carnival cruise line pregnancy policy

Can you go on a cruise while pregnant?

Cruising while pregnant might sound like a dream come true — or your worst nightmare. Imagine the 24/7 snack and meal offerings that cater to all your food cravings, plus onboard crew to do all the cooking and cleaning so you can rest and savor blissful alone time with your spouse before the baby comes.

Then again, the rocking of the ship might trigger your morning sickness, you're far from your trusted obstetrician, and there's no McDonald's in sight when you must have a Big Mac and fries at midnight — and no, that room service burger does not solve the problem.

Can you even book a cruise when you've got a bun in the oven? The answer is yes — up to a point. Don't expect to sneak in that bucket list trip to Alaska in your third trimester or schedule yourself for a foot massage in the onboard spa just weeks before your due date.

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If you're expecting (or expecting to be soon), here's what you need to know — and what to expect — about cruising while pregnant.

How many weeks pregnant can you still cruise?

All the major cruise lines have the same pregnancy policy: Guests are allowed to cruise through their 23rd week of pregnancy. If you will enter your 24th week before or any time during your cruise, you are not allowed to sail.

The cruise lines are firm on this policy, so don't bother asking for an exception. "Neither a doctor's medical statement nor a waiver of liability will be accepted," reads Disney Cruise Line 's pregnancy policy.

Why can't you go on a cruise after 24 weeks pregnant?

The reason you can't sail during your third trimester of pregnancy is a health-focused one.

Carnival Cruise Line 's policy, as spelled out in its contract of carriage, makes it clear.

"In addition to the limitations in medical care described in Clause 2(a) of the cruise ticket contract, prenatal and early infant care, in particular, may require specialized diagnostic facilities and/or treatment that are not obtainable during the cruise on board the ship and/or ashore in ports of call. Therefore, any Guest who has entered, or who will at any time during the cruise enter, the 24th week of estimated gestational age in her pregnancy, agrees not to book a cruise or board the ship."

Why do the cruise lines draw the line at 24 weeks?

In the U.S., fetuses are considered viable at that gestational age. That means if a mother delivers a baby at 24 weeks, it has enough of a chance of survival (due to organ development and medical technology) that doctors will intervene to save it. Pre-term deliveries prior to 24 weeks are predominantly miscarriages. A cruise ship's medical center is not equipped to care for an extremely premature baby, so the cruise lines make their policies to minimize the chances of a baby being born alive on board.

Setting aside premature delivery, the third trimester is simply a riskier time for the mom and the fetus.

"As the fetus is progressing, there are just more complications related to both the mom's health and also for the fetus," explains Dr. Jenny Yu, head of medical affairs at TPG's sister company, Healthline Media . "You have increased risk for preeclampsia, high blood pressure, also gestational diabetes."

These are not medical issues you want to experience in the middle of the ocean, away from land-based hospitals with dedicated prenatal specialists. Cruise lines recognize it's not in the best interest of the mother to be far from care at this time.

Related: 5 best cruise lines for families

Do I have to tell the cruise line I'm pregnant?

Certain cruise lines specify that you do need a doctor's note to sail.

"All pregnant women are required to produce a physician's letter stating that mother and baby are in good health, fit to travel and the pregnancy is not high risk," states Princess Cruises ' FAQ section on pregnancy. "The letter must also include the estimated date of delivery (EDD) calculated from both Last Menstrual Period (LMP) and ultrasound (if performed).  Please ensure you have your doctor's letter with you when you embark."

Norwegian Cruise Line also asks for a "medical certificate establishing your due date prior to your cruise."

Even if your cruise line does not specifically ask for a doctor's note, it's a good idea to bring one with you. This is especially true if you're close to your 24th week, rocking a baby bump and need to assure crew members that you are permitted to sail. It could also be of use to the onboard doctors and nurses should you have a medical issue during your cruise.

Now, you might have a more devious idea in mind when asking this question. Perhaps, you are considering hiding your pregnancy so you can go on a cruise early in your third trimester. TPG does not condone rule-breaking, and as I stated above, the cruise lines have good reasons for banning pregnant women from cruising in their third trimester.

If you want to argue about technicalities: If your cruise line does not require a doctor's note, and you are not obviously pregnant, you could book a cruise and make it on board without anyone knowing. But you run the risk of trouble should you get caught.

"Any pregnant woman who tries to board the vessel, who has or will enter her 24th week of estimated fetal gestational age at any time during the cruise, risks denial of boarding and/or disembarkation without compensation or refund," states Carnival's policy.

Remember that cruise lines make these rules for the safety of mother and baby. Do you really want to compromise your baby's health, and yours, for a vacation?

Should I go on a cruise while pregnant?

Now that's the better question to ask. And the answer depends on multiple factors.

From a health perspective, Royal Caribbean recommends that "the Guest and treating physician should consider before any cruise that there is no Obstetrician/Gynecologist available on the ship, and that pregnancies, when unstable and poorly controlled, are potentially life-threatening, especially without back up. A Guest may be at sea for several days without any immediate hospital and/or specialist back up, and that since the proposed itinerary is not within the U.S., the availability of specialized shore side facilities can be problematic."

Before booking a cruise, a pregnant person should consult with their doctor to determine how great a risk travel might be to the pregnant person or fetus. Pregnant people are in a pro-inflammatory state, explains Yu, meaning "you're at increased risk for catching other viruses — norovirus, food poisoning, salmonella. If you got dehydrated from anything that's related to a GI bug, then it puts both the mom and the fetus under more stress, and that can increase the risk of preterm labor."

She also explains that pregnancy puts you at higher risk for blood clots from sitting too long (such as on the flight to your cruise departure port). Additionally, spontaneous termination of a pregnancy is possible between six and 12 weeks, especially, if you pick up an infection while traveling. You'd then have to deal with the physical and emotional repercussions of a miscarriage while on vacation.

Should something go wrong during the trip, know that you can't sue the cruise line. Disney Cruise Line clearly states that it "cannot be held responsible or liable for any complications relating to pregnancy at any stage."

If you've done a risk analysis and are fine with travel, the question becomes whether a cruise is a good choice for a babymoon. I've cruised during both the first and second trimesters of pregnancy and can identify both pros and cons of the decision.

Related: The 5 best cruise lines for romance

Cruising can be a stress-free vacation. Multiple restaurants and entertainment options are just steps away from your onboard accommodations, so you can have fun without agonizing about where to eat, where to park and what to do at night. You have access to all kinds of food and can even order it to your room. You can nap as much as you like on comfy cruise ship beds or on the pool deck in the sun, and float in the pool to relax.

