom just before you go onboard,” said Dr. Merhi. 

5. Dealing with nausea

If you’re prone to morning sickness, it’s especially important to bring along any remedies you normally use to combat your nausea, because throwing up on a plane is not a fun experience!

Some women use special morning sickness lollipops, ginger candies, or saltine crackers — but bring whatever works best for you. Also make sure you have a baggie available if it’s a real problem, in case you can’t make it to the bathroom in time.

Also, be aware of any smells that trigger your nausea and vomiting, because they can be hard to avoid on a plane. The smell of coffee, for example, is a trigger for many women.

If you’re prone to motion sickness or sensitive to the acceleration or deceleration of the plane, morning sickness may make it worse, so check with your doctor to see if there’s anything you can take to combat this feeling.

6. Protecting yourself and the baby while abroad

COVID-19 is a big concern now, so it would be wise to avoid travel if you can. That being said, if you must travel, clear it with your doctor first and then follow CDC guidelines for flying . Your health and your baby’s health is of the utmost importance during this pandemic, so if you feel any doubt about traveling, try to avoid it.

If you’re going to fly, though, follow these best practices , like wearing a mask at all times, washing your hands often and flying on an airline that blocks middle seats . In general, airlines are sanitizing the planes between each flight, and many are also offering sanitary wipes as you enter so you can wipe down your seat further. Take advantage of all of this so your area is clean. Dr. Merhi said not to forget the seat-back tray and TV screen.  

“Use disposable gloves when touching the bins at the airport while going through security and X-ray machine,” said Dr. Merh, adding that it’s important to not touch anything if you can avoid it, and make sure to use hand sanitizer. 

And while most airlines are largely offering hassle-free flight changes right now, just double-check the rebooking and cancellation policies before you purchase your flight. You’ll want to know what your options are should you change your mind and decide not to fly.

7. Additional Preparations

Planning your trip with a budget in mind can take some stress off your shoulders, which can ultimately make for a more pleasant experience. One of the best things you can do is rely on a cash-back credit card when paying for a trip. They function like any old card but they’ll earn you cash back that you can use toward things for baby!

With these cards, the most common expenses will earn cash back, including the flights and accommodations you’ve purchased. The card will also earn money back on pregnancy-related expenses like travel medical insurance, medical treatment while traveling, and prescriptions, should the need arise. 

Finally, you can redeem your cash back , hotel points or airline miles to help cover the cost of a trip — you could even use cash back to “erase” baby-related purchased from your credit card statement.

Bottom Line

Women all over the world fly while pregant, but it’s wise to check with your doctor before taking off on a trip. Make sure to choose the right seat, bring snacks, and be prepared just in case the unexpected happens when travling — these could save you from a lot of stress!

Featured image by Orbon Alija / Getty Images.

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What You Should Know About Traveling While Pregnant

You can absolutely travel while pregnant. but there are some steps you can take to make your trip more enjoyable—and more comfortable..

• Copy Link copied

Traveling while pregnant can be incredibly rewarding. But being armed with good information makes the experience all the more impactful.

Photo by oatawa/Shutterstock

As I approached the customs line at Quito International Airport, I was surprised to spot a separate queue fronted by a sign with an illustration of a pregnant woman. I was only 12 weeks along, so I wasn’t showing yet. But I was feeling the extra 30 pounds of weight I was carrying between my duffel bag and backpack. As my brother and I walked to the empty line, he advised me to push out my belly—just in case. Minutes later, having successfully navigated the special zone, we were stepping into the humid air of Ecuador’s capital city.

Eleven days later, after exploring Quito’s historic district and spending a week cruising the Galápagos Islands, I found myself standing behind at least 100 people in the passport check and security line at Miami International Airport. There was no pregnancy option this time. I wound up run-walking through a quarter mile of terminal to catch my flight, my nausea growing, before I finally flagged down a ride on a shuttle cart.

