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Air Travel Tips for Pregnant Women

by pregnanttraveler.com

The first hurdle that you have to overcome in traveling by air is the policy
manual of the airline. Each carrier has its own rules about pregnancy and
travel, and the rules sometimes seem to change by the week. Even then, what
rule applies often seems to be up to the gate agent at the time you board.

Obviously, airlines do not want to have obstetrical emergencies aboard their
aircraft (and neither do you, for that matter). They know that the likelihood of such emergencies increases the closer you get to term. Almost
all airlines, therefore, forbid domestic travel beyond thirty-six weeks of pregnancy and international travel beyond thirty-two weeks.

As mentioned, however, the rules vary. Most airlines will have a medical officer or at least an office that you can call to find out what the rules really are. It is best for you or your doctor to call that office and speak to the appropriate person. That person’s name needs to be written down, then, along with what they said. You then need documentation in the form of either a letter from your doctor or a copy of your medical records to prove that you do meet the requirements.

Once the travel arrangements have been made, many pregnant travelers express anxiety regarding the effects of cosmic radiation. It is the opinion of aviation medicine experts that this should not be of concern, even with repeated flights. Thus they do not forbid frequent travel by pregnant flight attendants.

Our greatest concern when advising pregnant air travelers is the risk of blood clots, known in medical terms as “thromboembolic disease” or “deep vein thrombosis” (DVT). You may have heard of it as “economy class syndrome”—even though it is certainly not confined to economy class passengers.

Because of changes in your circulatory system when you are pregnant, you are at much greater risk of developing blood clots in your legs and pelvis. This risk is increased by prolonged sitting in one position, and by dehydration, both of which are part and parcel of air travel. Then, when you get up and move around, the blood clots may tear loose and travel to the lungs. This event, known as a pulmonary embolus, is often fatal.

Our advice is to carry with you some bottled water and to sit in an aisle seat. If you don’t already have to go to the bathroom every two hours just because you’re pregnant, then we advise you to drink enough water that you do have to go. The increased fluid intake plus the increased activity greatly reduces the risk of blood clots. And don’t worry about irritating the flight crew or the other passengers. Unless there is a true emergency, they love to make allowances for a pregnant woman. (CONTINUE...)

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