Traveling 30 weeks pregnant

Traveling While Pregnant or Breastfeeding

Special considerations for traveling while pregnant

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

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

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

History of miscarriage
Incompetent cervix
History of ectopic pregnancy
History of premature labor or premature rupture of membranes
History of or current placental abnormalities
Threatened miscarriage or vaginal bleeding during current pregnancy
Multiple fetuses in current pregnancy
History of toxemia, high blood pressure, or diabetes with any pregnancy
History of infertility or trouble getting pregnant
Pregnancy for the first time over the age of 35 years
Heart valve disease or congestive heart failure
History of blood clots
Severe anemia
Chronic organ system problems that need to be treated

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

Places with high altitudes
Places that have outbreaks of life-threatening food- or insect-borne infections
Places where malaria is common
Places where live-virus vaccines are needed or recommended

Healthy tips for traveling while pregnant

Here are tips for traveling while pregnant:

Try to plan ahead for any problems or emergencies that could come up before you travel. Check that your health insurance is valid while you are abroad. Also check to see whether the plan will cover a newborn, should you deliver while away. You may want to think about getting a supplemental travel and medical evacuation insurance.
Research medical facilities in your destination. Women in the last trimester of pregnancy should look for places that can manage complications of pregnancy, toxemia, and cesarean sections.
If you will need prenatal care while you are abroad, arrange for this before you leave. Talk with your healthcare provider or midwife to figure out the best way to handle this.
Know your blood type and check that blood is screened for HIV and hepatitis B in the areas you will be visiting.
Check that safe food and beverages such as bottled water and pasteurized milk are available at your destinations.
If flying, ask for an aisle seat at the bulkhead. This gives you the most space and comfort. If morning sickness is a problem, try to arrange travel during a time of day when you generally feel well. Seats over the wing in the midplane region will give you the smoothest ride.
Try to walk every half-hour during a smooth flight. Flex and extend your ankles often to prevent blood clots in the veins (thrombophlebitis).
Fasten your seat belt at the pelvis level, below your hips.
Drink plenty of fluids to stay hydrated. Aircraft cabins have low humidity.
Try to rest as much as possible while away. Exercise and activity during pregnancy are important. But try not to overdo it.

Special considerations for traveling while breastfeeding

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

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

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

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

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

Travel During Pregnancy | American Pregnancy Association

As long as there are no identified complications or concerns with your pregnancy, it is generally safe to travel during your pregnancy. The ideal time to travel during pregnancy is the second trimester. In most cases, you are past the morning sickness of the first trimester and several weeks from the third stage of pregnancy when you are more easily fatigued.

Traveling by air is considered safe for women while they are pregnant; however, the following ideas might make your trip safer and more comfortable.

Most airlines allow pregnant women to travel through their eighth month. Traveling during the ninth month is usually allowed if there is permission from your health care provider.
Most airlines have narrow aisles and smaller bathrooms, which makes it more challenging to walk and more uncomfortable when using the restroom. Because of potential turbulence that could shake the plane, make sure you are holding on to the seatbacks while navigating the aisle.
You may want to choose an aisle seat which will allow you to get up more easily to reach the restroom or just to stretch your legs and back.
Travel on major airlines with pressurized cabins and avoid smaller private planes. If you must ride in smaller planes, avoid altitudes above 7,000 feet.
Although doubtful, the risk of DVT can be further reduced by wearing compression stockings.

The Royal College of Obstetricians and Gynaecologists and the International Air Travel Association recommend that expecting mothers in an uncomplicated pregnancy avoid travel from the 37th week of pregnancy through birth.
Avoiding travel from 32 weeks through birth is recommended for women who have complicated pregnancies with risk factors for premature labor, such as mothers carrying multiples.

Risk factors that warrant travel considerations include the following:

Severe anemia
Cardiac disease
Respiratory disease
Recent hemorrhage
Current or recent bone fractures

Traveling by Sea During Pregnancy

Traveling by sea is generally safe for women while they are pregnant; the motion of the boat may accentuate any morning sickness or make you feel nauseous all over again.
There are a few considerations to make your trip safer and more comfortable:

Check with the cruise line to ensure that there is a health care provider on board in case there are any pregnancy complications.
Review the route and port-of-calls to identify if there is access to any medical facilities if needed.
Make sure any medications for seasickness are approved for women who are pregnant and that there is no risk to the developing baby.
Seasickness bands use acupressure points to help prevent upset stomach and maybe a good alternative to medication.

