When safe to fly pregnant

Travelling in pregnancy - NHS

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

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

Find out more about getting healthcare abroad.

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

When to travel in pregnancy

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

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

Flying in pregnancy

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

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

After week 28 of pregnancy, the airline may ask for a letter from your doctor or midwife confirming your due date, and that you aren't at risk of complications.

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

Travel vaccinations when you're pregnant

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

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

Malaria tablets

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

Zika virus

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

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

South and Central America
the Caribbean
the Pacific islands
Africa
Asia

Check before you travel

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

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

Car travel in pregnancy

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

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

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

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

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

Sailing in pregnancy

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

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

Food and drink abroad in pregnancy

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

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

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

5 Tips to Stay Safe When Flying While Pregnant

Written by Kathleen Doheny

Check Policies: Air Carriers, Insurance Carriers

Airlines discourage travel after 36 weeks. Contact your carrier and ask about their policy for pregnant travelers. Ask if you will need a note from your doctor verifying your due date.

Check your health insurance plan, too. What happens if you need medical help or you deliver at your destination? Are you covered?

If you are traveling out of the country, see if you need a supplemental policy for coverage overseas. Consider buying medical evacuation insurance so you can be flown home for medical care, if necessary.

Get Cleared for Takeoff

A few weeks before your trip (or a few months, if you are traveling internationally), see your doctor. It's especially important to get cleared for takeoff if you have a chronic medical problem such as problems with breathing.

Ask about:

Decompression stockings. Ask if you should wear them. No, they're not fashionable. But they may help blood flow.
Nausea remedies. If you're prone to motion sickness, ask about a nausea remedy or acupressure bands. Little scientific evidence supports these bands. But some people find them helpful.
Gas and diarrhea remedies. The increase in altitude on flights can cause intestinal gas to expand and cause discomfort. Avoid gassy foods before your flight. International travel may expose you to bacteria that can lead to diarrhea. Ask about a diarrhea remedy.
Prenatal care. Depending upon the length of the trip, decide if you need to get some prenatal care at your destination. If so, figure out who will supply it.
Destination medical care. Ask for suggestions about names of doctors and hospitals at your destination, just in case. Your doctor may know a colleague there or be able to make recommendations.
Flu vaccine. Ask if you need a flu shot before you leave.

In Flight

Here are some things to consider before and during your flight:

Pre-flight diet. Avoid gassy foods (beans, cabbage, broccoli) and carbonated drinks. They can make you more uncomfortable in flight.
Buckle up. On the plane, keep your seatbelt fastened. Buckle it under your belly, low on the hipbones.
Keep drinking. Get plenty of fluids during the flight. If you become dehydrated, it can reduce blood flow to the uterus.
Exercise aloft. Your doctor may suggest you walk every half hour or so during a smooth flight. It will help keep blood flowing. In the seat, flex and extend your ankles to boost circulation.
Best airplane seat. An aisle seat will make it easier to get in and out for walks and trips to the bathroom. A bulkhead seat is the most spacious, but a seat over the wing will probably give you the smoothest ride.

Get Ready for International Travel

If your destination is international, take some extra precautions.

To avoid the risks of premature labor or health problems, take your trip before the third trimester.

Don't fly internationally if:

This is your first pregnancy and you're 35 or older or 15 and younger.
You are carrying more than one baby.
You have placental abnormalities, now or in the past.
You have any vaginal bleeding or risk of miscarriage.

Also do not fly internationally if you have a history of:

Miscarriage
Ectopic pregnancy
Premature labor or premature membrane rupture
High blood pressure, diabetes, or preeclampsia in pregnancy

Your doctor will also likely discourage travel:

To high altitudes (more than 12,000 feet)
To areas with serious disease outbreaks
If your destination requires live virus vaccines for protection

Keep Risks in Perspective

Though slightly increased, these risks should not be major concerns.

Blood clots. When you are pregnant, sitting in one spot for a long time can cause blood to pool in your legs. That can raise the risk of blood clots. The recirculated cabin air and low humidity add to the risk. However, the risk is still not huge. You can lower this risk by moving around as often as your doctor recommends.

Blood pressure and heart rate. When you're pregnant and fly, your blood pressure and heart rate can go up. But experts say it's typically not enough to put you in any danger.

