Traveling While Pregnant

Nine months of pregnancy is a long time. That’s why many expectant parents consider taking advantage of this special time to go on a vacation together, relax, and enjoy some time as a couple. Traveling while pregnant is generally possible. The key is choosing the right time, the right destination, and being well-prepared. Find out here what you should keep in mind when planning your trip and which time of year is particularly suitable.

From a medical standpoint, the second trimester—that is, the period between the 14th and 27th weeks of pregnancy—is considered the best time to travel. During this phase, the unborn baby has settled comfortably in the mother’s womb, and for most women, the initial nausea subsides.

Many pregnant women feel particularly comfortable physically between the 4th and 7th months. The baby bump isn’t that big yet, so there’s nothing standing in the way of day trips and light activities.

Anyone planning to travel during the first trimester should definitely consult with their gynecologist in advance about potential risks. The same applies to the last trimester.

A vacation during the final stage before giving birth is recommended only to a limited extent. By then, the increasingly larger belly becomes more and more of a hindrance, and swollen legs and feet also limit mobility. If the baby is born early, there should be a suitable hospital near the vacation destination.

Every pregnancy is different. You should generally avoid taking a vacation if there are medical reasons and your doctor advises against it.

For example:

• in the case of a high-risk pregnancy
• in cases of premature bleeding or contractions
• if there is an increased risk of premature birth

Discuss your plans, travel dates, health status, and destination with your obstetrician early on. This is especially important if you’re experiencing pregnancy-related symptoms or planning a long-distance trip.

Flying is generally considered safe for healthy pregnant women, provided there are no medical concerns. Certain restrictions apply during the first and last trimesters of pregnancy.

Many airlines prohibit pregnant women from flying after the 36th week; some even prohibit it as early as the 32nd week. You may be required to provide a doctor’s note certifying your fitness to fly. Check with your airline or travel agency in advance to find out about the applicable regulations.

To prevent blood clots, it is recommended that you drink plenty of water and walk up and down the aisle from time to time. As a preventive measure, you should wear support or compression stockings.

Which destination you choose is, of course, entirely up to your wishes and preferences. Your adventure doesn’t have to take you all the way to the ends of the earth. A shorter trip is often more comfortable during pregnancy.  

Due to the physical strain involved, traveling to countries with high temperatures and high humidity is not recommended.

Vacation spots in Europe have the advantage of a manageable travel time and no jet lag. It’s advisable to be mindful of temperature changes. In the southern regions during the summer, temperatures can easily climb toward 40 degrees. This puts a heavy strain on the circulatory system and the body of pregnant women. Ideal destinations are those where temperatures remain below a tolerable 30 degrees.  

Anyone taking a vacation in the mountains should keep in mind that the air becomes thinner at altitudes above 1,800 meters. This can potentially lead to dizziness and shortness of breath.  

When taking long-distance trips, you should consider not only the duration of the long-haul flight but also a potentially increased risk of infection. Tropical and subtropical countries are less suitable as travel destinations due to the risk of infection with yellow fever, malaria, or hepatitis. The Standing Committee on Vaccination at the Robert Koch Institute recommends vaccinations during pregnancy only in absolutely necessary cases. Malaria prophylaxis is therefore only possible to a very limited extent for pregnant women. Anyone who contracts malaria risks serious consequences, which can lead to premature birth or stillbirth.

• Get the go-ahead from your doctor or midwife before you travel.
• Be sure to pack your prenatal record in your luggage.
• Make sure you have access to medical care at your destination. Keep the number of a gynecologist handy in case you experience any symptoms. Emergency contact information should always be in your carry-on luggage.
• When purchasing travel cancellation insurance, be sure to check whether pregnancy complications are covered as grounds for cancellation or trip interruption.
• Plan for more relaxation than exertion and avoid unnecessary stress. When traveling, it’s recommended to take sufficient breaks.
• Avoid high-risk sports and activities such as skiing, scuba diving, rock climbing, or whitewater rafting.
• Pregnant women should always eat healthy, balanced meals regularly and drink plenty of fluids. Take special care in southern regions to drink only boiled water as a precaution and to avoid ice cubes, etc. Caution is also advised with unpeeled fruits and vegetables, salads, and cold cuts.

Mild symptoms such as fatigue, back pain, or swollen legs can also occur while traveling and are usually harmless.  

However, if you experience severe pain, bleeding, or persistent discomfort, you should see a doctor immediately.

It’s best to find out before your trip where you can find medical help or a clinic near your vacation destination. Carry important emergency numbers and your doctor’s contact information with you. And don’t hesitate to seek medical advice if you are unsure or concerned.

For pregnant women, it is recommended to have travel cancellation or trip interruption insurance, as well as international travel insurance, if you are vacationing outside of Germany. 

Before purchasing a policy, check whether pregnancy complications are explicitly covered and whether medically necessary repatriation is insured. If in doubt, ask for clarification and seek advice from your insurance provider. This way, you can travel with peace of mind, knowing you’re well covered in case of an emergency.