Summer is coming - the season of vacations and travel. I don’t want to deny myself the pleasure of enjoying the long-awaited vacation in the company of my beloved husband, especially now, when the baby is about to appear and it’s not at all up to travel. What to do? Can you decide to move, fly, change the climate?

First of all, you should remind yourself that the course of pregnancy is a purely individual thing. And if any of your friends in the eighth month climbed Hoverla or went on a speleological tour of the part of the Marble Caves in Crimea closed for tourists, flew to South Africa or made a pilgrimage to Tibet, this does not mean at all that you can repeat everything her exploits. Even if you have less time, you are younger and feel (being at home) just fine. You need to start preparing for a vacation with a consultation with a doctor. Discuss with your supervising gynecologist a possible route, means of transportation, travel time, climate change. The specialist will be able to give you all the recommendations, relying not on the experience of a friend, but on the results of your own analyzes. Perhaps you are not even aware that, feeling great in your own climate, you can harm yourself and your child, finding yourself thousands of kilometers from home!

So, tell the doctor your hopes: where, for how long, by what means of transport and even in which company (husband, parents, alone) you would like to go. Based on the results of the examination and the actual test results, the doctor will be able to recommend you a whole list of precautions, up to a ban on certain types of loads and vehicles. If there is no danger, perhaps he can still prescribe you an antispasmodic so that there are no contractions, he will recommend a list of drugs that you will need to have on hand. You will need to have your medical record with you, it is also advisable to ask the doctor to make an extract from the medical history. Find out in advance the address of the clinic closest to your place of rest - upon arrival, it would be best for you to also undergo an examination, and in case of any ailments, do not wait for a return, but go to the medicine right on the spot.

So your trip is over. Do not take on too many travel arrangements, it is better to entrust this to relatives or a tour operator. Yes, perhaps such a service will cost more, but now the most important thing is your nerves, health and good mood! Get ready calmly, make a list of the things you need in advance and follow it. Don't fuss, don't worry, don't worry - whatever you forget, it can be found on the spot.

Also, it will not be superfluous to inquire in advance about the weather forecast for where you are going. Even a not very accurate forecast for 2-3 weeks in advance can warn you about possible pressure changes and temperature changes, which in your position is also very important to take into account.

If your pregnancy is already more than 7 months, do not plan long trips, since the risk of premature birth cannot be completely ruled out. Consider your holiday schedule in advance if you want to visit tourist attractions and do local sightseeing trips. Think about the days not being too busy, give yourself some time just to relax and do nothing! It will be especially important not to overload the first days after arriving at the place of rest - you will need to come to your senses after the move. It is not worth ordering excursions that involve many hours of sitting on the bus, too long pedestrian crossings.

It is best for you to ride with maximum comfort. From this point of view, a train is always better than a car, an airplane is better than a train, and a bicycle is generally discouraged.

• As soon as your stomach is rounded, you better not think about cycling, especially over rough terrain: it is fraught with shaking, falls.
• Intercity buses are good if the journey takes no more than two to three hours. Staying in a sitting position without the opportunity to walk, stretch, lie down for a longer period is already undesirable.
• By car, you can make longer trips than by bus, since at any time you can stop and get out, give yourself a rest, stretch your limbs. Try not to exceed the speed limit, do not drive on bad roads to avoid shaking, do not remain the only driver in the company! You should always remember about seat belts: do not fasten them across the belly, but pass them under it.
• For long-distance travel, we choose a train. Here you can move freely, lie down when you want to sleep, here you can settle down with maximum comfort compared to a car or a bus.

Flights by plane for a pregnant woman

Air travel is most recommended for pregnant women. You can fly fearlessly in the second trimester of pregnancy if your doctor permits you, up to 7-8 months of pregnancy. Eat moderately during the flight and drink plenty of water. Your feet can swell at high altitudes, so make yourself as comfortable as possible, take off your shoes, do a few exercises to relax, and at least once an hour walk down the aisle between the chairs to activate circulation in your legs.

