flight travel with newborn baby

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Is air travel safe for an infant?

Air travel is typically safe for most healthy, full-term infants after the first few weeks. Air travel may not be a good idea for babies born before their due date, called premature or pre-term.

Babies born early may still need time for their lungs to mature. So check with a healthcare professional before flying in a pressurized cabin or visiting high-altitude places.

And any infant with heart or lung problems should be cleared for air travel by a healthcare professional.

As you plan your trip, here are some things to keep in mind, such as the baby's age, your health and some basics of flying.

The baby's age, overall health

Experts caution against flying in the first seven days after a baby is born. Some healthcare professionals suggest not traveling for the first few months.

In general, babies and adults face the same risk of exposure to illness from travel. But a baby's immune system is still learning how to protect against germs. And in most cases, a baby's illness needs to be more closely watched by a healthcare professional.

Caregiver health and planning

It is important for caregivers to think about their own health too. Flying with a child can cause added sleep loss and stress. And adults are at risk for new germs and illness, as well.

Finding out what illnesses are spreading in your area and where you're going can help you prepare and take thoughtful action. And basic things like handwashing are even more important to prevent the spread of germs while traveling.

The baby's ears

Offering a baby something to suck on may help relieve the baby's ear discomfort. You can offer the baby a breast, bottle or pacifier to suck on during takeoff and the start of the landing process. It might help to try to time feedings so that your baby is hungry during these times.

Ask a healthcare professional when it's safe to fly with babies who have had ear surgery or an ear infection.

Also, airplane cabin noise levels are loud, mainly during takeoff. Cotton balls, noise-canceling headphones or small earplugs may limit your baby's exposure to this noise. This may help make it easier for your baby to sleep.

The baby's safety seat

Most infant car seats are certified for air travel. Airlines often allow infants to ride on a caregiver's lap during flight. But the Federal Aviation Administration recommends that infants ride in properly secured safety seats.

If you choose not to purchase a ticket for your infant, ask about open seats when you board the plane. It's possible an open seat could be assigned to your infant.

Don't be tempted to give your baby medicine, such as diphenhydramine (Benadryl, others), to help the baby sleep during the flight. The practice isn't recommended, and sometimes the medicine can have the opposite effect.

Jay L. Hoecker, M.D.

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• Jana LA, et al. Flying the family-friendly skies. In: Heading Home With Your Newborn: From Birth to Reality. 4th ed. American Academy of Pediatrics; 2020. https://www.aap.org/en/shopaap. Accessed Oct. 30, 2023.
• Newborn-flying and mountain travel. Pediatric Patient Education. https://publications.aap.org/patiented. Accessed Oct. 30, 2023.
• Centers for Disease Control and Prevention. Traveling safely with infants & children. In: CDC Yellow Book 2024. https://wwwnc.cdc.gov/travel/yellowbook/2024/family/infants-and-children. Accessed Oct. 30, 2023.
• AskMayoExpert. Infant Fever. Accessed Nov. 18, 2023.
• Schmitt BD. Pediatric Telephone Protocols: Office Version. 17th ed. American Academy of Pediatrics; 2021.
• Child safety on airplanes. Federal Aviation Administration. https://www.faa.gov/travelers/fly_children/. Accessed Nov. 18, 2023.

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Flying with a baby: 15 tips for an easier trip

Planning on flying with a baby? Here's everything you need to know, including whether your baby can fly for free and tips for managing the flight.

How old does a baby need to be to fly?

Do babies fly free, what do babies need to fly, 15 tips for flying with a baby.

Flying with a baby adds a layer of complication and planning – but that doesn't mean you can't make it work. To help the trip go as smoothly as possible, book a seat for your baby, plan for the security screening, and pack wisely for you and your little one. For everything even the most seasoned travelers need to know about air travel with a baby , read on.

Planning a flight with a newborn? There isn't an official age requirement for air travel , but airlines have varying policies. Some (such as Alaskan Airlines) have no minimum age to fly; others (American Airlines, JetBlue) say babies can fly as young as two or three days old; and still others (Delta, United, Spirit, Frontier) allow babies on board after the first week of life.

Less commonly, airlines will require infants to be slightly older. Southwest, for example, says children must be at least 14 days old for an international flight. Check with your airline to confirm their policy before booking a ticket for your little one.

However, the American Academy of Pediatrics Opens a new window (AAP) discourages parents from flying with a baby too soon after birth. With their delicate immune systems, newborns have a heightened risk of contracting an infectious disease on a plane. That's especially true if your baby was born prematurely or has a condition such as a chronic heart problem that makes them more vulnerable.

Always discuss your travel plans with your pediatrician and ask what they recommend. Depending on your baby's age and your destination, they might suggest an extra dose of certain vaccines .

Babies and toddlers under 2 years old aren't legally required to occupy an airplane seat and can instead travel as a "lap infant" on their parent's ticket. Lap infants are generally free of charge, although you may pay a percentage of the full fare if you're traveling internationally .

Even though you don't officially need to purchase a ticket for your under-2-year-old, leading experts agree that it's much safer to buy an airplane seat for your baby. That's because a baby held in your arms is nowhere near as secure as they'd be buckled into an approved child restraint system should the plane encounter turbulence.

Unrestrained children are the leading cause of pediatric injuries on an airplane, and lap infants have tragically been killed during even moderate turbulence. Although it can be upsetting to think about, human arms are simply not strong enough to hold a child in these events. That's why the American Academy of Pediatrics (AAP), the Federal Aviation Administration (FAA) Opens a new window , and the  National Transportation Safety Board (NTSB) Opens a new window all strongly urge parents to purchase an airplane seat for young children.

If you book a seat for your baby or toddler, bring an FAA-approved child restraint on board to strap them in safely. You can use a car seat on a plane (make sure it's approved for both motor vehicles and aircraft) or AmSafe's Child Aviation Restraint System (CARES) device Opens a new window .

Although it can be tough to swallow the additional cost, a baby or toddler in their own seat has other benefits in addition to safety: They're more comfortable during the flight, easier to manage, and more likely to fall asleep, many parents find.

This depends a little on your child's age, the airline you're flying, and whether you're traveling within the United States or internationally.

For domestic travel, the Transportation Security Administration (TSA) Opens a new window doesn't require children under 18 to provide identification. However, it's still smart to check your airline's identification requirements. Some (JetBlue, Alaska Airlines) may ask for an infant's proof of age for domestic flights, which could be a birth certificate, passport, or immunization record.

Other airlines, such as Southwest, might not ask for proof of age but may require you to have a boarding verification document printed for your infant from the ticket counter even if they aren't occupying their own seat. When in doubt, it doesn't hurt to have some extra documentation for your baby just in case.

If you're flying internationally, your baby will need a passport regardless of their age. And if your baby is flying internationally with just one parent, you might be asked to show a letter of consent.

1. Check in with your airline

Regardless of whether you're flying with a lap infant or purchasing a seat for your baby, it's worth connecting with the airline ahead of time to discuss your seating options. A few things to consider bringing up with the agent:

If you're going the lap infant route : Ask the airline if there's an option to reserve a seat in a row with a skycot. These onboard bassinets are designed for babies 6 months and younger and provide a place for your baby to lie down flat during the flight (though you will need to pick them up whenever the seatbelt sign is on, as well as during takeoff and landing). Also confirm whether there are any rules about how many lap infants are permitted per row or section. Alaska Airlines, for example, has a policy Opens a new window stipulating where lap infants can sit on certain aircrafts.

If you're booking your baby their own seat and bringing a car seat : Some airlines require that car seats be placed next to a window so they don't block other passengers. A bulkhead row can also be nice to request when traveling with a car seat since it provides extra legroom. Just keep in mind that in the bulkhead row, it's sometimes trickier to access bags that might contain diapers, milk, and anything else you might need. Because there's no seat in front of you to stash your personal item under, you'll likely be asked to place it in the overhead compartment.

2. Ask whether your child is eligible to earn points

When booking a seat for your child, look into the airline's loyalty program. Some, though not all, will allow children to earn points that you can use towards future travel. Take  JetBlue Opens a new window , which lets parents enroll children 13 and younger in their TrueBlue account. You can then combine points earned within the family through the airline's Points Pooling program.

3. Confirm that your car seat is FAA-approved

If you've bought an airplane seat for your baby, bring an FAA-approved car seat for your child. This is the safest way for babies to fly, plus it ensures you'll have a car seat for your baby at your destination. It's likely that your child's existing car seat is approved for airline travel, but check the product manual or look for a label that says "This restraint is certified for use in motor vehicles and aircraft" to make sure.

If you didn't buy a ticket for your baby, you might get lucky and be able to use the car seat if there are empty seats on board, but there are no guarantees with this approach.

4. Consider your stroller strategy

If you're traveling with a baby or toddler, chances are good that you'll be bringing your stroller along, too. Families have three options when flying with a stroller:

Check it at the ticket counter: If you want a stroller at your destination but don't need it in the airport, you can check it along with your baggage when you arrive. (Note that some airlines always require you to check a stroller at the ticket counter if it weighs over a certain amount.) A stroller usually doesn't count towards your checked baggage, and many airlines allow families to check one stroller and one car seat per child for no extra cost. If you do check a stroller when you arrive at the airport, you may want to use a baby carrier to get your baby to your gate.

Gate-check your full-size stroller: The benefit of gate-checking a stroller is that you have it with you while navigating the airport, which many families find helpful. Waiting in a long security line or racing to the gate with a small child in tow is often much easier with the support of a stroller. Plus, you can use the stroller's storage basket to stash some of your stuff. The downside is that you'll have to wait for your stroller to be unloaded once you arrive, which can slightly prolong the process of getting out of the airport.

Bring along a stroller that will fit in the overhead bin: If you'd prefer not to gate-check your stroller, consider investing in a lightweight travel stroller. Some are compact enough to fit in most overhead compartments when collapsed (though you can check your airline's carry-on bag size guidelines to be sure). Their smaller size can be convenient for travel, and it's also nice not to have to wait for a gate-checked stroller to be brought back up when you land.

5. Look into your baggage options

Airlines have different baggage policies, but call ahead of time to understand exactly what you can bring on board. For example, while lap infants are generally not entitled to their own carry-on bags, many airlines allow families traveling with a child to bring a diaper bag, a breast pump , a cooler bag for milk or formula, an FAA-approved car seat, and a compact stroller onboard in addition to the regular carry-on and personal item allowance.

6. Pack smart

Packing for a baby is an art form: You need to have access to all the essentials, but you also don't want to overpack and have to rummage through a big bag to find something you need.

Consider what you'll want to have access to during the flight and pack your bags accordingly. For example, it's helpful to have a bag with diapers, wipes, disposable changing mats, disposable diaper bags, and a change of clothes at easy reach. For more ideas, check out our suggested packing list for traveling with a baby .

Definitely pack more spare clothes for your baby than you'll think you'll need – and include a fresh shirt for yourself. Nothing is worse than a blowout on an airplane! (Here's how to handle a blowout or change a diaper on a plane .)

7. Be ready for flight delays and cancellations

When you're traveling with your little one, the last thing you want to deal with is getting stuck at the airport. But it happens, so be prepared. Bring more than enough diapers, formula, and snacks in your carry-on bags, as well as a few changes of clothes for your baby (and perhaps a change of clothes for you, too). Flight delays and cancellations can make it difficult to get your checked luggage, so you want to have the essentials with you. 

In the same vein, consider gate checking your car seat and stroller (rather than checking them at the ticket counter) so you can easily get them back if needed.

8. Plan ahead to bring formula, breast milk, and bottles

Thankfully, not all the TSA rules about traveling with liquids apply to you. Parents are permitted to bring greater volumes of breast milk or formula through security.

Review your airline's policies for bringing formula or  breast milk on board and hand it to security officers when you go through screening. You don't need to put bottles into the standard quart-size zip-top bag.

To speed up the process, TSA recommends storing either breast milk or formula in clear, translucent bottles rather than plastic bags or pouches, which may be subject to additional screening. And if you pack all the bottles in a cooler bag, know that most airlines won't count it towards your personal item allowance.

Breast pumps are often considered medically necessary, and ice packs, freezer packs, and other cooling accessories are allowed in your carry-on bags. You can bring all of these items on board even if your child isn't traveling with you.

9. Pack formula safely …

When traveling with baby formula, keep these safe storage tips in mind:

Ready-to-feed formula: Bring an unopened container and clean, empty bottles on board. When your baby is ready for feeding, pour the formula into the bottle and serve it right away.

Powdered formula: Fill bottle(s) with clean water, and bring a small container of powdered formula and a scoop with you on the plane. You can measure, shake, and serve a bottle to your baby when they're ready for a feeding.

Premade bottles: You can also bring premade bottles through security if you prefer, using a cooler to keep them cold. Just keep in mind that if the cooler doesn't keep bottles at 35 to 40 degrees, you'll need to use or refrigerate them within two hours.

10. … and breast milk, too

A cooler will be essential if you're bringing breast milk on a plane. You can pack breast milk in bottles or pre-sterilized, sealable storage bags in a cooler bag, then offer them to your baby on the plane.

Breast milk will stay fresh for 24 hours in a cooler with frozen ice packs. At room temperature, breast milk is good for four hours; in the refrigerator, for four days; and frozen, for up to 12 months, according to the Centers for Disease Control and Prevention (CDC) Opens a new window . 

11. Bring plenty of snacks

If your little one has started solids , pack baby-friendly foods for your flight. Containers with pre-chopped fruit, steamed veggies, tofu, and crackers are all easy choices. Know that you're also allowed to bring puree pouches through security, as the TSA considers them medically necessary liquids. And make sure to include snacks for yourself, too!

12. Consider whether you want to board early

Some family-friendly airlines allow you to pre-board. But there are two schools of thought on how to approach boarding with kids: Some families relish the chance to locate their seats early and settle in, while others find it difficult to entertain young children on an airplane that's not moving as other passengers also try to get settled.

If you're traveling with your partner or a loved one, you might decide to split up, with one adult boarding early with the bags while the other lets the kids run around a bit longer by the gate.

13. Bring entertainment for older babies

Younger infants may be mostly content to sleep, eat, and snuggle their parents, but older babies and toddlers can be trickier to keep occupied on an airplane. At this stage, kids are learning how to pull up to a stand and walk , or else have recently mastered these skills and are eager to explore an exciting new environment.

While you don't need to pack tons of toys, a few new items can help hold their attention. Some ideas: a slinky, painter's tape, small board books, coloring books and crayons, and stickers. You can also try classic car games like "I Spy" and "Rock, Paper, Scissors."

14. Take steps to fight jet lag

If you're crossing time zones, try shifting your baby's sleep schedule over a few days leading up to your departure and exposing them to sunlight once you reach your destination. Or, you may want to keep the same schedule in the new time zone if that works best for you. Here are more tips for handling time changes with a baby .

15. Prepare for pressure changes

If your baby's ears seem to hurt from air pressure changes during takeoff and landing, encourage them to breastfeed or suck on a bottle, pacifier , or sippy cup. If your baby's strapped into a car seat, give them something to suck on while in their seat rather than taking them out to breastfeed. It's safest for both of you to be securely buckled in.

Not all babies experience ear pain when flying, so use your judgment. If your baby's sleeping soundly, leave them be and they might get through the takeoff or landing without any trouble.

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The ultimate packing list for traveling with a baby

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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 .

Alaska Airlines. Undated. Traveling with infants and children. https://www.alaskaair.com/content/travel-info/policies/strollers-car-seats Opens a new window [Accessed January 2024]

American Academy of Pediatrics. 2023. Flying with Baby: Parent FAQs. https://www.healthychildren.org/English/safety-prevention/on-the-go/Pages/Flying-with-Baby.aspx Opens a new window [Accessed January 2024]

American Airlines. Undated. Traveling with children and infants. https://www.aa.com/i18n/travel-info/special-assistance/traveling-children.jsp Opens a new window [Accessed January 2024]

Centers for Disease Control and Prevention. 2022. Proper Storage and Preparation of Breast Milk. https://www.cdc.gov/breastfeeding/recommendations/handling_breastmilk.htm Opens a new window [Accessed January 2024]

Delta. 2023. Children and Infant Travel. https://www.delta.com/us/en/children-infant-travel/overview Opens a new window [Accessed January 2024]

Federal Aviation Administration. 2023. Flying with Children. https://www.faa.gov/travelers/fly_children Opens a new window [Accessed January 2024]

Federal Aviation Administration. Undated. Frequently Asked Questions. https://www.faa.gov/faq?combine=children&field_faq_category_target_id=1481 Opens a new window [Accessed January 2024]

National Transportation Safety Board. 2015. Child Passenger Safety on Aircraft. https://www.ntsb.gov/Advocacy/safety-alerts/Documents/SA-015.pdf Opens a new window [Accessed January 2024]

Southwest Airlines. Undated. Traveling with an infant. https://www.southwest.com/help/flying-with-children/flying-with-infants Opens a new window [Accessed January 2024]

Transportation Security Administration. Undated. Traveling with Children. https://www.tsa.gov/travel/special-procedures/traveling-children Opens a new window [Accessed January 2024]

Transportation Security Administration. Undated. Identification. https://www.tsa.gov/travel/security-screening/identification Opens a new window [Accessed January 2024]

United. Undated. Traveling With Children. https://www.united.com/en/us/fly/travel/accessibility-and-assistance/traveling-with-children.html Opens a new window [Accessed January 2024]

Kathleen Felton is a freelance writer and editor. She was previously the executive editor of editorial strategy and growth at BabyCenter, the world's number one parenting resource. She is originally from Farmington, Connecticut, and now lives in Sydney, Australia, with her husband and two sons.

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Safety & Prevention

Flying with Baby: Parent FAQs

By: Claire McCarthy, MD, FAAP & Jennifer Shu, MD, FAAP

Taking a baby on a plane is something that most parents approach with caution. Infants and air travel can both be unpredictable, and they don't always mix well. But some advanced planning and preparation can help make for a better experience for your baby, for you, and for everyone else on the plane.

Here are answers to some questions you may have before traveling with an infant, along with tips for a smoother and safer flight.

When is my baby old enough to fly on an airplane?

Generally, you should avoid flying with your newborn until they are at least 7 days old. Ideally, wait until your baby is two or three months old to fly. Air travel (and being in crowded airports) can increase a newborn's risk of catching an infectious disease.

Should my baby sit on my lap during the flight?

Ideally, no. The Federal Aviation Administration (FAA) doesn't require a ticket for children under the age of 2 years. But that means your baby will be on your lap. If there is turbulence, or worse, it may not be physically possible to protect your baby in your arms. Turbulence is the number one cause of children's injuries on an airplane.

If you do not buy a ticket for your child, you may want to ask if your airline will let you use an empty seat where you can install a car seat for your baby. If your airline's "lap baby" policy allows this, avoid the busiest travel days and times to increase your odds of finding an empty seat next to you.

The safest way for baby to fly

The safest way for your baby to fly is in a child safety restraint ―an FAA-approved car seat or airplane harness device . It should be approved for your child's age and size, and installed with the airplane's seat belt. Booster seats cannot be used on airplanes during flight.

• Infants weighing less than 20 pounds should be bucked into a rear-facing car seat during airplane travel.
• Children who weigh 20 to 40 pounds should be restrained in a car seat. They should not be switched to using just the airplane's lap belt until they reach at least 40 pounds.