Yu agrees that travel can be a good thing for an expecting couple "if you want to be able to take some time for you and your partner to disconnect and prepare for the baby." She especially touts the mental health benefits of getting out of your house and into a more natural setting. "Get outside and see nature because that can help improve mood if you're having a hard time ... with the pregnancy."

The flip side of that is you won't be able to take part in some of the most popular cruise ship activities, such as sipping fruity cocktails, soaking in a hot tub, sweating in the thermal suite or eating freshly made sushi. If you're feeling tired, long or active tours might not sound appealing. If you're nauseated, a rocking ship or bus ride in port might make it worse. And if you're the type to be anxious about your pregnancy, you might have trouble relaxing when you're miles out to sea.

I found I enjoyed cruises while pregnant; I didn't mind skipping the booze (I'd be doing that at home anyway) and I had enough energy for tours — even if I did have sudden urges to snack that I satisfied with a stash of peanut butter crackers and granola bars I brought from home.

What precautions should I take if I want to cruise while pregnant?

The first step is to pick the right time to cruise. "If you're going to choose a trimester, [the second trimester] is probably the lowest of the risks because that's not fetal development anymore," said Yu. "That's a period where the mom is still feeling well and the risks for complications are a bit lower in terms of preterm labor."

You also want to pick the right itinerary. "A shorter cruise like a three- to five-day (versus a seven- to 14-day) is probably a better bet than the longer cruises," Yu suggested, acknowledging the time you'll be far from your medical team.

If you're interested in a longer cruise, a port-intensive trip where you're often close to land or in port every day will keep you closer to medical care in the event of an emergency versus a transatlantic crossing with multiple days in a row spent at sea.

Once you've booked the trip, make sure you bring the right gear with you. Compression socks can help prevent blood clots; sensible shoes will reduce swelling (and tripping) when walking around the port.

You'll want to pack snacks for those sudden cravings, as well as ginger candy or Preggie Pop Drops to help with morning sickness. Don't forget a first-aid kid with approved medications for pain or heartburn relief or other common ailments.

When you're on your cruise, make sure you stay hydrated and only drink safe sources of water. Get plenty of rest and food (the latter are usually not difficult to accomplish on a ship), but also remember to take daily walks to reduce clotting.

Protect yourself from mosquito-borne illnesses like Zika by wearing bug spray and covering up in buggy areas. As always, follow the general recommendations for pregnancy, such as avoiding extreme heat and altitude, reducing alcohol and caffeine consumption and staying away from raw foods or high-mercury fish.

Related: How to avoid getting sick on a cruise

What happens if something goes wrong with my pregnancy during a cruise?

All large, ocean-going cruise ships have a medical facility with doctors and nurses on call around the clock. Should you feel ill or that something is wrong, you can head down to the medical facility (it's usually on a low or crew deck) during its scheduled open hours, or call the front desk for emergency help.

The medical staff has equipment on hand to assess your condition. If they are able to, they will treat your condition on board. For example, they can give you fluids for dehydration or diagnose a miscarriage.

If they cannot adequately treat you on board, they can either transfer you to a local hospital in the next port of call or — in a true emergency — medevac you off the ship via helicopter. (I once witnessed a medical evacuation by helicopter of a crew member suffering from an ectopic pregnancy. The emergency team lowered down ropes and pulled her from the ship to the hovering chopper in a basket-style stretcher.) If you're medically disembarked, you'll be on your own to find your way back home again.

What happens if I book a cruise far in advance and then get pregnant unexpectedly?

First, determine if you still want to go on the cruise or if you'll be past your 23rd week and can't go.

If you wish to or need to cancel the cruise, your next steps depend on whether you've paid in full or not. If you have only paid a deposit, you can cancel the cruise easily. In most cases you will recoup your deposit; however, certain fare types (such as Carnival's Early and Super Saver fares) have nonrefundable deposits and you would lose these.

Given that final payment is typically 90 days (roughly 13 weeks) prior to sailing, you shouldn't have a problem if you discover that you're pregnant before you're 10 weeks along and cancel immediately.

If you've already paid in full, standard cancellation penalties apply. If you purchased travel insurance, you could see if your policy would cover this situation.

"There are a few plans that may offer coverage for cancellation due to your normal childbirth or pregnancy," said Meghan Walch, director of product for InsureMyTrip, a travel insurance retailer. "It is important to note that the date of conception, as noted in your medical records, must have been after the purchase of a policy."

What happens if a baby is born on a cruise?

Any baby born on a cruise ship will be incredibly premature with a minimal chance of survival. Cruise ship medical facilities are not equipped with the incubators and other equipment needed to care for a preemie. However, it has happened; in 2015, a baby was born at 23 weeks on a Royal Caribbean cruise ship and miraculously survived.

If a baby is born on a cruise ship, the doctors will do the best they can for the mother and child with the equipment available to them, and the captain will do whatever is necessary to get the family to a land-based hospital as soon as possible.

Should a baby be born on a cruise ship and survive, you might wonder what nationality that child will be given. The baby will automatically take on the citizenship of the parents.

If the baby is born in the territorial waters of a country, she might be granted additional citizenship to that country; if the baby is born in international waters, she might be granted citizenship to the country in which the ship is flagged. However, that depends on each country's laws and how it chooses to extend citizenship.

Ultimately, if you want your child to have an additional passport, giving birth prematurely on a cruise is not the best way to go about that.

Bottom line

A cruise can be an incredible babymoon for you and your partner and even a future older sibling. But cruising while pregnant at any trimester involves risks. Consult your doctor and evaluate the pros and cons before setting sail.

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Cruising While Pregnant

Guest understands and acknowledges that in addition to the limitations in medical care described in Clause 21 of the cruise ticket contract , prenatal and early infant care, in particular, may require specialised diagnostic facilities and/or treatment that are not obtainable during the cruise on board the ship and/or ashore in ports of call. Therefore, any Guest who has entered, or who will at any time during the cruise enter, the 24th week of estimated gestational age in her pregnancy, agrees not to book a cruise or board the ship. Accordingly, due to the limitations in medical care, both on board and in various ports of call, women who have entered their 24th week of pregnancy at any time during the time of the cruise will not be allowed to board or sail with the ship.  Any pregnant woman who attempts to board the vessel who has entered her 24th week of pregnancy, or who will enter her 24th week of estimated fetal gestational age at any time during the cruise, risks denial of boarding and/or disembarkation without compensation or refund.

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Question about pregnancy and sailing

By Eli_6 , October 13, 2020 in Carnival Cruise Lines

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I know you can't sail if you are 24 weeks along or beyond at any point in the cruise. Do they ask you to show something to prove how far along you are? How does this work?

Not currently pregnant, but we have been talking about starting to try for a third and already have a cruise booked.  

