Is it safe to travel while pregnant?

For most women, travel during pregnancy is generally safe, provided the pregnancy is healthy and without complications. However, risks such as access to medical facilities, destination conditions, and the pregnancy stage should be considered when travelling while pregnant.

Always consult your doctor before making any pregnancy travel plans to ensure they align with your health needs.

When is the best time to travel while pregnant?

Choosing the best time to travel while pregnant is key to ensuring a safe and enjoyable trip. Each trimester comes with its own benefits and challenges. The table below outlines some general pros and cons of travelling while pregnant, for each stage of pregnancy. As each pregnancy is different, consult your doctor to determine the best time to travel during your pregnancy based on your circumstances.

Keep in mind, travel insurance that includes cover for expenses relating to pregnancy will contain eligibility criteria, policy terms, conditions, exclusions and limits. Make sure to read your travel insurer’s PDS prior to deciding on which policy is right for you and your needs during pregnancy travel.

What are the risks of travelling while pregnant?

Understanding the risks of travelling while pregnant helps you plan ahead and ensure you are taking measures to stay safe. Awareness of potential risks ensures you're prepared for challenges that might arise during your trip.

Complications with the pregnancy

A complication can develop at any time but is more likely during the first and third trimesters of pregnancy. For example, you may experience Hyperemesis Gravidarum or excessive vomiting during your first trimester, or premature birth in your third trimester. These risks could increase with travel, especially for high-risk pregnancies. Speak with your doctor to assess individual risks for your pregnancy.

Availability of your usual food and water

A particular concern when you’re out of the country is maintaining your diet, avoiding certain foods and having a constant source of clean drinking water. It may also be more difficult to satisfy pregnancy cravings in an unfamiliar country, but keep in mind that unfamiliar food or contaminated water can lead to dehydration or food borne illnesses. Stick to safe, bottled water and familiar meals.

Access to medical care

Travelling to a remote area or being on a cruise ship can limit the availability or level of medical care available to you and your child. When planning your trip, research safe holiday destinations when pregnant and check for medical access at your destination and have a plan for emergencies.

Access to your regular doctor

Being far from your regular healthcare providers who are familiar with your medical history may complicate continuity of care. Travel with a copy of your medical records and details of local healthcare providers.

Hygiene and sanitation

Public facilities may not be as sanitary as those at home, especially if you’re travelling in rural or remote areas. Regions with poor sanitation increase the risk of infections and illness. Be wary of food preparation in an unfamiliar country, carry hand sanitiser, disinfectant wipes, and practice extra caution with hygiene.

Trip cancellation

Holidays can be costly and if you did have to cancel, postpone or change your holiday due to a pregnancy complication, you could be left significantly out of pocket. Consider taking out travel insurance that includes trip cancellation expenses cover if you have to unexpectedly cancel your trip due to a pregnancy complication that is covered under the policy.

Fast Cover’s Comprehensive, Standard Saver, Snow Sports Plus, Domestic Plus and Frequent Traveller Saver Policies may provide cover for trip cancellation expenses. Eligibility criteria, policy terms, conditions, exclusions and limits apply. Consider the PDS prior to deciding on which policy is right for you.

What are the signs you should not travel during pregnancy?

Knowing when not to travel during pregnancy is key to protecting your health and your baby’s. Consider these examples before planning to travel while pregnant:

History of pregnancy complications

If you’ve experienced issues like preeclampsia, gestational diabetes, or placenta previa, travel might not be safe. For instance, a history of preterm labour increases the risk of early delivery, and long journeys can increase this risk. Your doctor can help assess if travelling is suitable given your pregnancy and medical history.

Travel insurance limitations

Many travel insurance policies don’t cover pregnancy complications, especially in the later stages of pregnancy or where pre-existing conditions are involved. Some may allow you to purchase a policy but require you to apply to include cover for any pregnancy related complication you have or have experienced in previous pregnancies. Many travel insurance providers only provide cover up to a certain number of weeks. Make sure to read the policies and Product Disclosure Statement when deciding which policy is right for you.

Travel warnings to your destination

Consider if your destination is safe for pregnant travellers. Locations facing outbreaks like Zika Virus or Malaria may pose significant risks, as these viruses can have serious implications for both mother and baby. Additionally, areas with political instability or limited healthcare services should be avoided. Always review travel advisories and consult your doctor for advice before booking.

For more travel tips and advice on your destination, visit Fast Cover's Travel Guides and explore our guide to choosing a safe travel destination.

Pre-travel planning & medical advice for pregnancy travel

Thorough preparation is essential to ensure safety and minimise risks during pregnancy travel. This includes consulting your healthcare providers, researching your destination and organising pregnancy travel insurance.

Consulting your doctor or midwife

A comprehensive consultation with your healthcare provider should cover these important topics to ensure you’re ready to travel while pregnant: 

• Travel plans and destinations: Discuss planned travel dates and destinations as remote or high-risk areas may pose significant health challenges for pregnancy. For example, cruises generally have limited access to medical facilities and some destinations may require vaccination or immunization against viruses. 

• Activities and schedules: Ask about activities you’re planning on your trip. Some physical activities, exposure to high altitudes, or extended journeys may not be advisable depending on your pregnancy stage or condition.  