There is an FAA-approved alternative to using a car seat on an airplane called the Child Aviation Restraint System ( CARES ). This airplane safety harness is not meant for infants, however. It is designed for use by toddlers (22 to 44 pounds) and only on airplanes.

Should I bring our car seat on the plane with us? Does that count as luggage?

Car seats, booster seats, and strollers generally don't count as luggage, but policies vary by airline; check with yours before flying. In most cases they can be checked at the gate, where the risk of damage may be lower, at no cost. Consider packing the car seat in a protective bag or box. If your baby has their own airplane seat, bring your car seat with you.

Not all car seats are certified for use in airplanes.

Make sure a label on the car seat says: "This restraint is certified for use in motor vehicles and aircraft."

Which seat on the plane is best for a baby?

Look for rows on the plane with more space , like the bulkhead. Exit rows are out, for safety reasons.

Choose a seat closer to the window, if possible . Aisle seats can be risky for babies during beverage service. Hot drinks being passed to passengers can spill and cause burns , and their little arms and legs can be caught by passing carts. Aisle seats are also closer to falling overhead bin items. If you use a car seat, most airlines require that they be installed in a window seat.

Ensure that your baby's seat is next to you on the plane. Visit the U.S. Department of Transportation Airline Family Seating Dashboard for tips. It shows which airlines guarantee adjacent seats for children under age 13 traveling with an adult at no extra fee.

Is there a way my baby can lie down flat on long flights?

Buckling your baby into a car seat or safety restraint remains the safest option. However, there are other options available to help baby sleep comfortably, especially on long-haul flights.

Airline bassinets. Some airlines offer airline bassinets attached to the plane's bulkhead wall―the wall behind the galley, or toilets or another cabin. In some premium cabins, they can be built into the seat compartment to use in bulkhead rows. Most airline bassinets require the baby to be under 6 months old and/or 20 pounds, and not yet able to sit up unassisted. These bassinets are sometimes called "skycots" or baskets.

Sleeper seat . For an added fee, some international airlines let you book three seats in a row with locking seat extensions. This creates a "sky couch" or sleeper-seat big enough for both parent and child. Some airlines also offer "lie-flat" and "flat-bed" seats.

Inflatable seat extenders . Some airlines let you bring your own inflatable, individual seat extension for your baby to snooze on lying down. Not all airlines permit these to be used, though, so check ahead of time. Your child will need their own seat to use one.

Note: For all options above, your baby would still need to be buckled into a car seat or held on your lap during takeoff, turbulence and landing.

Safe sleep practices still apply on the airplane.

• If your baby sleeps on your lap during the flight: stay alert and check on your baby often. Make sure they can breathe easily, and their face is uncovered.
• If your baby sleeps on another device during the flight: check that it is firm and flat, with no soft bedding. (See, " How to Keep Your Sleeping Baby Safe .")

Will I be able to get liquid formula or expressed breast milk through security?

Yes, but you have to follow the reasonable quantities rules. This means you're exempt from the 3-1-1 rule limiting liquids to 3.4 ounces (100 mL).

Pack formula, expressed breastmilk, or water for mixing with powder separately and be ready to let the TSA know you have it. You may ask that they not go through the x-ray machine (although this shouldn't cause a health problem). Visit the TSA website for more information.

Any tips for keeping my baby comfortable and content on the plane?

Dress your baby in layers. The temperature in a plane can vary widely, especially if you are stuck waiting on a runway. So, dress your baby in layers of clothing. As you pick out clothing , choose outfits that make diaper changing in a small space easier. Also, pack a change of clothes or two, in case turbulence hits during a diaper change or when you are feeding. Bring plastic bags for soiled clothing.

Be ready for ear pain during take-off and landing. During takeoff and landing, changes in pressure between the outer ear and middle ear can cause discomfort. If your baby has had ear surgery or an ear infection in the past two weeks, ask their doctor if it's OK to fly. Having babies drink from the breast or a bottle, or suck on a pacifier, can help. If your child has a cold or ear infection, a dose of acetaminophen or ibuprofen may help; check with your doctor for the right amount to give your child.

Reduce jet engine noise exposure . Airplane cabin noise hovers around 100 decibels, and is even louder during takeoff. Using cotton balls, small earplugs, or noise-canceling headphones may help to decrease the decibel level your baby is exposed to, and also make it easier for them to sleep or relax.

Keep in mind that sleeping babies are easier for everyone. If possible, travel at a time when your baby naturally sleeps. Or, onsider trying to put off a nap until it's time to fly. Flight delays can cause this to backfire if your exhausted baby decides to scream instead of sleep. But it may be worth a try.

Do not use diphenhydramine, or Benadryl, to help your baby sleep without talking to your doctor.

This medication can have serious side effects , especially if repeated doses are given on long flights. If you get the go-ahead and appropriate dose from your doctor, try it at home first. Some children react to the medicine by getting more awake instead of sleepy.

Consider a diaper change right before boarding the plane. A dry baby is a happy baby. Fortunately, when you do need to change a diaper in-flight, many planes have restroom changing tables . If yours doesn't, ask a flight attendant if there is a spot where you can spread out your changing pad. Some parents resort to diaper-changing on the closed toilet seat. If you try this, be sure to have a hand on your baby at all times and pack a disposable changing pad. Plan for delays; pack plenty of supplies.

Bring distractions . Pack some toys and books and be ready to play with your baby the entire time. A tablet with videos can be a good backup if the toys and books aren't helping anymore (we don't encourage entertainment media for children under the age of 2 , but desperate times can sometimes call for desperate measures).

Don't let the glares get to you . Despite the best advanced planning and efforts, babies cry sometimes. Know that you did, and are doing, all you can. At that point, one of the best ways you can calm your baby may be to stay calm yourself. And remember that for every person who is glaring at you, there are plenty of people who have been through it themselves and have lots of sympathy.

Ask for help . Arrange for your airline to help you if you need help making a connecting flight. Carrying a child safety restraint, your baby and luggage through a busy airport can be challenging.

Does my baby need a passport for international travel?

Yes. All U.S. citizens, including infants, need a current passport to travel internationally. Parents or guardians need to apply with their baby in person using the form DS-11 . Be sure to bring your baby's birth certificate and a photo taken within the last 6 months.

Passport photos must be taken with nobody else in the photo, which can be tricky with infants. To do this safely if your baby can't sit up yet , lay them on their back on a plain white blanket or sheet to ensure head support without having to hold them. Another option is covering a car seat with the sheet and taking a picture with your child in it.

What about domestic flights?

A valid passport is usually the only identification your baby will need to fly on a domestic flight, unless you need to show proof of age for a discounted child fare. Check with your airline before you leave. Note: Children under age 18 will not be required to get a Real ID .

What is the best time of day to fly with a baby?

It is hard to say whether flying during the day or night with a baby is better. After the first few weeks, some infants may sleep more reliably at nighttime than they do during naptime travel. If you and your baby can sleep on the plane, a late-night flight may be the way to go.

More information

Travel Safety Tips

Holiday Travel Tips

Flying With Children Safely (FAA.gov)

Tips for Families and Links to Airline Webpages (U.S. Department of Transportation)

Destination-Specific Vaccine Recommendations for Travelers—Including Travelers with Children (CDC.gov)

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The Ultimate Packing List for Flying With a Baby

This is how to survive hours in the air with your little one.

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Travel + Leisure / Alli Waataja

As a mom of two, I know from personal experience that the thought of flying with a small baby can be terrifying. That doesn’t mean you shouldn’t do it. Travel is one of the greatest gifts you can give your children. I first flew with my daughter from South Africa to the United Kingdom when she was just shy of four months old. With family in both countries, it’s a journey we’ve done multiple times since. I soon learned that the key to making the experience as stress-free as possible for all involved (parents, baby, fellow passengers, and airline crew!) is planning and preparation. Consider your little one’s needs carefully, and then think about how you can meet them 35,000 feet above ground. 

From getting them to sleep to keeping them entertained, here are our packing essentials for flying with a baby, defined here as a child under a year old. This list haa been carefully chosen according to my own experience as well as that of two experts: Dr. Natalie Prevatt — an NHS pediatric travel, tropical medicine consultant, and the lead clinician at the Children’s Travel Doc — and veteran flight attendant Samantha Sharpe. 

Packing Checklist for Flying With a Baby

This is by no means an exhaustive list. I haven’t included many of the most obvious, day-to-day items that you most likely already have and keep in your baby bag anyway, from diapers to wet wipes and burp cloths. There are some things, like pacifiers and bottles, that your baby will have a specific preference for and these should remain unchanged before a trip (there are enough variables up in the air without worrying about whether your baby will accept a new teat type, for example.) You also won’t need everything on this list. Tailor your choices to align with your particular routine, destination, flight length, and airline rules and regulations.

Sleep and Entertainment

• Best Infant Headphones: Alpine Muffy Noise Reduction Earmuffs
• Best Tablet: Amazon Fire 7 Kids Tablet
• Best Inflatable Bed: Flyaway Kids Bed
• Best Teething Toy: Lamaze Mortimer the Moose Clip & Go
• Best Book: Priddy Books First 100 Words
• Best Noise-Free Toy: The First Years Stack & Count Stacking Cups

Food and Drink

• Best Portable Bottle Warmer: Tommee Tippee Closer to Nature Portable Bottle Warmer
• Best Formula Dispenser: LotCow Portable Powder Dispenser
• Best Travel Cup: Munchkin Miracle 360 Trainer Sippy Cup  
• Best Snack Container: Bentgo Kids Chill Lunch Box

Strollers and Carriers

• Best Baby Wrap: KeaBabies Baby Wrap Carrier 
• Best Baby Carrier: Ergobaby 360 Cool Air Mesh Carrier  
• Best Lightweight Stroller: Babyzen YoYo2 Stroller

Accessories

• Best Breastfeeding Cover: Copper Pearl Multi-use Nursing Cover
• Best Travel Blanket: Everyday Kids Car Seat Blanket
• Best Changing Pad: Kopi Baby Portable Diaper Changing Pad
• Best Packing Cubes: Remobia Hicol TSA-approved Diaper Bag Organizer Set  
• Best Sunscreen: Aveeno Baby Continuous Protection Mineral Sunscreen

Getting a baby to sleep can be hard enough at home, let alone on a noisy airplane. If I have just one tip, it’s to enquire well in advance about booking a baby bassinet. If they can’t be reserved, arrive early enough at the airport to give yourself a good chance of being allocated one. For long-haul flights, paying for a separate seat to use with your car seat is another option, although Dr. Prevatt advises that babies should not sleep in an upright position for more than a few hours since it can affect their oxygen levels. When it comes to entertainment, opt for noise-free, mess-free toys without too many pieces to potentially lose.

Best Infant Headphones

Alpine muffy noise reduction earmuffs.

Both my children loved the sound of the airplane engine and at night, its low vibration worked just as effectively as a sound machine for getting them to sleep. However, if your baby needs a quiet environment to drift off or if you’d like to avoid overstimulation while waiting to board in the bright and busy airport, infant headphones are a good idea. 

These ones from Alpine Muffy are designed to protect the sensitive hearing of little ones up to 36 months old. I love that the extra soft, adjustable headband is made from non-slip elastic to avoid exerting pressure on Baby’s delicate fontanelle, and that they’re proven to reduce noise to just 23 decibels. They’re super light, easy to clean, and come in a convenient travel pouch with a choice of colors ranging from Olive Green to Pink.

Best Inflatable Bed

Flyaway kids bed.

I hesitated including this category because most airlines allow children under two to fly at a significantly discounted rate if they sit on their parent’s lap. For this reason, purchasing an extra seat just so you can use an inflatable bed may seem excessive. But, for long flights when baby bassinets can’t be booked in advance, having a guaranteed place to sleep may well be worth it. 

Inflatable beds are not allowed by every airline, and those that do permit them often accept certain brands only. I love the Flyaway Kids Bed because it takes the guesswork out of your purchase, with a full list of approved and at-the-stewardess’-discretion airlines on its website. It inflates relatively quietly in just 90 seconds to create a full, secure bed that serves the dual purpose of preventing toys rolling onto the floor. It’s relatively compact by travel bed standards but will still take up about three pounds of your precious carry-on allowance.

Best Teething Toy

Lamaze mortimer the moose clip & go.

Traveling with a baby is one thing. Traveling with a teething baby is a whole different ball game. You’ll want to pack teething gel and possibly (if recommended by your doctor), some infant Tylenol. A toy with chewable elements for soothing sore gums is another lifesaver, both for your baby and your fellow passengers. 

When I took my daughter on a 11-hour flight at 18 months, she was cutting several teeth simultaneously. The Mortimer the Moose Clip & Go from Lamaze was her go-to comforter. She loved chewing on his textured, easy-to-clean antlers and tail rings, while his brightly colored crinkling and jingling hooves helped provide distraction from her discomfort. When she finally drifted off, multi-use Mortimer also doubled as a plushy for cuddling.

First 100 Words

A tray table is key to many methods of entertaining a wide-awake baby, whether you’re helping them play with stickers and stacking toys or using it as a tablet stand. Takeoff and landing can therefore be tricky — not only does the tray table have to be stowed, but this is the time babies are most likely to be affected by changes in cabin pressure and most in need of distraction.

Books are a great option during these times: they’re mess- and noise-free, have no moving parts to roll away while the seatbelt signs are on, and are easy to grab before stowing your bag in the overhead bin. My kids loved Roger Priddy’s First 100 Words long before they were able to talk. It’s got big, bright, colorful images of familiar items ranging from pets to food and more than 35 flaps for keeping baby engaged. It’s also travel-sized with sturdy board pages.

Best Noise-Free Toy

The first years stack up cup toys.

The first time I flew with a baby, one of my greatest sources of anxiety was disturbing or upsetting other passengers. I quickly learned that you can’t always control how much noise your baby makes; but you can make sure their toys are quiet. If they’re interactive and simple enough for the baby to use with minimal assistance, all the better. 

Stacking cups punch way above their weight in this category. My kids loved this simple set from The First Years. Both of them could be entertained for an amazing amount of time by nesting the cups and taking them apart again, using them to build towers, or playing hide-and-seek with some small object placed underneath them. A sturdy clip keeps the cups neatly together and when you reach your destination, small holes transform them into fun beach or bath toys.

Best Tablet

Amazon fire 7 kids edition tablet.

In an ideal world, we’d be able to keep our little ones entertained without resorting to screen time. But trust me, if there’s ever a time and place to relax the rules, a couple of hours into a long-haul flight is it. When all else fails or I simply need a break, I let Paw Patrol (in my daughter’s case) or Thomas the Tank Engine (in my son’s) take over. 

The Amazon Fire 7 Kids Tablet is the smallest and most portable of Amazon’s tablets made especially for kids. It comes in a virtually indestructible kid-proof case with a built-in stand for your airplane tray table. A Parent Dashboard allows you to filter age-appropriate content and purchases. It also includes a subscription to Amazon Kids+. Choose 16 or 32 GB of storage and relax knowing that for the first two years, any device that breaks will be replaced free of charge.

As Dr. Prevatt points out, the low level of humidity on board makes it especially important to keep your baby hydrated. Remember that breast milk, formula, and baby food are exempt from standard liquid limitations . Sharpe confirms that cabin crew will never impose restrictions on breastfeeding at any stage of the flight unless there’s an emergency. And flight attendants can always provide warm water for heating bottles, although it’s best to avoid asking during busy meal services. Consider investing in a portable warmer for full independence. Finally, snacks are great for both sustenance and entertainment.

Best Portable Bottle Warmer

Tommee tippee travel baby bottle warmer.

 Amazon

Whatever stage your baby’s at and whether they take formula, bottled breastmilk, cow’s milk, or even puréed food in a jar or pouch, it’s likely they prefer their food served at body temperature. This isn’t as simple to achieve on a plane as it is at home, because the commercial convection ovens used to heat adult meals are impractical for warming baby food. 

This is where the beautifully simple Tommee Tippee Closer to Nature Portable Bottle Warmer comes in. It doesn’t require electricity or any other external heating source — instead, it consists of an insulated, stainless steel flask with a leak-proof lid and sturdy plastic sheath. Simply pour boiling water from the flask into the upturned sheath and sit your bottle or pouch inside to warm up. The warmer fits compactly into your bag and can be refilled as needed by the cabin crew.

Best Formula Dispenser

Lotcow portable powder dispenser.

Flying with a formula-fed baby can seem daunting, simply because of the extra time and effort required to get your crying child what they need as quickly as possible. The key to minimizing stress for everyone is advance preparation. Instead of bringing your regular formula tub with you and attempting to measure out powder in the cramped confines of your seat, use a portable powder dispenser like this one from LotCow. 

Made from BPA-free plastic, the dispenser consists of four separate moisture-proof and leak-free containers that stack together to create a conveniently packable cylinder measuring roughly seven by three inches. Each one holds about two ounces of milk powder that can be tipped into baby's bottle in seconds. On shorter flights, you could even use some of the layers for storing snacks.

Best Travel Cup

Munchkin miracle 360 trainer cup.

Starting at six months, babies should be offered a drink of water with every meal. This is especially important on a flight, where low humidity levels can cause dehydration even in adults. Some children master the art of drinking out of a proper cup quicker than others, but if yours (like mine) ends up soaked every time, you’ll want a sippy cup for travel.

I loved the Munchkin Miracle 360 Trainer Sippy Cup so much the first time around that I sought it out for my second child even after moving countries. First, it’s truly leak-free, with a soft plastic valve that fits all the way over the top. It’s also spoutless, which means babies can drink from anywhere around the rim in a way that protects their dental health and encourages normal muscle development. The handles fit little hands perfectly and it’s easy to clean on the go.

Best Snack Container

Bentgo kids chill lunch box.

If your baby is old enough for solid foods, there’s good news. Packing a snack box not only ensures they’ll be full even if they don’t like whatever baby meal is served on the flight; it’s also one of the very best ways to keep them entertained. Bento boxes help with this by providing spaces for lots of different foods for maximum interest. 

The Bentgo Kids Chill Lunch Box stands out for its quality construction, leak-proof clip-and-seal design, and choice of bright, baby-friendly colors. It offers four compartments of varying sizes for everything from cereal to fruit pieces or sandwich fingers and (best of all), an optional, built-in ice pack that fits underneath the food tray to keep contents fresh and safe to eat even after hours in the air. When you get to your destination, it’s dishwasher and microwave safe.

Before you travel, it’s important to decide how you’ll be transporting baby through the airport. It’s often a long walk, sometimes with connecting buses or trains, so keeping your little one safely secured and supported is crucial. A baby carrier is a great option for navigating crowds with minimal fuss while keeping your hands free. You can also take your stroller all the way to the airplane door. If you plan on doing this, Sharpe recommends investing in one that fits into the overhead bin rather than having it checked to avoid unnecessary delays at the other end. Alternatively, she says, the Doona X stroller doubles as a car seat that can be used on board.

Best Baby Wrap

Keababies baby wrap carrier.

My daughter was born in South Africa, where wraps like the KeaBabies Original Wrap Carrier are one of the most popular and traditional methods for hands-free baby carrying. Although it took me a few tries to perfect the art of tying the wrap correctly (definitely something to master before you fly), she loved its womb-like closeness. It’s great not only for getting babies from point A to B in the airport, but also as a way of comforting them or getting them to sleep onboard. 