International Travel During Pregnancy

Traveling overseas has the same considerations that local or domestic travel has, but it also has additional concerns that you need to know about before making an international trip.
The information below is provided to help you assess whether an international trip is good for you at this time:

It is important to talk with your health care provider before you take a trip internationally to discuss safety factors for you and your baby.
Discuss immunizations with your health care provider and carry a copy of your health records with you.
With international travel, you may be exposed to a disease that is rare here in the United States but is common in the country you visit.
Contact the Centers for Disease Control and Prevention at (800) 311-3435 or visit their website at www. cdc.gov to receive safety information along with immunization facts related to your travels.
Diarrhea is a common concern when traveling overseas because you may not be used to the germs and organisms found in the food and water of other countries. This can lead to a problem of dehydration.

Here are some tips to avoid diarrhea and help keep you safe:

Drink plenty of bottled water
Used canned juices or soft drinks as alternatives
Make sure the milk is pasteurized
Avoid fresh fruits and vegetables unless they have been cooked or can be peeled (such as an orange or a banana)
Make certain that all meat and fish has been cooked completely; if you are unsure, do not eat it

Travel Tips During Pregnancy

Whether you are going by car, bus, or train, it is generally safe to travel while you are pregnant; however, there are some things to consider that could make your trip safer and more comfortable.

It is essential to buckle-up every time you ride in a car. Make sure that you use both the lap and shoulder belts for the best protection of you and your baby.
Keep the airbags turned on. The safety benefits of the airbag outweigh any potential risk to you and your baby.
Buses tend to have narrow aisles and small restrooms. This mode of transportation can be more challenging. The safest thing is to remain seated while the bus is moving. If you must use the restroom, make sure to hold on to the rail or seats to keep your balance.
Trains usually have more room to navigate and walk. The restrooms are usually small. It is essential to hold on to rails or seat backs while the train is moving.
Try to limit the amount of time you are cooped up in the car, bus, or train. Keep travel time around five to six hours.
Use rest stops to take short walks and to do stretches to keep the blood circulating.

Dress comfortably in loose cotton clothing and wear comfortable shoes.
Take your favorite pillow.
Plan for plenty of rest stops, restroom breaks and stretches.
Carry snack foods with you.
If you are traveling any distance, make sure to carry a copy of your prenatal records.
Enjoy the trip.

Want to Know More?

How to Treat Jet Lag Naturally During Pregnancy

Compiled using information from the following sources:

1. Planning Your Pregnancy and Birth Third Ed. The American College of Obstetricians and Gynecologists, Ch. 5.
William’s Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 8.

2. Royal College of Obstetricians and Gynaecologists, Air Travel and Pregnancy (Scientific Impact Paper No. 1), https://www.rcog.org/uk, May 22, 2013.

tips for pregnant women – Moscow 24, 01.02.2020

February 01, 2020, 00:00

Society

The most ordinary trip can become a real test and stressful situation for a pregnant woman. Sometimes it may even seem that it is not worth leaving the house at all. How to prepare for a vacation and not become a hostage to anxiety, in the column of the journalist and mother of four children Anna Kudryavskaya-Panina.

Photo: depositphotos/ cunaplus

"Doctor, my husband and I are going on vacation for the holidays, can I?" - I can argue that doctors hear this or a similar question from almost every pregnant woman. And if the pregnancy proceeds without complications, then a competent doctor will answer: "It is not possible, but necessary!" This is exactly what the obstetrician-gynecologist answered me, with whom I conducted my third pregnancy. And it seemed that I was already a shot sparrow and knew a lot and, in general, not the most disturbing, but still asked about the vacation and asked again about the plane. nine0003

If you read some of the women's forums, you can believe that the safest pregnancy is to spend in bed. Horror stories about the fact that you can’t fly, ride a train or drive, experts seem to be tired of debunking. In fact, everything is simple: you can walk, ride, fly if there are no conditions threatening pregnancy and if the pregnant woman herself wants / needs it.