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ProgRockCruiser

You make a declaration when you sail.  I would expect that if you are showing an obvious bump, they might follow-up with a request for a doctor's note stating expected date of birth.  From what I gather almost everyone has some sort of bump at 24 weeks - but I suppose if you are already, um, "bumpy" it might not be as obvious.

And if they find out you lied you'll be banned for life.

4 minutes ago, ProgRockCruiser said: You make a declaration when you sail.  I would expect that if you are showing an obvious bump, they might follow-up with a request for a doctor's note stating expected date of birth.  From what I gather almost everyone has some sort of bump at 24 weeks - but I suppose if you are already, um, "bumpy" it might not be as obvious.   And if they find out you lied you'll be banned for life.

I have no intention of lying. 

38 minutes ago, Eli_6 said: I fail to see where there is anything "SMH" about my question. It's a legitimate question and I have already looked on the website and there is nothing clarifying exactly what the guidelines are with respect to what is needed to sail.  We have already delayed this due to Corona and my husband being a physician to ensure he gets a vaccine first, but given our ages and my current ovarian reserve can't delay much longer. 

31 minutes ago, Eli_6 said: I have no intention of lying. 

OK, so then I guess a couple of us were confused about what exactly you are asking about.  If you cruise before 24 weeks, surely you will have had some sort of communication with your doctor, and you'd tell them you were going on a cruise, and they'd know to fill out some sort of paperwork that affirms your expected due date. 

Weirdly, the Australian Carnival website even has the paperwork for you, but I can't find the equivalent on the main (US) website.  Maybe the US site doesn't demand the form because it would be collecting HIPPA info, and would need to ensure the data is fully protected, so rather than risk that they just leave it to the passenger to declare truthfully:  

https://www.carnival.com.au/~/media/CCLAU/pdf/other/pregnancy-cert-form.ashx

GUEST’S ACKNOWLEDGEMENT OF CARNIVAL’S PREGNANCY POLICY AND ATTENDING PHYSICIAN’S PREGNANCY CERTIFICATION CARNIVAL’S PREGNANCY POLICY: Pregnant guests who enter the 24th week of estimated fetal gestational age before or at any time during the cruise will not be allowed to sail. Pregnant guests, who will not enter the 24th week of estimated fetal gestational age before or at any time during the cruise, must submit, prior to departure, a letter from their attending physician certifying that their gestational status is in accordance with this policy, and that the expecting mother is fit to sail. Carnival will not accept any agreement or recommendation from the guest and/or her physician that the policy be waived.

@ProgRockCruiser

Thanks for the info.  You hit the nail on the head of where my confusion was. I couldn't find anything about paperwork on the US site and it seems unlikely they would just take your word for it...but maybe so. 

Sweetnspicy

I was thinking about this today. My husband and I want to start trying for a family next year but would also like to cruise for my birthday in October 2021. I thought it was just on the health declaration you fill out? Doesn’t it ask if you are pregnant? I assume they would just ask you a question or two when you turn it into the check in person. I would for sure go with a note from my OB. 

We sailed when my wife was pregnant with our second child. We waited until we were actually expecting and knew what the due date was, and then booked a cruise that would fall within the 24 week requirement.   

We got a letter from her doctor stating how far along she was and also that she was in good health to cruise. During the online check in process, I remember that one of the questions was “Will you be more than 24 weeks pregnant at the time of the cruise?”, but I don’t recall anything further pertaining to pregnancies. Even though she had a baby bump when we sailed, the cruise line never asked for any documentation at the time of check in, but I’m glad that we had the letter. Better to have it and not need it than the other way around. 

A few more things:  

- DO get travel insurance that specifically covers complications due to pregnancy. Not all insurance policies are the same so check the fine print. 

- I know that every pregnancy is different, but my wife said that sailing during the second trimester was much better than if we’d cruised during her first trimester. She said that she felt like absolute crap during the first trimester, nauseous, exhausted, and just miserable. But during the second trimester she was feeling almost normal, except for carrying some extra weight.

1 minute ago, Sweetnspicy said: I was thinking about this today. My husband and I want to start trying for a family next year but would also like to cruise for my birthday in October 2021. I thought it was just on the health declaration you fill out? Doesn’t it ask if you are pregnant? I assume they would just ask you a question or two when you turn it into the check in person. I would for sure go with a note from my OB. 

Last time I cruised in February (right before Corona hit) when I did the online check in they asked if you were pregnant and separately if you were beyond 24 weeks.  I obviously answered no to both.  Perhaps if I had answered yes to either they would have provided additional directions.   

I heard on the Houston news awhile back about a non-CCL line out of Galveston (maybe Disney or RCCL?) denying a pregnant woman boarding because she had a letter from her doctor but it did not state her due date. Apparently, the person checking her in thought she was more than 24 weeks. God forbid, I don't want to get to Spain with my entire family and not be able to board because I don't have exactly what they want and someone thinks I am too fat to be less than 24 weeks. I am already on the fluffy side (and I am most definitely not currently pregnant!) and got big quick before so this isn't an unreasonable fear.

Of course, all of this may be moot.  We may not sail. Or I may not get pregnant.  I was just thinking about it, started trying to find specific info on the website, and could not.  

11 minutes ago, Tapi said: Hi:   We sailed when my wife was pregnant with our second child. We waited until we were actually expecting and knew what the due date was, and then booked a cruise that would fall outside of the 24 week requirement.    We got a letter from her doctor stating how far along she was and also that she was in good health to cruise. During the online check in process, I remember that one of the questions was “Will you be more than 24 weeks pregnant at the time of the cruise?”, but I don’t recall anything further pertaining to pregnancies. Even though she had a baby bump when we sailed, the cruise line never asked for any documentation at the time of check in, but I’m glad that we had the letter. Better to have it and not need it than the other way around.    A few more things:   - DO get travel insurance that specifically covers complications due to pregnancy. Not all insurance policies are the same so check the fine print.    - I know that every pregnancy is different, but my wife said that sailing during the second trimester was much better than if we’d cruised during her first trimester. She said that she felt like absolute crap during the first trimester, nauseous, exhausted, and just miserable. But during the second trimester she was feeling almost normal, except for carrying some extra weight

Thanks so much for this information! I really appreciate it.

And, yes, I totally agree with your wife.  I started feeling sick about 6 weeks and felt like death until about 12-13 weeks when it was like a switch was flipped.    