Consisting of a single length of stretchy, sturdy fabric, the KeaBabies wrap offers just the right amount of elasticity to hold and support your baby securely, while distributing weight evenly to minimize strain on your back and shoulders. It’s one-size-fits-all can be worn by mom or dad with zero adjustment, is safe from birth, and packs away compactly when not in use.

Best Baby Carrier

Ergobaby 360 cool air mesh carrier.

Although wraps like the KeaBabies one are technically suitable for children up to 36 months of age, I found that both of my kids were too heavy for me to carry in this way by the time they were around nine months old. The natural next step is a soft carrier like the ergobaby 360 Cool Air Mesh Carrier, which is designed for use from 4 to 48 months (up to 45 pounds.) 

The ergobaby 360 stands out for its award-winning design, which allows you to switch between four comfortable and safe carrying positions: on the front of your body facing inwards, on the front facing outwards, on the hip, or on your back. When forward facing, the baby’s hips are held in the “M” position to protect against hip dysplasia. Breathable mesh keeps them from overheating, while padded shoulder straps and a wide waistband save your back and shoulders.

Best Lightweight Stroller

Babyzen yoyo2 stroller.

Although you can use any stroller all the way up to the airplane door and then have it checked separately, the Babyzen YoYo2 with a newborn pack (suitable for babies zero to six months) is one of the few that folds compactly enough to fit in the overhead bin. It can be folded and unfolded with one hand, which is a lifesaver when trying to juggle your baby, diaper bag, and passport simultaneously.

It also tips the scales at just 14.5 pounds. This lightweight compactness makes it ideal not only for air travel, but also for exploring your destination because it fits just as easily into an overhead bin or taxi trunk. The stroller includes a five-point harness, a comfortable one-inch, lie-flat mattress, and UPF 50+, water-repellent fabric. You can also attach the YoYo2 bassinet and later, the six+ color pack for older babies over six months.

We’ve covered the main areas of traveling with a baby, but what about the easy-to-overlook accessories that make all the difference? These range from breastfeeding covers (Sharpe recommends researching whether your destination has any modesty laws that may make this a particularly important choice) to sunscreen (Dr. Prevatt points out that children under the age of 15 are especially at risk of skin cancer if allowed to burn which can occur while waiting on a hot airport concourse.) Look for accessories that make life easier by simplifying essential tasks, whether that’s changing a diaper or finding what you need in your carry-on.

Best Breastfeeding Cover

Copper pearl cover canopy.

While I’m a firm believer that women should be able to breastfeed wherever they like without having to cover up, there is something especially intimidating about doing so in a confined space surrounded by perfect strangers. The Copper Pearl Multi-use Cover is made from lightweight, stretchy, and breathable fabric that provides full coverage without feeling restrictive for either of you. 

I particularly like that the opening is wide enough to allow you to easily view your baby (my son refused to drink if he couldn’t make eye contact) and check for a correct latch. The cover also comes in super handy on vacation as a car seat or stroller cover, takes up virtually no space in your diaper bag, and comes in an endless choice of gorgeous watercolor-style prints.

Best Travel Blanket

Everyday kids car seat blanket.

If your baby already has a favorite blanket, then that’s the one to take on your flight. But if, like mine, they’re ambivalent about which blanket they use as long as they’re warm, the plush fleece Everyday Kids Car Seat Blanket could be a useful option especially if you plan on bringing your car seat on board or if you end up with a bassinet that has a five-point harness. Safety features for the latter vary, but I’ve flown with at least one airline where this was the case.

The blanket has universally spaced notches that align with most five-point harness straps, keeping it secured to the car seat or bassinet so that it doesn’t end up on the less-than-sterile airplane floor every time Baby kicks. The swaddling style is easily unwrapped, too, so that you can prove your little one is securely fastened during turbulence without waking them up.

Best Changing Pad

Kopi baby portable changing pad.

While you’re definitely going to need your regular, full-size baby bag to carry everything you need for the flight, a portable changing pad like this wipe-clean one from Kopi Baby makes all the difference when it comes to the Olympic sport that is attempting to change a diaper in the tight confines of an airplane bathroom. 

When folded away, it measures just 7.5 x 11.5 inches and resembles a regular clutch bag. But when opened up, it reveals a full-size changing mat with a built-in pillow and three mesh pockets with enough space to store up to five diapers as well as other essentials from rash cream to diaper bags. I especially love the smart wet wipes pocket, which features an opening that dispenses wipes for one-handed convenience, even when the pad is folded.

Best Packing Cubes

Remobia hicol tsa-approved diaper bag organizer set.

Organization is the key to minimizing stress when flying with small children. After all, there’s nothing worse than trying to juggle a screaming baby while rooting around helplessly in your bag for an item that has somehow disappeared just as you need it. Enter the Remobia Hicol Organizer Set, a collection of five packing cubes designed especially for parents. 

They’re made from sturdy, transparent TPU plastic, making it easy to see at a glance what they contain. The various sizes lend themselves to categorizing your diaper bag contents (one for spare clothes, one for snacks, one for medicines and so on), while the fact that they’re both waterproof and easy to wipe clean prevents unnecessary mess. They’re TSA-approved for convenience through security and nest inside each other neatly when not in use.

Best Sunscreen

Aveeno baby sunscreen.

Aveeno 

Sunscreen may seem like an odd item to include on this list since there’s no chance of sunburn in the airport or on the plane. However, many airports in hot countries lack covered walkways from the plane to the terminal. It’s also easy to forget to apply sunscreen once you leave the airport in the chaos of clearing customs and collecting luggage. 

Additionally, bringing sunscreen with you guarantees access to a brand you know and trust, and can test on your baby’s skin for sensitivity prior to travel. I recommend packing a travel-sized mineral sunscreen like this one from Aveeno for on-the-go protection. At three fluid ounces, it complies with TSA restrictions and is especially formulated for babies (doctor’s advice recommended for those under six months), using naturally sourced zinc oxide to provide hypoallergenic, fragrance-free SPF 50 protection.

Try not to overpack

There are a lot of items on this list, and many more besides that will be part of your everyday baby routine — from bottles and pacifiers to burp cloths and diaper cream. Remember that you don’t need all of them. Think carefully about which are most relevant for your baby, your flight (duration, time of day, and number of layovers), and unique situation (are you flying alone, or will you have someone to help juggle baby and luggage?) Then, try to limit your packing to the things that you’re most likely to actually use, because flying with a baby is overwhelming enough without having to keep track of or carry a ton of extra gear. 

Consider the flight time

When packing your diaper bag, tailor its contents according to the length of your flight, making sure you have enough diapers, wipes, milk, and snacks to last the duration with a few extras in case of any unexpected delays. If it’s a long flight, prioritize snacks that don’t need refrigeration and consider ways to increase the entertainment value of each one (e.g., individually wrapping some items so they’re fun to open together or cutting sandwiches into quirky shapes).

When booking your flight, bear in mind departure and arrival times. If you can, choose an overnight flight or one that coincides with your baby’s longest sleep period (I know these are not always the same thing!). And remember: when flying with a baby, if you can stretch your budget to get the most direct route, the extra expense will be well worth it. Layovers shouldn't be too long or so short that you end up having to run to catch the next flight. Minimize stress, wherever possible. 

Prepare for the unexpected

While it’s important to try and resist the temptation to pack everything including the kitchen sink (see our first tip), you should also prepare for a few worst-case scenarios. In my personal experience, these could range from being vomited on mid-flight (pack an extra shirt for yourself and at least two spare changes for baby) to your perfectly well infant suddenly developing a high fever. Dr. Prevatt suggests packing a basic first aid kit with essentials your baby might need since airline medical kits are minimal and not packed with infants in mind. 

She also frequently hears from breastfeeding moms who haven’t wanted to wake their sleeping baby to feed and therefore end up struggling with engorgement. She recommends learning to express by hand in advance or, if you have space in your carry-on, packing a portable breast pump. Meanwhile, Sharpe says that she often sees parents struggle due to not packing enough snacks and activities. If there’s one thing she’d recommend leaving at home to make space for these essentials, it’s a bulky inflatable baby bed.

According to Dr. Prevatt, it’s theoretically safe for a healthy baby to fly from the first day of life. However, most airlines only allow babies to fly from seven days old because it takes a week for the ductus to close (completing the transition from a fetal to an infant heart). If there is anything wrong with a baby’s heart, it most often presents in the first seven days of life. Up in the ai and, away from medical care is not where you want to be should any such issue arise. Premature babies or those with known conditions may require medical clearance to fly.  

Dr. Prevatt notes that the greatest risk of flying with a newborn is to the mother rather than the baby. To avoid postpartum deep-vein thrombosis (DVT), women who have given birth in the last two months should book an aisle seat so that they can perform leg exercises and walk freely around the cabin. Having your baby on your lap puts extra compression on your thigh veins, so take turns with your travel partner if you can. And even if you’re not breastfeeding, abstain from alcohol and caffeine and be sure to drink extra water since dehydration increases risk of DVT.

Babies under two years old are allowed to fly on your lap or in an approved infant car seat. Dr. Prevatt points out that although there have been very few reported injuries caused by an infant sitting on their caregiver’s lap rather than in a car seat, it is still recommended to use a car seat for safety since it is a moving vessel. Policies vary slightly between airlines ( British Airways only accepts forward-facing seats, whereas American Airlines allows seats to be installed in the direction appropriate for the size of the child, for example) so check with yours in advance.  

You should remember that to guarantee being able to use an infant car seat onboard, you must book a separate seat for your baby — a much more expensive option than having them on your lap. Dr. Prevatt also notes that small babies must not stay in an upright position for more than a few hours since it can affect their breathing — so on longer flights, you’ll need to be prepared to cradle them in your arms for hours at a time or use an airline bassinet.  

A bassinet is an absolute godsend, especially on an extended or overnight flight. My daughter spent most of her first 11-hour flight sleeping peacefully in hers. However, the availability of these bassinets is limited because they can only be fixed to the bulkhead. And while some airlines allow you to book them in advance, others assign them on a first come, first served basis which means that you should always be prepared for the possibility of not getting one.

My top tip? Attempt to book a baby bassinet. If that’s not possible, turn up to the airport early in the hope of being assigned one. If that fails, ask if there happens to be an available seat that you can use for your car seat (you should bring one anyway, since a child must still be restrained on car rides in foreign countries and relying on your own is safer than renting). If there is, you may be allowed to use it without having to pay extra. If not, the car seat will be checked for you, typically free of charge, and baby can sleep in your arms.

There are pros and cons to both approaches. A stroller is useful because you can stash items in the basket, it saves you from having to carry your baby (especially great if they fall asleep while waiting at the airport), and you can use it all the way up to the airplane door. Here, Sharpe says, it will be loaded into the plane’s cargo hold by the ground handling agents. In theory, it should be waiting for you near the door when you disembark at the other end, too. 

However, Sharpe points out that occasionally there can be a miscommunication and strollers end up in the oversized baggage pickup area or at the luggage carousel with the other bags, leaving you stranded with no easy way to carry Baby through the airport. I have also waited for quite a while to have the stroller delivered to the correct place, which can be very stressful if you have a short transfer window. To limit the chances of this happening, Sharpe recommends having check-in staff put a note on your booking and re-iterating this to the flight attendants and ground staff on both ends of your journey. Alternatively, investing in a stroller that fits into the overhead compartment eliminates these issues completely. 

Having experienced my fair share of stroller delivery issues, I would recommend checking your stroller in with your luggage for use at your destination and using a baby carrier to transport your little one from check-in to airplane. The many pros outweigh the one obvious con (having to bear their weight all the way), and include being much more mobile in a crowded airport, having both hands free for your other luggage and passport checks, and giving Baby the comfort of being held close to your body in an unfamiliar and overwhelming new environment.

Sharpe says that parents are often unaware that normal liquid restrictions do not apply to breast milk and formula. TSA states that both of these substances are considered medically necessary liquid and put no restriction on the amount you can bring on board. This applies to juice, too. You just need to remove these items from your carry-on bag to be screened separately at security. However, be aware that TSA rules only apply in the United States. Sharpe points out that at Heathrow Airport in London, for example, you may bring aboard up to 2 liters each of baby food and milk as long as it’s stored in a clear, transparent container or bag. Check airport and airline rules carefully before flying to avoid any confusion.

The change in cabin pressure during take-off and landing affects babies’ ears in the same way it does adult ears — by sucking the eardrum backwards or forwards. However, Dr. Prevatt says that this is more painful for babies (and in fact, 20 percent of children experience a pain so severe that an adult would not be able to put up with it) because the Eustachian tubes that connect the mouth and ears are so much smaller.  

This makes it much harder for babies to equalize effectively, a problem compounded by the fact that they can’t understand how to do so. Swallowing is the easiest way to help them equalize. Therefore, it’s important to breast or bottle feed during take-off and landing. I recommend bringing a pacifier as well in case your baby refuses to drink in the strange environment that is a noisy, cramped airline seat. As a breastfeeding mom, I can confirm that getting a good latch can be tricky because both you and your baby will have to wear a seat belt during take-off and landing, making cradling them in the usual way a little awkward.

Why Trust Travel + Leisure

Jessica Macdonald has been writing about travel gear for more than 10 years and has flown with both of her children many times since they were four months old. She sought the expert opinion of Dr. Natalie Prevatt, a children's travel medicine consultant and the lead clinician at the Childrenstraveldoc , which offers remote telephone consultations to prepare pregnant mothers and children for travel. Samantha Sharpe also provided invaluable insight from her perspective as a former nanny and flight attendant who previously worked for Qatar Airways and now flies for one of the UK’s largest airlines.

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Home / Parenting, Kids & Teens / Air travel with an infant

Air travel with an infant

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Your first flight with your child will likely be a lot different from your previous flights. Instead of worrying about whether you have enough reading material, you may now be worried about entertaining your baby or toddler. While there’s no telling how your baby will react to his or her first time on an airplane, careful planning can go a long way toward calming you and your child’s nerves.

Identification

  For domestic travel, consider bringing a copy of your child’s birth certificate with you. If leaving the country, your child will need a passport. If you know you’ll be traveling outside of the country with your child in the future, consider applying as soon as possible. The application process can typically be expedited for a fee.

Seat safety

  Although airlines typically allow infants to ride on a caregiver’s lap during flight, the Federal Aviation Administration recommends that infants ride in properly secured safety seats. Most infant car seats are certified for air travel.

  In order for your little one to travel in a car seat on the plane, your child will need his or her own seat. Though airlines typically will let you use an empty seat if available, the only way to guarantee a seat for your child is to purchase a ticket. When booking your flights, check if there are any discounts for infant children.

Keep in mind that car seats must be secured in a window seat so other passengers will be able to exit the row. If you purchase a seat for your child, FAA strongly encourages that your child remains in the seat with the seatbelt firmly fastened during the duration of the flight. This can be a challenge if your child is crying and you want to hold him or her, especially during takeoff and landing. Airlines typically allow a child under 2 to be held on your lap, but the policy varies by airline.

If you don’t bring a car seat for your child on the plane, ask the flight attendant for instructions on how to hold your child during takeoff and landing. If you sit in an aisle seat with your child, be sure to protect your child’s head, hands and feet from getting bumped by service carts or other passengers.

Many traveling families seek out the bulkhead of the plane, which offers extra space. Others prefer the back of the plane, which is typically noisy enough to drown out crying and may even lull a baby to sleep. Do what makes the most sense to you.

Getting through the airport

If you plan to bring a car seat on the plane, a stroller that allows you to attach the car seat to it is a smart investment. You’ll be able to wheel your child in his or her car seat until you board the plane, at which point you can collapse the stroller base and check it at the gate. You will, however, have to take your child out of a car seat and carry him or her through security while the stroller is screened.

While the Transportation Security Administration limits the amount of fluids you can bring on a plane, exceptions are made for baby-related items, such as medications, formula, baby food and breast milk. Be sure to notify security officials about what you’re carrying and expect it to be inspected. Also, let security officials know if your child is using or has any special medical devices.

Many airlines offer families priority boarding. However, some families prefer to board last to minimize the amount of time spent on the plane.

Keeping baby happy

Dress your child in comfortable, easy-to-remove layers. This will help you keep him or her warm or cool enough and make diaper and clothing changes easy.  Bring extra clothing in a plastic, sealable bag for accidents that might occur or if your child becomes sick and vomits on the plane. Consider bringing an extra change of clothing accessible for yourself, too, in case you’re part of the accident.

Nursing or sucking on a pacifier or bottle might ease discomfort during takeoff and landing, since babies can’t intentionally “pop” their ears by swallowing or yawning to relieve ear pain caused by air pressure changes. Having extra pacifiers on hand will be helpful in case the pacifiers fall or get lost. A sippy cup of water can help a toddler with the same issue.

If your child is restless, consider taking an occasional break to walk up and down the aisle — as long as the crew approves moving throughout the cabin.

If your child is old enough to snack, have different types of snacks available and bring them out at different times during the flight. Also, consider bringing several little toys to keep your child occupied, introducing a new toy as your baby’s interest in the current toy wanes.

Although parents often joke about giving a child a sedating over-the-counter medication to induce sleep during the flight, this isn’t recommended. In some cases, the medication could end up producing the opposite effect and make your child agitated.

If your child does cry during the flight, do your best to figure out what’s wrong — just as you would at home — and try to stay calm. Chances are that many passengers on the plane have been in your situation before and likely sympathize.

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• Section 7 - Travel & Breastfeeding
• Section 7 - Vaccine Recommendations for Infants & Children

Traveling Safely with Infants & Children

Cdc yellow book 2024.

Author(s): Michelle Weinberg, Nicholas Weinberg, Susan Maloney

Children increasingly are traveling and living outside their home countries. Although data about the incidence of pediatric illnesses associated with international travel are limited, the risks that children face when traveling are likely similar to those faced by their adult travel companions.

Compared with adults, however, children are less likely to receive pretravel advice. In a review of children with posttravel illnesses seen at clinics in the GeoSentinel Global Surveillance Network, 51% of all children and 32% of children visiting friends and relatives (VFRs) had received pretravel medical advice, compared with 59% of adults. The most commonly reported health problems among child travelers are dermatologic conditions, including animal and arthropod bites, cutaneous larva migrans, and sunburn; diarrheal illnesses; respiratory disorders; and systemic febrile illnesses, especially malaria.

Motor vehicle and water-related injuries, including drowning, are other major health and safety concerns for child travelers. See Box 7-03 for recommendations on assessing and preparing children for planned international travel.

Box 7-03 Assessing & preparing children for international travel: a checklist for health care providers

☐ Review travel-related and routine childhood vaccinations. The pretravel visit is an opportunity to ensure that children are up to date on their routine vaccinations.

☐ Assess all anticipated travel-related activities.

☐ Provide preventive counseling and interventions tailored to specific risks, including special travel preparations and any treatment required for infants and children with underlying health conditions, chronic diseases, or immunocompromising conditions.

☐ For children who require medications to manage chronic health conditions, caregivers should carry a supply sufficient for the trip duration.

