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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 one month 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.

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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• Second Trimester
• Travel During Pregnancy

Checklist: What to Bring When Traveling While Pregnant

Whoever said it’s about the journey and not the destination has never flown economy while pregnant. Whether you’re on vacation or a business trip, the usual indignities only get worse when you’re expecting—crowded seats feel super-cramped, and dry, recirculating air does extra damage on pregnancy-sensitive skin. Then there’s the heightened risk of blood clots and dehydration, just to name a few more inconveniences standing in the way between you and that sandy-white beach (or a drab but now appealingly expansive conference hall). We can’t make the misery disappear, but we can recommend a few expert-approved items to stash in your carry-on that’ll make a world of a difference.

1. Anti-nausea Treatment

Not-so-fun fact: Women who are prone to motion sickness are likelier to suffer from morning sickness , says Shannon M. Clark, associate professor of maternal-fetal medicine at University of Texas Medical Branch in Galveston. If you’re one of the unlucky ducks vulnerable to this double-whammy, then you definitely need to bring your ginger tea or lollipops , prescription anti-nausea meds or motion-sickness bands —whatever works for you on the ground will help in the air.

2. Comfortable Shoes

Note the plural. That’s because you need to make sure to wear flats onto the plane. (We’re partial to ballet flats—they’re cute, easy to slip on and off at the security gate, and are comfy for walking up and down the aisle during the flight—which you definitely should do to keep that circulation going). But you should also pack a pair of flip-flops, which Clark did when traveling with twins on the way. “Your feet will swell up, so your size at the end of the trip won’t be necessarily the same as they were in the beginning of the trip,” Clark says. Rather than cramming them into your shoes, flip-flops are an easy solution (as are some other light but stretchy weather-appropriate shoe).

3. Compression Socks

These are helpful even if you’re not pregnant, but if you are, they’re practically mandatory, given that your circulation will be poor in the lower part of your legs. Wear these socks on board and you’ll keep your circulation humming along, preventing varicose veins as well as potentially life-threatening clots. Choose a pair that feels snug but not restrictive. (And yes, you still need to walk around every couple of hours, even when you’re wearing these socks.)

What kind depends on you. If you’re suffering from back pain, you might consider a lumbar support pillow—you know, the kind you slip onto an office chair. Others might prefer a neck-support pillow or a moldable pillow, which you can squish any which way until you feel comfortable. Clark says she was comfy with just a pillow from home.

5. Pregnancy Support Belt

If you’ve got a big-time belly, these belly bands can provide support, whether you’re racing from gate to gate at the airport or trying to get comfortable in your seat, Clark says.

6. Panty Liners and an Extra Panty

We don’t have to remind you that pregnancy can bring along more discharge than usual. An extra pair of underwear and a good stash of liners can keep you feeling a teensy bit fresher than you would otherwise.

7. Reflux Meds

If you’re experiencing GI troubles, you’re more likely to suffer from them while traveling, so be sure to pack whatever you’ve been taking at home. (By the way, remember to grab your prenatal vitamins when traveling too.)

You’re shivering one moment but raging hot the next. Dress in layers (complete with a tank top as your base layer) and don’t leave home without this handy cover-up, which also doubles as a blanket. Bring it in a neutral color and it’ll work as an extremely versatile accessory too.

Cravings don’t stop just because you’re thousands of feet up in the air, and those tiny pretzel packets won’t cut it. Spare yourself the misery and keep a stash of your favorites on your person at all times. (High-protein picks keep cravings in check—anything with peanut butter or full-on nuts is a good bet.)

Obviously. Grab a bottle size that’s appropriate for the duration of your trip—plus an extra. “You never know if you’ll end up with delays,” says Clark, who prefers to bring her own bottle. “I like to see where my water comes from,” she says. If you end up having to ask your flight attendant for water, specify that you want “water from a bottle,” she adds.

Published December 2017

Plus, more from The Bump:

Travel Tips for Moms-to-Be

How Late is Too Late to Fly While Pregnant?

11 Babymoon Trips and Tips from Real Couples

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9 Tips for Traveling While Pregnant

An ob-gyn shares advice about traveling while pregnant and what you can do to stay safe..

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For many, the holiday season is a time to travel and gather with family and friends. For expectant mothers, holiday travel, coupled with the ongoing challenges posed by the flu, RSV (respiratory syncytial virus), and COVID-19, can introduce a unique set of considerations and uncertainties. Traveling while pregnant may require some extra precautions to ensure their comfort and safety as well as the baby’s safety.

“For those with a low-risk pregnancy, travel is generally considered safe,” says Dr. Cassandra Simmons , division chief of General Obstetrics & Gynecology at NewYork-Presbyterian Westchester. “Most patients should feel comfortable benefiting from the positive aspects of travel during holidays — by car or by plane — and be able to enjoy their time with friends and family.”

Health Matters spoke with Dr. Simmons to learn what advice she has for people traveling while pregnant.

Dr. Cassandra Simmons

1. Check in with your doctor before traveling.

Travel is not recommended for those with certain complications, such as preeclampsia , preterm labor, or pre-labor rupture of membranes (PROM).

According to Dr. Simmons, there may be slightly higher risk associated with traveling in the first trimester (when there is a greater risk of bleeding) and the third trimester (when you’re closer to delivery). Most doctors advise a pregnant person not to fly by commercial flight after 36 weeks of pregnancy. In fact, most airlines restrict air travel for pregnant people if they are close to their due date. “As one approaches their due date, the risk of labor exists, and medical care in flight is limited or not available at all,” says Dr. Simmons.

2. Plan for unexpected situations.

Locate the closest obstetric healthcare provider and hospital, regardless of where you’re traveling. “When traveling domestically and internationally, you should ensure that there are options for obstetric care near your destination so that you have a place to go if you experience unexpected symptoms related to your pregnancy while traveling,” says Dr. Simmons.

3. Stay up to date on vaccinations.

Make sure you’re up to date on your flu and COVID-19 vaccines. If you plan to travel internationally, keep in mind that some countries require specific vaccines. While some vaccines are safe during pregnancy, others may not be. “Communicate with your provider as to what vaccines are recommended based on the country to which you plan to travel,” says Dr. Simmons.

4. Take extra precautions when traveling internationally.

It’s best to avoid areas with a high risk of infectious diseases — such as malaria or Zika, two mosquito-borne diseases. Check the Centers for Disease Control and Prevention (CDC) website for current information on countries where Zika and malaria are reported. Dr. Simmons reminds pregnant people that “the main way to mitigate risk with regard to malaria and Zika is to avoid infection altogether.”

If you absolutely must travel to areas where malaria and Zika are reported, you will need to use long-acting insect repellents that are safe for use while pregnant, like EPA-registered bug spray with DEET, picaridin, IR3535, or oil of lemon eucalyptus. Wear long-sleeved shirts and pants to protect against mosquito bites. If you’re going to a malaria-endemic area, your doctor will prescribe anti-malarial pills that are safe during pregnancy.

If you’re in a country where tap water is unsafe to drink, remember to stick with bottled water — even for things like brushing your teeth — to reduce the risk of gastrointestinal (GI) infection.

5. Wear your seat belt low and snug across your hips, not over your belly.

“For comfort and safety, avoid placing your seat belt on top of your pregnant abdomen,” says Dr. Simmons. It should be worn under your belly, just above your hips.

6. If you’re on a long flight or long car ride, get up and move often to help prevent blood clots.

During pregnancy, you are at an increased risk of developing what is called deep vein thrombosis (a blood clot in a deep vein in the body, like in the leg). Sitting for too long, as during a car or plane ride, can exacerbate blood clots. “Avoid sitting or standing in one position for extended periods,” explains Dr. Simmons. Anything you can do to improve blood flow helps. For flights, stand and walk up and down the aisle of the plane every hour. Choosing an aisle seat may make it easier to get up often. For long car rides, try and stop every hour to stretch your legs. If you can’t get up and walk around, “even calf raises in your seat help with circulation when you are sedentary during travel,” says Dr. Simmons.

“Wearing compression socks is another way to promote circulation while on a long trip,” adds Dr. Simmons. These tight-fitting socks reach up to the knees and help with blood flow and circulation.