Agree with the recommendation about travel insurance that covers pregnancy.  We were sailing from Cozumel to Tampa, and were already about seven or eight hours out.  I was in bed and felt a really sharp turn of the ship.  Both my husband and I awoke.  The captain turned the ship around because a woman had gone into labor.  The Captain did his best to get us back to Tampa somewhat on schedule.  We were late arriving in Tampa but only by a few hours, and most everyone understood the very good reason for the Captain's decision.  

fearthegobbler

My wife and I went through this about three years ago (not sure if the process has changed).

At the time there was a Carnival Form that my wife's doctor had to fill out and sign.  I seem to remember that we were sent the form by Carnival after checking the box in the Cruise Manager (online) that she was Pregnant.  

We had to fax that form to Carnival several weeks prior to sailing so they had it on file.  We also brought a copy of it with us during Check-In as a backup.  After some searching in the terminal during Check-In, they were able to locate the form we had previous faxed but there was a period of time where we were happy we had it with us as it was starting to look like the fax process had not worked!

Hopefully this helps!

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Pregnancy Policies By Cruise Line

Thinking of taking a cruise while you’re expecting?  It’s a great idea!  Take the opportunity to relax and enjoy this time before your life is changed by a new bundle of joy.  Be aware, however, that the cruise lines do have pregnancy policies in place, and most do not allow passengers who are farther along than 24 weeks.  Please find below a reference list of cruise line pregnancy policies.   Be sure to confirm these with your cruise line at the time of booking, however, they are subject to change.

Contemporary Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Carnival Cruise Line – Pregnant women are only allowed to sail if pregnant for less than twenty-four completed weeks at time of cruise disembarkation. All pregnant women are required to produce a physician’s letter stating that mother and baby are in good health and fit to travel, and that the pregnancy is not high-risk. The letter must also include the estimated date of delivery (EDD).
• Costa Cruises – Bookings will not be accepted from passengers who have entered the twenty-fourth week of pregnancy at any time during the cruise. All pregnant women must produce a medical certificate attesting to their good health and their child’s.
• Fred.Olsen Cruise Lines – Women who will be more than twenty-four weeks pregnant at the end of the cruise are not permitted to travel.
• Celestyal Cruises – Pregnant women can sail with Celestyal Cruises up to their 24th week of pregnancy. They must provide a written certification for travelling ability issued by their gynecologist. They recommend that pregnant women who have not yet completed the 12th week of their pregnancy by the date of the cruise to consult their gynecologist.
• P & O Cruises – Pregnant women are not allowed to sail if they will have entered their twenty-fourth week of pregnancy, or beyond, at any point in their cruise. All pregnant women are required to produce a doctor’s or midwife’s letter stating that mother and baby are in good health and fit to travel, and that the pregnancy is not high-risk prior to travel. The letter must also include the estimated date of delivery (EDD) calculated from both Last Menstrual Period (LMP) and ultrasound (if performed).
• Your Cuba Cruise – A women can sail up to their 24th week of pregnancy, provided that they are holders of a written certification for travelling ability issued by their gynecologist. We recommend that pregnant women who have not yet completed the 12th week of their pregnancy by the date of the cruise, to contact their gynecologist.

Upscale Contemporary Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• MSC Cruises – MSC and/or the Carriers do not have on board any of the cruise vessels adequate medical facilities or equipment for childbirth; therefore MSC cannot accept a Booking and the Carrier cannot carry any Passenger who will be 24 weeks pregnant or more by the end of the Cruise.
• Norwegian Cruise Line – NCL will not accept guests who will have entered their twenty-fourth week of pregnancy by the time their travel with NCL concludes. A statement from the expectant mother’s doctor (letterhead form required), stating her due date and fitness to travel, must be sent to NCL’s Access Desk ([email protected]).
• Royal Caribbean International – Royal Caribbean International cannot accept guests who will have entered their twenty-fourth week of pregnancy by the beginning of the cruise or cruise tour. All guests are required to sign a health questionnaire at check in to ensure they are aware of Royal Caribbean’s pregnancy policy. A physician’s “Fit to Travel” note is required prior to sailing, stating how far along (in weeks) a guest’s pregnancy will be at the beginning of the cruise and confirming that the guest is in good health and not experiencing a high-risk pregnancy. The “Fit to Travel” note should be faxed to the Access Department at 1-954-628-9622. Contact RCL at 1-866-592-7225 or at [email protected] if you have already booked a cruise or cruise tour and do not meet this requirement.

Premium Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Celebrity Cruises – Celebrity Cruises cannot accept guests who will have entered their twenty-fourth week of pregnancy by the beginning of the cruise or cruise tour. All guests are required to sign a health questionnaire at check in to ensure they are aware of Celebrity’s pregnancy policy. A physician’s “Fit to Travel” note is required prior to sailing, stating how far along (in weeks) the passenger’s pregnancy will be at the beginning of the cruise and confirming that she is in good health and not experiencing a high-risk pregnancy. The “Fit to Travel” note should be faxed to the Access Department at 1-954-628-9622. Contact Celebrity at 1-866-592-7225 or at [email protected] if you have already booked a cruise or cruise tour and do not meet this requirement.
• Disney Cruise Line – Women who will enter their twenty-fourth week of pregnancy during the cruise will be refused passage due to safety concerns. Neither a physician’s medical statement nor a waiver of liability will be accepted. In addition, Disney Cruise Line cannot be held responsible or liable for any complications relating to pregnancy at any stage.
• Holland America Line – Women cannot have begun their twenty-fourth week of pregnancy at any time before or during the cruise. Pregnant guests must provide a physician’s letter stating their expected due date and medical fitness to travel, and asserting that the pregnancy is not high-risk. You must also include your name, booking number, ship, and sailing date.

Letters may be faxed to the Access & Compliance Department at 1-800-577-1731. Or email them to [email protected] .

• Princess Cruises – Pregnant women are not allowed to sail if they are entering the twenty-fourth week of their pregnancy by the last day of the cruise. All pregnant women are required to produce a physician’s letter stating that mother and baby are in good health and fit to travel, and asserting that the pregnancy is not high-risk. The letter must also include the estimated date of delivery calculated from both last menstrual period and ultrasound (if performed), and may be faxed to the Fleet Medical Department’s confidential fax line at 1-661-753-0121.

Ultra–Premium Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Azamara Cruises – Azamara Club Cruises cannot accept guests who will have entered their 24th week of pregnancy by the beginning of, or at any time during the cruise. All guests are required to sign a health questionnaire at check-in to ensure they are aware of our pregnancy policy.
• Cunard Line – Cunard will not permit guests who will have entered their twenty-fourth week of pregnancy by the last day of the voyage. All pregnant women are required to produce a doctor’s or midwife’s letter stating that mother and child are in good health and fit to travel, and that the pregnancy is not high-risk. The letter must also include the estimated date of delivery (EDD) calculated from both the last menstrual period (LMP) and ultrasound (if performed).
• Oceania Cruises – Oceania Cruises cannot accept guests who will have entered their twenty-fourth week of pregnancy by the beginning of the cruise.
• Viking Ocean Cruises – Viking Ocean Cruises is unable to accommodate women past their sixth month of pregnancy.
• Windstar Cruises – Due to limited medical facilities, Windstar will not accept reservations for women who will have entered their twenty-fourth week of pregnancy at any time during the cruise.

