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Is it safe? · Pregnancy Smart

Is flying by trimester safe during pregnancy?

Assigned clinical reviewerSharyn Harrison· CNM, NPDraft · pending clinical reviewUpdated

What does the evidence say about flying by trimester during pregnancy?

  1. Occasional air travel is safe for most pregnancies that don't have medical complications, though the most common pregnancy emergencies tend to happen in the first and third trimesters. 1
  2. Most U.S. airlines allow domestic travel until about 36 weeks, but it's worth checking your specific airline's policy before you book. 2
  3. Flights longer than 4 hours carry a small increase in blood-clot risk, so getting up to walk, drinking water, and wearing compression stockings can help. 3
  4. The cosmic radiation you're exposed to on a normal commercial flight isn't considered a hazard for occasional flying. 1

Is flying by trimester safe in each trimester?

  • First trimester. Miscarriage and ectopic pregnancy are more common early on, and they're harder to manage far from your own care team. Otherwise, a routine short flight is generally considered fine.
  • Second trimester. This is often the most comfortable time to travel: nausea is usually easing, energy is coming back, and moving around is still easy. Many people plan longer trips during this window.
  • Third trimester. U.S. domestic airlines typically allow flying until about 36 weeks. International airlines vary and may ask for a letter from your provider, and after 36 weeks, most people hold off on travel since labor could start at any time.

Frequently asked questions

Do airlines require a letter from my doctor?

Policies vary. Some airlines ask for a doctor's letter after 28 weeks for international flights or 36 weeks for domestic ones. Confirm your airline's rule when you book, and get the letter ahead of time.

Are the airport body scanners safe?

Millimeter-wave scanners use non-ionizing radiation, and ACOG considers them safe during pregnancy. You can request a pat-down instead if you'd rather.

What should I do on a long flight to reduce blood-clot risk?

Get up every 1 to 2 hours, do ankle circles in your seat, drink plenty of water, and consider compression stockings for flights over four hours.

Is there any trimester I should not fly?

Past about 36 weeks, or earlier for a high-risk pregnancy, most providers suggest holding off on non-essential travel since labor could start anytime. Your provider will tailor this to your situation.

References

  1. Air Travel During Pregnancy: ACOG Committee Opinion

    ACOG · https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2018/08/air-travel-during-pregnancy

  2. Travel During Pregnancy: ACOG FAQ

    ACOG · https://www.acog.org/womens-health/faqs/travel-during-pregnancy

  3. Pregnant Travelers: CDC Yellow Book

    CDC · https://www.cdc.gov/yellow-book/hcp/family-travel/pregnant-travelers.html

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.