Pregnancy is, of course, not a disease, but a special condition. And that is why it makes sense to prepare for any trip more consciously in order to have everything you need on hand just in case. nine0007

But this does not mean that if you want to go somewhere at a different time, you need to forbid yourself from it. You just need to take into account some features of your pregnancy and your condition at the time of travel.

If you do not leave the country, then in general everything is quite simple and differs little from rest in the usual state. Insurance is not needed, doctors and medicines are available if necessary. You need to think about what will give you additional security and comfort. In the first trimester, due to severe toxicosis, I did not risk going somewhere far, but I really wanted to change the background, and we went to Kolomna for a couple of days. For nausea, I always had mints and a bottle of Coca-Cola on hand. The drink, which I almost never drink in ordinary life, during the first weeks of pregnancy became just a sip of salvation. A proven fact, "harmful" cola helps with intestinal infections and perfectly relieves nausea in pregnant women. And if you are a supporter of a healthy lifestyle and are tormented by the choice of whether to drink or not drink, it makes sense to think in the direction that a couple of sips of cola will certainly not do more harm to your child and you than incessant nausea, intoxication and a state close to collapse. nine0007

Photo: depositphotos/ VitalikRadko

During each pregnancy, I felt that this world smells terribly strongly, I would even say it stinks, so I always carried something pleasantly smelling with me in order to smell this wonderful stinking world in time, anything: a handkerchief sprinkled with your favorite perfume, a bag of lavender, or even a mint leaf.

For flights, I had compression stockings (this, of course, is not necessary, but desirable, it is not only good for blood vessels, but it is really easier for the legs to endure the flight), but in the heat it was simply unbearable - to pack the legs in dense synthetic fabric, and I got by with golf. Doctors, of course, insist on stockings, but you must admit that stockings are definitely better than nothing. nine0003

The story with airplanes is that different airlines set different rules for flying pregnant women. And this must be taken into account on the shore, that is, when buying a ticket. Usually, up to 28 weeks, pregnant women can safely travel by this type of transport, but in any case, find the corresponding rule on the airline's website, because it is in your interests so that your vacation is not spoiled and does not end at the airport.

If it's not in the rules, but you're still worried, play it safe and take it when you come for a routine checkup. In both recent pregnancies, my husband and I (and in the second case with a small child) flew between 24 and 28 weeks. We had no problems either in the first or in the second case. But in the first one I took a certificate (requirement of the carrier), in the second I flew without it. Nothing special, except for the increased attention of the airport staff and flight attendants on board (and my stomach was quite noticeable), I can’t remember about these “pregnant” flights. nine0003

Pregnant women can swim in the sea. Usually, they also ask permission from the doctor before the vacation. Moreover, for a decent period of time, sea water is an excellent way to unload your back and legs, and swimming is the most useful load for all muscle groups.

I remember how before a trip to Montenegro at the 25th week of pregnancy, I put medicines in the first aid kit, and then took it out, put it again and took it out again. On the one hand, not everything is possible for pregnant women. On the other hand, pregnant women also get sick, like all people. And in the case of a trip abroad, the situation when you can only buy panadol in a pharmacy without a prescription can be very unnerving. And pregnant women know how to get nervous qualitatively and with a huge force that affects everything and everyone around. I consider this option of preparing for a foreign vacation to be optimal: medical insurance for pregnant women and an optimally assembled first-aid kit (taking into account the specifics of the state and the country you are going to). nine0007

Photo: depositphotos/ golyak

Medical insurance for pregnant women is not offered by every travel insurance company. But there are such insurers. You can, of course, take out ordinary insurance, but then it will not cover any risks associated with pregnancy. Namely, you want to protect yourself from them during the trip, so it’s better to surf the Internet for a couple of extra minutes, but find an insurance option for a pregnant woman. Yes, this insurance will be more expensive than usual, and it is quite possible that you won’t be able to buy such a policy online and will have to go for it, but it seems to me that these are minimal costs with an obvious benefit - the ability not to worry. nine0003