"Most patients should feel comfortable benefiting from the positive aspects of travel during holidays — by car or by plane — and be able to enjoy their time with friends and family." — Dr. Cassandra Simmons

7. Be prepared with comfortable clothing, snacks, water, and anti-nausea medicines.

Whether you have a two-hour drive or a six-hour flight ahead of you, wear comfortable clothing and shoes. Keep snacks and water on hand as well, “to stay hydrated and keep up with the metabolic demands of being pregnant,” says Dr. Simmons. And if you’re feeling nauseous or have GI discomfort while traveling, Reglan, Dramamine, and Imodium are considered safe to take while pregnant.

8. Mask up and use hand sanitizer.

“I advise my pregnant patients to wear a mask when traveling or when in the presence of large crowds, as an added precaution for safety for themselves and their unborn babies,” says Dr. Simmons. Because COVID-19, RSV, and the flu are all airborne viruses — meaning they spread through tiny respiratory droplets in the air — wearing a mask adds a layer of protection. You may also want to ask family members, friends, and loved ones to take a COVID-19 test prior to large gatherings.

And don’t forget to wash your hands and use hand sanitizer often. Keep sanitizer handy, especially if you are traveling with young children. Keep their hands sanitized as well to help keep your family safe.

9. Upon arrival, avoid any unsafe activities.

“It’s important that you enjoy your planned activities, but try and avoid adventures that may significantly increase your risk of trauma while pregnant,” says Dr. Simmons. For example, if you’re going to an amusement park or participating in an activity that could put you at risk of falling or for sudden jerky movements (like skiing or other high-impact sports), it’s important to proceed cautiously. Stick to lower-impact exercises and sports like jogging, walking, or swimming.

Cassandra Blot Simmons, M.D. , is chief of the Division of General Obstetrics & Gynecology at NewYork-Presbyterian Westchester and NewYork-Presbyterian/Columbia University Irving Medical Center. She is also an assistant professor of obstetrics and gynecology at Columbia University Vagelos College of Physicians and Surgeons. Dr. Simmons specializes in women’s gynecological health and obstetrics care before, during, and after pregnancy.

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Traveling While Pregnant or Breastfeeding

Special considerations for traveling while pregnant.

Traveling during pregnancy is normal and a lot of women do it. But it's important to think about potential problems that could come up during international travel. Also think about how you would get quality health care in the countries you are visiting. Get all of the vaccines you need before becoming pregnant instead of waiting to get them during pregnancy.

The American College of Obstetricians and Gynecologists says the safest time for a woman to travel is in the second trimester of her pregnancy, from 14 to 28 weeks. This is the time when you will feel your best. You are also at the lowest risk for spontaneous abortion or premature labor. During the third trimester (25 to 40 weeks), many healthcare providers and midwives advise staying within a 300-mile radius of home because of potential problems such as high blood pressure, phlebitis, and false or preterm labor. Generally, women are not allowed to travel by air after 36 weeks for domestic travel, and after 28 to 35 weeks for international travel. The decision on whether to travel and how far to travel at any time during pregnancy should be a joint decision between you and your healthcare provider or midwife.

According to the CDC, pregnant women with the following conditions may be advised against traveling to countries that require pre-travel vaccines. This list may be incomplete. So discuss your health history with your provider or midwife before planning travel:

History of miscarriage

Incompetent cervix

History of ectopic pregnancy

History of premature labor or premature rupture of membranes

History of or current placental abnormalities

Threatened miscarriage or vaginal bleeding during current pregnancy

Multiple fetuses in current pregnancy

History of toxemia, high blood pressure, or diabetes with any pregnancy

History of infertility or trouble getting pregnant

Pregnancy for the first time over the age of 35 years

Heart valve disease or congestive heart failure

History of blood clots

Severe anemia

Chronic organ system problems that need to be treated 

You may also be advised against traveling to places that may have hazards. The list below may be incomplete. Talk about your travel plans with your healthcare provider or midwife before planning a trip.

Places with high altitudes

Places that have outbreaks of life-threatening food- or insect-borne infections

Places where malaria is common

Places where live-virus vaccines are needed or recommended

Healthy tips for traveling while pregnant

Here are tips for traveling while pregnant:

Try to plan ahead for any problems or emergencies that could come up before you travel. Check that your health insurance is valid while you are abroad. Also check to see whether the plan will cover a newborn, should you deliver while away. You may want to think about getting a supplemental travel and medical evacuation insurance.

Research medical facilities in your destination. Women in the last trimester of pregnancy should look for places that can manage complications of pregnancy, toxemia, and cesarean sections.

If you will need prenatal care while you are abroad, arrange for this before you leave. Talk with your healthcare provider or midwife to figure out the best way to handle this.

Know your blood type and check that blood is screened for HIV and hepatitis B in the areas you will be visiting.

Check that safe food and beverages such as bottled water and pasteurized milk are available at your destinations.

If flying, ask for an aisle seat at the bulkhead. This gives you the most space and comfort. If morning sickness is a problem, try to arrange travel during a time of day when you generally feel well. Seats over the wing in the midplane region will give you the smoothest ride.

Try to walk every half-hour during a smooth flight. Flex and extend your ankles often to prevent blood clots in the veins (thrombophlebitis).

Fasten your seat belt at the pelvis level, below your hips.

Drink plenty of fluids to stay hydrated. Aircraft cabins have low humidity.

Try to rest as much as possible while away. Exercise and activity during pregnancy are important. But try not to overdo it.

Special considerations for traveling while breastfeeding

Breastfeeding gives babies the most nutritional start in life. It also gives them vital protection against certain infections. But traveling internationally while nursing can be challenging.

If you are breastfeeding only, you don't have to worry about sterilizing bottles or having clean water. You may get vaccines to protect against disease, depending on where you are traveling. But diseases such as yellow fever, measles, and meningococcal meningitis may be a threat to infants who can't be vaccinated at birth. Discuss this with both your healthcare provider or midwife and your infant's care giver before you travel.

If you are feeding your baby formula, it's best to use powdered formula made with boiled water. You may also want to carry a supply of prepared infant formula in cans or ready-to-feed bottles for emergencies.

Breastfeeding helps lower the chance of your baby getting traveler's diarrhea. If you get traveler's diarrhea, drink more fluids, and continue to nurse your baby.

Watch your eating and sleeping patterns, as well as your stress levels. This will affect your milk output. Drink more fluids. Stay away from alcohol and caffeine, as well as exposure to smoke.

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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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Traveling While Pregnant

Planning to travel while you're pregnant? You'll want to know what's safe, what isn't, and which precautions to take before, during, and after your trip.

There are several factors that can affect travel during your pregnancy: your pregnancy stage when the trip is planned; whether there have been any complications during the pregnancy; the type of travel; and the distance that the trip will take you from home.

Pregnancy Stage: Travel Implications

Travel during the first and second trimesters is usually considered to be safe, although it may be more tiring than usual.

Traveling during the first trimester of pregnancy may pose a few challenges, especially if you're experiencing morning sickness, nausea, or fatigue. And the risk of bleeding or miscarriage is the greatest during these months.

The second trimester is the time in your pregnancy when you probably feel the best and have the most energy. This is a great time for a trip. In fact, vacationing with your partner during this period might be an ideal chance to spend some fun time alone together before the baby arrives!

Travel in the third trimester may be uncomfortable and can be risky, because you could go into labor many miles away from your own healthcare providers and hospital. Some airlines do not let women fly during their last month of pregnancy without a doctor's letter of permission. Quite often, that letter must be written within 72 hours of flight time.

Types of Travel

Traveling by car is likely to be the most comfortable means of getting around during pregnancy. When driving or riding in a car, stop every hour or two and walk around to stretch your legs — this will promote good circulation. Remember to always fasten your seat belt. Place the lap belt portion under your abdomen and position the shoulder harness between your breasts.

Flying shouldn't cause any problems in your first two trimesters. Be sure to:

Plan your schedule so that you're not rushed and have plenty of time between connecting flights

Request an aisle seat so that you have a little more room and can easily get to the bathroom as needed.

Walk up and down the aisle every hour or so to promote circulation in your legs.

While sitting, flex your feet toward your face and make circles with your feet.

Wearing support hose or flight socks also stimulates circulation in your legs when you have to sit for long periods of time.

Drink enough fluids to stay well hydrated.

Travel by boat, particularly if it's a large cruise ship, also should pose no particular problems in the first two trimesters. And most cruise ships have medical personnel aboard should you need assistance. If you're sensitive to motion, you might want to take medication to prevent motion sickness; ask your healthcare provider what would be safe to take during pregnancy. You can also wear the anti-nausea acupressure wristbands that are available over-the-counter at your pharmacy.

