With proper planning and advice, travel during pregnancy is not
a problem. To ensure that you and your baby remain healthy during
travel, you need to consider the stage of your pregnancy, your current
physical condition, and any restrictions or problems you and your
doctor have discussed.
Also, talk to your doctor about visits or tests
you need to schedule, so that you are not away during the time these
are to take place. Prenatal visits, scheduled ultrasound tests,
glucose screening tests or Rh immunoglobulin injections (for those
whose blood type is Rh negative).
Assuming your doctor says it is OK for you to travel,
be sure you prepare a complete list of contact names and phone numbers
to take with you. If you have problems during your trip and need
care or attention, health care professionals or other travelers
can ensure that you get appropriate care. This information should
include:
Your name, age and blood type, and any medications
you are taking, as well as your health care insurance information.
Also include your due date, the date of your most recent doctor
appointment, any allergies you may have to medication or foods,
and any immunizations you may have had before travel.
Your doctor's name and contact information Any doctor's
name and phone number you may be using while you are away from home
Emergency contact information for your family (include more than
one contact) Be sure you have ample supply of prescription and over
the counter medications, and prenatal vitamins. Make certain that
your health insurance polity covers pregnancy, delivery and other
complications during travel and be sure to double check any restrictions
that may apply to travel in foreign countries. Check the availability
of travel insurance on your airline, or other carrier, to be sure
that you are covered if you have to miss part of, or your entire,
trip because of pregnancy related health problems or if you incur
emergency expenses during your trip. Ask if this insurance covers
complications from pregnancy and emergency transport.
Carry a cell phone, especially if you're traveling
alone, and be sure that your cell phone will function in any foreign
country to which you may be traveling.
You can plan normal activities while you are traveling,
but understand that you are likely to get tired m ore quickly when
you are pregnancy, so plan for extra rest during each travel day.
Take a relaxing bath, use room service, sit on the beach or watch
an in-room movie. Eating healthy is important, and your schedule
is likely to be different on the road, so take nuts, dry fruit,
and cheese and crackers with you. Drink plenty of water and avoid
dehydration, especially if you are flying to your destination. Take
your bathroom schedule into consideration. As an expectant mother,
you are likely to need to use the bathroom often. Don't plan vacation
or travel activities that require you to be out in the middle of
nowhere, away from facilities. And plan extra time for 'pit stops'
if you are traveling by car.
Remember that your feet and legs are likely to swell
during pregnancy if you are sitting for long periods of time. Wear
comfortable, expandable shoes and socks and elevate your feet whenever
possible. Get up and walk around whenever you can on a plane, train
or bus and if you are traveling by car, be sure to walk around a
bit when you stop to use the bathroom.
If you are traveling to a foreign country, you and
your doctor will have to consider any vaccines you will require
to determine whether they are safe to administer during pregnancy.
Avoid live vaccines like varicella for chicken pox, measles, mumps,
and rubella. The Centers for Disease Control (CDC) report no fetal
damage from live vaccines, but they admit that their information
is limited, so these vaccines should still be considered risky.
Vaccines for Hepatitis B, Hepatitis A, and tetanus, are safe and
recommended for pregnant women at risk of getting these diseases.
In many developing countries local healthcare and
the quality of available food and water are questionable. It is
best to avoid travel to these countries while you are pregnant.
If you are traveling to a hot, humid destination,
avoid yeast infections by wearing lightweight, loose-fitting clothes,
and cotton underwear. Change out of wet bathing suits as soon as
you can, and talk to your doctor about carrying a tube of anti-fungal
cream, just in case you need it.
Avoid risky activities, especially late in pregnancy:
snow skiing, water skiing, surfing, horseback riding, parasailing,
scuba diving, water slides and some more extreme amusement park
rides. You may also wish to avoid very hot saunas and hot tubs,
as they elevate your temperate beyond what is normal in a regular
bath.
You can walk and hike at low altitudes, swim in
calm waters (not in heavy surf or rapids), ride a stationary or
regular bike, exercise in the hotel gym (if you have been used to
exercising before and during your pregnancy) and jog if you jogged
before pregnancy. Talk to your doctor about your planned activities
before you leave for travel or vacation.
Be smart! If you start to feel tired, overheated,
dizzy or uncomfortable, slow down, rest, take a break or stop what
you are doing.
Travel, especially to other time zones, can throw
your eating schedule off and cause more problems with bloating,
and indigestion. Try eating several small meals during the day.
Don't eat close to bedtime (allow 2-3 hours to digest your food).
Sleep with your upper body propped on pillows. Avoid alcohol, carbonated
beverages, caffeine, chocolate, acidic foods (citrus fruits, tomatoes,
and vinegar), and spicy foods. Try to eat high-fiber foods to avoid
constipation and bloat, and stay active to keep your digestive tract
moving.
Avoid motion sickness by sitting in the front seat
of the car and keeping the window open to get plenty of fresh air.
In an airplane, sit over the wing, and on a boat, try to stay on
the deck and focus on the horizon.
You can try wearing a specially designed wristband
to deliver mild electrical current to a nerve at an acupuncture
point on the underside of your wrist. Studies show that this device
helps some pregnant women with morning sickness and motion sickness.
If you follow these suggestions, you should have
a pleasant and healthy trip.
And, remember, that if your doctor advises against
travel, you are wise to follow her/his suggestion. It is best to
put off the trip for another time after the baby is born, rather
than to risk your health and the health of your unborn child!