Ultra-Luxury Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Crystal Cruises – Crystal Cruises is unable to accommodate women past their twenty-fourth week of pregnancy.
• Hapag-Lloyd Cruises – Hapag-Lloyd is unable to carry women who will enter the twenty-fourth week of pregnancy during the cruise. For reasons of safety and the limited medical care available aboard its ships, Hapag-Lloyd is unable to carry persons in the above stages of pregnancy. Expectant mothers who are/will be less than twenty-four weeks pregnant at the time of embarkation must produce a certificate from an appropriate medical specialist (gynecologist) confirming that they are fit to travel in the territory covered by the cruise itinerary.
• Paul Gauguin Cruises – Pregnant women should consult with their doctor prior to sailing with Paul Gauguin Cruises, as there is no pre-natal care on board. Paul Gauguin Cruises will not accept any guest six months (twenty-four weeks) or more into pregnancy at the time of sailing due to the lack of neo-natal care facilities on board. Pregnant guests under six months (twenty-four weeks) must provide PGC with a doctor’s written permission prior to sailing stating she is fit to travel by sea and air (if PGC booked their air). This must be faxed to: Reservations, Attn: Special Requests–Medical at 1-425-732-7198. On the fax, you must reference your name, ship name, and sailing date. The permission must be dated within thirty days of the cruise’s departure date. The Master in conjunction with the Ship’s Doctor has the right to deny boarding if in their professional opinion there may not be adequate shoreside medical facilities available in port during the cruise.
• Regent Seven Seas Cruises  – Pregnant women should consult with their doctor prior to sailing with Regent Seven Seas Cruises, as they cannot offer pre-natal care on board any of their vessels. Due to the lack of neo–natal care facilities on board, Regent Seven Seas Cruises will not accept any guest if she will enter her twenty-fourth week of pregnancy at any time during the cruise. Those guests under twenty-four weeks (six months) must provide RSSC with a written doctor’s permission prior to sailing that states she is “fit to travel by sea and air” (if RSSC booked air). This must be forwarded by fax to Reservations, Attn: Special Requests–Medical, Omaha, Nebraska at 1-402-493-2351. On the fax, please reference your name, ship name, and sailing date. This permission must be dated within thirty days of the cruise’s departure date. The Master in conjunction with the Ship’s Doctor has the right to deny boarding if in their professional opinion there may not be adequate shoreside medical facilities available in port during the cruise.
• Seabourn – Seabourn does not have on board its cruise ships the specialized facilities and/or treatment required for childbirth, prenatal and early infant care. Those facilities may also not be obtainable ashore in ports we call on. Accordingly Seabourn cannot accept a booking or carry any guest who have begun their 24th week of pregnancy at any time before or during the cruise. All pregnant women are required to produce a physician’s letter stating that mother and baby are in good health, fit to travel, and that the pregnancy is not high-risk. The letter must also include the estimated date of delivery (EDD).
• SeaDream Yacht Club – Pregnant women who have entered their 24th week of pregnancy prior to or during the cruise will not be permitted to embark. Failure to report any such condition will release the Carrier, the Yacht’s doctor, and any other personnel affiliated with the Carrier in any way from any liability related to the accommodation or treatment of such condition. By acceptance of this Contract, Guest acknowledges and agrees that Carrier shall have no responsibility or obligation to provide any special services or medical equipment to Guests.
• Silversea Cruises – At the time of booking, expectant mothers are required to supply a medical certificate establishing their fitness for travel at the time they are due to embark. Silversea is unable to accommodate women who have entered their twenty-fourth week of pregnancy and will not be responsible or liable for any complication relative to any pregnancy during the entire duration of the cruise.

Small Ship Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Hebridean Island Cruises – Pregnant women are required to supply a medical certificate attesting to their fitness for travel. Hebridean Island Cruises reserves the right to refuse passage to women who are more than twenty-four weeks pregnant at the time of embarkation.
• Variety Cruises – Variety Cruises retains the right to refuse to embark any pregnant woman beyond the sixth month of pregnancy.
• Voyages to Antiquity – Any physical disability or medical condition that requires special treatment or medical apparatus must be reported to the company’s Reservations Manager in writing along with the first deposit, which is due at time of booking. Voyages to Antiquity will not accept reservations for women who will be twenty-four weeks pregnant or more at the time of their travel.

River Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• A–ROSA Cruises – For the safety of parent and child, and depending on various circumstances, passengers who are at an advanced stage of pregnancy (after six months) may be subject to restrictions or exclusion concerning their ability to travel on and/or board a ship. Inform A-ROSA immediately if this applies to you, so they can assess your personal circumstances and possible accommodation.
• AmaWaterways – For the safety of parent and child, and depending on various circumstances, passengers who are at an advanced stage of pregnancy (after five months) may be subject to restrictions or exclusion concerning their ability to travel on and/or board a ship. Inform AmaWaterways immediately if this applies to you, so they can assess your personal circumstances and possible accommodation.
• Avalon Waterways – Avalon Waterways is unable to accommodate women past their sixth month of pregnancy. Avalon does not have specialized facilities and/or treatments required for childbirth, prenatal, or early infant care on board its cruise ships, nor will those facilities necessarily be available at ports of call or on land stays. Avalon strongly urges pregnant travelers to consider the risks of traveling where necessary medical care for pregnancy may not be available and may not be reachable in a timely manner to address potential medical complications, problems, and emergencies that can occur during pregnancy.
• Croisi Europe – Any pregnant women must make this fact known to the travel agency at the time of booking.
• Uniworld Boutique River Cruises Collection – Pregnant women may not sail if they are six months or more into their term. Under six months, Uniworld does require a “Fitness to Travel” letter from the pregnant guest’s physician.
• Viking River Cruises – Viking River Cruises is unable to accommodate women past their sixth month of pregnancy. They reserve the right not to accept passengers who are in an advanced stage of pregnancy either upon commencement of or at any time during the river or ocean cruise.

Luxury River Barge Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Abercrombie & Kent – Women over six months into their pregnancy are not permitted to sail.