☐ For adolescents traveling in a student group or program (see also Sec. 9, Ch. 8, Study Abroad & Other International Student Travel ), consider providing counseling on the following:

• Disease prevention
• Drug and alcohol use
• Empiric treatment and management of common travel-related illnesses
• Risks of sexually transmitted infections and sexual assault

☐ Give special consideration to travelers visiting friends and relatives in low- and middle-income countries and assess risks for malaria, intestinal parasites, and tuberculosis.

☐ Consider advising adults traveling with children and older children to take a course in basic first aid before travel.

☐ For coronavirus disease 2019 (COVID-19) safety measures for children—including mask use, testing, and vaccination—see Sec. 5, Part 2, Ch. 3, COVID-19 .

Travel-Associated Infections & Diseases

Arboviral infections.

Pediatric VFR travelers with frequent or prolonged travel to areas where arboviruses (e.g., chikungunya, dengue, Japanese encephalitis, yellow fever, and Zika viruses) are endemic or epidemic could be at increased risk for infection. Children traveling to areas with arboviruses should use the same mosquito protection measures described elsewhere in this chapter (also see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods ). Unlike mosquitoes that transmit malaria, the Aedes mosquitoes that transmit chikungunya, dengue, yellow fever, and Zika are aggressive daytime biters; they also bite at night, especially in areas with artificial light. Consider dengue or other arboviral infections in children with fever if they recently returned from travel in endemic areas. Vaccination against dengue, tick-borne encephalitis, and yellow fever could be indicated for some children (see Sec. 7, Ch. 4, Vaccine Recommendations for Infants & Children , for details).

Diarrhea & Vomiting

Diarrhea and associated gastrointestinal illnesses are among the most common travel-related problems affecting children. Infants and children with diarrhea can become dehydrated more quickly than adults. The etiology of travelers’ diarrhea (TD) in children is similar to that in adults (see Sec. 2, Ch. 6, Travelers’ Diarrhea ).

Adults traveling with children should ensure the children follow safe food and water precautions and frequently wash their hands to prevent foodborne and waterborne illness. For infants, breastfeeding is the best way to reduce the risk for foodborne and waterborne illness (see Sec. 7, Ch. 2, Travel & Breastfeeding ). Infant formulas available abroad might not have the same nutritional composition or be held to the same manufacturing safety standards as in the traveler’s home country; parents feeding their child formula should consider whether they need to bring formula from home. If the infant is fed with formula, travelers should consider using liquid formula, which is sterile. Use of powdered infant formula has been associated with Cronobacter infection; infants <3 months old, infants born prematurely, and infants with weakened immune systems are at greatest risk. Parents should take extra precautions for preparing powdered infant formula .

Travelers should disinfect water served to young children, including water used to prepare infant formula (see Sec. 2, Ch. 8, Food & Water Precautions , and Sec. 2, Ch. 9, Water Disinfection , for details on safety practices). In some parts of the world, bottled water could be contaminated and should be disinfected to kill bacteria, viruses, and protozoa before consumption.

Similarly, travelers with children should diligently follow food precautions and ensure foods served to children are cooked thoroughly and eaten while still hot; caregivers should peel fruits typically eaten raw immediately before consumption. Additionally, adults should use caution with fresh dairy products, which might not be pasteurized or might be diluted with untreated water. For short trips, parents might want to bring a supply of safe snacks from home for times when children are hungry and available food might not be appealing or safe (see Sec. 2, Ch. 8, Food & Water Precautions , for more information).

Adult travelers with children should pay scrupulous attention that potable water is used for handwashing and cleaning bottles, pacifiers, teething rings, and toys that fall to the floor or are handled by others. After diaper changes, especially for infants with diarrhea, parents should be particularly careful to wash hands well to avoid spreading infection to themselves and other family members. When proper handwashing facilities are not available, hand sanitizer containing ≥60% alcohol can be used as a disinfecting agent. Because alcohol-based hand sanitizers are not effective against certain pathogens, however, adults and children should wash hands with soap and water as soon as possible. In addition, alcohol does not remove organic material, and people should wash visibly soiled hands with soap and water.

Chemoprophylaxis with antibiotics is not generally used in children; typhoid vaccine might be indicated, however (see Sec. 5, Part 1, Ch. 24, Typhoid & Paratyphoid Fever ).

Antibiotics

Azithromycin.

Few data are available regarding empiric treatment of TD in children. Antimicrobial options for empiric treatment of TD in children are limited. In practice, when an antibiotic is indicated for moderate to severe diarrhea, some clinicians prescribe azithromycin as a single daily dose (10 mg/kg) for 3 days. Clinicians can prescribe unreconstituted azithromycin powder before travel, with instructions from the pharmacist for mixing it into an oral suspension prior to administration. Although resistance breakpoints have not yet been determined, elevated minimum inhibitory concentrations for azithromycin have been reported for some gastrointestinal pathogens. Therefore, counsel parents to seek medical attention for their children if they do not improve after empiric treatment. Before prescribing azithromycin for empiric TD treatment, review possible contraindications and the risks for adverse reactions (e.g., QT prolongation and cardiac arrhythmias).

Fluoroquinolones

Although fluoroquinolones frequently are used for empiric TD treatment in adults, these medications are not approved by the US Food and Drug Administration (FDA) for this purpose in children aged <18 years because of cartilage damage seen in animal studies. The American Academy of Pediatrics (AAP) suggests that fluoroquinolones be considered for treatment of children with severe infections caused by multidrug-resistant strains of Campylobacter jejuni , Salmonella species, Shigella species, or Vibrio cholerae .

Fluoroquinolone resistance in gastrointestinal organisms has been reported from some countries, particularly in Asia. In addition, use of fluoroquinolones has been associated with tendinopathies, development of Clostridioides difficile infection, and central nervous system side effects including confusion and hallucinations. Routine use of fluoroquinolones for prophylaxis or empiric treatment for TD among children is not recommended.

Rifaximin is approved for use in children aged ≥12 years but has limited use for empiric treatment since it is only approved to treat noninvasive strains of Escherichia coli . Children with bloody diarrhea should receive medical attention, because antibiotic treatment of enterohemorrhagic E. coli , a cause of bloody diarrhea, has been associated with increased risk for hemolytic uremic syndrome (see Sec. 5, Part 1, Ch. 7, Diarrheagenic Escherichia coli ).

Antiemetics & Antimotility Drugs

Antiemetics generally are not recommended for self- or family-administered treatment of children with vomiting and TD. Because of the association between salicylates and Reye syndrome, bismuth subsalicylate (BSS), the active ingredient in both Pepto-Bismol and Kaopectate, is not generally recommended to treat diarrhea in children <12 years old. In certain circumstances, however, some clinicians use it off-label, with caution. Care should be taken if administering BSS to children with viral infections (e.g., influenza, varicella), because of the risk for Reye syndrome. BSS is not recommended for children aged <3 years.

Use of antiemetics for children with acute gastroenteritis is controversial; some clinical practice guidelines include the use of antiemetics, others do not. A Cochrane Collaboration Review of the use of antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents showed some benefits with dimenhydrinate, metoclopramide, or ondansetron. Guidelines from the Infectious Diseases Society of America suggest that an antinausea and antiemetic medication (e.g., ondansetron) can facilitate tolerance of oral rehydration in children >4 years of age, and in adolescents with acute gastroenteritis.

A recent systematic review and network meta-analysis comparing several antiemetics in acute gastroenteritis in children showed that ondansetron was the best intervention to reduce vomiting and prevent hospitalization and the need for intravenous rehydration. Routine use of these medications as part of self-treatment for emesis associated with TD in children has not yet been studied, however, and is not generally recommended.

Antimotility drugs (e.g., the opioid receptor agonists loperamide and diphenoxylate), generally should not be given to children <18 years of age with acute diarrhea. Loperamide is particularly contraindicated for children aged <2 years because of the risks for respiratory depression and serious cardiac events. Diphenoxylate and atropine combination tablets should not be used for children aged <2 years, and should be used judiciously in older children because of potential side effects (see Sec. 2, Ch. 6, Travelers’ Diarrhea ).

Fluid & Nutrition Management

The biggest threat to an infant with diarrhea and vomiting is dehydration. Fever or increased ambient temperature increases fluid loss and accelerates dehydration. Advise adults traveling with children about the signs and symptoms of dehydration and the proper use of oral rehydration solution (ORS). Advise adults traveling with children to seek medical attention for an infant or young child with diarrhea who has signs of moderate to severe dehydration, bloody diarrhea, body temperature >101.3°F (38.5°C), or persistent vomiting (unable to maintain oral hydration). Adequate hydration is the mainstay of TD management.

Oral Rehydration Solution: Use & Availability

Counsel parents that dehydration is best prevented and treated by ORS in addition to the infant’s usual food. While seeking medical attention, caregivers should provide ORS to infants by bottle, cup, oral syringe (often available in pharmacies), or spoon. Low-osmolarity ORS is the most effective agent in preventing dehydration, although other formulations are available and can be used if they are more palatable to young children. Homemade sugar-salt solutions are not recommended.

Sports drinks are designed to replace water and electrolytes lost through sweat, and do not contain the same proportions of electrolytes as the solution recommended by the World Health Organization for rehydration during diarrheal illness. Drinks with a high sugar content (e.g., juice, soft drinks) can worsen diarrhea. If ORS is not readily available, however, offer children whatever safe liquid they will take until ORS is obtained. Breastfed infants should continue to breastfeed (for more details, see Sec. 7, Ch. 2, Travel & Breastfeeding ).

ORS can be made from prepackaged glucose and electrolytes packets available at stores or pharmacies in almost all countries. Some pharmacies and stores that specialize in outdoor recreation and camping supplies also sell ORS packets.

ORS is prepared by adding 1 packet to boiled or treated water (see Sec. 2, Ch. 9, Water Disinfection ). Advise travelers to check packet instructions carefully to ensure that the contents are added to the correct volume of water. Once prepared, ORS should be consumed or discarded within 12 hours if held at room temperature, or within 24 hours if kept refrigerated. A dehydrated child will usually drink ORS avidly and should continue to receive ORS if dehydration persists.

As dehydration lessens, the child might refuse the salty-tasting ORS, and adults can offer other safe liquids. An infant or child who has been vomiting will usually keep ORS down if it is offered by spoon or oral syringe in small sips; adults should offer these small sips frequently, however, so the child can receive an adequate volume of ORS. Older children will often drink well by sipping through a straw. Severely dehydrated children often will be unable to drink adequately. Severe dehydration is a medical emergency that usually requires administration of fluids by intravenous or intraosseous routes.

In general, children weighing <22 lb (10 kg) who have mild to moderate dehydration should be administered 2–4 oz (60–120 mL) of ORS for each diarrheal stool or vomiting episode. Children who weigh ≥22 lb (10 kg) should receive 4–8 oz (120–240 mL) of ORS for each diarrheal stool or vomiting episode. AAP provides detailed guidance on rehydration for vomiting and diarrhea.

Diet Modification

Breastfed infants should continue nursing on demand. Formula-fed infants should continue their usual formula during rehydration and should receive a volume sufficient to satisfy energy and nutrient requirements. Lactose-free or lactose-reduced formulas usually are unnecessary. Diluting formula can slow resolution of diarrhea and is not recommended.

Older infants and children receiving semisolid or solid foods should continue to receive their usual diet during the illness. Recommended foods include cereals, fruits and vegetables, starches, and pasteurized yogurt. Travelers should avoid giving children food high in simple sugars (e.g., undiluted apple juice, presweetened cereals, gelatins, soft drinks) because these can exacerbate diarrhea by osmotic effects. In addition, foods high in fat tend to delay gastric emptying, and thus might not be well tolerated by ill children.

Travelers should not withhold food for ≥24 hours. Early feeding can decrease changes in intestinal permeability caused by infection, reduce illness duration, and improve nutritional outcome. Although highly specific diets (e.g., the BRAT [bananas, rice, applesauce, toast] diet) or juice-based and clear fluid diets commonly are recommended, such severely restrictive diets have no scientific basis and should be avoided.

Malaria is among the most serious and life-threatening infections acquired by pediatric international travelers. Pediatric VFR travelers are at particularly high risk for malaria infection if they do not receive prophylaxis. Among people reported with malaria in the United States in 2017, 17% were children <18 years old; 89% had traveled to Africa. Seventy percent of the children who were US residents also were VFR travelers, and 61% did not take malaria chemoprophylaxis.

Children with malaria can rapidly develop high levels of parasitemia and are at increased risk for severe complications of malaria, including seizures, coma, and death. Initial symptoms can mimic many other common causes of pediatric febrile illness, which could delay diagnosis and treatment. Among 33 children with imported malaria diagnosed at 11 medical centers in New York City, 11 (32%) had severe malaria and 14 (43%) were initially misdiagnosed. Counsel adults traveling with children to malaria-endemic areas to use preventive measures, be aware of the signs and symptoms of malaria, and seek prompt medical attention if symptoms develop.

Antimalarial Drugs

Pediatric doses for malaria prophylaxis are provided in Table 5-27 . Calculate dosing based on body weight. Medications used for infants and young children are the same as those recommended for adults, except atovaquone-proguanil, which should not be used for prophylaxis in children weighing <5 kg because of lack of data on safety and efficacy. Doxycycline should not be recommended for malaria prophylaxis for children aged <8 years. Although doxycycline has not been associated with dental staining when given as a routine treatment for some infections, other tetracyclines might cause teeth staining.

Atovaquone-proguanil, chloroquine, and mefloquine have a bitter taste. Mixing pulverized tablets in a small amount of food or drink can facilitate the administration of antimalarial drugs to infants and children. Clinicians also can ask compounding pharmacists to pulverize tablets and prepare gelatin capsules with calculated pediatric doses. A compounding pharmacy can alter the flavoring of malaria medication tablets so that children are more willing to take them. The Find a Compounder section on the Alliance for Pharmacy Compounding website (281-933-8400) can help with finding a compounding pharmacy. Because overdose of antimalarial drugs, particularly chloroquine, can be fatal, store medication in childproof containers and keep out of the reach of infants and children.

Personal Protective Measures & Repellent Use

Children should sleep in rooms with air conditioning or screened windows, or sleep under mosquito nets when air conditioning or screens are not available. Mosquito netting should be used over infant carriers. Children can reduce skin exposed to mosquitoes by wearing long pants and long sleeves while outdoors. Clothing and mosquito nets can be treated with an insect repellent/insecticide (e.g., permethrin) that repels and kills ticks, mosquitoes, and other arthropods. Permethrin remains effective through multiple washings. Clothing and mosquito nets should be retreated according to the product label. Permethrin should not be applied to the skin.

Although permethrin provides a longer duration of protection, recommended repellents that can be applied to skin also can be used on clothing and mosquito nets (see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods , for more details about these protective measures). The Centers for Disease Control and Prevention (CDC) recommends using US Environmental Protection Agency (EPA)–registered repellents containing one of the following active ingredients: DEET ( N,N -diethyl- m -toluamide); picaridin; oil of lemon eucalyptus (OLE); PMD (para-menthane-3,8-diol); IR3535; or 2-undecanone (methyl nonyl ketone). Repellent products must state any age restriction; if no age restriction is provided, EPA has not required a restriction on the use of the product. Most EPA-registered repellents can be used on children aged >2 months, except products containing OLE or PMD that specify they should not be used on children aged <3 years. Insect repellents containing DEET, picaridin, IR3535, or 2-undecanone can be used on children without age restriction.

Many repellents contain DEET as the active ingredient. DEET concentration varies considerably between products. The duration of protection varies with DEET concentration; higher concentrations protect longer; products with DEET concentration >50% do not, however, offer a marked increase in protection time.

The EPA has approved DEET for use on children without an age restriction. If used appropriately, DEET does not represent a health problem. The AAP states that the use of products with the lowest effective DEET concentrations (i.e., 20%–30%) seems most prudent for infants and young children, on whom it should be applied sparingly. For more tips on protecting babies and children from mosquito bites , see  Box 7-04 .

Combination products containing repellents and sunscreen are generally not recommended because instructions for use are different, and sunscreen might need to be reapplied more often and in larger amounts than repellent. In general, apply sunscreen first, and then apply repellent. Mosquito coils should be used with caution in the presence of children to avoid burns and inadvertent ingestion. For detailed information about repellent use and other protective measures, see Sec. 4, Ch. 6, Mosquitoes, Ticks & Other Arthropods .

Box 7-04 Protecting infants & children from mosquito bites: recommendations for travelers

Dress children in clothing that covers arms and legs.

Cover strollers and baby carriers with mosquito netting.

Properly use insect repellent

• Always follow all label instructions.
• In general, do not use products containing oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD) on children <3 years old.
• Do not apply insect repellent to a child’s hands, eyes, mouth, cuts, or irritated skin.
• Adults should spray insect repellent onto their hands and then apply to a child’s face.

Depending on travel destination and activities, animal exposures and bites might be a health risk for pediatric travelers. Worldwide, rabies is more common in children than adults. In addition to the potential for increased contact with animals, children also are more likely to be bitten on the head or neck, leading to more severe injuries. Counsel children and their families to avoid all stray or unfamiliar animals and to inform adults of any animal contact or bites. Bats throughout the world have the potential to transmit rabies virus.

Travelers should clean all bite and scratch wounds as soon as possible after the event occurs by using soap and water, or povidine iodine if available, for ≥20 minutes to prevent infections, (e.g., rabies). Wounds contaminated with necrotic tissue, dirt, or other foreign materials should be cleaned and debrided promptly by health care professionals, where possible. A course of antibiotics might be appropriate after animal bites or scratches, because these can lead to local or systemic infections. For mammal bites and scratches, children should be evaluated promptly to assess their need for rabies postexposure prophylaxis (see Sec. 4, Ch. 7, Zoonotic Exposures: Bites, Stings, Scratches & Other Hazards ; and Sec. 5, Part 2, Ch. 18, Rabies ).

Because rabies vaccine and rabies immune globulin might not be available in certain destinations, encourage families traveling to areas with high risk for rabies exposure to seriously consider preexposure rabies vaccination and to purchase medical evacuation insurance, depending on their destination and planned travel activities (see Sec. 7, Ch. 4, Vaccine Recommendations for Infants & Children , and Sec. 6, Ch. 1, Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance ).

Soil & Water Contact: Infections & Infestations

Children are more likely than adults to have contact with soil or sand, and therefore could be exposed to diseases caused by infectious stages of parasites in soil, including ascariasis, hookworm, cutaneous or visceral larva migrans, strongyloidiasis, and trichuriasis. Children and infants should wear protective footwear and play on a sheet or towel rather than directly on the ground. Clothing should not be dried on the ground. In countries with a tropical climate, clothing or diapers dried in the open air should be ironed before use to prevent infestation with fly larvae.

Schistosomiasis is a risk to children and adults in endemic areas. While in schistosomiasis- endemic areas (see Sec. 5, Part 3, Ch. 20, Schistosomiasis ), children should not bathe, swim, or wade in fresh, unchlorinated water (e.g., lakes, ponds).

Noninfectious Hazards & Risks

Although air travel is safe for most newborns, infants, and children, people traveling with children should consider a few issues before departure. Children with chronic heart or lung problems might be at risk for hypoxia during flight, and caregivers should consult a clinician before travel.

Ear pain can be troublesome for infants and children during descent. Pressure in the middle ear can be equalized by swallowing or chewing; thus, infants should nurse or suck on a bottle, and older children can try chewing gum. Antihistamines and decongestants have not been shown to be of benefit. No evidence suggests that air travel exacerbates the symptoms or complications associated with otitis media.