With the first-aid kit, I did this: in addition to vitamins for pregnant women and those drugs that the doctor prescribed for me, I took with me antipyretic drugs allowed in my position in case of SARS, adsorbents in case of poisoning or intestinal infection, enzymes and a drug for heartburn, antihistamines of the latter generations, a throat spray, a saline solution for washing the nasopharynx and vasoconstrictor nasal drops for babies (which can also be used by pregnant women). In a word, I insured myself in case of minor problems, and for all the rest (God forbid, of course) - I had a guarantee of peace of mind in the form of insurance. Fortunately, I didn’t need insurance, as well as all the contents of the first-aid kit, except for vitamins, but I didn’t doubt for a second that all this was not in vain. nine0003

Will you be able to easily transfer a flight with a transfer, as before, or is it better to overpay, but fly a non-stop flight? What is better in your position - an apartment or a hotel? How is it calmer and easier for you - to cook by yourself or to trust the public catering? And if earlier you simply didn’t think about something (well, for example, about the availability of public toilets at the place of stay), then now it may turn out to be more than relevant. Choose everything taking into account the changed inputs, especially in the second half of pregnancy. And then you have every chance to have a great rest, despite the fact that you are not traveling light. nine0003

Kudryavskaya-Panina Anna

society children

We are going on vacation while pregnant. Rules, recommendations, tips

ATOR Bulletin, with the help of gynecologists and insurers, has compiled a set of the most important tips and recommendations that pregnant women will need when planning, preparing, flying and staying on a summer beach holiday - from choosing insurance to the rules of safe tanning and nutrition.

On the details and nuances of the organization of summer vacations during pregnancy "Vestnik ATOR" were told:

Natalya Badikova , an obstetrician-gynecologist with 13 years of experience, urogynecologist, candidate of medical sciences

Julia Allya Alcheeva , Executive Director of the insurance company ERV, the largest player in the monotourism insurance market in Russia.

From our review you will find out:

At what period of pregnancy can you fly on vacation, and when is it better to stay at home
Until which week of pregnancy you can fly on vacation abroad
Which insurance to choose for pregnant women
What a pregnant woman needs to do before her vacation and what documents to take
What are the symptoms of a pregnant woman, it is better to postpone the trip
Plane, car, train - which is safer for pregnant women?
Is it possible for pregnant women to pass the scanner during security screening at the airport
Air travel during pregnancy: how to behave and what to take with you
Which country to choose for a beach holiday during pregnancy
How to sunbathe during pregnancy
Where it is safe to swim while pregnant - sea or swimming pool
How to eat while pregnant on vacation
What to do if you find out you are pregnant while on vacation

I.

PLANNING A PREGNANCY HOLIDAY

WHEN PREGNANT WOMAN CAN GO ON HOLIDAY AND WHEN IT IS BETTER TO STAY AT HOME

during pregnancy, exclude pathological conditions. nine0003

To eliminate the risks of early booking, pregnant women should always take extended insurance when buying a tour - with the trip cancellation insurance option included. If you found out about pregnancy after buying the tour, you should purchase such insurance separately, as well as special medical insurance (but more on that later).

According to doctors and insurers, if there are no medical contraindications, it is best to go on a beach vacation with air travel in the second trimester of pregnancy, with some restrictions - in the first and first half of the third trimester (up to 31 weeks)

“The gestation period is from 14 weeks to 23 weeks, according to medical practice, the most “calm” and relatively safe period for flights and any travel,” says Natalya Badikova, obstetrician-gynecologist.

Pregnancy from 14 weeks to 23 weeks, according to medical practice, the most "calm" and relatively safe period for flights and any travel

According to doctors, it's not just that before the 12th week, pregnant women often experience toxicosis, which manifests itself in fatigue, nausea, poor health, changes in taste preferences, etc., which, of course, does not contribute to a peaceful rest. But also in the fact that until the 14th week inclusive, in the body of a woman there is an intensive main "laying" of all the systems and organs of the baby - and it is important not to interfere with her. In addition, in Russia, the most important screening during pregnancy is performed just at the end of the first trimester - from 11 to 14 weeks. This screening includes specialized ultrasound diagnostics, calculation of the individual risk of having a child with a chromosomal pathology, and a number of other complex studies. It is highly undesirable to miss it, so traveling far from the place of medical observation from the 11th to the 14th week of pregnancy is best excluded altogether. nine0003

The same rule applies to 18-21 weeks - at this time, pregnant women undergo a second screening (perinatal diagnosis of fetal anomalies, a very important study), so you need to be within reach of the clinic where it is carried out and plan the start and end dates correctly tour so as to have time to pass this examination.