From the seventh month of pregnancy, there are a number of restrictions imposed on flights. You should not fly late if you have pregnancy diabetes, high blood pressure, or problems with the placenta. Also, such trips are not recommended for mothers who are pregnant with twins. In any case, you will need to provide documents from the attending physician authorizing you to fly (this issue must be clarified with the representatives of the airline you are flying with.) Here are the requirements of some airlines regarding the transportation of pregnant women:

• You can fly by Ukrainian airlines before (first pregnancy) or before (not the first pregnancy). You will need a certificate from the airline's medical department to authorize the flight.
• KLM, Northwest Airlines do not carry women with a term longer.
• British airways- if the period is longer, a certificate from the attending physician is required, you also need to sign a declaration that you are aware of all the risks and do not impose any responsibility on the airline.
• Lufthansa- if the term is longer, a certificate from a doctor is required, confirming the absence of contraindications to flights and (the estimated date of birth).
• EasyJet, British European, Air New Zealand- they require a certificate before, at a later date they are not allowed to fly.
• United Airlines, Delta, Alitalia, Swissair, Air France- require a certificate for a period of more than.
• Virgin- if the period is longer, he is allowed to fly with a doctor.
• Air New Zealand- flight is not allowed in case of multiple pregnancies.
• Iberia- does not impose any restrictions.

Traveling abroad during pregnancy

It should be remembered that changing time zones, climate, nutrition requires the body to make efforts to adapt and tire a woman. Therefore, traveling to distant countries carries with it a certain danger. Tropical countries should be especially wary: the yellow fever vaccine, which is necessary to enter many of them, is contraindicated during pregnancy. Malaria is also dangerous to the expectant mother due to the risk of bleeding, and to the fetus due to danger or premature birth. The dehydrating diarrhea that affects most tourists in exotic countries is almost impossible to prevent. Before daring to travel to Africa, Asia or South America, learn about the endemic diseases in these countries.

Safety rules when traveling during pregnancy

It is best to travel by taking some precautions:

Taking care of your safety and comfort in advance and observing simple safety rules, you will have a great rest! Have a good trip!

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You are pregnant. You feel good and would like to travel / sail / fly to another city or even another country. There are all the conditions for this: a decree has been issued, there is a biometric passport and you are ready to travel. At what stage of pregnancy is it better to do it? In what places should the expectant mother absolutely not go on a trip? And what should you take with you? Says the obstetrician-gynecologist of the Kiev Regional Center for Maternal and Child Health Tatiana Vladimirovna Guzhevskaya

When to hit the road?

Traveling in each trimester has its own nuances. What is possible at the beginning of pregnancy cannot be afforded at the end, and vice versa. Consequently, the advice on what and when it is preferable to travel to the expectant mother at different periods will differ.

Long road in the first trimester of pregnancy

From the first to the 12th week of pregnancy, the organs and systems of the fetus are laid, and the female body is undergoing hormonal changes. Therefore, a pregnant woman should be attentive to her health. During these periods, many expectant mothers develop early toxicosis, which appears as nausea and vomiting of varying intensity, dizziness, fainting, drowsiness and fatigue.

In such a state, it is unlikely that a woman decides to travel. If the expectant mother feels well, then at the beginning of pregnancy it is not contraindicated for her to move by any type of transport. But each transport has its own advantages for traveling while pregnant.

In the first trimester of pregnancy, if the trip is not long, you can fly by plane. Contraindications to travel here will be early toxicosis and the threat of miscarriage. Indeed, during takeoff and landing of the aircraft, there is an increased load on the vessels, which is undesirable if there are any health problems.

You can also travel by train, but again, this means a short trip. In the autumn-winter period, traveling by train, plane or bus will be highly undesirable due to the great danger of contracting viruses. Now the organs of the child are being formed and any virus can cause irreparable harm to the health of the fetus, cause a genetic failure in the complex system of cell division.

If the first trimester falls on the cold season, it is better for mom to sit out the flu period at home, reducing contact with people to a minimum. From this point of view, traveling by car looks more comfortable: there are no unwanted contacts with large groups of people. The air conditioner can be turned off or not turned on at all. You can stop at any minute, pause, eat, or stretch your back and leg muscles.

Second trimester travel

The second trimester - from the 12th to the 28th week of pregnancy - is the most comfortable period in a pregnant woman's life. It is in the second trimester that she can happily travel. After all, early toxicosis has already receded, and the child is not yet big enough for a woman to feel discomfort.