Travel to different time zones, jet lag, and schedule disruptions can disturb sleep patterns in infants and children, just as in adults (Sec. 8, Ch. 4, Jet Lag ).

Safety Restraints

Travelers also should ensure that children can be restrained safely during a flight. Severe turbulence or a crash can create enough momentum that an adult cannot hold onto a child. The safest place for a child on an airplane is in a government-approved child safety restraint system (CRS) or device. The Federal Aviation Administration (FAA) strongly urges travelers to secure children in a CRS for the duration of the flight. Car seats cannot be used in all seats or on all planes, and some airlines might have limited safety equipment available. Travelers should check with the airline about specific restrictions and approved child restraint options. FAA provides additional information .

Altitude Illness & Acute Mountain Sickness

Children are as susceptible to the deleterious effects of high elevation travel as adults (see Sec. 4, Ch. 5, High Elevation Travel & Altitude Illness ). Slow ascent is the preferable approach for avoiding acute mountain sickness (AMS). Young children unable to talk can show nonspecific symptoms (e.g., loss of appetite or irritability, unexplained fussiness, changes in sleep and activity patterns). Older children might complain of headache or shortness of breath. If children demonstrate unexplained symptoms after an ascent, descent could be necessary.

Acetazolamide is not approved for pediatric use in children aged <12 years for altitude illness but is generally safe for use in children for other indications. Some providers prescribe acetazolamide to prevent AMS in pediatric travelers <12 years of age when a slow ascent is not feasible. The dose is 2.5 mg/kg every 12 hours, up to a maximum of 125 mg per dose, twice a day. No liquid formulation is available, but tablets can be crushed or packaged by a compounding pharmacy for a correct dose.

Drinking Water Contaminants

Drinking water disinfection does not remove environmental contaminants (e.g., lead or other metals). Travelers might want to carry specific filters designed to remove environmental contaminants, particularly for travel where the risk for exposure is greater due to larger amounts of water consumed (e.g., long-term travel or when living abroad). Filters should meet National Science Foundation (NSF) and American National Standards Institute (ANSI) standards 53 or 58 .

Accommodations: Hotels & Other Lodgings

Conditions at hotels and other lodgings abroad might not be as safe as those in the United States; adults traveling with children should carefully inspect accommodations for paint chips, pest poisons, inadequate balcony or stairway railings, or exposed wiring.

Adult caregivers should plan to provide a safe sleeping environment for infants during international travel. Caregivers should follow general recommendations from the AAP task force on preventing sudden infant death syndrome (SIDS) and other sleep-related causes of infant death. Cribs in some locations might not meet US safety standards. Additional information about crib safety is available from the US Consumer Product Safety Commission .

Motor Vehicles

Vehicle-related injuries are the leading cause of death in children who travel. Whenever traveling in an automobile or other vehicle, children should be properly restrained in a car seat, booster seat, or with a seat belt, as appropriate for their age, height, and weight. See information about child passenger safety . Car seats often must be brought from home because well-maintained and approved seats might not be available (or limited in availability) in other countries.

In general, children ≤12 years of age are safest when properly buckled in the rear seat of the car while traveling; no one should ever travel in the bed of a pickup truck. Advise families that cars might lack front or rear seatbelts in many low- and middle-income countries. Traveling families should attempt to arrange transportation or rent vehicles with seatbelts and other safety features.

All family members should wear helmets when riding bicycles, motorcycles, or scooters. Pedestrians should take caution when crossing streets, particularly in countries where cars drive on the left, because children might not be used to looking in that direction before crossing.

Water-Related Injuries & Drowning

Drowning is the second leading cause of death in young travelers. Children might not be familiar with hazards in the ocean or in rivers. Swimming pools might not have protective fencing to keep toddlers and young children from accessing pool areas unattended. Adults should closely supervise children around water. An adult with swimming skills should be within an arm’s length when infants and toddlers are in or around pools and other bodies of water; even for older children and better swimmers, the supervising adult should focus on the child and not be engaged with any distracting activities.

Water safety devices (e.g., personal flotation devices [lifejackets]) might not be available abroad, and families should consider bringing these from home. In addition, adults should ensure children wear protective footwear to avoid injury in many marine environments.

Sun Exposure

Sun exposure, and particularly sunburn before age 15 years, is strongly associated with melanoma and other forms of skin cancer (see Sec. 4, Ch. 1, Sun Exposure ). Exposure to ultraviolet (UV) light is greatest near the equator, at high elevations, during midday (10 a.m.–4 p.m.), and where light is reflected off water or snow.

Physical, also known as inorganic, UV filters (sunscreens) generally are recommended for children aged >6 months. Less irritating to children’s sensitive skin than chemical sunscreens, physical UV filters (e.g., titanium oxide, zinc oxide) should be applied as directed and reapplied as needed after sweating and water exposure. Babies aged <6 months require extra protection from the sun because of their thinner and more sensitive skin; severe sunburn in young infants is considered a medical emergency.

Advise parents that babies should be kept in the shade and dressed in clothing that covers the entire body. A minimal amount of sunscreen can be applied to small, exposed areas, including the infant’s face and hands. For older children, sun-blocking shirts made for swimming preclude having to apply sunscreen over the entire trunk. Hats and sunglasses also reduce sun injury to skin and eyes.

If both sunscreen and a DEET-containing insect repellent are used, apply the sunscreen first and the insect repellent second (i.e., over the sunscreen). Because insect repellent can diminish the level of UV protection provided by the sunscreen by as much as one-third, children should also wear sun-protective clothing, reapply sunscreen, or decrease their time in the sun, accordingly.

Other Considerations

Identification.

In case family members become separated, each infant or child should carry identifying information and contact numbers in their clothing or pockets. Because of concerns about illegal transport of children across international borders, parents traveling alone with children should carry relevant custody papers or a notarized permission letter from the other parent.

As with adult travelers, verify insurance coverage for illnesses and injuries while abroad before departure. Travelers should consider purchasing special medical evacuation insurance for an airlift or air ambulance transport to facilities capable of providing adequate medical care (see Sec. 6, Ch. 1, Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance ).

Travel Stress

Changes in schedule, activities, and environment can be stressful for children. Travelers can help decrease these stresses by including children in planning for the trip and bringing along familiar toys or other objects. For children with chronic illnesses, make decisions regarding timing and itinerary in consultation with the child’s health care providers.

The following authors contributed to the previous version of this chapter: Michelle S. Weinberg, Nicholas Weinberg, Susan A. Maloney

Bibliography

Ashkenazi S, Schwartz E. Traveler’s diarrhea in children: new insights and existing gaps. Travel Med Infect Dis. 2020;34:101503.

Fedorowicz Z, Jagannath VA, Carter B. Antiemetics for reducing vomiting related to acute gastroenteritis in children and adolescents. Cochrane Database Syst Rev. 2011;2011(9):CD005506.

Goldman-Yassen AE, Mony VK, Arguin PM, Daily JP. Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. Pediatr Emerg Care. 2016;32(4):227–31.

Hagmann S, LaRocque R, Rao S, Jentes E, Sotir M, Brunette G, et al.; Global TravEpiNet Consortium. Pre-travel health preparation of pediatric international travelers: analysis from the Global TravEpiNet Consortium. J Pediatric Infect Dis Soc. 2013;2(4):327–34.

Hagmann S, Neugebauer R, Schwartz E, Perret C, Castelli F, Barnett ED, et al. Illness in children after international travel: analysis from the GeoSentinel Surveillance Network. Pediatrics. 2010;125(5):e1072–80.

Han P, Yanni E, Jentes E, Hamer D, Chen L, Wilson M, et al. Health challenges of young travelers visiting friends and relatives compared with those traveling for other purposes. Pediatr Infect Dis J. 2012;31(9):915–9.

Herbinger KH, Drerup L, Alberer M, Nothdurft HD, Sonnenburg F, Loscher T. Spectrum of imported infectious diseases among children and adolescents returning from the tropics and subtropics. J Travel Med. 2012;19(3):150–7.

Hunziker T, Berger C, Staubli G, Tschopp A, Weber R, Nadal D, et al. Profile of travel-associated illness in children, Zurich, Switzerland. J Travel Med. 2012;19(3):158–62.

Mace K, Lucchi N, Tan K. Malaria surveillance—United States, 2017. MMWR Surveill Summ. 2021;70(2):1–40.

Niño-Serna LF, Acosta-Reyes J, Veroniki AA, Florez ID. Antiemetics in children with acute gastroenteritis: a meta-analysis. Pediatrics. 2020;145(4):e20183696.

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Safety When Traveling With a Newborn

Jaunty Junto / Digital Vision / Getty Images

While you can travel with a newborn baby, including airplane travel , it doesn't mean that you should . A lot depends on your baby's age and health. Generally, travel before one week old is not recommended and many doctors will also advise you to limit travel for several months. Using caution is not about the oxygen levels, the pressurized cabin on the plane, or the effects of high altitude. There is no proven connection between airplane travel and SIDS .

Instead, most experts advise limiting newborns' and younger infants' exposure to large groups of people so that they don't get sick. Traveling through an airport , onto an airplane (or two), through another airport (or two), and then visiting a lot of people—even if they are family members—exposes your baby to viral illnesses and other infections. This exposure is the main issue to consider when you travel with a baby, especially by air.

Vaccine-preventable diseases are also a concern at this age, as babies haven't had time to get vaccines and be fully protected against these illnesses. From measles and pertussis to the flu, it isn't a good idea to expose a newborn baby or young infant to these diseases unnecessarily, whether in an airport or at your destination. Traveling by bus or train would also expose your baby to many unfamiliar people and diseases.

Air Travel With a Baby

If you do plan to fly, check with your pediatrician to get clearance as well as the carrier that you are using. Each airline has its own policy. American Airlines, for example, allows babies as young as two days old to fly, but babies one week old and younger must have a medical form completed by a physician.

Keep in mind that travel could be stressful for both a new mom and a brand-new baby, especially if a flight is delayed or canceled. Add to that all the supplies that you need for your newborn, including clothes, diapers, bottles, and of course, a car seat for the plane.

Sometimes travel is essential, such as if you have adopted a baby and need to get back home. Otherwise, according to the American Academy of Pediatrics (AAP), it might be best to wait to fly until your baby is two to three months old and has a more mature immune system and a more predictable schedule.

If you fly with a baby, ideally:

• Be prepared for everything (delays, diaper disasters, minor illnesses)
• Bring some help with you (as in another adult or teen)
• Bring your baby's birth certificate as proof of age
• Fly during an off-peak time
• Get a nonstop flight
• Get your pediatrician's opinion before you go

Driving With a Baby

Driving is better than flying with a newborn since the baby is exposed to far fewer people. However, driving can still be stressful. Especially on a longer trip, you will have to stop every few hours for feedings , diaper changes , and simply to comfort your baby. As well, parents of a newborn are likely going to be a little sleep-deprived, which is not the best condition to drive a long distance.

If you do go on a road trip, it's essential that your baby is in a safe, rear-facing car seat while the car is in motion. If your baby falls asleep in the car seat, but sure that they have proper airflow around their face and that you are routinely checking on them.

The bottom line is that, unless you have a well-rested driver, you should aim to put off traveling until your newborn is a little older unless travel is essential.

American Academy of Pediatrics. Flying with babies: parent FAQs .

Sohail MR, Fischer PR. Health risks to air travelers . Infect Dis Clin North Am . 2005;19(1):67-84. doi:10.1016/j.idc.2004.10.001

American Airlines. Traveling with children .

Insana SP, Montgomery-Downs HE. Sleep and sleepiness among first-time postpartum parents: a field- and laboratory-based multimethod assessment .  Dev Psychobiol . 2013;55(4):361-372. doi:10.1002/dev.21040

American Academy of Pediatrics. Car seats: information for families .

Weinberg MS. Vaccine Recommendations for Infants & Children . CDC Health Information for International Travel (Yellow Book). 2016 edition.

By Vincent Iannelli, MD Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years.

Traveling With My Newborn: What It Was Like On My First Flight With a Baby

"I was always the person who dreaded seeing children get on a flight."

d3sign / Getty Images

We’re dedicating our  March features  to family travel. Read on for insightful guides to the best road trips for different ages , the best hotels with amenities for children , and the changing face of family trip planning , as well as inspiring stories of traveling with a newborn, family travel post-divorce , the lowdown on family campground culture , and more. Giving birth abroad and traveling around the world with my child at such an early stage in his life was never in my five year plan. But, as life would have it, my newborn son was destined to become a frequent flyer. From his first plane ride from Germany at just six weeks old, he had covered four continents and a multitude of countries and states before he could even walk. 

I gave birth in Szczecin, Poland, just two hours outside of Berlin, where my husband had been coaching a professional football team. Shortly after, his contract was cut short, and we suddenly found ourselves packing up all of our things quicker than expected. The thought of flying with my newborn for multiple hours had me on pins and needles; I was always the person who dreaded seeing children get on a flight. As we prepared for our flight home, I thought of all the ways I could possibly keep my son subdued throughout the experience. My panic was sending me into a tailspin before we even boarded the plane.

Things didn't begin smoothly. The first rookie mistake I would make was not practicing separating the European-style pram we had been gifted from our Polish friends. It was a bit fancy—not one of those one-click type of strollers. As we checked in, my husband huddled with an airline employee trying to figure out how to separate the thing so we could get on the plane. Talk about stress through the roof! Thankfully, after a few trial and error clicks and hits, we were able to get the top and bottom separated and check it onto the flight. 

My panic was sending me into a tailspin before we even boarded the plane.

But that wasn't all. I would soon find that I would be making my next rookie mistake, which was checking our stroller at the check-in counter versus at the gate. As a new parent, it didn’t cross my mind that we could take the stroller through security and directly up to the gate where the airline would tag the stroller and check it for us. This left my husband and I having to trudge through Berlin’s Brandenburg Airport with a bulky carseat, a baby bag, two carry-ons, and a personal item. We had inconvenienced ourselves twice before even having the opportunity for people to snare at us for having a screaming baby on the flight. 

Once we finally boarded the flight, we hustled straight to the back. I always booked our seats in the very front or very back of the aircraft to be closer to bathrooms and to either get off quickly or be able to take my time when needed. On this flight, we shared a row with a woman who gleefully looked at us and let us know that if there were any empty seats, she would happily move to give us more room for my son. She wasn't at all disappointed that she had been placed next to a family with a newborn; it immediately eased all of the tension I had in my body. In my years traveling with my son, I will never forget the passengers who have openly given me grace—those who would show empathy by offering me an entire row or giving my son little gifts, toys, or candy to help lessen the stress.

Thankfully, the flight wasn’t full, which gave us an additional seat in our row. I had read somewhere that it’s good to feed your child during takeoff and landing to alleviate any air pressure they might feel, which often causes babies to cry. If they fall asleep, the advice had said, it was best to let them rest. Because my son had been awake and I breastfed, I allowed him to nestle during takeoff which put him to sleep. Once we were stable in the air, I laid him in the middle seat for the rest of the flight. Prayerfully, he did not cry—he slept for hours.

Throughout the flight, I focused on my son's food and snacks, entertainment, and clothing. Having food and snacks that I knew he liked was vital for the flight. For longer flying times, I learned, airplane food may not settle well, or your child may just may flat out refuse to eat it, which will stress them out. As my son grew older, I learned to bring along a tablet with pre-downloaded episodes of shows he would enjoy. When he was a newborn it was never needed, but once he reached the one-to-two year mark, having his own headphones with pre-downloaded shows kept him subdued. Just as adults want to be comfortable on flights, so do children.

She wasn't at all disappointed that she had been placed next to a family with a newborn; it immediately eased all of the tension I had in my body.

When my son was a baby, we always boarded a flight with a fresh diaper and I always had extras in my carry-on to keep him clean and comfortable. I’d take off his shoes, have a blanket in case the flight was cold, and have alternative outfits like a hoodie, pants, and socks, or tank top and shorts depending on whether he needed to be warmer or cooler. Those few moments of getting settled and making sure I had everything ready for him were essential; it's why airline policies that allow people traveling with children to board first are so appreciated.

My son is now five years old and travels like a complete pro. It takes a village to raise a child, and my first experiences traveling with a newborn certainly felt scary. But the years I spent traveling with my son as a baby taught me lessons about both parenting and traveling that have been endlessly valuable.

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Traveling with Children

All passengers are required to undergo screening. However, TSA has developed modified screening procedures for children who appear to be 12 years old and younger. TSA officers will consult parents or the traveling guardian about the child’s screening.

TSA standard screening procedures apply for children 13 years and older. Carry-on property of all passengers, regardless of age, must be screened. All passengers who alarm will undergo additional screening.

Children with Medical Conditions, Disabilities, or Mobility Aids

Inform the TSA officer if the child has a disability, medical condition or medical device.

Let the TSA officer know if your child is able to walk through the metal detector or needs to be carried through the metal detector by a parent/guardian. You may carry your child through the WTMD. The TSA officer will not remove your child from their mobility aid, wheelchair or scooter.

Request Assistance

TSA Cares provides information to passengers with disabilities, medical conditions and those that need additional assistance to better prepare for the security screening process. Call  TSA Cares 72 hours prior  to traveling with questions about screening policies, procedures and what to expect at the security checkpoint. You may also call to request assistance at the checkpoint.

Liquid Formula, Breast Milk, Toddler Drinks, and Baby/Toddler food (to include puree pouches)

Formula, breast milk, toddler drinks and baby/toddler food (to include puree pouches) in quantities greater than 3.4 ounces or 100 milliliters are allowed in carry-on baggage and do not need to fit within a quart-sized bag. Formula, breast milk, toddler drinks and baby/toddler food (to include puree pouches) are considered medically necessary liquids. This also applies to breast milk and formula cooling accessories, such as ice packs, freezer packs and gel packs (regardless of presence of breast milk). Your child or infant does not need to be present or traveling with you to bring breast milk, formula and/or related supplies.

Inform the TSA officer at the beginning of the screening process that you are carrying formula, breast milk, toddler drinks and baby/toddler food (to include puree pouches) in excess of 3.4 ounces. Remove these items from your carry-on bag to be screened separately from your other belongings. TSA officers may need to test the liquids for explosives or concealed prohibited items.

It’s helpful to the officers when formula and breast milk are in clear, translucent bottles and not plastic bags or pouches. Liquids in plastic bags or pouches may not be able to be screened by Bottle Liquid Scanners, and you may be asked to open them (if feasible) for alternate screening such as Explosive Trace Detection and Vapor Analysis for the presence of liquid explosives. Screening will never include placing anything into the medically necessary liquid.

TSA X-ray machines are not harmful to food or medicines. However, if you do not want the formula, breast milk, toddler drinks, and baby/toddler food (to include puree pouches) to be X-rayed or opened, please inform the TSA officer. Additional steps will be taken to resolve alarms. You or the traveling guardian will undergo additional screening procedures, to include Advanced Imaging Technology screening and additional/enhanced screening of other carry-on property.

Ice packs, freezer packs, frozen gel packs and other accessories required to cool formula, breast milk, toddler drinks and baby/toddler food (to include puree pouches) – regardless of the presence of breast milk – are also allowed in carry-ons, along with liquid-filled teethers. If these items are partially frozen or slushy, they are subject to the same screening as described above.