Expedition Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Adventure Smith Explorations – AdventureSmith Explorations must be notified of any medical condition, advanced pregnancy, or disability at the time of booking.
• Ecoventura – Passengers who are thirty or more weeks pregnant must notify Ecoventura in advance and will be required to sign an additional waiver.
• Hurtigruten – Pregnant women are highly recommended to seek medical advice prior to travel at any stage of their pregnancy. Women who are up to 23 weeks pregnant at the end of the cruise are required to produce a medical certificate of fitness to travel. The Carrier cannot for safety reasons carry pregnant passengers of 24 weeks or more by the end of the cruise.
• Lindblad Expeditions – Lindblad does not have a policy in effect and is takes pregnant passengers on a case-by-case basis. They rely upon the opinion and advice of the woman’s own physician. (It also depends on the destination and trip that is chosen.) Lindblad does have a consulting doctor and, if a passenger will provide specifics, the information will be sent on to this doctor for his or her opinion.
• Un-Cruise Adventures – Women in their third trimester (more than twenty-four weeks, but less than thirty weeks) must submit a letter from their physician granting permission to travel by boat (and by air, if applicable).

Sailing Vessels/Yacht Cruise Lines ( Please be sure to confirm these with your agent/cruise line before booking, as they are subject to change. )

• Festiva Sailing Vacations – Festiva will accept guests in any stage of pregnancy as long as their doctor approves it.
• Ponant – Women who are over six months into their pregnancy are not authorized to sail.
• Star Clippers – Women who will be more than 28 weeks pregnant at the end of the holiday are not permitted to travel. The carriage of children or infants may be subject to a minimum age.

All Things Cruise is dedicated to the joy of travel. Specializing in ocean, river, ultra-luxury, small ship and expedition cruises.

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• Understanding American Cruise Line's Pregnancy Policy: A Comprehensive Guide for Expecting Passengers

Understanding American Cruise Line’s Pregnancy Policy: A Comprehensive Guide for Expecting Passengers

Embarking on a cruise can be an exciting and memorable experience, especially for expecting passengers. However, it’s important to be aware of the specific guidelines and policies in place to ensure a safe and comfortable journey for everyone on board. In this comprehensive guide, we will delve into Understanding American Cruise Line’s Pregnancy Policy, providing you with all the essential information you need to know before planning your trip.

To begin, let’s take a look at some of the key points regarding American Cruise Line’s Pregnancy Policy. Please refer to the table below for a quick overview:

+——————-+——————————————————————–+ | Main Points | Description | +——————-+——————————————————————–+ | Eligibility | Pregnant passengers must meet certain criteria to sail. | | Travel Restrictions | Specific limitations on cruising during various stages of pregnancy. | | Medical Clearance | Requirements for obtaining medical clearance before cruising. | | Onboard Facilities | Overview of onboard facilities and amenities for expecting mothers. | | Travel Insurance | Importance of travel insurance coverage for pregnant passengers. | | Cancellation Policy | Understanding the cruise line’s cancellation policy for pregnancies. | +——————-+——————————————————————–+

Eligibility: Before planning your cruise, it’s crucial to determine if you meet American Cruise Line’s eligibility criteria for pregnant passengers. This policy primarily focuses on the gestational age of the expectant mother. Typically, the cruise line allows pregnant passengers who are 24 weeks or less at the time of disembarkation. However, it’s recommended to refer to the official American Cruise Line website or contact their customer service for the most up-to-date information.

Travel Restrictions: To ensure the safety and well-being of both the mother and the unborn child, American Cruise Line imposes certain restrictions on cruising during different stages of pregnancy. For instance, expectant mothers who are beyond 24 weeks pregnant are generally not permitted to cruise due to the risk of premature labor. Additionally, certain itineraries may have specific restrictions based on medical resources available at various ports of call. It’s essential to review these restrictions to make informed decisions about your cruise plans.

Medical Clearance: Before embarking on an American Cruise Line voyage, pregnant passengers are required to obtain medical clearance from their healthcare provider. This clearance should state that the expectant mother is fit to travel and that there are no existing complications or concerns. It’s advisable to consult with your healthcare provider well in advance and carry the necessary documentation during your journey.

Onboard Facilities: American Cruise Line strives to provide a comfortable and enjoyable experience for all passengers, including those who are expecting. Onboard, you can expect amenities such as spacious cabins, accessible facilities, and dietary accommodations suitable for pregnant passengers. However, it’s recommended to inform the cruise line in advance about any specific requirements or concerns to ensure a seamless experience.

Travel Insurance: While travel insurance is always a wise investment, it becomes even more crucial for pregnant passengers. It’s vital to have comprehensive travel insurance that covers any unforeseen medical emergencies or complications that may arise during the cruise. This ensures peace of mind and financial protection should the need for medical care or an early departure arise.

Cancellation Policy: American Cruise Line understands that circumstances may change for pregnant passengers, leading to the need for cancellation or rescheduling. It’s essential to review the cruise line’s cancellation policy regarding pregnancies, including any applicable deadlines, fees, or refunds. Being familiar with these policies will help you make informed decisions and plan your cruise accordingly.

In conclusion, Understanding American Cruise Line’s Pregnancy Policy is vital for expecting passengers who wish to embark on a memorable cruise experience. By familiarizing yourself with the eligibility criteria, travel restrictions, medical clearance requirements, onboard facilities, travel insurance, and cancellation policy, you can make informed decisions and ensure a safe and enjoyable journey for both you and your unborn child.

For more detailed information on American Cruise Line’s Pregnancy Policy, please visit their official website: [https://www.americancruiselines.com/](https://www.americancruiselines.com/)

Sources: – American Cruise Line’s Official Website: [https://www.americancruiselines.com/](https://www.americancruiselines.com/) – Cruise Critic: [https://www.cruisecritic.com/](https://www.cruisecritic.com/) – Mayo Clinic: [https://www.mayoclinic.org/](https://www.mayoclinic.

What is the cruise cut off for pregnancy?

American Cruise Line’s pregnancy policy states that expecting passengers must not be beyond their 24th week of pregnancy at any point during the cruise. This cut-off is in place to ensure the safety and well-being of both the mother and the unborn child, as well as to comply with international maritime regulations. It is important for pregnant individuals to consult with their healthcare provider before making any travel plans and to provide a medical certificate confirming their fitness to travel. For more detailed information on American Cruise Line’s pregnancy policy, please refer to their official website: https://www.americancruiselines.com/about-us/faqs/can-i-travel-while-pregnant.

Do I have to tell the cruise line I am pregnant?

When it comes to cruising while pregnant with American Cruise Line, it is important to inform the cruise line of your condition. While not mandatory, notifying the cruise line allows them to ensure your safety and well-being during your trip. It also helps them accommodate any specific needs or requirements you may have. By informing the cruise line, you can have peace of mind knowing that they are prepared to provide the necessary support and care throughout your journey. For more information on American Cruise Line’s pregnancy policy and guidelines, please refer to their official website.