Long Distance and International Travel

If you plan to travel far from home, you can be prepared by being sure there are good sources of medical care at your destination. Take your pregnancy records with you, including tests you've had done, medications you're taking, your blood type, and any other information that might be helpful when you're out of town.

If you have to travel out of the country, it is important to take copies of your prescriptions for medications, in case your medications become lost. Be sure your immunizations are up to date before planning a trip to countries where vaccinations are necessary; also, keep in mind that some vaccines may not be safe to update during pregnancy.

Be aware that changes in climate or altitude and types of food could cause you more discomfort when you're pregnant. Limit exertion for a couple days after your arrival at your destination, particularly if the climate is hot or the altitude is high; this will allow your body to adjust to these changes.

In addition to the above considerations, always consult your healthcare provider before planning a trip, particularly if you'll be experiencing changes in altitude. She may be able to give you a medical contact in the area of your destination, in case you'd need to see a physician while you're away from home.

With a little advance planning and some wise precautions, travel during your pregnancy can be safe and enjoyable. Bon voyage!

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11 Rules for Road Trips While Pregnant, Including When To Stop Traveling by Car

A car trip can be a memorable vacation while pregnant, especially if flying is out of the question, but there are some precautions to take before you hit the road.

Everyone loves a good road trip. And if you're pregnant, a babymoon by car may be exactly what's needed before you're elbows-deep in dirty diapers. While it's generally safe to fly while expecting , some airlines have a cutoff of 36 weeks (and many even earlier), according to the Centers for Disease Control and Prevention (CDC).

Pregnant people who do fly should check with their doctors first, but they can make travel safer with simple steps like holding onto seatbacks when walking during turbulence and wearing compression socks to prevent deep vein thrombosis.

The great news is that car travel is safe for most pregnant people. If you have complications, you may need to stick closer to home but unless you're on bedrest or have other doctor-imposed limitations, you should be able to hit the road. Ask your health care provider when you should stop long road trips, but in most cases, it's safe until close to your due date.

To ensure the only bump on the road is your belly, here are 11 tips pregnant travelers should know before setting off on a long drive.

1. Talk To Your Health Care Provider

No matter the mode of travel, pregnant people should always start by contacting their health care provider, said Kecia Gaither, MD , maternal-fetal medicine specialist affiliated with NYC Health + Hospitals/Lincoln in the Bronx, New York. "Certain medical conditions may preclude any degree of travel, be it by air or land," says Dr. Gaither. "Those conditions may include placenta previa , prior preterm labor , or clotting disorders."

Placenta previa, for example, happens when the placenta completely or partially covers the cervix. It can cause bleeding during pregnancy, as well as serious complications—like hemorrhage or preterm birth—that would be difficult to navigate in an unfamiliar location.

Additionally, traveling is a risk factor for blood clots, according to the CDC—and pregnant people already have a heightened chance of developing them. Certain conditions and disorders may increase the risk of blood clots too much for long road trips.

2. Plan for Your Second Trimester

The American College of Obstetricians and Gynecologists (ACOG) says the ideal time to travel is during the second trimester, between 14 and 28 weeks. "During these weeks, your energy has returned, morning sickness is improved or gone, and you are still able to get around easily," recommends the organization. "After 28 weeks, it may be harder to move around or sit for a long time."

Not only is the middle of the pregnancy when pregnant people will likely feel the best, but it also carries a lower risk of any complications.

3. Prepare for the Pregnancy Road Trip

Advanced planning can make any road trip easier. This includes thoughtful packing like easy-to-change clothing if you get too hot or too cold and taking healthy foods, snacks, and drinks. Also, make sure your route is accurate to avoid delays and check for safe places to stop.

4. Drink Enough Water

There's a link between dehydration and uterine contractions, so keeping on top of water intake is crucial, says Dr. Gaither. Have a sufficient supply of water readily available in the car and make sure to drink even more if you've been sweating or exercising. Pregnant people should drink eight to 12 cups (or 64 to 96 ounces) of water each day, according to ACOG. This ensures healthy digestion, amniotic fluid formation, and nutrient circulation.

5. Bring Extra Medications or Supplements

Taking the proper medications and supplements while pregnant is imperative, and it's even more important on a road trip. Dr. Gaither says pregnant travelers will want to double-check that they've packed any medications and vitamins they need.

It's also important to bring extra, in case they're on the road longer than originally anticipated. Include over-the-counter medicines approved by your health care provider, so you'll have them if you need them. And, don't forget to pack your prenatal vitamin !

6. Always Wear a Seat Belt

Wearing a seat belt in a car is one of the most important car safety tips, especially when you're pregnant. The myth that a seat belt could harm the fetus is pure fiction, but there's a proper way to wear one if you're pregnant, according to the National Highway Traffic Safety Administration (NHTSA).

Pregnant people should wear the shoulder belt away from their neck and across their chest. The lap belt should be secured below the belly so it fits snugly. Pregnant people should also keep as much distance as possible between their belly and the steering wheel, while still ensuring they can reach the wheel and pedals. Additionally, the NHTSA recommends pregnant people don't disable the airbags.

7. Get Out and Stretch Often

Dr. Gaither says pregnant travelers should stop "at least every two hours" and get out of the car, stretch, and walk around. This increases blood flow to the lower body which helps prevent complications like deep vein thrombosis (DVT) in the legs. These blood clots usually dissolve on their own. However, in rare cases, they can break off, travel to the lungs, and block blood flow. This potentially life-threatening condition is called a pulmonary embolism.

While the risk for DVT is low, it does increase with pregnancy. The CDC recommends knowing the signs of DVT, which include swelling and/or redness in the leg (or arm), unexplained pain or tenderness, and skin that feels warm when touched. Signs of a pulmonary embolism include difficulty breathing, fast or irregular heartbeat, and chest pain or discomfort.

8. Dress Comfortably

Being comfortable during pregnancy is key, and that's especially true during a road trip. Luckily, a few essentials can make the ride more relaxing—and safer. Non-medical compression socks or support hosiery may be a good idea to help support blood flow.

Other helpful travel accessories include a lumbar pillow, comfortable shoes, and a good water bottle (because hydration is key to a healthy pregnancy ). A cooler, sunglasses, and sunscreen also may be helpful. And, avoid wearing too-tight clothing and shoes.

9. Avoid Remote Locations

Nothing is stopping most pregnant people from traveling, but it's always smart to be mindful of where you're going. If possible, maintain a steady speed (instead of speeding up and slowing down) and avoid winding, hilly, bumpy roads, and frequent lane changes. Also, don't travel to extremely remote areas where medical care may be difficult to find in case of an emergency.

10. Have an Emergency Plan in Place

Pregnant travelers will want to have a plan in case any unexpected health concerns pop up, as they can happen quickly during pregnancy. If you don't have access to an electronic health record, take a copy of your medical record with you. If any problems do arise during a road trip, Dr. Gaither recommends pregnant people contact their health care provider and the nearest hospital for advice, evaluation, and possible treatment.

11. Relax and Have Fun

There are lots of things to take into consideration when planning a road trip while pregnant, but always remember to have fun! Advanced planning and a comfortable wardrobe will help make the trip easier. Plan a trip you're excited about and indulge in a little pre-baby R&R.

Pregnant Travelers . Centers for Disease Control and Prevention . 2022.

Blood Clots and Travel: What You Need to Know . Centers for Disease Control and Prevention . 2023.

Travel During Pregnancy . American College of Obstetricians and Gynecologists . 2023.

How Much Water Should I Drink During Pregnancy? . American College of Obstetricians and Gynecologists . 2020.

If You're Pregnant: Seat Belt Recommendations for Drivers and Passengers . National Highway Traffic Safety Administration .

Related Articles

Safe Car Travel During Pregnancy

Medical review policy, latest update:, is it safe to travel by car during pregnancy, is it safe to drive a car during pregnancy, recommended reading, what’s the safest way to wear a seatbelt when you’re pregnant, when should you stop traveling by car during pregnancy, safety tips for pregnancy car travel.

And speaking of cars and driving: Make sure to install your baby’s car seat at least three weeks before your due date, so it’s ready to go when you need it. Avoid common car seat mistakes by getting help from a qualified technician, which is usually free. Find an inspection station near you here .