Passengers requiring special accommodations or concerned about the security screening process at the airport may request assistance by contacting  TSA Cares  or by phone at (855) 787-2227.

Screening of Children’s Items

• Place all carry-on baggage such as children's toys, bags and blankets on the X-ray belt for screening.
• Strollers, umbrella-strollers, baby carriers, car and booster seats and backpacks must be screened by X-ray.
• Place items in the stroller pockets or baskets, in a carry-on bag or on the X-ray belt for screening.
• Equipment that does not fit through the X-ray machine will undergo a visual/physical inspection by TSA officers.

Screening Technology

Walk-Through Metal Detector

Children able to walk through the metal detector without assistance may do so separately from their parent or guardian. If they alarm, children are allowed multiple passes through screening technologies and may undergo other procedures to resolve the alarm to reduce the need for a pat-down. Infants and small children may be carried through the metal detector. Should the alarm sound, additional screening is required.

Advanced Imaging Technology

If your child is able to remain standing in the required position for 5 seconds, he or she may be screened through the advanced imaging technology. If a child 12 and under goes through the machine and alarms, they have an opportunity to go through again or the TSA officer may use other procedures to resolve the alarm to reduce the need for a pat-down.

You may not be screened by this technology when carrying an infant or child.

Screening your Child

• Children 12 and under can leave their shoes, light jackets and headwear on during screening. For AIT screening, light jackets must be removed and placed on the X-ray belt.
• Children will not be separated from their parent/guardian.
• Remove infants and children from strollers and car seats and carry them in arms through the walk-through metal detector.
• Infants may be carried in a sling/carrier (to include lap baby) through the walk-through metal detector or when being screened in a wheelchair, but may be subject to additional screening
• Modified screening procedures are in place to reduce the likelihood of a pat-down.

• Parenting Babymoon & Travel

30 Tips to Keep in Mind When Traveling With an Infant

Sure, going away is exciting—but when you’ve got little ones to account for, getting ready for a trip can feel more like work than vacation. Traveling with baby is intimidating, but it’s certainly not impossible. In fact, family travel expert Corinne McDermott believes traveling with an infant is often easier than traveling with an older toddler. “They’re not mobile, they’re not wiggling and they’re eating and sleeping around the clock,” she says. “It doesn’t really matter where you are!”

That said, whether you’re getting to your destination by plane, train or automobile, you’ll still want to prepare to ensure your journey goes as smoothly as possible. Below, experts break down all the travel-with-baby tips to know before you depart.

When Can You Travel With a Baby?

According to the American Academy of Pediatrics (AAP), both premature and full-term babies shouldn’t fly for the first few months of life unless it’s absolutely necessary. Flying can increase baby’s exposure to infectious diseases, so it may be best to wait until their immune system is a little more developed, or until they’ve received some of their initial immunizations , which are generally given at the 2 month visit, but can be given after 6 weeks old. Traveling by train poses the same risk. Road trips are usually the safest option for newborns and infants. Just make sure to have a properly installed infant car seat and take breaks every few hours, per the AAP . Of course, it’s always best to check in with your pediatrician before planning any kind of vacation with baby.

General Tips for Traveling With an Infant

Traveling with an infant can seem like a daunting task, but there are several ways to make it go a bit smoother. Whether you’re hitting the road, taking a train or flying, consider the following travel-with-baby tips:

Stick to baby’s schedule

Odds are baby has a naptime , bedtime and feeding schedule they’re used to. Children tend to behave better when they have a predictable sense of order, so try to plan your travel—as well as events on the trip—around that schedule (i.e. after baby’s nap or meal) if you can, advises parenting coach Tammy Gold . They’ll likely be less cranky if they’re well-rested and fed.

Keep baby’s meals handy

On a similar note, while traveling with an infant, pack plenty of formula, bottles, water (for babies older than 6 months) and other solids . Pack more than you think you’ll need in case of delays—and don’t forget to take all the essentials you’ll need for pumping while traveling .

Bring extra clothes and lots of diapers

When traveling with an infant, you’ll want anything and everything that can help clean up a messy emergency. Pack extra wipes in your carry-on diaper bag , as well as multiple changes of clothes for baby . “Bring more diapers and wipes than you think you’ll need,” suggests McDermott. Accidents happen. Stash plastic bags to hold trash until you have the opportunity to dispose of it properly. While you’re at it, keep a change of clothes for yourself handy in case of spit up or a blowout. If baby makes a mess, you might take the brunt of it. Plus, don’t forget the essentials, like travel-sized diaper cream , baby shampoo , body wash, moisturizer and other staples in baby’s daily routine, suggests McDermott. (This checklist is a great tool for packing all the baby essentials you’ll need in your diaper bag.) Gold also suggests trying overnight diapers for long travel days to prevent baby from getting uncomfortably wet.

Bring baby-safe medication

Consider also packing a first-aid travel kit in case of unexpected incidents, like if baby has an allergic reaction on the plane. It can also come in handy once you’ve landed, since you won’t want to hunt for a pharmacy in a strange place at an odd hour. You’ll also want to bring nasal aspirators , nasal saline drops, and infant Tylenol in case baby gets sick while traveling . Check in with your pediatrician for their recommendations on what medications to pack. Plus do some research before leaving on local pediatricians and pediatric hospitals in case of emergencies.

Pack baby’s toys

Whether you’re traveling with an infant or a toddler, packing books and toys to keep them entertained is key. Bring a mix of baby’s favorites, including items that offer comfort, like their favorite stuffed animal or lovey . Having that small comfort from home when baby’s in a new place can go a long way to making them feel happy and safe, Gold says. Bringing new toys or options that baby doesn’t usually play with can be a game changer too. “New situations also offer new perspectives, so that book your child loves for hours at home may not be of interest to them at all on a flight. But that other one they’ve never picked up will suddenly occupy them for hours,” Lund says. “Books, wooden puzzles, busy-boards and coloring books are great for flights because they pack pretty easily and don’t require movement to be used.” Wondering if you should consolidate baby’s books onto one device to make your bag lighter? McDermott says to do this only as a last resort: “Once you pull that tech out, it’s hard to go back.”

Go over the logistics beforehand

If you’re flying with a baby internationally, do some research beforehand to see if there are any special passport or visa requirements, or immunizations baby will need . Also investigate if getting travel insurance is a good idea. Finally, call your lodgings beforehand to see what kind of travel gear they offer. This can help save you the effort of packing baby gear .

Arrive early

Whether you’re flying with baby or traveling by train, give yourself ample time. Get to the airport or train station a little earlier than you normally would to check in, request any assistance and board when you can. The last thing any parent traveling with little ones wants is the additional stress of missing their departure time.

Don’t worry about other passengers

When traveling with an infant, one of the primary anxieties parents have is disrupting other passengers. While it can be really hard, try not to worry about what others think. “No one wants to be the stereotypical ‘bad parent’ on a plane with a screaming kid, but there’s a reason it’s so prevalent,” says Tyler Lund, founder and lead contributor at Dad on the Run . “Parents need to do what they need to do and what’s best for their children, regardless of whether it interrupts another passenger’s enjoyment of their in-flight movie.” Instead of worrying about other passengers, spend your time and energy making baby comfortable.

Be patient with yourself and baby

Another important tip for traveling with baby? Show yourself grace. Even with extra time and tons of planning, it can be challenging—with or without a child in tow. Despite all of your planning, baby may have a fit , or things may not go as smoothly as you had hoped. Accept the situation at hand and roll with it, Lund says. “Even the most epic meltdown won’t ruin the rest of your vacation.” It’s also okay not to be as strict about rules as you might be at home to make things easier on yourself and your little one. Be patient with yourself and your kiddo and know you’re both doing the best you can.

Tips For Flying With a Baby

Anxious about an upcoming flight? Check out the following tips for flying with baby to ensure you both have a stress-free and enjoyable time.

Figure out what time to fly

Chaos is inevitable around peak travel periods, like the holidays, spring break and the summer months, but you can avoid some of it by traveling early. Generally, airports are less crowded earlier in the morning, and early flights are less likely to have travel delays. “Given the choice between an early flight or mid-afternoon, I’ll take early every time,” McDermott says. “Some kids might actually go back to sleep for the ride to the airport.” As for booking the cheapest tickets, “steering clear of the weekends usually offers the best opportunity for reasonable airfare,” she adds.

Know TSA rules for breast milk and formula

Wondering what the deal is with packing formula or breast milk when flying with baby? According to TSA , when traveling with an infant, you can take breast milk, formula and baby food (like puree pouches) in quantities greater than 3.4 ounces for your carry-on; cooling accessories like freezer packs and gel packs are also allowed. These items are subject to additional screening though, so have them grouped together in a separate bag to make the check-in process go smoother. “It’s just easier to show security when you have all of baby’s food and drinks together,” McDermott says, adding that, while a clear bag may speed up the screening, it’s not necessary.

Gate check your stroller

Not to worry if you don’t have one of those cool micro travel strollers that folds up to fit in the overhead compartment. As you’re checking your luggage, tell the attendant at the counter that you’d like to gate check the stroller. They’ll give you a tag to attach to it, which is all the gate attendant needs to see as you’re boarding. The only stipulation: The stroller needs to be able to fold in half. With most airlines, it’ll be waiting for you on the ramp as you deplane.

Prepare baby for takeoff and landing

One of the most important tips for flying with baby? Be sure to soothe them during takeoff and landing. “Babies and toddlers tend to feel the most pain from the pressure, since the Eustachian tubes in their ears are much smaller,” explains McDermott. “The act of swallowing helps to clear them, so nursing or sucking on a bottle or pacifier can help. However, don’t be afraid to administer a dose of baby pain reliever if your child really seems to be in pain.” (Get the green light from your pediatrician first.) For older kids, swallowing snacks or drinks should help with the ear pain from the change in air pressure. Plus, while pain relievers may be okay, experts don’t recommend offering little ones medicines like Benadryl to help them “sleep better” on the flight, as it can cause adverse side effects.

Think carefully about your seats

One of the most valuable tips for flying with baby? If you have the flexibility, choose seats that work best for your family. Lund recommends the bulkhead seats toward the front. These are the rows without seats in front of them, and they often have more leg room. Some airlines may also have a pull-out bassinet in the bulkhead area too. Call your airline ahead of time and see if they’ll let you reserve the bulkhead seats, suggests Lund.

McDermott, on the other hand, prefers the back of the plane, where you can nab a spot closer to the bathroom and the service galley. “It’s easier to catch the flight attendant’s attention should you require assistance with anything,” she explains. A window seat is also usually better for baby to protect them from the service carts and any items that may fall out of overhead bins.

Consider getting baby their own seat

While the Federal Aviation Administration (FAA) allows babies and toddlers under 2 years old to sit on your lap, the AAP suggests getting baby their own seat with a car seat that’s certified for airplane use. Check in with your airline on whether baby’s gear will count as luggage and whether there are any rules and regulations to keep in mind.

Accept help from anyone you can

Many passengers or crew members will be willing to help a family traveling with an infant. Particularly at the airport, you might be surprised at how friendly and helpful TSA agents, airline employees and flight attendants can be when you ask for assistance.

Figure out if pre-boarding is right for your family

One of the biggest questions parents have when flying with baby: To preboard or not to preboard? It’s really a matter of preference and your child’s temperament . Is an extra 30 minutes of sitting on the plane a recipe for disaster—or is that additional time going to help everyone get settled? “Personally, if I let my kids run wild until the last minute, it takes them a long time to settle down,” McDermott says. “I prefer pre-boarding because it gives me the opportunity to get organized and settle the kids in their seats. You want to make sure you have access to a close overhead bin, as well as have time to install a car seat if you brought one.”

Find the airport’s play areas

Most major airports will have at least one play area for children—and this can be a great place for them to get all their energy out before boarding a flight. “It also helps to keep them from falling asleep in a stroller or on seats at the gate right before boarding,” Lund says. While it’s unavoidable at times, waking up little ones right before boarding a plane may quickly cause a meltdown.

Keep baby entertained mid-flight

“Most toddlers don’t like being restrained for lengths of time and just want to get up and explore the plane,” Lund says. Along with toys, keeping baby entertained may involve walking up and down the aisle with them when the seatbelt sign is off. Pay no mind to other passengers—as long as baby is safe and happy, that’s really all that matters.

Use bedtime as a tool for international flights

For international flights, consider overnight options, and book flights around baby’s normal bedtime. “[This] gives them a chance to calm down, get used to the setting and fall asleep. It also helps in the case of a minor delay,” Lund says. “Our boys refused to sleep on our first flight until two hours after their bedtime… Once they fell asleep though, they were out for the rest of the flight and gave us time to ourselves.”

Car Travels With Baby Tips

Keeping your little one happy while they’re strapped into a car seat for hours can be a challenge. As you gear up for a road trip with baby, keep the following travel-with-baby tips in mind:

Check the car seat

Baby will be spending the entire ride in their car seat, so it’s crucial to make sure they’re safe and secure in a properly installed car seat . While babies shouldn’t sleep in car seats for long stretches of time or overnight, the AAP notes that babies can doze off in a properly installed car seat while your vehicle is in transit.

Plan your route

Know where the gas stations and rest stops are located. Moreover, take note of any hotels along the way in case you need one, and call ahead to see if they provide a safe sleep space for baby. If not, bring a bassinet or a travel crib . Also, don’t be super-strict about arrival time. “You can’t plan around unexpected diaper changes or needing to nurse,” McDermott says. “If you go with the expectation that things will take a lot longer than usual, you’ll be fine.”

Time your departure

If you’re going to be in the car for a few hours, try timing it with baby’s nap schedule or earlier in the morning when they’re still sleeping. For longer trips, consider driving at night during baby’s normal bedtime .

Make sure everything you need is handy

Before you pull out of the driveway, make sure you have everything you and baby will need within arm’s reach. This includes extra clothes, diapers , wipes, meals and toys for baby, as well as water, hand sanitizer , sunglasses and a phone for you.

Sit in the backseat with baby

If possible, it’s smart to have a caregiver sit in the back to help with baby’s needs throughout the ride. It’ll also help keep them entertained. Whether you’re reading board books or singing a song, interaction is key when traveling with baby. “When they’re small and rear-facing, it gets awfully boring in that back seat,” McDermott says. “An engaged, safe and comfortable baby is usually a happy baby.”

Take breaks every few hours

Not only will this help you stretch your legs, but it may also keep baby from getting too restless. The AAP recommends taking a break every two to three hours during day trips and four to six hours at night. Use this time to change baby’s diapers and feed them. (The AAP also cautions parents to never breastfeed baby in a moving car.)

Pull over when you need to

Maybe baby just won’t stop crying because they threw their toy and now it’s stuck somewhere between the seat and the door, or maybe you need to use the restroom. Whatever the reason, if there’s anything distracting you from the road, pull over and take the time to deal with it. If you’re traveling with baby alone and need to leave the car, take them with you. Otherwise, work with your traveling companions to ensure everyone’s needs are met before getting back on the road.

Train Travels With Baby Tips

The train seems ideal for traveling with baby, right? You’re free to move around, baby always has a view and you don’t have to keep your eyes on the road. “For older toddlers, you can’t beat it,” McDermott says. Plus, Amtrak also offers great discounts for kids: Infants 0 to 2 travel for free, and children ages 2 to 12 ride at half price. However, there are some things to keep in mind to have a smooth ride—and many of these will be similar to our tips for flying with baby.

Tag team finding seats

If you’re traveling with your partner or someone else, have them scout out seats while you tend to baby. Many cars have four seats facing each other toward one end, and these typically have more room. Try to snag those seats if they’re available. Also, ask the conductor which doors will open at your stop so you won’t have to scramble to switch cars.

Sit by a window

If you’re able, try to grab baby a window seat. Similar to flights, it’s safer than the aisle. Plus, the view outside may keep baby engaged and entertained while you take a few minutes to yourself.

Above all else, when traveling with baby, remember to have patience. “Tantrums and breakdowns aren’t malicious; they’re a sign of frustration,” Lund says. “Remembering this might be the difference between a bad [experience] that’s a side note to an otherwise great vacation, and a bad [experience] causing a bad vacation.”

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

Tammy Gold , LCSW, MSW, CEC, is a licensed therapist, certified parent coach, author and the founder of the Tammy Gold Nanny Agency. She has over 20 years of experience and received her bachelor’s degree from the University of Pennsylvania and her master’s degree from Columbia University.

Corinne McDermott is a TICO-certified family travel expert with over 15 years of experience and the founder of the blog Have Baby Will Travel . She received her bachelor’s degree from Toronto Metropolitan University.

Tyler Lund is the founder and lead contributor to Dad on the Run , a blog dedicated to fatherhood. He’s also a software development manager, tech nerd, home-brewer, three-time marathoner and rescue dog owner. He loves traveling to new and unique places a bit off the beaten path and sharing stories from these adventures.

HealthyChildren.org, Flying with Baby: Parent FAQs , November 2019

HealthyChildren.org, Is it Safe for My Baby to Travel in a Car Seat a Few Hours at a Time? , December 2022

Head Start Early Childhood Learning & Knowledge Center, The Importance of Schedules and Routines , September 2023

Cleveland Clinic, Why Can’t Babies Drink Water? , September 2023

Transportation Security Administration, Traveling With Children

Pediatrics Child Health, Air Travel and Children , January 2007

Federal Aviation Administration, Flying With Children , September 2023

HealthyChildren.org, Travel Safety Tips , August 2018

Amtrak, Discount Information for Children

Learn how we ensure the accuracy of our content through our editorial and medical review process .

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Flying with Baby: Travel Tips for Flying with a Newborn

First-Hand Tips & Advice for Flying with a Newborn Baby

The thought of traveling with a newborn was overwhelming. With my first child the thought of leaving the house sent me into a tizzy, never mind the country! I wanted to believe I could still travel with baby, but was definitely not an effortless new mom.

But I was not a road trip person ( back then ), so in order for us to get away I needed to get over my fear of flying with baby . My daughter’s first trip was when she was 11-months-old.

My son came with us on our first family-of-four trip when he was just 10 weeks. Bub traveled quite a bit by the time he was two, and has been on planes at pretty much every developmental stage of his life.

Some trips were easy. Some trips were tough. But they were all worth it!

Our Experience Flying with a Newborn…

I consider a baby aged three months and younger to be a newborn. Our son was a big baby who nursed well, so by 10 weeks we had a robust infant on our hands who was slowly developing a sleeping and eating routine (but had lots of growth spurts and early teething that kept us on our toes). We flew to Quebec City via Porter Airlines Both are highly recommended for family travel!

Biggest Concerns Before Flying with a Newborn:

Our son had not yet had his routine vaccinations. I was worried about the germy environment of an airplane’s interior, as well as various strangers touching his hands. And I was really afraid of him getting sick on vacation . This was pre-pandemic, mind you, but this worry (obviously) still stands.

Also, I was also really afraid that he’d scream for the entire flight.

The Reality of Flying with a Newborn:

Flying with a newborn is (comparatively–to, say–a toddler ) easy. A baby this small is actually easy to keep fairly separated from the germ-laden population as they are not yet mobile. When Bub was not in his car seat , one of us was holding him, and various baby admirers seemed to know enough to keep their distance. We had anti-bacterial wipes for his hands if he did manage to touch something (and then regular wipes to wipe off the anti-bacterial residue. Because, residue).