TILL WHAT WEEK OF PREGNANCY CAN YOU GO ON VACATION ABROAD PREGNANCY

Note that the third trimester of pregnancy is generally not recommended for travel with air travel and climate change. In particular, doctors consider it highly undesirable to fly on vacation from the 28th week of pregnancy until childbirth if:

aggravated obstetric and gynecological history (earlier termination of pregnancy, miscarriages, miscarriages, serious gynecological diseases, etc.)
there are serious somatic comorbidities, including autoimmune diseases
we are talking about a multiple pregnancy (twins or triplets).

However, if the pregnancy is normal, without complications, then the tourist can go on a beach holiday abroad, but so that it ends no later than 31 weeks of pregnancy. nine0003

Why this period? The point is not only the increased risk at this stage, but also the fact that all special insurance products existing in Russia with options for pregnant women provide insurance coverage for medical expenses for pregnant women only up to 31 weeks as a maximum. Therefore, all trips of pregnant women, starting from the 32nd week, will not be insured by any insurance company. There are simply no such policies - which means that complications or premature births abroad threaten with huge amounts billed for treatment. nine0003

After 32 weeks, both doctors and insurers give good advice to everyone: do not travel abroad, unless it is about some difficult life situations. This advice should be taken very seriously. The statistics of the largest travel insurer, ERV, are disappointing: 9 out of 10 women who seek medical assistance abroad for pregnancy complications lose a child.

Finally, let's recall one more factor. At a gestational age of 30-34 weeks, ultrasound is performed at the place of observation of a pregnant woman. That is, during this period it is also better to be within the reach of the health facility, where pregnancy monitoring takes place. nine0003

WHICH INSURANCE TO CHOOSE FOR PREGNANT WOMEN

“The first thing tourists should understand is that pregnant women traveling abroad need special and separate insurance with options specifically for pregnant women. No basic insurance policy on the market that comes "by default" in a regular tour package covers any risks of pregnancy complications at 12-31 weeks. In this case, the tourist must ask a travel agent or take out additional insurance under a special program himself, ”says the executive director of the ERV insurance company. nine0003

Pregnant women traveling abroad need special and separate insurance with options specifically for pregnant women - this is not the same insurance that is already included in the tour package

The vast majority of Russian insurance companies do not include the risks of pregnancy complications up to 12 weeks into their basic programs. The only exception on the market is ERV insurance, which even in the “basic” version recognizes pregnancy complications for up to 12 weeks as an insured event, since there is a possibility that the insured might not have known about her pregnancy in the early stages. nine0003

Insurance products for pregnant women, starting from 12-13 weeks, are available in the range of all major players in the insurance market, the tourist can choose such insurance according to the set of options, the amount of insurance coverage or price.

As for insurances that cover risks up to 31 weeks of pregnancy (this is the maximum period), there are relatively few of them. The most “complete” insurance is again with ERV (Optima tariff): in addition to the period up to 31 weeks inclusive, the coverage here includes medical expenses not only for women, but also 10 thousand euros for nursing a child in a medical institution in case of premature birth (other companies cover mother's medical expenses only). This amount is enough for long-term care of the baby using special equipment in Europe or Turkey. nine0003

And of course, the insurance must necessarily include the option “cancellation of the trip” (in everyday life this is also called “non-departure insurance”). The condition of a pregnant woman changes, and it may happen that right before the trip she will have contraindications to the flight. It is important to remember that if a tourist flies with her husband, children, or other relatives, then they will all receive the full amount of the entire tour only if the “insurance against non-departure” is issued for all of them (and not just for the pregnant woman herself). nine0003

WHAT SHOULD A PREGNANT WOMAN NEED TO DO BEFORE HOLIDAY AND WHAT DOCUMENTS TO TAKE

Before the trip (3-7 days in advance) it is necessary to visit a general practitioner and attending gynecologist, get a consultation and, if necessary, undergo the prescribed tests and procedures.