What to Expect When You’re Expecting , 5th edition, Heidi Murkoff. WhatToExpect.com,  Travel Tips for Pregnancy , April 2018. WhatToExpect.com,  Infant Car Seat Safety 101 , August 2018. WhatToExpect.com,  Edema (Swelling of the Angles and Feet) During Pregnancy , October 2020. WhatToExpect.com,  Leg Cramps During Pregnancy , April 2019. American College of Obstetricians and Gynecologists, Travel During Pregnancy , August 2020. American College of Obstetricians and Gynecologists, Car Safety for Pregnancy Women, Babies, and Children , March 2019. National Institute of Health, National Library of Medicine, Adverse Pregnancy Outcomes Following Motor Vehicle Crashes , November 2013. American Family Physician,  Car Safety During Pregnancy , November 2014. National Highway Traffic Safety Administration, Distracted Driving , 2020. National Highway Traffic Safety Administration, Car Seats and Booster Seats , 2020. March of Dimes, Travel During Pregnancy , April 2016. State Farm Insurance, How to drive safe while pregnant , 2020.

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Travelling in pregnancy

With the proper precautions such as travel insurance, most women can travel safely well into their pregnancy.

Wherever you go, find out what healthcare facilities are at your destination in case you need urgent medical attention. It's a good idea to take your maternity medical records (sometimes called handheld notes) with you so you can give doctors the relevant information if necessary.

Find out more about getting healthcare abroad .

Make sure your travel insurance covers you for any eventuality, such as pregnancy-related medical care during labour, premature birth and the cost of changing the date of your return trip if you go into labour .

When to travel in pregnancy

Some women prefer not to travel in the first 12 weeks of pregnancy because of  nausea and vomiting and feeling very tired during these early stages. The risk of  miscarriage is also higher in the first 3 months, whether you're travelling or not.

Travelling in the final months of pregnancy can be tiring and uncomfortable. So, many women find the best time to travel or take a holiday is in mid-pregnancy, between 4 and 6 months.

Flying in pregnancy

Flying isn't harmful to you or your baby, but discuss any health issues or pregnancy complications with your midwife or doctor before you fly.

The chance of going into labour is naturally higher after  37 weeks (around 32 weeks if you're carrying twins), and some airlines won't let you fly towards the end of your pregnancy. Check with the airline for their policy on this.

After week 28 of pregnancy, the airline may ask for a letter from your doctor or midwife confirming your due date, and that you are not at risk of complications. You may have to pay for the letter and wait several weeks before you get it.

Long-distance travel (longer than 4 hours) carries a small risk of blood clots (deep vein thrombosis (DVT)) . If you fly, drink plenty of water and move about regularly – every 30 minutes or so. You can buy a pair of graduated compression or support stockings from the pharmacy, which will help reduce leg swelling.

Travel vaccinations when you're pregnant

Most vaccines that use live bacteria or viruses aren't recommended during pregnancy because of concerns that they could harm the baby in the womb.

However, some live travel vaccines may be considered during pregnancy if the risk of infection outweighs the risk of live vaccination. Ask your GP or midwife for advice about specific travel vaccinations. Non-live (inactivated) vaccines are safe to use in pregnancy.

Malaria tablets

Some anti-malaria tablets aren't safe to take in pregnancy so ask your GP for advice.

Zika virus is mainly spread by mosquitoes found in some parts of the world. For most people it's mild and not harmful, but can cause problems if you're pregnant.

If you are pregnant, it is not recommended to travel to parts of the world where the Zika virus is present, such as parts of:

• South and Central America
• the Caribbean
• the Pacific islands

Check before you travel

It's important to check the risk for the country you're going to before you travel.

Find out more about the Zika virus risk in specific countries on the Travel Health Pro website

Car travel in pregnancy

It's best to avoid long car journeys if you're pregnant. However, if it can't be avoided, make sure you stop regularly and get out of the car to stretch and move around.

You can also do some exercises in the car (when you're not driving), such as flexing and rotating your feet and wiggling your toes. This will keep the blood flowing through your legs and reduce any stiffness and discomfort. Wearing compression stockings while on long car journeys (more than 4 hours) can also increase the blood flow in your legs and help prevent blood clots.

Tiredness and dizziness are common during pregnancy so it's important on car journeys to drink regularly and eat natural, energy-giving foods, such as fruit and nuts.

Keep the air circulating in the car and wear your seatbelt with the cross strap between your breasts and the lap strap across your pelvis under your bump, not across your bump.

Road accidents are among the most common causes of injury in pregnant women. If you have to make a long trip, don't travel on your own. You could also share the driving with your companion.

Sailing in pregnancy

Ferry companies have their own restrictions and may refuse to carry heavily pregnant women (often beyond 32 weeks on standard crossings and 28 weeks on high-speed crossings ). Check the ferry company's policy before you book.

For longer boat trips, such as cruises, find out if there are onboard facilities to deal with pregnancy and medical services at the docking ports.

Food and drink abroad in pregnancy

Take care to avoid food- and water-borne conditions, such as stomach upsets and travellers' diarrhoea . Some medicines for treating stomach upsets and travellers' diarrhoea aren't suitable during pregnancy.

Always check if tap water is safe to drink. If in doubt, drink bottled water. If you get ill, keep hydrated and continue eating for the health of your baby, even if you're not hungry.

Find out about a healthy diet in pregnancy , and foods to avoid in pregnancy .

Page last reviewed: 17 August 2022 Next review due: 17 August 2025

What to expect when traveling in each trimester of pregnancy

So you're pregnant? Congrats! It's an exciting time but also one in which many aspects of your life will begin to change, including travel. While you'll quickly need to understand the airline industry's rules for flying while pregnant , there are some more personal tips I'd like to share with you based on my experience traveling throughout the first, second and third trimesters of both of my pregnancies.

A few truths about pregnancy

Picky, starving moms need to travel with snacks.

I didn't know I was pregnant when I took the first flight of my second pregnancy. I was on a mileage run from Houston to Los Angeles, and by the time we landed, I was super tired, kinda grumpy and oh-my-so-hungry.

Then began a mad search for food. Luckily, Counter Burger was open and serving up sweet potato fries and burgers. Out of habit, I went for the veggie burger but I quickly regretted my decision, which left me far from satisfied with ground-up veggie mush.

In the early stages of pregnancy, your normal travel habits of going a little hungry for a while, or making due with what's around, may not work well.

Throughout your pregnancy, travel with water to stay hydrated and snacks to stave off hunger pangs and keep you going through travel delays. If you're feeling particularly food sensitive, research the food options at your destination ahead of time. I virtually lived on chicken noodle soup for a whole week early in my pregnancy and then, for a couple of days, all I wanted were hush puppies. I know how to get those items at home but when you are on the road, you either need to do more research or be more flexible -- which is sometimes easier said than done.

Related: 4 tips for planning travel while planning a pregnancy

Research and make choices about inflight radiation and other risks

I'm not an expert, but because I fly often, I have given some thought to inflight radiation exposure , especially during the early stages of pregnancy.

For pregnant flight attendants and pilots, the Federal Aviation Administration recommends a limit of 1 mSv during pregnancy, with no more than 0.5 mSv per month. I don't fly as much as an airline employee, but it doesn't take much research to learn that the amount of radiation you (and your gestating baby) are exposed to in the air varies dramatically from route to route. The highest-level routes are typically longer, higher-altitude polar routes. Here's some information from NASA about polar flights and radiation .

Every expectant mother should discuss the risks of flying during pregnancy with her doctor before getting on a plane. For me, nine months was a tiny moment in my traveling life, so I was OK adjusting my behavior a bit out of an abundance of caution. However, I didn't adjust to the point of never leaving my house. We still flew when I was pregnant, but I was judicious about when and where I would fly.

Check your health insurance policy

If you aren't familiar with your medical insurance coverage for when you travel, brush up on those facts now. Look at in-network and out-of-network benefits, as well as coverage for procedures for medical emergencies in other countries, if relevant. Most likely, if you do have coverage for treatment in other countries, you will still be on the hook to pay for your care up front and then submit for reimbursement from your health insurer. Plan accordingly and plan for the unexpected. If your baby decides to arrive early, for instance, check to make sure your insurance would cover possible extended and expensive care in an intensive care unit in a hospital away from your home.