Our flight out was not full, so we were able to keep him in safely in his car seat for the duration of the flight. This was awesome. For our flight home, we had to gate-check his seat but we had no issues with that nor keeping him on our laps. He slept for the majority of the flight in my husband’s arms after a good nursing session during take-off. For long-haul flights, check with your airline to see about availability and using an airplane bassinet .

Extra Consideration When Flying with a Newborn:

Our biggest issue was that, as an exclusively breastfed infant, our son’s poops were quite explosive. If the diaper did manage to contain it, it would end up seeping out anyway. (Normally I’d worry about TMI here. But, if you’re reading this you’re likely a parent (who won’t care), or an expecting parent (who needs to learn this stuff ;))

I brought a change of clothes for our flight out, but he went through that rather quickly. And the new outfit barely held until we reached our hotel. Since baby clothes are so tiny at this age, more than one change of clothes (for you too, if you’ve got the room) is a good idea. If your infant is formula-fed , bring extra feeds and bottles. You never know when or for how long delays will happen. I can’t imagine the stress of having a hungry baby and not having access to formula and water.

The usual flying with baby advice holds here when flying with a newborn… Try to keep them sucking during takeoff and landing, whether that’s by nursing, a bottle, or a pacifier. Don’t be afraid to administer a bit of infant pain relief medication if you think baby’s ears are in pain. Our son’s naps were not yet consistent by this point, but we were flying at typical naptimes so he slept for most of both flights. Toys won’t really do much at this age either, so enjoy the relative lightness of your carry-on bag !

Of all the ages and stages our son’s been at when we’ve flown with him, this was definitely the easiest. Although if you’re a first-time mom (as overwhelmed as I was), you probably don’t believe me.

You will, if you have another!

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• Planning Your First Trip with Baby
• Traveling with a Baby? It Gets Easier…
• Traveling with a Baby? It gets Harder…
• A Complete Guide to Traveling with a Newborn
• Coping with Time Changes & Baby Jet Lag
• A Complete Guide to Booking and Using an Airplane Bassinet
• The Complete Guide to Baby Travel Gear
• Tips for Flying with an Infant 3-6 Months
• Flying with an Infant 6-12 Months
• Flying with Toddlers and Preschoolers
• 10 Dos & Don’ts for Flying with Babies and Toddlers

56 Responses to Flying with Baby: Travel Tips for Flying with a Newborn

We didn’t take our twins anywhere until they were older, and didn’t fly until they were almost 4. When our youngest came along, we packed up and took off when he was only 3 months old. That was, by far, the easiest flight with him. He fed, he slept, he didn’t need much room to wiggle. It is hard to convince new parents, but they really should fly while the baby is tiny.

Oh boy. You are flashing me back 2 years to our first flight with our guy at 3 months. We went across the country. I thought everyone was right and we must be insane. He slept almost the whole time. When he wasn’t sleeping he was chewing on a toy. As usual, I was more crazy than he was. And you are absolutely right about packing more formula than you think you will need. This saved our butts. We got stuck in San Fran over night on our way home from Maui when he was 5 months old. I was panicked because we only had 2 bottles left. I was asking for our luggage, where a 24 hour grocery store was. Anything! Somehow we managed without more formula, but it was definitely more stress than we needed to deal with if we had planned a little better. We packed some extra in case of delays, but didn’t even think about getting stuck overnight! As always thanks for all the amazing baby advice.

I’d give anything to travel with a tiny one these days!

Corinne, I have some grand kids you can take . Jack

Totally not what I expected coming in to this entry, haha. For some reason I was expecting tips about how to keep your baby quiet on a long flight.

But all of these made sense. I’ve got no kids myself, but I had wondered in the past how my sister would deal with poopy nappies on a long flight. That confined environment makes them all the more lethal :-p

About to make our first air trip with our newborn, he will be 9 weeks. That’s great you were able to use the car seat on board. … We have requested the bassinet so hope he sleeps ok in it!

I will post our experience on my blog http://www.milkandsandcastles.com wish us luck!

Good to hear it’s not so bad traveling with an infant. Most people tell me I’m crazy for planning a flight with a 2M old. They said I am being naive as a fist time mom to think that all baby needs is sleep, food and change of diapers. This is all good advice but is there anything else I should consider for a long haul flight? We are flying NY to Australia which usually means 3 long flights of 6/16/5 hours. Besides extra clothing/diapers, is there anything else I should be considering to bring along? I plan on breastfeeding so that cuts down on bottle feeding gear. Should we really plan a layover somewhere for a few days to make travel easier for all?

Way to go, Marlyn! You will be all be tired, so make sure you have a day or two on the other end of your journey to recuperate. Hopefully you’ve bought baby a seat or will have a spare seat between you so you can have a break from holding baby. A layover mid-way just extends the journey in my opinion, but I’m of the “grit your teeth and get it over with” school of baby travel 🙂

We some time really become worried if we need to travel alone with a toddler and a baby. These tips will definitely help people to get prepared before the trip.

Thanks so much for this, I have been nervous about flying with my newborn but this has put my mind at rest a little!

Thanks a lot. I have been worried about flying with my 2 months old baby but this helps..

I’m planning on flying with my baby when she is 3 weeks old, crazy I know. We’re traveling missouri to California so one hr and one 3 hr flights. Any tips for a baby so little? Planning on wearing her and breast feeding for takeoff and landing.

Good luck Caitlin! Maybe this post will help: https://havebabywilltravel.com/2011/09/04/flying-with-baby-travel-tips-for-flying-with-a-newborn/

How did ur flight go? I’m taking the same from Missouri to lax in California in 3 weeks with out 2 month old. I’m nervous but allegiant airlines is nonstop 3 1/2 hours

I think it’s more safe take a baby on travel when he/her anti-body activates aside from the vaccines. Thanks for sharing your toughts.

We want to take our kids travelling once we start our family. My parents took my siblings on airlines when they were 3 months old and it seemed fairly fine. There was one scare with one of them catching a cold. Apart from that, they never really had any trouble. And the flight was from Sydney to LA.

I could never muster enough courage to travel with my infant.. Well they are 3 and 4 years old now, so i guess i missed the chance.. LOL.

Last time I travelled to India there was a baby screaming for about two hours. I cannot imagine what that would be like for the parents….The air on that plain was also extremely dry, so maybe that’s why.

I traveled with my 6 week old son from NYC to Michigan for an hour, then 6 hours to Claifornia. We stayed in LA for 3 days and proceeded to Manila, Phils. via Tokyo for another 15 hours straight flight. All he did was sleeping, eating and pooping. Layovers are good for long travel and with this age, travel light is recommended. I made sure to bring extra baby clothes and prepared water baby bottles.

Way to go, Phoebe! Thank you for leaving this comment. You’re an inspiration to moms of newborns facing a marathon flight.

Wow! Did you bring your carseat and stroller with you on all flights?

We did! It was a PITA sometimes, but I never regretted having them with me.

I didn’t travel with my two children until they were 3 and 5. Went to Disney World and was just amazed at how many people actually take their newborns, toddlers, twin infants and more! To me they were quite ambitious! At three and five it was so much easier with them being potty trained and able to talk. Kudos to the parents for braving it through the earlier years!

Dear Madam/ Sir,

Could you tell me that My daughter she is 3 month old can travel by Air and Total travel time is 4.5 hours.

But via flight 1. hours from Madurai to Chennai, Get 2.25 hours from Chennai to Mumbai.

Kindly Advise.

Hi Ganesh! You should be just fine. Plan ahead by packing all you will need, and be ready to be busy for those 5 hours! Take care, Corinne

I will be traveling with my baby once he’s 6wks back to Alaska where my husband and I are based. It’s a 5hr plane ride and I’m not sure where or how I’ll change him? Any info on that would be much appreciated.

Most planes have a change table in the washroom in the back of the plane. At 6wks your baby should fit just fine, but it is a challenge for older babies since the space is so tight. I recommend bringing along a change mat and lots of wipes to clean things beforehand. Have a great flight!

Thanks for this and all the comments. We are travelling soon and my baby will be just over 3 months..I am very anxious and scared of her getting sick during the travel but all these comments are helpful. Thanks

Great tips! The more tips the better!

Hello, I’m a first time mom and my husband and I will be travelling with our newborn in a few months from NYC to the Philippines. Was thinking about not getting her a separate ticket since the aircraft provides a bassinet but we will still be bringing a car seat with us. Do you recommend checking it in along with our other free baggage or should I take it with me to the plane? Can it be gate checked if the airplane is full?

Hi Karen! I would definitely gate-check your seat, ideally in a padded travel bag. The airline should be totally fine with this, and also not charge you for it.

Oh wow, that was quick! Thanks! Do you recommend gate-checking the stroller too? We’re taking the new york-seoul & seoul-philippines flights.

You should be able to gate check both.

Hello just want to have an idea since i am a first time mom of my daughter 6th month old and we want to travel from philippines to bahrain (it’s a long travel) i was thinking that maybe she might be afraid during take off and landing.. Can someone suggest to me what to do? Im thinking also what to do if she is not comfortable during our flight since it’s her first time to travel.

Hi Micha! Six months is a pretty ok time to travel with a baby. Seek to comfort during takeoff and landing by nursing or offering a bottle or pacifier, and make sure you have lots of diapers on hand! It will not be a relaxing flight for you but you should both do fine. Good luck!!

We have a weekend trip planned, 4 days from FL to NY. Our little one will be 11, almost 12 weeks by that time. My husband doesn’t want to take her, for fear of germs, getting sick, etc. Any resources available to help change his mind?

I don’t have any official resources to suggest other than our personal experience. My son was 10 weeks on his first trip which is kind of similar–we did a long weekend in Quebec City. It was a short flight and a few nights in a hotel. At this age, since they’re not mobile or (usually) sticking their hands in their mouths, it’s pretty easy to shield them from things and surfaces that usually harbor the nasty germs. We kept him in his car seat, he had a seat on the plane, and I’m not exaggerating when I say he slept from the plane, through the airport, in the taxi and didn’t wake up until we’d checked into the hotel. If you’re nursing your daughter will have some immunity from your breast milk, but even though NYC is a busy place, you’ll have her close to you either in her car seat, stroller, or carrier. You can control who touches her and what she touches. Enjoy this phase because it doesn’t last long!

Thanks for this write up. Being reading various comments so I’m not so scared anymore. Will be traveling on a journey of 35hrs 30mins from Texas to Nigeria with my 3months old baby. Guess I’ll have to pack as many diapers, bottles and extra cloth.

Hi Bibi! That is quite a journey! You could probably get away with 20 or so diapers, but since your baby is only 3 months they are still pretty small and don’t take up too much room. Don’t skimp on the bottles, though. It would be awful to run out and delays are possible. Good luck and have a great trip!

Hi Bibi, How did the travel go? I am planning to travel to Portland from Nigeria soon. My baby will just be around 4 weeks then and I do not know if he can cope with the jet lag. I do not want to drop him because I want to exclusively breastfeed him.

My grandmother is not expected to live much longer, so I am planning an unexpected trip from NC to Florida with my 9 week old. My husband and older two children will be staying at home. I was thinking about wearing the baby in a cloth baby carrier – if I do, will I have to take her out of the carrier during take off and landing ?(I believe I could still buckle my seatbelt with her in the carrier). Thanks!

Oh Alicia, I am so sorry to hear about your grandmother. Yes, you will have to take her out of the carrier for takeoff and landing. Luckily I would imagine your flight will be short. Wishing you and your daughter a peaceful journey.

Getting ready to take a 4 hr flight with my 2 month old, I’m planning on baby wearing, I know I will have to take her out during takeoff and landing, my question may be stupid but what do I do just hold her on my lap during that time?

Hi Tracy! During takeoff and landing, you are usually directed to hold your baby upright in the “burping” position.

Hello Corinne, Nice & very informative article you shared with us. it is very important to carry travel seat for a newborn to 18 months baby. if anyone have car seat then its very useful when you flying with air plane. You need lots of diaper storage when travelling, so check you have available diaper on your bag.

Thanks for Article.

We are about to embark on a 15hr trip (with two flights and layover and car ride) with our five week old. We are just praying she sleeps well. One thing I was curious if anyone has had success being able to wash bottles/hand pumps while on the plane or in layover? Just trying to figure out the safest way to ensure clean utensils.

At five weeks I think your bottles, nipples, and pump parts still need to be sterilized. If it were me I’d have extra on hand, sealed in ziploc bags, rather than risk the water from an aiplane restroom sink or airport bathroom. Good luck!

I have a girl baby 3 month old. Recently I have to travel a long journey for an important reason. It is about 4 hours journey.I am very worry about this how can i travel with my little baby in a long journey. plz dear suggest me.

This is a great post on realities of traveling with a newborn. I have gone through this myself with my son. Traveling with a toddler is a little different, since they become attention seekers and need constant entertainment. I am going to place a link in my blog to this post, and I would appreciate if you linked to my post talking about traveling with toddlers and what to take with you on the way. https://mommycando.com/2018/08/06/traveling-with-your-toddler/

Good evening.

I am plannin to travel from Washington DC to Europe( around 20 hours) with my daughter who is going to be three months old at time of traveling. Besides having a lot of diaper and formula bottles , do you have any advice for me. How does she travel? Do I need to buy separate seat for her? In that case, I should use car seat, right? What about stroller? Does it go with us in the airplane? Thank you in advance!

Hi Milica! 20 hours is a long time to have a baby on your lap! if your airline offers bassinets , see if you can book one. Otherwise, she would be safest and most comfortable in her own seat, in an airline-approved car seat. But if that’s not in your budget, it’s not in your budget. You’ll want to gate-check your stroller, instructions on how to do that are here . Have a great trip!

Thanks for posting this article! We’re debating whether or not we should take a trip with our newborn from California to France (approx 11 hour flight). She will be 10 weeks old at the time. We originally were not planning on buying a seat for the baby, nor were we going to bring a car seat with us. Do you think that’s doable?

We were also thinking of getting back row seats, because it’s closer to the restroom and there’s a higher chance that nobody will sit in between us. Is this a good idea? Or should we ask for bulkhead?

11 hours is a loooong time to hold a baby in your arms, even a cuddly 10-weeker 🙂 Bulkhead would likely be most comfortable for all of you, especially if you can get a bassinet.

Very important things to know when travelling with a baby.

Nice write up!, Thank you for sharing this amazing topic, I’ll like to call it ‘an ultimate guide when traveling with your baby’ ☺️you know what? I just discovered this website and I used read a lot of Parenting blogs, and I’ve read articles similar to this, but I’ve never seen written this way, very insightful and educative.

Thanks for sharing this information. I am a new father, and it’s help me a lot. Thanks again.

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What to Pack When Traveling With Baby

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What to Expect the First Year , 3rd edition, Heidi Murkoff. WhatToExpect.com, Flying With a Baby? Here's What to Know Before You Go , September 2021. WhatToExpect.com, Do Babies Need Passports? , October 2021. WhatToExpect.com, Best Travel Toys for Babies , February 2021. WhatToExpect.com, Baby Products You Can Take on a Plane , September 2020. American Academy of Pediatrics, Flying with Baby: Parent FAQs , November 2019. American Academy of Pediatrics, Is It Safe for Families to Travel Now? , August 2021. American Academy of Pediatrics, Travel Safety Tips , August 2018.  American Academy of Pediatrics, Is It Safe for My Baby to Travel in a Car Seat a Few Hours at a Time? , August 2021. Transportation Security Administration, Traveling with Children . Federal Aviation Administration, Flying with Children , March 2021. Mayo Clinic, Is Air Travel Safe for an Infant? , October 2019.

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12 tips on how to travel internationally with a baby

Traveling with an infant is already an adventure -- and traveling abroad with one is an even bigger feat to tackle.

Knowing the rules, researching and prepping ahead of time and packing the right things can make (or break) your first international trip with a baby. If you're in the know, you can take advantage of all the options afforded to traveling families, from bassinets on the plane and security shortcuts to special infant fares and other perks.

Covering everything from booking and documents to travel insurance and even jet lag, this guide provides everything you need to prepare for an international trip with your baby.

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Get your baby's passport

Before you get too far into planning a trip abroad, you'll need to get your baby's first passport .

While you're at it, make sure everyone else in the family has a valid passport, too. Remember, U.S. passports for children under 16 expire after five years, not 10 years like adult passports. Also, make sure everyone's passport isn't nearing expiration. Many countries require three or six months of validity to enter, which effectively means that child passports are really only valid for 4 1/2 years, which go quickly.

When getting a passport for your baby , here are the main steps to follow:

• Get their birth certificate.
• Find out where to apply.
• Make an appointment. You'll need to go in person and bring your baby with you.
• Take their passport photo. It can be difficult to get a photo of your baby. Rules for photos state that the child/baby should be looking directly at the camera with a natural smile or neutral look. If you can manage to get the baby's eyes to stay open, that's typically enough for their first passport photo. The background should be white and the size 2 by 2 inches with no filters. Within that size, your baby/child's head needs to be 1 to 1 3/8 inches (25 to 35 mm) from the bottom of the chin to the top of the head. If you're struggling to get everything just right, the ItsEasy App can help you crop and size your photo to the correct dimensions.
• Gather the paperwork. Fill out Form DS-11 and take your baby's birth certificate plus photocopies of each document. Bring a couple of photos, a valid ID for each parent, a photocopy of parental IDs and the fee (you can pay by check). Fees are currently $100 for the passport and $35 for processing.
• Attend the appointment in person with both parents present . If only one parent can go, fill out and bring parental consent form DS-3053 plus a copy.

Get your baby Global Entry

If you already have Global Entry , you won't be able to use the service as a family if your little ones don't have it. So, get a start on your baby's application. Or, if this is something your whole family wants to do, apply simultaneously, making expiration dates and renewals easier to complete for everyone at the same time.

Do note that with TSA PreCheck , kids 12 and under won't need to have their own number to accompany parents through these special security lanes -- but that's not true for Global Entry, which you use to return to the U.S.

Check with your doctor

Check with your pediatrician to see when your baby can start flying.

To give you an idea, TPG talked to Dr. Jenny Yu , medical director at Healthline , to find out when it's typically safe for babies to travel. "While babies typically develop their immune system around 1 month, most pediatricians would recommend waiting until 3 to 6 months for travel," she said. For premature babies, it might be a little longer.

Also, with international travel, it's important to factor in any additional vaccines they might need, especially if you're traveling to emerging countries. Start by checking with the U.S. Centers for Disease Control and Prevention for recommendations on which vaccines both adults and babies should get, then talk with your pediatrician to see what is best for your family, baby and travel situation.

Other important questions to ask your doctor should be if your baby can wear sunblock or mosquito repellent and how to keep your baby and your whole family safe from tropical or waterborne diseases, COVID-19 and any other possible infections, which can depend highly on your destination.

Pick the right destination

Whether it's a far-flung visit to Asia, a trip to visit family in Europe, a Caribbean escape or an African safari, you can travel anywhere with a baby as long as you and your family feel comfortable doing so. Choose a destination that makes you feel joy, not anxiety or stress at the thought of getting there and enjoying it with your baby.

Consider things like the activities you want to do, and if the destination is a place that feels welcoming for families. Also think about logistics, like the language barrier, climate and local transportation, when deciding if that particular destination is right for your family.