If a woman does not have any extragenital pathology, for example, heart disease, kidney disease, varicose veins, then at this time she can travel by train, bus, car, or plane flights. Of course, they should be short-lived.

At the airport and at the train station, you need to follow the rules of personal hygiene so as not to contract intestinal infections, do not drink tap water, and do not eat with unwashed hands. When an “interesting” situation becomes noticeable to others, at the airport you may be asked for a certificate from an obstetrician-gynecologist that flights are not contraindicated and that the pregnant woman can travel at this time.

Third trimester travel

At the end of pregnancy, from the 29th to the 40th week, this is no longer a very comfortable time to travel. The main rule that will help to avoid problems: always have an exchange card with you, since childbirth can develop at any time from any load or stress.

After the 34th week, obstetricians no longer recommend that a pregnant woman travel by train or fly by plane. Only in extreme cases, when it is really necessary. But such a trip doesn't have to be long. A maximum of two hours, so that if labor starts, you can rush to the nearest hospital.

When registering for a plane, you will definitely be required to have an obstetrician-gynecologist's opinion, which will indicate which lines of pregnancy and whether a woman can fly on an airplane. Because employees are afraid of premature birth on board.

From this point of view, in the third trimester, preference can be given to a car - and to drive according to the principle “you drive quieter, you will continue to move on”, often stopping so that the pregnant woman can walk around, take a break from shaking.

In a long time, travel for her is more torment than pleasure. She cannot sit in one place for a long time, her legs swell, her back hurts, her blood pressure can rise or, conversely, fall, her head dizzy. In this situation, the train is, of course, more comfortable: you can walk there and lie down. But there are also air conditioners. And, if the road takes more than two to three hours, then dryness of the skin and mucous membranes develops. And this is the path to easy infection with viruses.

Air conditioners work at airports as well. Therefore, a pregnant woman may face similar problems when traveling by plane. In addition, the flight may be delayed indefinitely. In this case, the expectant mother becomes a hostage of circumstances: neither wash nor eat. A pregnant woman is often nervous on the road, which is highly undesirable in her position.

Why labor can start on an airplane

In an airplane, pressure drops act on the fetus and uterus, in particular, they act on the vascular walls. In addition, stress and vibration during travel can provoke an outpouring of amniotic fluid or the onset of labor.

Most often, cases of unplanned childbirth on the road occur in the third trimester, when the woman's body is already ready for childbirth and only some provoking factor is enough for the child to begin to be born. Therefore, after 34 weeks, travel is strictly prohibited.

Contraindications for traveling while pregnant

Among them are severe toxicosis in the first trimester, the threat of miscarriage at any time, extragenital pathology: diseases of the kidneys, heart, gastrointestinal tract, dizziness, problems with blood pressure, diabetes mellitus. All these diseases are contraindications to travel by plane, train, car and bus.

If there is a threat of termination of pregnancy, then the slightest shaking can end badly. It is better to weigh the pros and cons so as not to harm the health of the unborn baby.

If there are no contraindications, and you need to go urgently, then you can buy the necessary medications just in case. After all, it will be problematic to buy medicines abroad. You can take with you antispasmodics, pills to preserve pregnancy, drugs for diarrhea, constipation, high blood pressure and nausea.

The list of the most essential medications that you may need on the road should be obtained in advance from your obstetrician-gynecologist at the antenatal clinic. And in general - any trips of a pregnant woman should be coordinated with her doctor, carefully weighing all the risks with him and soberly assessing the possible complications.

Prepared by Victoria Astakhova

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The celebration of this or that event is often accompanied by the need to move from one place to another - a short or long journey. Now it is more and more popular to celebrate some events not only in other cities, but also abroad. However, most pregnant women have no idea what they might encounter while traveling, especially if the pregnancy is complicated.

Any trip outside the home or community where a pregnant woman lives is accompanied by the risk of pregnancy complications, which depend on the following factors:

The duration of travel, including the duration of movement, especially in a forced position of the body (plane, train, car);

The degree of "civilization" of the place where you are going (nature reserve, village, resort, city, etc.);

The level of development of the health care system in the country you are traveling to - whether a pregnant woman can receive professional medical care if necessary;

The level of danger of the area where the woman is going (the spread of a number of infections, lack of drinking water, poor living conditions, hostilities, etc.);

A woman's activity during travel and her physical preparation for additional stress.