If you are or have been pregnant, you know: There’s a long list of things that people will tell you you can’t do. “I feel like there is a fear-based culture when it comes to traveling when you’re pregnant,” says Alexis Stein of Alexis Stein Travel & Design , who has three young sons. “I felt more like I didn’t want anything to stop me … I didn’t want to buy into this ‘women have to stay home and stay in bed’ narrative.”

Travel is perfectly safe during pregnancy , as long as you’re feeling good and your doctor signs off. Excursions are typically easiest during the second trimester, when the risk of miscarriage is lower and you haven’t reached the uncomfortable final trimester.

From my experience, it can feel really special to have a secret buddy adventuring with you, whether you’re fat biking on backcountry trails in Banff or learning to make chocolate bars in Panama City. A little planning, though, can help make these journeys all the more enjoyable.

Flying 101 (plus one)

Most airlines allow people to fly until 36 weeks of gestation , though they generally draw the line sooner—closer to 32 weeks—for international travel. (Check with your particular airline to verify.) It’s smart to bring a letter from your doctor stating how far along you are and that you’re cleared to travel. You likely won’t need it, but it’s better to be prepared.

When planning your trip, try to avoid tight connections. It’ll save you stress and give you time to grab a snack and stop by the bathroom. No one carrying a child wants to rush uncomfortably through a terminal. Keep in mind that most travel insurers do not cover trip cancellations or emergency medical needs resulting from a typical pregnancy.

And choose an aisle seat on the flight, so you can easily get up to access the bathroom or move around.

Packing smart

Packing was already the bane of my existence but became more time-consuming the further along in my pregnancy I got. Why? I had to try on all of my outfits to make sure they still fit—a lesson I learned the hard way after showing up at a bachelorette party in Palm Springs with flowy white pants that I couldn’t pull above my thighs.

Also, consider the mobility of the luggage you’re planning to use. While a duffel bag made sense for my cruise, it was difficult to pick up and put down—a reality that would only grow as my belly did. A roller bag will be your best friend.

There are a few items traveling moms recommend adding to that bag: a maternity belly band, which supports your stomach and reduces pressure on your lower back and legs; a supportive pair of sneakers (bonus points if they’re slip-ons); and a travel-size pregnancy pillow in case the hotel options aren’t up to snuff.

And, maybe most important of all, plenty of snacks. Hunger pangs can hit any time, which can lead to nausea and light-headedness. Add protein-rich munchies like nuts and protein bars, plus nausea-reducing ginger chews, to your bag so you always have something to nibble on, whether your flight or train is delayed or the taxi gets stuck in traffic.

Staying healthy

First thing first: Talk to your doctor about your travel plans and any potential health concerns, including vaccinations that may be required, whether malaria is present, and if there is a high risk of contracting foodborne illnesses at your destination. Laura Shunk, president of the Colorado Restaurant Foundation and a mother of two, reevaluated a trip to India during pregnancy because of concerns over access to clean water and food—as well as the lengthy flight time.

Pregnant women are at elevated risk for blood clots , so most doctors will recommend wearing compression socks when flying. Whether you’re in a plane, train, or automobile, get up and move around every hour or so to help keep the blood flowing and loosen up already tight joints and muscles. Easy movements, like a seated figure four, shoulder and neck rolls, and standing calf stretches, can help, too.

Hydration is extra important when you’re pregnant. Bring a refillable water bottle (and flavored hydration packs) everywhere; one with a filter is even better, as you’ll have peace of mind that you’re drinking clean water.

In general, listen to your body. You may need to take a nap or step into a café with air-conditioning while your travel companions finish a tour. That’s OK. This isn’t the time to squeeze every last tourist site into your day.

Most important: If you see a bathroom, use it. You’ll have to go way more often than you think, so take advantage when an opportunity presents itself.

Choosing the where, wisely

The only limitations on where you venture are the ones you set for yourself. But you’ll probably have more fun if you take a few things into consideration:

How remote is your destination?