Be sure to check what your health insurance coverage provides if you deliver at another facility later in your pregnancy. I once had an insurance plan that specifically did not cover out-of-network deliveries after 36 weeks, so that is something you would want to know before venturing away from home late in pregnancy.

Consider travel insurance

Trip insurance can be helpful if you are traveling while pregnant. Read the plan's fine print to determine what might be covered and whether you are covered if you already knew you were pregnant when you purchased the plan. Typically, a normal pregnancy or normal delivery would not be covered but if there are unexpected complications with the pregnancy, then related trip-cancellation or trip-interruption coverage may kick in on certain plans in certain situations.

Here are some travel insurance providers to check out: Allianz Travel Insurance, Travel Guard and Travelex Insurance . You can also compare a variety of plans at a portal like SquareMouth .

Here are some articles that will help you brush up on your travel insurance knowledge:

• The best travel insurance policies and providers
• What is independent travel insurance and when is it worth it?
• When to buy travel insurance versus when to rely on credit card protections
• Is credit card travel insurance sufficient on its own?
• Why I buy travel insurance

Traveling in the first trimester

Traveling in the first trimester can range from "no big deal" to "I think I'm going to die from misery right this very instant." Symptoms in early pregnancy can vary widely and can change by the day. A flight in your first trimester may be no different from any other flight you've ever taken or it may feel like you are flying with the worst hangover of your life.

Unless you are very high risk or have other extenuating medical issues, your doctor will probably give you the green light to travel in early pregnancy. Feeling extra tired, nauseous and queasy doesn't make for the perfect travel experience, so here are some tips to make travel easier:

Pick an aisle seat and move about the cabin

When you do hit the skies early on, choose a seat where you will be the most comfortable, likely an aisle seat so you can get to the restroom easily. I also recommend getting up to walk around and stretch your legs. (Here are tips for credit cards that will defeat basic economy and let you get a seat assignment in advance.)

Room service come to the rescue

In my first trimester of my second pregnancy, I went on a trip with my daughter and parents to New York City to see the Macy's Thanksgiving Day Parade and I was met with another challenge. I was at the point in my pregnancy when I needed food immediately upon waking or I was going to get queasy. Since I was staying in a hotel room with my young daughter, this meant room service. I also had granola bars and fruit on hand, but that was not enough to really do the trick some mornings. Had my husband been there, he could have gone in search of a warm bagel and juice, but since he wasn't on this trip, we had to improvise. Thanks goodness Marriott elite status helped defray the cost of most of the breakfast!

Take it easy when you need to

Once you are further along in your pregnancy and you actually look pregnant, you will sometimes get a little sympathy or, at least, empathy while traveling. Strangers may offer to help with your bag and people may have more patience with you if you're moving slowly. However, in the first trimester nobody can tell you are pregnant, and no one is going to feel sorry for you. If you act queasy on the plane, you will pretty much be treated like you have Ebola, and any other issue or ailment will pretty much not interest anyone. I once told the flight attendant I was pregnant when she was giving me the eye about looking queasy.

Take care of yourself, don't overdo it and know when to say enough is enough. You may be used to very busy travel days, but now find yourself needing a nap during your first trimester, and that's OK. Listen to your body and adjust accordingly.

Traveling in the second trimester

You have probably heard that the second trimester is generally the easiest of the three trimesters for most expecting moms. You usually aren't as sick and or as tired as in the first trimester, and you aren't as large, uncomfortable and exhausted as in the third trimester. From roughly weeks 13 to 27 of a pregnancy, your activity and comfort levels are often good, and this means that it can be a great time to travel. Couples that like to take "babymoons" (one last couples trip before the baby arrives) often try to schedule them in the second trimester.

Related: The best babymoon destinations for every month of the year

The beginning and end of the second trimester are quite different

You will probably enter the second trimester not really looking pregnant, and end it looking quite different. This means that you may feel very different at the beginning and end of the second trimester. The second trimester is when lots of belly growing happens and this can mean that some types of travel will be more uncomfortable toward the end of these few months of pregnancy than at the beginning.

Consider where you are comfortable traveling

A very personal and important decision to make during the second trimester is to determine if there are certain restrictions you will place on yourself in terms of where you're comfortable traveling. Some types of travel will ban women from traveling during the second trimester. For example, many cruise lines will not allow a woman to book a cruise if she will enter her 24th week of pregnancy (or later) while on the voyage.

Royal Caribbean's policy bars pregnant women from sailing at and after the 24th week. It was developed in concert with the Cruise Lines International Association endorsement of the American College of Emergency Physicians Health Care Guidelines for Cruise Ship Medical Facilities .

Many consider unborn fetuses to be viable if born beginning around 24 weeks (though that age threshold is getting earlier and earlier). This means that a baby born at 24 weeks gestation would have anywhere from a 50% to 70% chance of survival outside the womb if (and only if) there is immediate access to advanced medical care. A cruise ship clearly doesn't have an advanced neonatal care unit on board, so presumably the policy is related to why cruise lines draw the line for pregnant passengers.

I personally draw the line for travel at 23 or 24 weeks when talking about destinations that don't have the same level of advanced medical care as the United States -- or long flights or a flight path that could hinder prompt access to advanced medical care if I happened to unexpectedly go into labor. The Maldives is an example of somewhere I would not want to travel in this instance because there would be significant delays in obtaining medical care on these remote islands.

Plan big, but not too big

The second trimester is a great time to squeeze in a pre-baby trip or two since you will probably feel relatively like to your pre-pregnant self much of the time. We went to Aruba when I was 14 weeks pregnant and it was a fantastic trip. I had lots of energy and a normal appetite. Flying was not uncomfortable because my belly was still pretty small and the only real adjustment was to make sure I had a somewhat larger bathing suit before the trip.

At 23 weeks, I traveled to Spain and still felt pretty energetic and "normal." I will admit that the flight in economy wasn't super comfortable since I did have a belly that was hindering curling up in positions that usually help me sleep on the plane, but our time on the ground in Spain wasn't really impacted at all by the pregnancy other than missing out on the Spanish wine.

The great thing about both of those trips was that they were at my own pace. This meant that if I didn't feel like doing much one afternoon, I could take it easy. Even though you may feel great in the second trimester, you can still tire more quickly than normal, so be sure to limit your vacation activities to those you can manage. There are also activities that some doctors might advise against by the second trimester like thrill rides, scuba diving or horseback riding, so double-check any restrictions before planning more adventurous outings.

Traveling in the third trimester

Pregnancy isn't an illness or disease. For many families, it's just a normal phase in a woman's life before a new baby joins the family. Assuming things are going well, it's not a time when you have to cancel all travel. However, once the third trimester rolls around, travel can get a more complicated and does eventually have to stop.

The beginning and end of the third trimester are quite different

Changes come even more quickly in the third trimester. You enter the third trimester about 28 weeks pregnant and end it with a newborn. This means that types of travel that are possible at 27 and 28 weeks pregnant may be inadvisable, or even prohibited, at 37 and 38 weeks pregnant.

Select destinations and activities carefully

In the final months of pregnancy, some activities are probably going to be more comfortable and enjoyable than others. For example, swimming and spa time may be exactly what you need.

I give strong preference to visiting beach and resort destinations in the final trimester. Trust me when I say that few activities are as comfortable in the third trimester as floating in the water! We went to The Phoenician (a Marriott property) in Scottsdale, Arizona, when I was about 31 weeks pregnant and even with my big belly, it was the perfect mix of spa, swimming and fun activities for our 5 year old before both our lives changed.

You are going to get uncomfortable

Maybe this isn't universal and there are some magical creatures out there who never feel uncomfortable during pregnancy, but every mom I know eventually hit a point in her pregnancy when she wasn't comfortable. For many, this means that sitting for an extended time in a small airline seat, standing in long lines or trekking around in the heat to explore a city all day eventually become pretty miserable activities.

No one can tell you when you will hit that point, but it will likely happen in the third trimester. For me, my back started giving me a bunch of trouble at around week 30 or 31. I was incredibly grateful there were no more flights scheduled during that pregnancy beyond that point.

If you are going to fly during the later weeks of your third trimester and have the ability to secure a more comfortable seat up front, or at least one with extra legroom so you can stretch out, it may well be a good investment in your comfort. I brought a tennis ball with me when I flew so I could give myself a bit of a "back massage" against the airplane seat.