Book tickets

Depending on how old your baby is, you have some options when flying abroad with them. Here are a few to consider:

• Lap infant: If your baby is under 2 years old, they don't need their own seat. They can instead sit on the lap of a ticketed adult. For international travel, some airlines charge 10% to 30% of the adult ticket price or just the taxes and fees for a lap infant, and some airlines don't charge anything at all. This table shows the costs by airline to buy your baby a lap ticket. Make sure to check on luggage policies when traveling with a lap infant. Most airlines allow for a stroller and car seat checked free of charge. You may also be able to check or carry on additional baggage, too, but more on that later.
• Bassinet for lap infant: Many airlines have bassinet options, especially aboard larger aircraft that fly internationally. See if you can select this option while booking or call the airline for more information on securing a bassinet. Bassinets are usually free, but given to those who request them first. Ask for one right after booking to ensure you'll be assigned a seat with one when available. In most cases, bassinet weight limits max out at 20 to 24 pounds, so they're best for smaller babies and newborns.
• Extra seat with car seat or restraint for babies 2 years and up: If your baby is older than 2 years, you must pay for their seat. Many airlines have discounted tickets for children. If the child weighs more than 44 pounds, they won't need any additional restraint system within their own seat. If they weigh less than 44 pounds, see the information on a certified child restraint or car seat below.
• Additional seat with car seat or restraint for babies under 2: If your baby is less than 2 years old, you can still book them their own seat. In fact, the Federal Aviation Administration suggests that children under 44 pounds wear an FAA-approved harness (such as the CARES harness ) or certified child restraint to help keep them safe during turbulence, takeoff and landing. Make sure to check your car seat to see if there is an FAA-approved sticker on it.

It's worth noting that car seat, bassinet and harness options and policies vary wildly by airline and class of service. For more information on these policies by airline, read this article on 23 airline car seat and bassinet policies around the world .

Note that when booking seats for your family on an international flight, there are areas where kids and babies are not allowed to sit, like exit rows. Malaysia Airlines doesn't allow babies in its first-class cabins on A380 and 747 aircraft. Some international airlines such as AirAsia, Scoot and IndiGo also have kid-free and quiet zones where families with babies and children under a certain age (usually 10 or 12) aren't allowed to sit.

Additionally, if your baby is closer to 2 years old, you might want to compare the price of a lap ticket to the price of getting them their own seat. Sometimes, the price difference may not be that much, and it could make the flight more comfortable for the entire family.

Organize documents, including visas and COVID-19 forms

Passports aren't the only documents you'll need for international travel these days. Check to see if you and your baby need a visa to enter whatever country you're visiting. If you're traveling without your partner, look into completing a Child Consent Form.

Have proof of vaccines, complete any health forms and entry forms and take those COVID-19 tests if required to enter the country. Be clear on if your baby or children need to wear masks during the flight and plan accordingly. While babies 2 and up need to wear masks on board U.S. airlines, international airlines have different rules. For example, Iberia only requires children 6 and up to wear masks. Presently, British Airways has made masking up for all passengers a "personal choice" when not required by international law. We expect these rules to continue to rapidly evolve.

It's worth checking what documents you need for the trip when booking and again before traveling to ensure that you have everything you need as rules and regulations frequently change, especially in this era of pandemic travel .

Understand luggage rules

Different airlines have varying rules for how much luggage you can take when traveling abroad, especially when traveling with lap infants or children/babies occupying their own seats. Most airlines allow you to check a stroller and/or car seat. Many also offer additional checked luggage, as well as a carry-on bag or item for the baby.

For example, British Airways allows both lap infants and children ages 2 and up to have a carry-on item and a checked bag in most cases, giving parents a little flexibility when bringing along all those key items babies need . Cathay Pacific allows lap infants two additional bags at 10 kilograms each when flying between most destinations.

If you aren't clear on the luggage rules, call the airline before traveling to confirm so you won't get stuck with any surprises or have to pay additional fees.

Know the rules for breast milk and formula

Thanks to the Friendly Airports for Mothers Improvement Act, all large- and medium-size airports in the U.S. now provide lockable, non-bathroom places to pump or nurse babies in every terminal and at least one men's and one women's restroom with changing tables in each terminal. This may not be the case abroad, so if you're concerned, research your destination airport to see what options are provided when it comes to these services.

You shouldn't have any issues flying with breast milk or formula on your outbound trip from the U.S. , as regular Transportation Security Administration liquid regulations don't apply to these special liquids. According to the TSA , "reasonable quantities" of these liquids are allowed, but you must take them out during screening for the security officer to test.

You can look up rules to see what's allowed when returning from your destination. For example, the United Kingdom allows breast milk past security in containers up to 2,000 milliliters. You can also take formula, milk and bottled water for the baby, but the baby must be present. In the European Union , you can take breast milk and formula through security and when flying as long as your baby is traveling with you.

Your airline may also provide clarity on these types of rules. Cathay Pacific, for example, states that breastfeeding is allowed during all phases of the flight, using an electric pump is allowed once electric devices can be switched on and travelers can even bring along suitably packed dry ice to refrigerate expressed milk, assuming it's declared during check-in.

According to some airlines, if you're taking a large breast pump along, this may count as a medical device and not be part of your carry-on allowance, but these regulations often aren't very clear. Contact your airline for more information and print out the rules in case you have any issues during security screening or boarding.

If you're traveling from a very obscure destination within an emerging country and you can't find answers about bringing breast milk, it may be best to have a Plan B in place, such as bringing along enough formula in powder form to last you for the flight or planning to pump or breastfeed in flight.

Should you want to ship your breast milk abroad, options are available for you depending on your destination, such as Maven Milk and Milk Stork .

Book accommodations

When booking accommodations in your destination abroad, take things into account like baby necessities, baby-friendly items, the option to do laundry and the availability to heat, cool and store milk and formula. Choosing a vacation rental instead of a hotel may be the right idea if you need more space, a kitchen and laundry facilities.

If your baby is eating solid foods, make sure there are restaurants or supermarkets nearby where you can get exactly what you need. Doing a little pre-trip research can help you feel confident and comfortable when traveling with your baby regardless of which hotel or home rental you choose to stay in.

Pack strategically

Packing with a baby can seem precarious, but it doesn't have to be. Just make sure you have enough of everything you need to get through the flight, plus a bit extra in case of delays or cancellations. For an exact list of everything you need to pack, see this article on how to pack -- and prepare -- for travel with a baby .

For extra-long flights, try to have everything to help your baby comfortably nap on hand, like a lovey, blanket, pacifier and more. Have changes of clothes on hand for the whole family in case of a messy situation, and enough layers for a plane that may be hot or chilly. A baby carrier can be key, too.

When packing for a trip abroad, the most important items to remember are everyone's passport, visa and key documents, plus anything essential that you know you can't get in another country. Babies live all over the world, so you can easily get items like diapers, wipes, formula and more anywhere. However, you may not find the exact brand you want, or if you're going somewhere rural or far-flung, like on a safari in Africa, you may want to bring enough for your entire trip.

For example, Enfamil, a popular baby formula brand, is found all over Europe and even in the Caribbean and Latin America. However, it may not be available in Africa or Asia, so do your homework.

If you're traveling with items that need to plug in to charge, like a breast pump, baby monitor or nightlight, bring converters if necessary. You can always rent baby items abroad, too, rather than lugging everything along with you. It's possible to preorder diapers and wipes in many destinations, as well.

Strongly consider travel insurance

Things happen. While getting the flu abroad may not be a big deal for an adult, a sick baby can be scary and stressful, especially if you're in a foreign country. Having travel insurance that covers accidents and emergencies -- and COVID-19, too -- can set your mind at ease and save the day if something happens.

Before travel, note where the nearest hospital or health care facilities are, as well as any international hospitals where staff may be more likely to speak English. Know exactly how to use your insurance, like what numbers to call or what to do if a situation arises. Check if any of your credit cards have travel insurance that may cover you and your family if things go awry.

Plan for jet lag

Jet lag stinks. Jet lag with a baby might be even worse. There are things you can do to make jet lag a little less stressful, though, especially when traveling abroad to very different time zones.

First, give yourselves a few days to adjust, planning big events later in the trip. Limit your baby's naps when possible. If your baby takes a five-hour nap, they definitely won't be sleeping through the night.

Shift mealtimes, naptimes and bedtimes to the new time zone as quickly as possible, getting daylight during the day and darkness at night, so internal clocks begin to adjust for the whole family. If the time zone difference is small, you may want to keep your baby on the original time zone to minimize disruption, especially for a shorter trip.

For more tips on combating jet lag with a baby in tow, read this guide on surviving jet lag with your baby .

Bottom line

Planning and taking an international trip with a baby can be simple and create memories for a lifetime if you prepare just right. With a little bit of extra research, you'll be armed with everything you need to know, do and bring to make your trip abroad smooth and hassle-free.

New challenge unlocked: hiking with a newborn. How to keep your baby safe on the trails

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Last week, my wife and I embarked on a special outdoor adventure. By the numbers, it wasn’t that impressive — a 2.3-mile, 300-foot “hike” up to the Baldwin Hills Scenic Overlook . It took an hour from start to finish. Much of the route was paved. But it was a major milestone for one very important reason: It was our first hike with our newborn daughter, Emma.

In the days before this short but important trip, some pressing questions bounced around my head. Would Emma put up a fight as I wrestled her into the BabyBjörn carrier? Would she wail the whole way up the hill? Would she spit up all over me? (It wouldn’t be the first time.)

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I was also skeptical about how enriching a hike could be for a 2-week-old infant. Emma can barely see. After nine months in the womb, just lying in her crib must feel like visiting another planet — would she even notice the difference between indoors and outdoors?

To calm my nerves, I spoke with Dr. Rebecca Dudovitz, a pediatrician with UCLA Health. I was relieved to learn that babies, even those as young as Emma, appreciate time outside just as much as adults do.

“It’s a great way to stimulate their development with new senses and sounds, smells, things to look at,” said Dudovitz.

Outdoor time offers a host of benefits for babies. In addition to sensory stimulation, it exposes them to common allergens, which reduces their risk of developing allergies later in life, and it’s actually safer than spending time in crowded indoor places — they’re less likely to catch a virus from another person. Perhaps most importantly, going outside can calm a fussy newborn (and their exhausted parents).

“It can be a useful strategy, especially at the end of the day when everybody’s tired and cranky,” said Dudovitz.

Dudovitz also gave me a few tips to ensure our hike was a success. Rule No. 1 is to keep babies out of the sun, as a newborn’s skin is sensitive and sunscreen isn’t approved for use until they’re 6 months old. (Long sleeves and a sun hat are required equipment.) She recommends staying away from places with mosquitoes; if you can’t avoid bugs, you can pre-treat baby clothes with Permethrin to ward them off. Finally, pay close attention to heat and cold as babies can’t regulate their temperature as well as adults can (feel your child’s torso to gauge their temperature).

Armed with that info, my wife, Emma and I headed out for our first hike. It was a perfect Southern California day, the kind that makes you wonder why anyone would choose to live elsewhere. Warm sunshine spilled down from a deep blue sky, and a fresh breeze rolled in from the ocean as we trekked up the hill from the parking lot.

All around us, the chaparral was lush and alive with blossoms. Mounds of bush sunflowers glowed in the afternoon light, and here and there I noticed patches of coast morning glories, their delicate white cups streaked with purple. Amid the blooms, sagebrush branches stood out with their wispy pale green leaves. I touched them as we passed and savored their sweet, earthy scent. When we reached the top of the overlook, we could see for miles in all directions — the Santa Monica Mountains rising in the distance, the broad blue plane of the Pacific Ocean, and the skyscrapers of downtown L.A. poking up to the east. It was beautiful.

What did Emma think of it? Hard to say. She slept the entire time, stirring only when I took off her hat to snap photos. I think she opened her eyes for 30 seconds total. Even so, my wife and I enjoyed the excursion, and I’m calling this inaugural family hike a success. Next time, maybe Emma will be awake to hear, smell, see and feel all of it too.

3 things to do

1. ID plants and potluck in Topanga Canyon

Go for an all-levels plant identification stroll in the mountains of Topanga with Herb Club LA . The 2.5-mile walk will last about an hour and is open to everyone (even leashed dogs). Afterward, the group will be holding a “late Earth Day celebration” at the dreamy local Topanga shop the Well Refill for a tea meditation and potluck featuring herbal sodas and vegan chocolate. Participants are encouraged to wear comfortable clothes and appropriate shoes for the hike, and — if they plan to take part in the potluck — to bring vegan dishes and reusable plates, cups and utensils to minimize waste. The event is free (with donations accepted) and kicks off Sunday at 11 a.m. For more information visit eventbrite.com .

2. Bike, walk, skate or scoot in SGV

Ditch the car on Sunday and experience what it’s like to roam freely on five miles of streets in Alhambra, San Gabriel and South Pasadena. Active Streets: Mission-to-Mission , presented by Metro Los Angeles and hosted by San Gabriel Valley Council of Governments (SGVCOG), is a car-free celebration packed with live music performances, pop-up booths from local businesses and community organizations, and free games and activities. Walk, bike, skate or scoot through any part of the route — or conquer the whole thing, if you choose. The free event runs from 9 a.m. to 3 p.m. If you’re a San Gabriel Valley resident, you can borrow a classic GoSGV electric bike for $50 by filling out this form . Active Streets was formerly known as 626 Golden Streets — with the Metro “Gold” line becoming the “L” and then the “A,” the name changed.

3. The Earth Day celebrations continue

Though Earth Day happened on Monday, the L.A. celebrations are still going strong. On Saturday, you’ll find guided nature hikes and storytelling at the Chatsworth Nature Preserve , a seed swap at Barnes Park in Monterey Park and the Teen Climate Fest at Long Beach’s Aquarium of the Pacific . You can also get your gloves dirty on Saturday at the Madrona Marsh in Torrance, which is hosting a habitat restoration event . Pre-registration is required and participants should wear closed-toe shoes and bring sunscreen and water.

The must-read

Here’s a fun idea for getting outside and exploring Los Angeles: Go on a walking tour of the city’s bridges. For The Times, writer Adam Markovitz highlights nine spans all around L.A. that are worth checking out, including quaint walkways over the Venice Canals, the historic Shakespeare Bridge in Los Feliz and the new 6th Street Viaduct over the L.A. River. Whether you’re in it for the architecture or looking for some new views of the city, these bridges won’t disappoint.

Happy adventuring,

A recently published book, “ Places We Swim California ,” will get you excited to jump in the water this summer. It highlights over 60 swimming spots all around the state (including several in SoCal) and features road trip itineraries for discovering unique California beaches, rivers and hot springs.

For more insider tips on Southern California’s beaches, trails and parks, check out past editions of The Wild . And to view this newsletter in your browser, click here .

Sign up for The Wild

We’ll help you find the best places to hike, bike and run, as well as the perfect silent spots for meditation and yoga.

Michael Charboneau is a freelance writer covering gear and the outdoors, and he’s writing The Wild newsletter for a few months. He has written for a variety of publications, including Men’s Journal, Runner’s World and InsideHook, and he lives in West L.A. When he’s not writing, he can be found running, hiking and biking around Los Angeles and its mountains.

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Flight attendant indicted in attempt to record teen girl in airplane bathroom

BOSTON (AP) — An American Airlines flight attendant was indicted Thursday after authorities said he tried to secretly record video of a 14-year-old girl using an airplane bathroom last September.

Police have also alleged that Estes Carter Thompson III , 36, of Charlotte, North Carolina, had recordings of four other girls using lavatories on an aircraft where he worked.

Thompson was indicted on one count of attempted sexual exploitation of children and one count of possession of images of child sexual abuse depicting a prepubescent minor.

Thompson was charged and arrested in January 2024 in Lynchburg, Virginia. He has been in federal custody since. A lawyer for Thompson said after the indictment by a federal grand jury that he was unable to comment.

Investigators said that about midway through a Sept. 2, 2023, flight from Charlotte to Boston, the 14-year-old got up to use the main cabin lavatory nearest to her seat but found it was occupied.

Thompson then told her the first-class lavatory was unoccupied and escorted her there, investigators said. Before she entered the bathroom, Thompson allegedly told her he needed to wash his hands and that the toilet seat was broken, they said.

After he left, the teen entered the bathroom and she saw red stickers on the underside of the toilet seat lid, which was in the open position, officials said.

Beneath the stickers, Thompson had concealed his iPhone to record a video, investigators said. The girl used her phone to take a picture of the stickers and concealed iPhone before leaving.

Prosecutors also allege hundreds of images of child sexual abuse generated through artificial intelligence were found stored on Thompson’s iCloud account.

Attempted sexual exploitation of children carries a sentence of 15-30 years in prison while possessing images of sexual abuse of a prepubescent minor can mean up to 20 years in prison.

Both charges also provide for at least five years and up to a lifetime of supervised release, a fine of up to $250,000 and restitution.

American Airlines previously issued a statement saying the flight attendant was “immediately withheld from service” and hasn’t worked since the phone was discovered.

A search of Thompson’s iCloud account revealed four additional instances between January and August 2023 in which Thompson recorded a minor using the lavatory on an aircraft, according to investigators.

Those depicted in the recordings were 7, 9, 11, and 14 years old at the time, they said. Their families have been contacted by police, investigators said.

Copyright 2024 The Associated Press. All rights reserved.

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Newborn baby airlifted from Bristol to Rome for life-saving surgery

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A one-month-old British boy with a serious heart condition has been airlifted to a hospital in Rome to undergo life-saving surgery.

Italian Prime Minister Giorgia Meloni was said to have personally stepped in to ensure the child could travel.

Photos of the transfer show an Italian ambulance on board a military cargo plane which was flown in to collect the boy from Bristol Royal Hospital for Children.

He suffers from a congenital heart condition and his parents said doctors told them crucial treatment was not available in this country.

When medics saw plans for the transfer and treatment, hospital staff agreed to allow the boy to be moved, The Times reported.

A lawyer representing the youngster’s family thanked ‘all those who worked hard to transfer the little [boy]’, a translation of a post on his X account said.

‘A big thank you from the family to all those who worked hard to transfer the little [boy], less than a month old, from the United Kingdom to Rome,’ said Simone Pillon.

 ‘Italians are like that: they love life,’ he added.

The Bristol Royal Hospital has been approached for comment.

The baby’s Italian father told The Times: ‘My wife and I are very happy and relieved… [Meloni and the Italian authorities] actively took action to make the transfer of our son possible.’

The father also thanked the British medical team ‘for smoothly authorising and supporting us and our son through this process’.

The boy was transferred to the Bambino Gesu hospital, which is controlled by the Vatican, the newspaper reported.

The same hospital offered to treat a British baby girl with a rare mitochondrial disease last year.

Eight-month-old Indi Gregory was at the centre of a legal fight before her life-support treatment was withdrawn and she died at a hospice.

Her parents Dean Gregory and Claire Staniforth lost legal bids in the High Court and Court of Appeal for specialists to keep treating her.

The couple also failed in a bid to transfer Indi to the Rome hospital for specialist treatment, with the Italian government later offering to pay for Indi’s funeral.

Mr Pillon was also involved in Indi’s case.

Get in touch with our news team by emailing us at [email protected] .

For more stories like this, check our news page .

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