You need to ask the doctor to issue a certificate for the airline about the duration of pregnancy and the absence of medical contraindications (without it, if there are external signs of pregnancy, some air carriers may not allow you to board the aircraft). nine0003

“In addition to insurance, travel documents and passports, you should also take an exchange card - especially if you are going to Russia. For the convenience and peace of mind of the vacationer, you can also take an extract from the attending physician with your medical history, appointments, the results of the last ultrasound, screening, etc., and translate them, if not into the language of the host country, then at least into English, ”advises the doctor gynecologist Natalya Badikova.

It would also be nice if the attending physician could be in touch with the tourist during the holidays. Modern telemedicine services allow this. For example, before traveling, you can check with your doctor if he consults remotely in a special application, or purchase a subscription to several telemedicine consultations from a trusted telemedicine operator. By the way, gynecologists also consult remotely. nine0003

WHAT SYMPTOMS OF A PREGNANT WOMEN IT IS BETTER TO POSTPONE A TRIP

“Drawing pains in the lower abdomen in the first trimester of pregnancy, pulling, cramping pains or tension (false and true contractions) – in the second and third trimester of pregnancy before a trip – an alarm bell. These are unconditional reasons for immediate medical attention. Brownish spotting or, moreover, scarlet spotting at any stage of pregnancy, watery - in the second and third trimester - is also a reason to immediately consult a doctor, and not go to the airport, ”says Natalya Badikova. nine0003

Among other "bad" signs that indicate the need for prompt consultation of a tourist with a doctor is a sharp headache accompanied by tinnitus. This may be the first signs of preeclampsia or preeclampsia. Reasons to postpone a trip for a pregnant woman are vomiting, diarrhea, as well as exacerbation of concomitant diseases.

In order for a pregnant woman to painlessly cancel a trip for health reasons and not lose money, when buying a tour or separately (but maximum 5 days before departure), you need to take out travel insurance for all tour participants, which we have already talked about. As a rule, its cost is 5% of the total tour. nine0003

II. AIR TRAVELING WHEN PREGNANT

Contrary to popular belief, the plane is not the most "risky" mode of transport for pregnant women.

“Many people think that the safest way for pregnant women to travel is by car because you can stop wherever you want. But it's not. The way it shakes in a car, it doesn't shake anywhere, even on a train. Bumps, sudden braking, emergency situations on the road - all this has a very negative effect on the state of pregnancy. Plus, prolonged physical inactivity, motion sickness, the smell of gasoline - this can trigger a cascade of pathological reactions, ”says Dr. Badikova. nine0003

As for the train, if it is a comfortable express, and especially if the journey is not long (3-4 hours, "Sapsan"), then it is quite possible to consider it. You can also consider the new double-decker express trains "Moscow-Sochi". In other cases, especially if the train is old, with age-appropriate bathrooms, doctors recommend considering an airplane instead of a train.

CAN A PREGNANT WOMAN PASS A SCANNER WHEN INSPECTION AT THE AIRPORT

Only x-ray machines are dangerous - so you should find out what type of scanner is at the airport. If there is a corresponding icon on the device, then you should present a certificate of pregnancy to the airport employee and go through other screening procedures. nine0003

However, modern devices at airports are not dangerous for pregnant women. “Modern airport scanners use a low-frequency electromagnetic field. This is not ionizing radiation, there is no harm to the body of the pregnant woman and the baby from him, as well as from ultrasound, ”says Natalya Badikova.

FLIGHT IN PREGNANCY: HOW TO BE AND WHAT TO BRING WITH YOU

Air travel also has its own factors that can negatively affect the health of pregnant women. There are risks, but if the pregnant woman feels well, and the doctors have no objection to the vacation, you can fly. nine0003

Firstly, these are changes in blood pressure during takeoff and landing. This is usually fought by creating a state of rest (you need to take a special pillow with an adjustable boost, disposable ear plugs, an eye mask for the flight), and drinking plenty of water (plain water without gas). You can easily buy water at the airport after crossing the border. It is also a good idea to take a bar of dark chocolate with you on a flight (in case of pressure drops and just for a snack).