Bring your own pillows

Sleep becomes a challenge in the third trimester for many women and a pillow fort of sorts becomes a necessity to get some good shut-eye. Many pregnant moms find that using some sort of body pillow or pillow arrangement helps to keep their bellies supported and comfortable at night. You can't assume that the hotel will have similar pillows, so bring your own if they become essential to good rest in your third trimester. I had no shame in hauling my pillow fort with me on our last road trip at eight months pregnant.

See if you are allowed to fly

Even if your doctor OKs it, many airlines have rules about women flying in the third trimester. Check out airline rules for traveling while pregnant for complete details, but generally speaking, most U.S. airlines don't have many flight restrictions until the last month of pregnancy. However, many international airlines do have restrictions and documentation requirements beginning at 28 weeks. If you are pregnant with more than one baby, the restrictions kick in even earlier.

Decide when to stop traveling

I'm all for traveling while pregnant but, realistically, most women will want to stop traveling at some point in the third trimester. I would imagine by about 36 or 37 weeks, most women will probably decide to stay closer to home. I went on a road trip about three hours from home at 35 weeks and then called it quits for the rest of the pregnancy. There's still a whole new world of travel waiting once a new baby joins the family .

Bottom line

There is usually no reason to stop traveling when you're expecting. During my last pregnancy, I went on 12 trips, 28 flights, visited four countries and I'm very glad I had the opportunity to stay that active. I'm also glad that I grounded myself from flight after 31 weeks and from road trips at 35 weeks because those were the right decisions for my comfort level.

Ready Steady Baby

Travelling when pregnant.

Whether you’re doing short journeys in the car or getting on a plane for a holiday abroad, it’s important to take extra care of yourself when you’re pregnant. Making a few small changes and planning ahead will help to make sure you have a comfortable and safe journey.

Wherever you’re going, it’s a good idea to take your maternity notes with you in case you need medical help.

It’s fine to drive or be a passenger in a car while you’re pregnant.

It’s important to wear a seat belt as you normally would. Make sure the straps don’t go over your bump by:

• placing the lap strap across your hips so it fits comfortably under your bump
• placing the diagonal strap between your breasts and around your bump

Take regular breaks when driving and make sure you bring some water and snacks with you for the journey.

Going on holiday or abroad

If you’re planning a holiday, seek health advice as early as possible.

You should give some thought to where you want to go as:

• the things you may normally love, like hot sunny weather, may not be a great idea if you’re uncomfortable or finding it hard to sleep
• you shouldn’t travel to areas where there’s malaria or the Zika virus if you can avoid it

You should also consider the quality of medical care in the country you plan to visit.

Fitfortravel has more advice for pregnant travellers

Staying safe on holiday

Activities like walking and swimming are fine while you’re pregnant, but it’s not a good idea to do any activity where you might fall.

Take care to avoid coming into contact with water or food that could cause tummy upsets. Some medicines for treating diarrhoea may not be suitable in pregnancy.

Talk to your midwife if you have questions.

Travel vaccinations

You’ll need vaccinations before you travel to certain countries.

There are some vaccinations you shouldn’t have when you’re pregnant, especially in the first 3 months, so always check before you book anything.

Find out which travel vaccinations you might need

Travel insurance

Before you travel, you’ll need special travel insurance that:

• covers any medical costs
• allows you to cancel for any issues with your pregnancy

If you don’t tell your insurer you’re pregnant before you travel, your insurance may not be valid.

If you’re travelling in Europe, the European Health Insurance Card (EHIC) may allow you to use the health services in these countries.

Apply for a European Health Insurance Card

Flying while pregnant

Air travel is generally safe if you’re having an uncomplicated pregnancy.

If you have any pregnancy complications, check with your midwife or GP that there’s no medical reason to stop you flying, such as high blood pressure or a risk of deep vein thrombosis .

Most airlines won’t let you fly if you’re within about a month of your due date. Some will need a letter from your GP or midwife saying you’re fit to fly when you’re 7 months pregnant. Check with the airline before you book.

Having a comfortable flight

When travelling by plane:

• drink plenty of water as you’re much more likely to get dehydration while flying.
• take healthy snacks with you so you can follow your own eating plan
• take whatever makes you more comfortable, such as an extra pillow or warm socks

Be aware it may take you a bit longer than before to recover from jet lag.

Deep vein thrombosis

Deep vein thrombosis (DVT) is a blood clot in a deep vein in your leg, calf or pelvis.

You’re more likely to get DVT if:

• you sit for long periods of time
• do very little activity

If you’re travelling on a long-distance flight or sitting for 4 hours or more, talk to your midwife as you may need medication. F ollow your midwife or doctor’s advice.

More about deep vein thrombosis

Further information, other languages and alternative formats

Translations and alternative formats of this information are available from   Public Health Scotland .

If you need a different language or format, please contact [email protected].

• Ready Steady Baby leaflet in Arabic, Polish, Simplified Chinese (Mandarin) and Ukrainian
• Ready Steady Baby leaflet in English (Easy Read)

Source: Public Health Scotland - Opens in new browser window

Last updated: 14 December 2023

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Travelling while pregnant

Find useful information and considerations to help you prepare for safe and healthy travels outside Canada while pregnant.

With careful preparation, travelling while pregnant can be safe. The decision to travel should be made in consultation with your health care professional, based on your personal health circumstances.

On this page

Before you go, while you're away, if you need help.

Medical practices, health standards and infection control measures vary from country to country. You may not have access to the same level of care, procedures, treatments and medications as you would in Canada.

You could also be at increased risk of getting an infection and/or developing severe complications from certain infections, which could also affect the fetus.

Before leaving Canada:

• consult a health care professional or visit a travel health clinic at least 6 weeks before travelling to get personalized health advice and recommendations
• check our Travel Advice and Advisories for country-specific information, including about possible health risks
• know how to seek medical assistance outside of Canada
• review the policy and the coverage it provides
• most policies do not automatically cover pregnancy-related conditions or hospital care for premature infants
• ask your insurance provider about coverage for medical care during pregnancy, giving birth and intensive care for you and your fetus or newborn
• carry a copy of your prenatal records
• talk to your health care professional about any additional items you may want to bring that are specific to your health needs

Local laws and medical services relating to pregnancy can differ from Canada. Learn the local laws, and how these may apply to you before you travel.

Pre-travel vaccines and medications

Many vaccines can be safely given during pregnancy. Due to a higher risk of more severe outcomes for you and your fetus, some vaccines are recommended specifically during pregnancy, such as tetanus-diphtheria-pertussis (DTaP) and influenza.

Don’t take medications you may still have from prior trips. Tell the health care professional about your pregnancy, or intended pregnancy, before filling any prescriptions. The decision to get any pre-travel vaccinations or medications should be discussed with your health care professional.

The decision can depend on:

• your purpose of travel (e.g., tourism, visiting friends and relatives)
• your planned destination(s)
• the length of your trip
• your risk of getting a disease
• how severe the effect of a disease would be to you and/or your fetus
• your planned activities
• any underlying medical issues and/or pregnancy-related complications

Malaria could cause major health problems for a mother and her unborn baby. A pregnant woman may want to consider avoiding travel to areas where malaria transmission occurs.

Description of malaria risk by country and preventative measures.

If you can’t avoid travelling to an area where malaria is present:

• some medications to prevent or treat malaria may not be safe during pregnancy
• take extra care to protect yourself from mosquito bites

Zika virus infection during pregnancy can pose significant risks to your fetus even if you don’t develop symptoms. While pregnant, you may want to consider avoiding travelling to a country or areas with risk of Zika virus.

Latest travel health advice on Zika virus.

If you choose to travel, take precautions to avoid infection with Zika virus:

• prevent mosquito bites at all times
• protect yourself from contact with semen, vaginal fluid and blood
• always use condoms correctly or avoid sexual contact while in countries or areas with risk of Zika virus

Learn more about Zika virus and pregnancy:

• Zika virus: Pregnant or planning a pregnancy
• Zika virus: Advice for travellers
• Pregnancy and travel (tropical medicine and travel)

Monitor your health and be prepared

Emergencies can happen at any time. Know where the nearest hospital or medical centre is while you are travelling and confirm they will accept your medical insurance.

Seek medical attention immediately if you develop any of the following symptoms while travelling:

• persistent vomiting and/or diarrhea
• dehydration
• vaginal bleeding
• passing tissue or clots
• abdominal pain, cramps or contractions
• your water breaks
• excessive swelling of face, hands or legs
• excessive leg pain
• severe headaches
• visual problems

If you develop these symptoms after your return to Canada, you should see a health care professional immediately and tell them about your recent trip.