What is the cut off for going on a cruise pregnant?

The cut off for going on a cruise while pregnant with American Cruise Line is generally 24 weeks or less. According to American Cruise Line’s Pregnancy Policy, expectant mothers must provide a medical certificate from their healthcare provider stating that they are fit to travel and estimating the duration of their pregnancy. This policy is in place to ensure the safety and well-being of both the mother and the unborn child during the cruise journey. For more information on American Cruise Line’s Pregnancy Policy, please refer to their official website: https://www.americancruiselines.

Do you need a doctors note to cruise pregnant?

American Cruise Line’s pregnancy policy states that expectant passengers do not need a doctor’s note to cruise while pregnant. However, it is recommended to consult with a healthcare professional before making any travel arrangements. The cruise line advises that pregnant women who are beyond 24 weeks should not embark on a cruise for safety reasons. Additionally, certain itineraries may have specific restrictions for pregnant travelers. It is important for expecting passengers to carefully review the policy and guidelines provided by American Cruise Line to ensure a safe and enjoyable journey. For more information, please refer to American Cruise Line’s official website: https://www.americancruiselines.

Carnival cruise pregnancy policy

American Cruise Line’s pregnancy policy allows expecting passengers to cruise up to their 24th week of pregnancy. After that, pregnant passengers are not permitted to board the ship due to safety concerns. The policy ensures the well-being of both the mother and the unborn child. It is important for pregnant passengers to consult with their healthcare provider before planning a cruise and provide a medical certificate confirming their fitness to travel. For more information on American Cruise Line’s pregnancy policy and guidelines, please visit their official website.

Embarking on a cruise is an exciting experience, but for expecting passengers, it’s essential to understand the pregnancy policy of the cruise line you choose. American Cruise Line, a prominent player in the industry, has a comprehensive policy in place to ensure the safety and comfort of pregnant travelers. In this guide, we will delve into the details of American Cruise Line’s pregnancy policy, providing you with all the necessary information to plan your voyage confidently.

1. General Guidelines: American Cruise Line follows the recommendations of the American College of Obstetricians and Gynecologists (ACOG). According to ACOG, cruising during pregnancy is usually safe for low-risk pregnancies until 24-28 weeks, depending on the cruise line’s policy. American Cruise Line allows pregnant passengers to sail until the end of their 24th week of pregnancy. After this point, passengers are not permitted to board the ship for safety reasons.

2. Required Documentation: To ensure compliance with American Cruise Line’s pregnancy policy, expecting passengers must provide a letter from their healthcare provider or obstetrician. This letter should confirm the passenger’s due date, verify the pregnancy is progressing without complications, and state that the passenger is fit to travel. It is advisable to obtain this letter well in advance of the cruise departure date to avoid any last-minute complications.

3. Medical Facilities and Accessibility: American Cruise Line’s ships are equipped with medical facilities and staffed by medical professionals to handle general medical needs. However, it’s important to note that these facilities may not have the same level of resources as land-based hospitals. If you have any specific medical concerns or unique requirements, it is recommended to discuss them with your healthcare provider and the cruise line.

4. Travel Insurance: When embarking on a cruise during pregnancy, it is highly recommended to have travel insurance that covers any potential pregnancy-related complications. While American Cruise Line does not explicitly require travel insurance, it is a wise decision to protect yourself and your investment. Travel insurance can provide coverage for medical expenses, trip cancellations, and other unforeseen circumstances.

5. Onboard Limitations and Amenities: American Cruise Line strives to provide a comfortable and enjoyable experience for all passengers, including expecting mothers. However, there are a few limitations and amenities to be aware of:

– Spa Treatments: Due to safety concerns, certain spa treatments, such as hot stone massages and saunas, may not be available for pregnant passengers. It is advisable to check with the cruise line regarding their spa policies for pregnant passengers.

– Shore Excursions: Some shore excursions may have restrictions for pregnant passengers due to their nature, such as strenuous activities or unpaved terrains. It is recommended to review the excursion options and consult with the cruise line for guidance on suitable activities.

– Dietary Requirements: American Cruise Line offers a variety of dining options, including accommodating special dietary requirements.

Pregnant passengers may have specific dietary needs, and it is advisable to inform the cruise line in advance to ensure they can cater to those requirements.

6. Safety Precautions: Safety is a top priority for American Cruise Line, and they have implemented certain safety precautions for pregnant passengers:

– Emergency Drills: Pregnant passengers are required to attend the mandatory emergency drills, ensuring they are familiar with the ship’s safety procedures in case of an emergency.

– Cabin Selection: When selecting a cabin, it is recommended for pregnant passengers to choose a cabin located in a convenient location, considering ease of access to amenities and medical facilities.

7. Additional Considerations: Every pregnancy is unique, and it’s crucial to consult with your healthcare provider before making any decisions about cruising. They can provide personalized advice based on your medical history and current condition. It is also advisable to reach out to American Cruise Line directly to address any specific concerns or questions you may have.

By understanding American Cruise Line’s pregnancy policy, you can confidently plan your cruise while ensuring the safety and well-being of both you and your baby. Remember to consult with trusted sources such as the American College of Obstetricians and Gynecologists (ACOG) for additional information on safe travel during pregnancy.

For more information on American Cruise Line’s policies and offerings, please visit their official website [insert link: www.americancruiselines.com].

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Carnival Cruise Line Emphasizes a Crucial Safety Policy for Their Clients on Board

T he serene vastness of the ocean, the gentle rock of waves, and the luxury of cruise are experiences many dreams of. It’s a world where every detail matters, from the grandeur of onboard entertainment to the intimate touches that make a cabin feel like a floating home.

Among these details, one stands out for its simplicity yet profound importance: the way passengers communicate their need for privacy or service to their room attendants.

This seemingly minor aspect of cruise life offers a window into the evolving landscape of hospitality at sea, reflecting a blend of tradition and innovation aimed at enhancing the passenger experience.

The Art of “Do Not Disturb” in the Digital Age

In an era where technology infiltrates every aspect of our lives, some cruise ships have embraced modernity, transforming the traditional “do not disturb” sign into an electronic alert system. This innovative approach allows passengers to simply press a button to signal their preferences, ensuring their wishes are communicated instantly and seamlessly.

Virgin Voyages, always a step ahead, integrates this functionality into its app, allowing passengers to not only request privacy but also order towels and other small conveniences directly from their smartphones.

However, this leap towards digitization is not yet the norm. Many cruise lines, including industry giants, continue to rely on the classic hanging tag system, a testament to the enduring efficacy of simple solutions.