Secondly, this is hypodynamia and a long stay in a sitting position, so pregnant women should, if possible, choose destinations for recreation with a short flight (3-5 hours) during this period of their lives

Pregnant women should, if possible, choose holiday destinations during this period of their lives with a short flight (3-5 hours)

Why? “Long stay in a sitting position leads to congestion in the pelvis. This can disrupt blood flow in the pelvic organs, including the uterus, and cause changes in bowel function. Swollen intestinal loops can put pressure on the uterus, this can cause hypertonicity, which, in some cases, can cause abortion, ”explains Natalia Badikova. How to deal with this risk? It's simple: during the flight, you should try to walk around the cabin more often, get up, change the position of the body, do light gymnastics for the legs and arms. nine0003

A pregnant woman should not forget to take hygiene products (wet wipes, disposable pads, etc.), micellar water (no more than 100 ml to be allowed on the plane) with her on the flight (in hand luggage) - to moisturize the skin during the flight, a set of drugs (if the drugs are rare and prescription, it is better to take a prescription for them, sometimes with a notarized translation - in order to avoid difficulties at the border).

Pregnant women should also take care of compression stockings during the flight. These must be stockings or stockings (compression class must be determined by the attending physician). In the second and third trimester, a prenatal bandage should be worn for flying. During the flight, a woman should wear cotton underwear and a bra with wide straps. nine0003

During the flight, it is better for pregnant women to wear comfortable shoes - light, breathable moccasins or slippers.

III. PREGNANCY BEACH HOLIDAY

WHICH COUNTRY TO CHOOSE FOR A PREGNANCY BEACH HOLIDAY

The list of such countries is determined by a combination of three main factors. Firstly, as we have already said, these should be destinations with a short flight (up to 5 hours as a maximum).

Secondly, it should be Russia or foreign non-exotic countries with a relatively temperate climate and a diet adapted to our cuisine. Countries with excessively hot climates and exotic cuisine should be avoided. nine0003

“Water and food that is not typical for our diet, for example, in the countries of South and Central America, Southeast Asia, can provoke toxicosis of pregnant women in the first trimester, even if you do not have it. It is also provoked by heat. The fact is that hypoglycemia (lack of glucose) can serve as an impetus for the development of toxicosis in pregnant women. And it occurs in hot climates due to increased evaporation of moisture from the skin, heavy drinking and, as a result, lack of appetite and long intervals in eating,” says Dr. Badikova. nine0003

Doctors advise pregnant women to choose for a beach vacation those countries where the average daily (attention - not daily, but average daily) temperature in the place and during the rest period does not exceed 30. 5 degrees Celsius.

Pregnant women should choose for a beach holiday those countries where the average daily (not daily, but average daily) temperature during the holidays does not exceed 30.5 degrees Celsius

Definitely, you should not choose a country for a pregnant woman where there is a risk of contracting giardia infections, and in general infectious diseases (Japanese encephalitis, Dengue fever, Zika, etc.). It should be clearly excluded from visiting countries in which it is recommended to be vaccinated in advance (the list can be found on the website of Rospotrebnadzor). Doctors strongly recommend that pregnant women not be vaccinated against any diseases - this can be fatal for the child, since any vaccine passes through the placental barrier. nine0003

Thirdly, besides the climate and food, pregnant women should take into account one more factor when choosing a vacation destination: the availability and level of medicine in the country and in the hotel. Preference during pregnancy should be given to countries with developed medicine (at least in resorts), and when choosing a hotel, you should ask the travel agent if there is a doctor in the hotel (as a rule, he happens in high-level hotels).

The choice of a pregnant woman in the first and second trimester, therefore, comes down to the following list of destinations: Russia, worthy hotels in Turkey, Spain, Italy, Greece, Cyprus, Croatia, Bulgaria, Montenegro, Slovenia, Czech Republic. You can also go to the countries of the Persian Gulf (preferably to the developed emirates of the UAE - Dubai and Abu Dhabi, or to Qatar), and carefully choosing a hotel, preferring high-level ones. nine0003

The countries of Equatorial Africa, South-East Asia and the Americas should be excluded from your list during pregnancy due to the long flight, hot climate, unusual cuisine, the risk of infectious diseases, and in some cases the need for vaccinations.