Transportation

Always wear a seatbelt when travelling by plane or car. When using a diagonal shoulder strap with a lap belt, the straps should be placed carefully above and below your abdomen. If only a lap belt is available, fasten it at the pelvic area, below your abdomen.

If you have any medical or pregnancy-related complications, discuss with your health care professional whether air travel is safe for you.

Most airlines restrict travel in late pregnancy or may require a written confirmation from a physician. Check this with the airline before booking your flight.

During long flights, you may be at higher risk of developing blood clots, known as deep vein thrombosis (DVT). The risk of deep vein thrombosis can be reduced by:

• getting up and walking around occasionally
• exercising and stretching your legs while seated
• selecting an aisle seat when possible
• wearing comfortable shoes and loose clothing

Your health care professional may recommend additional ways to reduce your risk such as wearing compression stockings.

Always stay well hydrated while travelling.

Land travel

The risk of deep vein thrombosis can be reduced by:

• stopping the vehicle to walk around every couple of hours

Motion sickness

Certain medications used to treat nausea and vomiting during pregnancy may also be effective in relieving motion sickness.

If you think you might experience motion sickness during your trip, speak to your health care professional about the use of these medications.

Environmental and recreational risks

Some activities may not be recommended or may require additional precautions. Discuss your travel plans, including any planned or potential recreational activities with a health care professional.

High altitude

You should avoid travelling to an altitude above 3,658 metres (12,000 feet).

However, if you have a high-risk pregnancy and/or are in the late stages of pregnancy, the highest altitude should be 2,500 metres (8,200 feet).

If you have pregnancy-related complications, you should avoid unnecessary high-altitude exposure.

Keep in mind that most high-altitude destinations are far from medical care services.

Personal protective measures

Food-borne and water-borne diseases.

Eat and drink safely while travelling while travelling. Many food-borne and water-borne illnesses can be more severe during pregnancy and pose a risk to the fetus.

This can include:

• toxoplasmosis
• listeriosis
• hepatitis A and E

To help avoid food-borne and water-borne diseases:

• before eating or preparing food
• after using the bathroom or changing diapers
• after contact with animals or sick people
• before and after touching raw meat, poultry, fish and seafood
• if you’re at a destination that lacks proper sanitation and/or access to clean drinking water, only drink water if it has been boiled or disinfected or if it’s in a commercially sealed bottle
• use ice made only from purified or disinfected water
• this could cause the fetus or newborn to develop thyroid problems
• unpasteurized dairy products, such as raw milk and raw milk soft cheeses
• unpasteurized juice and cider
• raw or undercooked eggs, meat or fish, including shellfish
• raw sprouts
• non-dried deli meats, including bologna, roast beef and turkey breast
• don’t use bismuth subsalicylate (Pepto-Bismol®)
• Information on travellers’ diarrhea

Illnesses acquired from insect and other animals

Protect yourself from insect bites:

• wear light-coloured, loose clothes made of tightly woven materials such as nylon or polyester
• prevent mosquitoes from entering your living area with screening and/or closed, well-sealed doors and windows
• use insecticide-treated bed nets if mosquitoes can’t be prevented from entering your living area
• information on insect bite and pest prevention

Some infections, such as rabies and influenza, can be shared between humans and animals. You should avoid contact with animals including dogs, livestock (pigs, cows), monkeys, snakes, rodents, birds, and bats.

Information for if you become sick or injured while travelling outside Canada.

For help with emergencies outside Canada, contact the:

• nearest Canadian office abroad
• Emergency Watch and Response Centre in Ottawa

More information on services available at consular offices outside Canada.

Related links

• Immunization in pregnancy and breastfeeding: Canadian Immunization Guide
• Advice for Canadians travelling to Zika-affected countries
• Advice for women travellers
• If you get sick before or after returning to Canada
• Receiving medical care in other countries
• Travel vaccinations
• What you can bring on a plane

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5  weeks  pregnant

• Pregnancy Symptoms Week 5
• Pregnancy Checklist

Highlights this week

Feeling pregnant.

You may be growing more aware of early pregnancy symptoms , including fatigue , achy or swollen breasts , nausea , and the need to pee more often.

Announcing your pregnancy

There are no hard and fast rules about when to announce your pregnancy . Many expecting parents wait until late in the first trimester, but it's up to you.

Having twins

The likelihood of twins is about 3 out of 100 for most people, but chances are as high as 30 percent if you had certain fertility treatments . Women typically discover they're having more than one baby during an ultrasound in the first trimester.

Baby development at 5 weeks

Tiny embryo.

Deep in your uterus an embryo is growing at a furious pace, and it looks more like a tadpole than a human. The embryo is made up of three layers – the ectoderm, the mesoderm, and the endoderm – which will later form all of the organs and tissues.

Brain development

Your baby's brain , spinal cord, and nerves form from the neural tube, which is starting to develop from the embryo's top layer – the ectoderm. This layer will also give rise to skin, hair, nails, mammary and sweat glands, and tooth enamel.

Heart development

The heart and circulatory system begin to form in the embryo's middle layer, or mesoderm. The mesoderm will also form your baby's muscles, cartilage, bone, and the tissue under the skin.

Lungs and gut

The third layer, or endoderm, will become the lungs , intestines, and early urinary system , as well as the thyroid, liver, and pancreas. In the meantime, the primitive placenta and umbilical cord , which deliver nourishment and oxygen to your baby, are already on the job.

Your baby is about the size of a sesame seed

Pregnancy symptoms during week 5, frequent urination.

Pregnancy hormones plus your body's increasing blood volume may equal a near-constant need to pee . During pregnancy, running to the bathroom much more than you'd like is a fact of life. It's important to stay hydrated , but you may want to cut back on fluids late in the day so you don't have to get up to pee as frequently at night.

Tender, swollen breasts

Breast tenderness is often one of the earliest signs of pregnancy. Increased hormone levels boost blood flow, which may make your breasts feel swollen , sore, tingly, and unusually sensitive to touch.

No one knows for sure what causes bone-crushing exhaustion in early pregnancy, but it's likely that hormonal changes are to blame. Most women find that their energy returns in the second trimester. Until then, try to get more sleep, lighten your load, ask others for help, and take good care of yourself.

About 1 in 4 women experience spotting or light bleeding during the first trimester. It's often nothing, but sometimes it's a sign of miscarriage or ectopic pregnancy . Call your doctor or midwife just in case. And if you're actively bleeding or you have severe pain and can't reach your provider, head to the emergency department right away.

Morning sickness

Morning sickness – also called nausea and vomiting of pregnancy – affects different expecting moms at different times (and some not at all). It usually starts around week 5 or 6 of pregnancy. For some women, that telltale queasy feeling is one of the first giveaways that they're pregnant. There are safe ways to get relief from morning sickness , including changes to your diet and lifestyle, natural remedies, and medication. Be sure to talk to your provider if you're suffering.

Food aversions

Does the smell of your coworker's lunch suddenly make your stomach churn? Food aversions often start around now. Most expecting moms experience them, thanks to changing hormones and a heightened sense of smell . Some of the most common aversions include meat, coffee, eggs, dairy, and foods with a lot of spices or fat. To cope, try eating bland or cold foods. If cooking makes you sick, ask a loved one to cook for you or get takeout.

Don't see your symptom?

Wondering about a symptom you have? Find it on our pregnancy symptoms page .

Pregnancy checklist at 5 weeks pregnant

Choose a pregnancy healthcare provider.

If you already have an ob-gyn or midwife you love, you're set. If not, start doing some research. Talk to friends and relatives, ask one of your other providers to recommend someone, check out the preferred providers under your health insurance plan, or search online. Find out more about what to consider when choosing a doctor or midwife .

Put together a family health history

Talk to relatives on both sides about your families' medical histories. Your provider will want to know whether any chronic conditions or genetic abnormalities run in either of your families.

Get our pregnancy app

For expert pregnancy info, helpful tools, and detailed fetal development images, download BabyCenter's free pregnancy and baby app .

Take your prenatal vitamin

If you haven't started taking a prenatal vitamin yet, now's the time to start. It's particularly critical to get enough folic acid now, because it greatly reduces your baby's risk of developing neural tube birth defects such as spina bifida .