The farther you are from a city, the harder it may be to access health care should you need it, which can add stress. Knowing where the closest hospital is can ease some of those concerns, as can having an international phone plan so you’re able to call your doctor, if needed.

What are you hoping to do there?

Stein reconsidered a trip to Bhutan because she wouldn’t be in the right physical condition to make the hike up to Taktsang (Tiger’s Nest) Monastery, and that was one of her key reasons for wanting to visit. Is a vacation to France worth it, for example, without the wine and unpasteurized cheese?

Ultimately, you should trust yourself to make the right decisions for you. You can also watch what the locals do, says Terry Ward, a Florida-based travel writer who has two elementary-age sons. Though hot tubs and saunas are generally considered no-no’s during pregnancy here in the United States, Finnish women don’t follow the same rules. So on a trip to Finland during her second trimester, Ward went in the sauna.

“You have to ask yourself what you’re going to be comfortable with,” Stein agrees. “Just because somebody went on safari while pregnant doesn’t mean everyone should. You’re not going to have fun if you’re sitting up at night with anxiety.”

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Here Are the Rules for Flying When You're Pregnant

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

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

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

Pregnancy and Flying: Your Trimester by Trimester Guide

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

Before you travel

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

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

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

First trimester

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

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

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

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

Second trimester

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

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

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

Third trimester

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

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

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

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How To Fly with Ease During Pregnancy with American Airlines Pregnancy Policy?

Though it’s a happy time to be pregnant, there are situations where traveling can be problematic. Because it recognizes this, American Airlines has created a pregnancy policy to guarantee that expecting moms can travel in comfort and safety. Pregnant passengers have specific demands and health conditions, thus this policy includes a variety of rules and guidelines to address those needs. Know more about the American Airlines pregnancy policy in case you plan to travel when pregnant. 

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What is the pregnancy policy of American Airlines?

The purpose of American Airlines’ pregnancy policy is to assist expecting moms who must fly while pregnant. Pregnant travelers have special needs and health concerns, which is why the policy provides them with the support and accommodations they need to make their trip easy and stress-free with expecting mothers’ American Airlines policy.

Explain the Pregnant Women’s Travel Recommendations as AA?

Learn about American Airlines flight booking rules for expecting travelers to ensure a secure and comfortable travel experience for both you and your child.

What Are Pregnancy-Related Safe Travel with American Airlines?

Are you considering taking an American Airlines pregnancy trip? You can also check out the rules on official American Airlines site:

• American Airlines permits travel up to 37 weeks for single pregnancies, but only up to 32 weeks for twin pregnancies. 
• For specialized advice, don’t forget to contact AA customer support and your physician.

Ways Go To Around on American Airlines While Pregnant?

Pregnancy travel might be intimidating, but with American Airlines, it can be done with ease. Here are a few crucial rules of pregnancy guidelines American Airline s to remember:

• Prepare wholesome snacks and wear comfortable clothing
• Throughout your journey, steer clear of gassy meals and drink plenty of water
• Take frequent walks during long flights, every two hours
• Select a seat that offers plenty of legroom and convenient access to the bathroom
• For a hassle-free travel experience, abide by maternity policy American Airlines and guidelines.

You can fly throughout your pregnancy in safety and comfort by following pregnancy accommodations American Airlines. So unwind and relish your American Airlines journey!

In Conclusion

The goal of American Airlines’ pregnancy policy is to give expecting moms a stress-free and relaxing travel experience. AA’s policy prioritizes the safety and comfort of expecting travelers by offering assurance and assistance during the whole voyage. It is important to know about information on flying while pregnant with American Airlines as it goes above and above to accommodate expecting mothers, whether it’s helping with seat selection or meeting particular needs.

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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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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 4-6 weeks 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.

Make sure to bring a copy of your official immunization records with you when you travel.

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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