These tags, which have evolved from paper notices to magnets, are a familiar sight for many travelers, echoing a hospitality tradition that has stood the test of time.

Carnival Cruise Line and Royal Caribbean: A Tale of Towels and Traditions

Carnival Cruise Line, known for its fun-filled and family-friendly voyages, opts for a blend of the old and the new.

On several of its ships, passengers will find whimsical “Snoozin'” door tags, a nod to the traditional hotel-style sign with a playful twist. Royal Caribbean, on the other hand, prefers magnets emblazoned with “Sleeping Off the Adventure,” capturing the spirit of exploration that defines their brand.

Beyond these symbols of privacy, both cruise lines excel in creating personal connections between passengers and their cabin stewards.

From the moment of boarding, stewards introduce themselves, setting the stage for a stay tailored to each guest’s preferences, whether it’s the timing of room cleaning or the delivery of extra amenities to cater to individual needs.

The Human Touch in the Age of Automation

Despite the advancements in technology, the essence of hospitality remains deeply human. Room attendants, with their impeccable timing and respect for privacy, embody this principle.

They navigate the delicate balance between being invisible and omnipresent, ensuring that their service enhances the magic of the cruise experience without ever intruding upon it.

A notable illustration of this dedication to guest well-being came to light through an incident shared by Carnival’s Brand Ambassador John Heald . A passenger expressed dissatisfaction after a room attendant entered their room despite a “do not disturb” sign.

Heald clarified that this action was not an oversight but a necessary safety check, conducted after the sign had been displayed for over 24 hours. This protocol underscores the cruise line’s commitment to safety without compromising on privacy, revealing the depth of thought that goes into every operational decision.

The Evolution of Elegance at Sea

The cruise industry’s approach to room service and privacy practices is a microcosm of its broader dedication to guest satisfaction. It showcases a harmonious blend of tradition and innovation, where electronic systems coexist with handcrafted towel animals, and safety protocols are implemented with a touch of grace.

As cruise lines navigate the future, they continue to refine these practices, always to elevate the guest experience, ensuring that every journey is as unforgettable as the destinations themselves.

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8 Norwegian Cruise Passengers Stranded on African Island Catch Up to Ship After Traversing 7 Countries

The group of stranded American and Australian passengers included four elderly people, one with a heart condition and a pregnant woman

Natalia Senanayake is an Editorial Assistant, Lifestyle at PEOPLE. She covers all things travel and home, from celebrities' luxury mansions to breaking travel news.

Sipa via AP

• Nine Norwegian Cruise Line passengers were reportedly left behind on the African island of São Tomé and Príncipe on March 27 
• The group was on a guided excursion that got delayed, leading them to miss the ship’s "all aboard" call 
• A statement from Norwegian Cruise Lines noted that all guests are responsible for returning to the docked ship at the designated call time 
• Eight people were able to catch up to the ship on Tuesday morning after reportedly traversing seven countries.
• One, who had fallen ill before the incident, has safely returned to the U.S.

Multiple passengers were stranded on an island in Africa after their Norwegian Cruise Line ship reportedly left them behind. After several days of uncertainty and a trek across seven countries, they're now back on board the vessel.

On Wednesday, March 27, South Carolina couple Jill and Jay Campbell were enjoying a guided tour on the island of São Tomé and Príncipe located off the continent's western coast, ABC15 News reported at the time. The pair was with six other American and Australian passengers when they realized they wouldn’t make it back to the ship on time due to their tour taking longer than planned.

Though the tour operator contacted the cruise ship’s captain to inform them of the delay, the captain refused to let them back on the still-anchored ship when they arrived at the port because it was after the "all aboard" call, per the outlet. 

The São Tomé and Príncipe Coast Guard allegedly then took them by boat directly to the ship where the captain again did not permit them to board. 

The group later encountered another stranded passenger, an 80-year-old woman, who was hospitalized on the island after a cruise line tour, the outlet stated. The woman reportedly experienced memory and vision loss due to a medical emergency. 

In addition to the ill passenger, the group also includes one person who is pregnant, one with a heart condition and four elderly travelers. 

The majority of the group left their medications and credit cards on the ship except for the Campbells, who have reportedly paid over $5,000 for food, accommodations, and other necessities for their fellow passengers. 

On Sunday, the U.S. Embassy in Angola allegedly arranged for the group to fly to the West African country of Gambia, the ship's next planned port of call, so they could reboard. 

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Unfortunately, the group discovered the cruise ship wasn’t docked at the port in Gambia as planned because it had to spend another day at sea due to low tides. ABC News 4 reports the passengers spent fifteen hours traveling through six countries to make it to the port on Sunday. 

“We have to cross the ferry to get into Senegal,” Campbell told the outlet on Monday, marking their seventh country. “We just learned from the gentleman that the ferry hadn’t been working, but he said no problem, if the ferry is not working we will get another little boat and then pick up a car on the other side. And then once we get on the other side of Senegal, it’s another four-hour drive.” 

In a statement to PEOPLE, Norwegian Cruise Line said, “On the afternoon of March 27, 2024, while the ship was in São Tomé and Príncipe, an African island nation, eight guests who were on the island on a private tour not organized through us missed the last tender back to the vessel, therefore not meeting the all aboard time of 3 p.m. local time."

The statement continued, “While this is a very unfortunate situation, guests are responsible for ensuring they return to the ship at the published time, which is communicated broadly over the ship’s intercom, in the daily print communication and posted just before exiting the vessel.”

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The cruise line added that guests are “responsible for any necessary travel arrangements” to meet the ship at the next port and that they had each of their passports “delivered to the local port agents to retrieve” when they missed their all aboard call.

The group was finally able to catch up to the vessel. They reached Dakar, Senegal, its next port, on Monday night, PEOPLE confirmed.

After what they'd been through, Jill told NBC News in a story published on Tuesday, "We are considering whether or not we are going to board the ship. We believe there was a basic duty of care that they had forgotten about, so it does concern us." While she allowed that Norwegian technically followed protocol, she says, "I believe that they really forgot that they are people working in the hospitality industry and really the safety and well-being of the customers should be their first priority."

On Tuesday morning, the eight passengers, less the person who had fallen ill and later safely returned home to the United States, chose to board the cruise. Norwegian confirmed the news to PEOPLE in a statement.

"Despite the series of unfortunate events outside of our control, we will be reimbursing these eight guests for their travel costs from Banjur, Gambia to Dakar, Senegal. We remain in communication with the guests and are providing additional information as it becomes available,"

The Norwegian Dawn departed from Cape Town, South Africa, on March 20 for a 21-day trip that will end in Barcelona on April 10.

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