Body scans. The body scan technology used for security at airports is safe during pregnancy, according to the Transportation Security Administration. But you can request a hand or wand search instead.

Radiation. The occasional flight doesn't pose a problem for most pregnant women. But if you're a frequent flyer, such as business traveler, pilot, or flight attendant, you might exceed the radiation limit considered safe during pregnancy. Ask your doctor about this.

Flying 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.

Vestnik ATOR was told about the details and nuances of organizing summer vacation during pregnancy:

Natalya Badikova , obstetrician-gynecologist with 13 years of experience, urogynecologist, PhD

Yulia Alcheeva , executive director of the insurance company ERV, the largest monotourism insurance company 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 what week of pregnancy can you fly on vacation abroad
Which insurance to choose for pregnant women
What needs to be done before a vacation for a pregnant woman and what documents to take
What are the symptoms of a pregnant woman 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 vacation 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.

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.

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 FLY ON A 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 proceeds normally, without complications, then the tourist can go on a beach holiday abroad, but so that it ends no later than 31 weeks of pregnancy.

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.

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.

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.

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.

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.

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).

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 therapist 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).

“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.

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 call. 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.

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.

II. AIR TRAVELING IN PREGNANCY

PLANE, CAR, TRAIN – WHICH IS SAFE FOR PREGNANT WOMEN?

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.

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.

IS IT POSSIBLE FOR PREGNANT WOMEN TO PASS THE SCANNER WHEN INSPECTION AT THE AIRPORT

Only X-ray devices are dangerous - therefore, 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.

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.

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.

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.

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 PREGNANT 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.

“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.

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, pregnant women should not choose countries 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.

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.

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.

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.

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, doctors 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.

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

Pregnant women can safely swim in the sea if it is warm and 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.

“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.

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.

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. At the same time, it is necessary to limit the consumption of bright orange and red vegetables and fruits - so as not to form an allergic syndrome.

With regard to the transfer to the airport and the flight itself, a pregnant woman in the early stages should not lift weights. Photos provided by pixabay.com

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Pregnancy and flights: the whole truth and myths

Is it possible for a pregnant woman to fly on an airplane is decided by the doctor conducting the pregnancy. With a normal pregnancy, flights are possible. However, if you have a pregnancy with special features, for example, multiple pregnancy or after IVF, often the doctor may advise you to refrain from flying. In the early stages of pregnancy, especially with toxicosis, flights are also often limited.

If the doctor has diagnosed a “threat of miscarriage” — it is absolutely impossible to fly! The most optimal time for flights is the second trimester, the beginning of the third. After 36 weeks, most airlines will not take you on board.

Tips for flying

Don't worry! Or consult a doctor about taking sedatives. When you are worried, stress hormones are released into the blood, uterine tone and vegetative symptoms are possible.
Consider the general condition of your body! So, for example, with varicose veins of the lower extremities, the risk of thrombosis increases. Pregnant women have a 5 times higher risk than non-pregnant women of the same age. Perhaps the phlebologist will advise you to use compression stockings. But only a doctor can assess the general condition of the body!
Do not sit in one place for the entire flight! It is advisable to walk around and stretch. Take a neck pillow, comfortable clothes, shoes with you.
On the eve of the flight, do not eat food that promotes gas formation.
The seat belt must be fastened under the belly!
Be sure to consult with an obstetrician-gynecologist before flying!

Contraindications for flying are

Risk of preterm birth.
Various types of anemia other than mild.
Postponed thrombophlebitis.
Threat of abortion.
Severe toxicosis of the first half of pregnancy.
Preeclampsia.
Multiple pregnancy.
Pregnancy as a result of artificial insemination.
Malposition of the fetus in the second half of the 3rd trimester.
Other complications and conditions for which your doctor considers travel unacceptable.

Myths and truths

Myth: Airplane pressure drops can cause preterm labor

- Pressure drops during physiological pregnancy without complications should not provoke premature birth.

Myth: during the flight, oxygen starvation can occur in the fetus in the womb

— Oxygen starvation (hypoxia) of the fetus during the flight is not great, but, of course, there is. However, if everything is fine with you, it will not hurt the child. It is worth remembering that this condition can be aggravated with anemia. Long flights are generally not recommended for pregnant women.

Myth: during the flight, mother and fetus are exposed to radiation

— Radiation exposure during flights has not been proven.

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