All these factors require planning any trip and solving many issues in advance. Pregnancy for a woman is always a stressful condition, especially when it comes to physical activity, so the additional stress that always accompanies any trip to another area or country can harm pregnancy. Many women lost their future children after long hard travels: a change in latitude and longitude, and hence atmospheric pressure, climate, familiar water and food, the presence of unfamiliar infections, long journeys, lifting weights (suitcases), changing time zones, increased physical activity can drastically change the course of pregnancy not for the better.

Many women find traveling in the first trimester is the safest because the uterus is still small and the pregnancy will not interfere with the enjoyment of the usual rest. However, most often, pregnancy is terminated precisely in the early stages, that is, in the first trimester. A miscarriage can be accompanied by bleeding, which in many cases requires medical intervention. You should always remember about the possibility of an ectopic pregnancy. Being in another country or city, as well as in an area where there are not enough or no medical facilities, can lead to serious health consequences and even threaten the life of a woman.

20-24 weeks of pregnancy are considered optimal for travel. From 24 weeks, the risk of premature birth increases. Premature birth in a foreign country is usually a disaster for a woman, because at best everything can end up with a long stay in the hospital of a woman and a child, which will entail at least large financial costs.

The longer the gestation period, the more dangerous it is to travel long distances, to other countries and to other continents.

What type of transport should you give preference to? It depends on the duration of pregnancy, the condition of the woman, distance, availability of public transport, quality of roads, season, etc.

If the distance between home and destination is covered in about 5-6 hours of travel by car (up to 450-600 km), then it is better to give preference to the train, regardless of the gestational age and time of year. Indeed, in a train carriage, a pregnant woman can walk along the corridor every 1-1.5 hours, take enough water and empty her bladder in time.

If there is no opportunity to use rail transport, then it is better to go by car for relatively short distances. However, it is necessary to take into account weather conditions, road conditions, possible traffic jams, especially in large cities. The longer the pregnancy, the more often it is necessary to make stops (usually every 1.5-2 hours) so that a woman can walk for 15-20 minutes.

Flight by plane justifies itself only for long-distance travel, for example, from one country to another. When traveling over long distances (over 600 km), it is better to give preference to the train or plane.

The danger for a pregnant woman is not so much "height differences" as prolonged sitting during intercontinental flights. Therefore, some airlines warn women who are 26-35 weeks pregnant about the dangers of long flights and may even refuse to sell a ticket. Some airlines require a medical check-up before flying if a pregnancy complication is suspected.

Since in the third trimester the properties of the blood of a pregnant woman change towards thrombus formation, prolonged sitting in one place in a forced position can provoke the formation of blood clots, which is fraught with blockage of the great vessels and other serious consequences. Also dangerous is the state of severe anemia (anemia), in which long flights are contraindicated.

Also, flights are contraindicated in case of multiple pregnancies after 32 weeks, and a woman may be denied ticket sales.

For women with normal pregnancy, flights are not harmful, but for those suffering from cardiovascular diseases, any flight is fraught with a decrease in the amount of assimilated oxygen, as well as increased thrombus formation (due to prolonged sitting).

Vibration and noise from an aircraft operating may also have a minor adverse effect on a pregnant woman. All pregnant women are advised to wear elastic stockings or bandages and take a walk in the cabin every 30-40 minutes of flight. Long hours of flights after 35 weeks of pregnancy are not recommended

Travel to another area, especially to another country, can be fraught with surprises - from a traffic accident and injury to complications of pregnancy and acquiring a new disease. Pregnancy is a condition that requires insurance to financially cover the costs of possible treatment for a pregnant woman and the care and treatment of a baby, especially a premature baby.

Some airlines require a letter from a doctor or an extract from the card of a pregnant woman after 28 weeks of pregnancy with the exact date of the expected birth and gestational age, as well as the number of fetuses. Insurance is usually provided by a travel agency, but it can also be purchased through an airline. It is extremely important that the insurance has a clause providing financial coverage of expenses in case of premature birth and caring for a premature baby.