HOW TO BATH WHEN PREGNANT

All is well, and the pregnant tourist is at a beach resort. Summer and the beach mean the sun, and here the doctors also have their advice. The sun, of course, brings positive to the pregnant woman (more endorphins are released), replenishes the vitamin D deficiency, which is typical for residents of northern countries. nine0003

Firstly, exposure to the sun and even swimming in the sea (due to the reflection of the sun's rays from the water surface) should be avoided by pregnant women from 12.00 to 16.00.

Secondly, and the rest of the time you need to be careful about protection from sunlight. “During pregnancy, a woman often has hyperpigmentation. Taking into account being in the sun during the holidays, there is a very high probability that age spots, freckles that appeared during pregnancy on exposed parts of the body will not disappear. Therefore, a pregnant woman needs to take sun protection with her on vacation, with a protection factor of at least 50 - more is better. It is desirable that such a product contains vitamin E. And immediately after exposure to the sun, you need to apply a special after-sun product, it will additionally moisturize the skin, ”says Natalya Badikova. nine0003

Pregnant women should take sun protection with a protection factor of at least 50, preferably more. It is desirable that the composition contains vitamin E

In particular, physicians consider such lines of protective equipment as Sanosan, Lierak, Uriage, from budget ones, for example, Garnier, to be well-established products. But everything is individual, and in choosing the brand and, most importantly, the composition of the product, it is better to follow the advice of the attending gynecologist.

Gynecologists strongly recommend tourists to take a closed swimsuit to the beach, excluding direct sunlight on the abdomen. “It will also be very good to take a cap with a large visor or a hat with a brim - to exclude sun exposure on the face, since the risks of age spots in pregnant women are very high,” advises Dr. Natalya Badikova. nine0003

WHERE IT IS SAFE FOR A PREGNANT WOMAN TO BATH - THE SEA OR POOL

Pregnant women can safely swim in the sea if it is warm and the temperature is comfortable for the woman. The duration of stay in it is until the first moment when the pregnant woman feels “chillness”. Another tip - pregnant women should not stay in a wet bathing suit for a long time. At the first uncomfortable sensations, it is better to change clothes, and therefore take more than one set with you.

At the same time, experts say, the sea for pregnant women is definitely preferable to the pool. nine0003

“Excessively chlorinated water in some pools can lead to changes in the microflora of the vagina, and eventually to bacterial vaginosis or inflammation of this area,” says Natalya Badikova. After the pool, it is also better for a pregnant woman to make an external (only external!) Treatment of intimate places with Miramistin or similar means.

HOW TO EAT FOR A PREGNANT WOMAN ON HOLIDAY

It is better to leave the diet in the hotel the same, close to the set of products that a woman eats at home, doctors say. The advice is feasible, especially with the all-inclusive system - the buffet at the hotel allows you to choose almost any type of food. nine0003

However, there are restrictions: for example, any carbonated drinks should be excluded, it is better to drink black tea instead of green tea. And any exotic products for us, including southern fruits and vegetables, should be added to the diet gradually, in small portions, starting from 3-4 days of vacation.

“You shouldn't eat more than two unusual fruits a day (for example, mango). If we are talking about freshly squeezed juices, then this is a replacement for fruits (or fruits - or juices from them). Such juices should be drunk strictly after meals, not on an empty stomach, in order to avoid increased secretion of hydrochloric acid and heartburn, ”explains doctor Badikova. nine0003

WHAT TO DO IF YOU FIND OUT YOUR PREGNANCY DURING VACATION

A tourist found out about her pregnancy while on vacation and she has to fly back. It happens. If there are no disturbing moments (bleeding, pain, etc.) - you do not need to contact a local doctor. What should be done during this period?

Doctors advise in this case to immediately change the diet to a more fractional one, exclude alcohol, coffee, smoking (if there is such a habit), include more meat, fish, chicken in the diet.