Cut down on caffeine

Studies have linked high caffeine consumption to miscarriage and other pregnancy problems. That's why the American College of Obstetricians and Gynecologists advises expectant moms to limit their caffeine intake to 200 mg per day or less (that's about one large cup of coffee).

5 weeks pregnant bellies

At 5 weeks pregnant, your belly may be starting to look slightly different – perhaps like you had a big lunch. For some women, abdominal bloating due to hormonal changes is an early sign of pregnancy. That's why your clothes may feel more snug than usual at the waistline, even early on when your uterus is still quite small.

Or, you may not see any changes yet. There's no one-size-fits-all formula for how and when women show during pregnancy .

During the first trimester , nausea and vomiting may keep you from feeling like eating much. That's fine: Your baby-to-be is tiny at this point, and you don't need to eat any extra calories. It's typical to gain about 3 to 5 pounds in the first trimester (and it's okay if you don't gain any weight at all).

Some women lose weight in early pregnancy . In most cases, this weight loss isn't dangerous. If you're losing a lot of weight, though, or if you think you may be suffering from hyperemesis gravidarum (severe morning sickness), tell your provider right away.

This week's video

BabyCenter's editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you're seeing. Learn more about our editorial and medical review policies .

ACOG. 2021. How your fetus grows during pregnancy. American College of Obstetricians and Gynecologists.  https://www.acog.org/womens-health/faqs/how-your-fetus-grows-during-pregnancy Opens a new window  [Accessed August 2022]

Mayo Clinic. 2021. Fetal development: The 1st trimester.  https://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/prenatal-care/art-20045302 Opens a new window  [Accessed August 2022]

MedlinePlus (ADAM). 2019. Fetal development.  https://medlineplus.gov/ency/article/002398.htm Opens a new window  [Accessed August 2022]

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News Analysis

Florida’s Six-Week Abortion Ban Is Now Law, With Political Implications

The ban, which took effect on Wednesday, was part of Gov. Ron DeSantis’s push into cultural conservatism. But Florida politics is rarely that simple.

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By Patricia Mazzei

Reporting from Miami

As Gov. Ron DeSantis of Florida prepared to run for president last spring, he gathered anti-abortion activists in his Capitol office for an unusual bill signing, held late at night and behind closed doors.

Florida lawmakers had just approved a ban on abortions after six weeks of pregnancy, a major policy shift that would sharply restrict access to the procedure for women in neighboring states as well as for Floridians. That law took effect on Wednesday.

For Mr. DeSantis, the move seemed like something that would play well among some Republican presidential primary voters in states like Iowa. But this was Florida, and public opinion polls suggested broad opposition to such a strict law.

So Mr. DeSantis, who typically crisscrosses the state to sign bills, enacted the six-week ban in April 2023 with little fanfare, part of a headlong push into cultural conservatism meant to bolster his national campaign.

Mr. DeSantis dropped out of the presidential race in January. His culture wars appear to have peaked, at least for now. Voters in a string of states, including more traditionally Republican ones, have chosen to protect or expand abortion rights. A similar ballot measure will go before Florida voters in November, with the potential to significantly influence contests down the ballot.

Perhaps the biggest political question in Florida, though, is just how much abortion might swing the election. Is it unique enough to turn around a state that has trended reliably Republican?

The proposed constitutional amendment, known as Amendment 4, would allow abortions “before viability,” or up to about 24 weeks, and would need more than 60 percent support to pass. That threshold is high, especially in the face of an organized opposition campaign characterizing the language as too far-reaching.

“The average Floridian, when they hear the truth about this extreme amendment, they will vote it down,” State Representative Jenna Persons-Mulicka, a Fort Myers Republican, said last month.

But some Floridians, including some Republicans, have wondered whether a relentless pursuit of divisive policies ahead of Mr. DeSantis’s presidential run might now be forcing a bit of recalibration to be more in line with the state’s diverse electorate.

The governor and Republican lawmakers pursued fewer culture war fights during this year’s legislative session. They made it harder for residents to file book challenges in schools. The state also settled a lawsuit filed by opponents of a law prohibiting instruction on sexual orientation and gender identity through the eighth grade.

“We’re very much Middle America,” said the Rev. Sarah Robinson, pastor of the Audubon Park Covenant Church in Orlando, who attended a “Yes on 4” rally last month. “Middle-class people who are trying to raise families and care for their communities. And there are definitely things that they’d rather be doing than fighting these policies.”

National Democrats have expressed optimism that the abortion ballot measure could put Florida in play, despite no clear commitment of how much money the party is willing to spend in the state and a substantial Democratic disadvantage in voter registrations. President Biden briefly spoke about the six-week ban in Tampa last week, and Vice President Kamala Harris will travel to Jacksonville to draw attention to the state ban on Wednesday.

“There is one person responsible for this nightmare: Donald Trump,” Mr. Biden said in a statement about the ban.

Asked on Tuesday about Democrats’ hopeful claims, Mr. DeSantis offered a dismissive “Pfft” and laughed.

“I welcome Biden-Harris to spend a lot of money in Florida. Light up the airwaves,” he said, indicating that the funds would be poorly spent. “We are fine with you doing that here, but I can confidently predict that you will see Republican victories, not just at the top of the ticket but up and down the ballot.”

Former President Donald J. Trump, the presumptive Republican nominee, who won Florida in 2016 and 2020 and resides in Palm Beach, has refused to say whether he will vote against the constitutional amendment. He has recently suggested that some states have gone too far in restricting abortion, though in keeping with his shifting views on the issue, he has also said that the decision should lie with the states.

Democrats have tried to pin the strict state abortion laws on Mr. Trump for appointing to the Supreme Court justices who helped overturn Roe v. Wade in June 2022.

For his part, Mr. DeSantis has rarely campaigned on the ban that he signed. On Tuesday, he mostly focused on waiving admission fees for Florida state parks during Memorial Day weekend and on promoting Gulf red snapper season.

“This was done to help Ron DeSantis in his ambitious plan to run for president,” State Senator Lauren Book, the Democratic minority leader, said of the ban. “It didn’t work, and it has really created dire, dangerous consequences for women.”

Florida is full of transplants from the Northeast and Midwest, and their cultural politics have skewed more liberal — or at least more libertarian — than those in other parts of the Deep South. Floridians have elected Republicans while also approving liberal ballot proposals, including ones that raised the minimum wage to $15 an hour, restored felons’ voting rights and legalized medical marijuana.

Before Mr. DeSantis enacted a 15-week abortion ban in April 2022, Florida allowed abortions up to 24 weeks.

John Stemberger, the president of Liberty Counsel Action, an anti-abortion lobbying group, said that Florida’s 24-week law had less to do with public opinion and more to do with legal precedent set by the Florida Supreme Court in 1989. The court ruled then that a privacy clause in the State Constitution extended to abortion rights.

“It didn’t really reflect the demographics of Florida,” Mr. Stemberger said of the old ruling. “It reflected the opinion of seven justices who made a policy-oriented decision.”

The court, now conservative and nearly entirely appointed by Mr. DeSantis, reversed that position on April 1. Mr. Stemberger credited Mr. DeSantis for stocking his administration with “solid social conservatives” willing to push abortion restrictions: “Personnel is policy.”

Even with the 15-week ban in place, there was an uptick in abortions in Florida last year, in part because women from other Southern states with stricter laws had traveled to Florida for the procedure.

Stephanie Loraine Piñeiro, executive director of the Florida Access Network, a fund that helps women in Florida pay for abortions, said that requests for support doubled in April, as the countdown to the six-week ban was underway. The organization increased its budget by 25 percent for the month but still had to turn away some patients.

“The reality is that people are going to continue to need abortion access,” she said, “regardless of the election cycle.”

Patricia Mazzei is the lead reporter for The Times in Miami, covering Florida and Puerto Rico. More about Patricia Mazzei

• HEALTH & FITNESS

Woman wins Indianapolis half marathon while 23 weeks pregnant

INDIANAPOLIS, Ind. -- Running a half marathon is enough of an accomplishment.

Now imagine winning the race while 23 weeks pregnant.

Anna Rohrer was the first woman to cross the finish line during a half marathon this weekend in Indianapolis.

She ran the 13.1 miles in about 1:15.

She says she was a little slower this year for obvious reasons, but proved that women have superpowers.

Related Topics

• DISTANCE RUNNING
• PREGNANT WOMAN

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