The language barrier is a common negative factor that accompanies a pregnant woman who is in trouble in a foreign country. It is always necessary to have the contact information of the consulate or embassy of the country of which the woman has citizenship. It is best to write this information on the last page of your passport. Also, the passport must contain the contact information of a relative, with whom people assisting a pregnant woman can contact in case of emergency.

Before any trip, a pregnant woman should seriously weigh the positive and negative aspects of travel and do whatever is necessary to prevent many of the serious complications of such a trip. By the way, a modern woman's risk of dying in a traffic accident is much higher than that of pregnancy and its complications.

After all that has been said, it remains only to wish everyone a safe, happy, cheerful celebration! Be healthy!

1.How long can you travel during pregnancy? Midwives consider the first and second trimesters to be the most travel-friendly. Behind toxicosis, morning sickness and an acute reaction to stuffiness and odors; at the same time, childbirth is still far away. Of course, you need to consult a doctor before traveling. Contraindications for long-distance travel are exacerbation of any chronic diseases, problems with the formation of the placenta, the threat of uterine bleeding, a history of miscarriages.

2. Which country to travel to during pregnancy? Look for countries with a temperate climate: not too hot, not too dry, not too humid. It is better to give up exotic countries (Africa, Cuba, Mexico, etc.) for a while, because they are in a different climatic zone, and now you absolutely do not need problems with acclimatization. The best directions are where you can fly in 2-5 hours by plane: the south of Russia, Crimea, Croatia, France, Spain, Switzerland, the Baltic countries.

3. When purchasing a tour, please note that health insurance usually does not include cases related to pregnancy, etc. Just in case, have a credit card with you so that in case of unforeseen expenses you do not get into a difficult situation. The level of medical care in the selected country must be high enough. Just in case.

4. It is worth avoiding countries where daytime temperatures rise above 40 ° C. It is also not recommended to go high into the mountains while waiting for the baby, because the higher the altitude, the less oxygen, and the baby needs air for normal development.

5. All-inclusive can play a bad role for you: it is fraught with overeating and inability to choose the most suitable dishes. It is best to eat in cafes, restaurants or cook on your own (if you rent a villa or apartment).

6. Check with your obstetrician / gynecologist. Usually the best time to fly is in the second trimester, from the 14th to the pregnancy. In an airplane, try to move as much as possible. Prolonged sitting in one position can disrupt blood circulation, which is undesirable for you and your baby.

7.If you travel by train during pregnancy, choose the bottom bunk. The trip itself should ideally last no more than 15 hours, maximum - a day. There is not enough air on the train, little ability to move and there are no doctors, although it must be admitted that this is the safest mode of transport during pregnancy.

8. When going on a long trip by car, keep in mind that during pregnancy it is harmful to stay in one position for a long time and overwork. Every 200 kilometers you need to stop and get out of the car, a 15-minute break will help restore blood circulation. Be sure to think about where you will stay for the night and snacks. For long journeys by car, it makes sense to buy a special safety belt for pregnant women.

9. It is best to relax on the beach in the morning before 11 am and in the evening after 4 pm, when the sun is least active. It is not recommended to sunbathe for a long time during pregnancy, because there is a possibility of overheating and provoking the appearance of age spots on the skin. Also, prolonged exposure to the sun for the expectant mother can be fraught with uterine bleeding, overheating, fainting, varicose veins.

10. It is possible, but no more than 15-20 minutes. First, you may not feel tired, which can lead to a drop in blood pressure, dizziness, and fainting. Secondly, expectant mothers should not overcool. The water temperature must be at least 22 ° C.

IMPORTANT! Provide yourself with everything you need while traveling.

What to take with you (list):

• Medical policy.
• , a note indicating your blood type and the phone number of your husband or close friends (if you are traveling alone or with children). If you are flying abroad, the exchange card should be translated into English.
• A gynecologist's certificate with a flight permit (Aeroflot requires this already at 36 weeks of gestation).
• A travel first aid kit with drugs approved during pregnancy. Please note that many drugs abroad may have a different name or be very expensive. It is better to have what may be useful with you.
• Sunscreen cosmetics with a protection factor of at least 30SPF.
• Disposable toilet pads, wet wipes, hand sanitizer.
• Still drinking water, dry biscuits.
• Comfortable footwear, light clothing made from natural "breathable" fabrics, headwear.
• Travel pillow for the neck.