• Your pregnancy stage: Share details about your current week of pregnancy, as this can influence whether it’s safe to travel. Discuss any symptoms like nausea and vomiting or other pregnancy complications you may be experiencing, which could affect your plans. 

• Assessing risks: Your doctor can assess risks based on your health and any pregnancy condition you may have or develop, the stage of your pregnancy, and your planned activities.  

• Vaccinations and medications: Some destinations may expose you to viruses and illnesses like Zika Virus, Malaria or Yellow Fever. Your doctor can advise you about destination specific risks and can evaluate which vaccinations, if any, are necessary and safe. 

• Medication and medical records: Discuss medications you may need while travelling when pregnant, such as those for nausea and vomiting. It’s also worth requesting a doctor’s note that confirms your estimated due date and health status, as this might be needed for airline policies or travel insurance for pregnant women. 

• Fitness to fly: Airlines often require a letter verifying your due date and fitness to travel if you’re in your third trimester. Be sure to request this during your consultation. 

• Travel comfort and safety tips: If you’re planning to travel by air, discuss potential risks and preventative measures like staying hydrated, moving regularly during flights, and wearing compression stockings to help prevent blood clots. Similar precautions may apply if seated for long periods in a car, bus, or train. 

What do I talk to my doctor or midwife about before travelling?

When planning a trip at any point during your pregnancy it’s important speak to your doctor and ask questions including:

• What destinations should I avoid? 

• What activities should I avoid? 

• What types of accommodation should I consider? 

• What’s the best way to travel at different points in the pregnancy? 

• What’s the best type of climate for me at different times during my pregnancy? 

• Are there foods or beverages I should avoid? 

• What vaccinations should I get? 

• What medications are safe to take for common pregnancy ailments such as heartburn, constipation, thrush, food poisoning, or diarrhoea? 

• What are complications of pregnancy and what symptoms do I need to watch out for? 

• Am I showing any signs of a medical complication? 

• What are the signs I might be miscarrying and what should I do if I think this is happening?

Always get your doctor or midwife’s okay before you take a trip. Depending on the point in your pregnancy, they may take an ultrasound to confirm you’re not showing any signs of a complication such as placenta previa.

Destination considerations

Choose a safe and comfortable location for travelling while pregnant. Consider these key factors with examples to guide your planning: 

Availability of quality medical facilities

If travelling to rural areas or countries, research hospitals near your accommodation. Large cities may offer advanced healthcare, making them ideal for international travel and pregnancy emergencies. Carry your medical records for quick assistance. 

Risk of viruses and diseases

Destinations with endemic viruses, such as the Zika Virus in some tropical areas like Thailand and Vietnam may require caution. Consult your doctor about necessary vaccinations or opt for places like New Zealand for lower health risks.

Altitude and climate

High-altitude regions like Peru’s Machu Picchu may cause discomfort due to reduced oxygen levels. Stick to moderate environments, like coastal Italy, for a pleasant experience, especially in earlier weeks of pregnancy.

Political stability and safety

Avoid politically unstable areas like parts of Myanmar or regions with high crime rates such as Venezuela. Safer options include locations like Switzerland and Japan.

Stay up to date with Smartraveller travel advisories and Fast Cover’s travel alerts to make informed travel decisions.

Understanding airline and cruise line policies before you travel

It is important to consider airline and cruise line policies for pregnant travellers. Make sure to check the guidelines of your airline or cruise line.

Airline restrictions for pregnant travellers

Below are some examples of different rules airlines may have for different stages of your pregnancy.  

• After 28 weeks: Most airlines require a letter from your doctor saying that you’re fit to fly.

• After 36 weeks: Airlines usually won’t let you fly.

• Miscarriage: If you have recently had a miscarriage, your airline may request a letter from your doctor that states it’s safe for you to fly.

• Exceptions for late-term pregnancy travel: Some airlines will permit flying through to the end of your pregnancy for urgent medical or compassionate reasons, but only with the approval of their own medical advisors, as well as your doctor. Regulations can vary based on the length of the flight:

  • Flights less than 4 hours: Some airlines will let you fly until the end of the 40th week of pregnancy with a single baby, or 36th week for multiples

  • Flights of 5 hours: Some airlines may only allow travel up until the end of the 36th week for single babies or the 32nd week with multiples

If you’re flying internationally, you may need to contact the embassy or consulate in some countries due to their regulations for pregnant non-national women. For example, you may be refused entry into the United States of America if a Customs and Border Protection officer determines you’re likely to become a ward of the state (because you don’t have medical coverage).

Cruise restrictions for pregnant travellers

Most cruise lines restrict pregnant passengers from cruising if they have entered or will enter the 24th week of their pregnancy during the cruise, due to safety concerns and the potential for pregnancy complications.

Travel insurance for pregnancy

There are travel insurers who can provide some cover for travelling whilst pregnant, usually relating to expenses arising from unexpected pregnancy complications whilst overseas, and usually up to a specified number of weeks depending on whether cover is required for a single birth or multiple pregnancy.

However, there are some circumstances in which travel insurers will generally not provide cover for pregnancy including (but not limited) to the below: 

• You’re planning to travel after the maximum number of weeks of pregnancy permitted by the travel insurer 

• You’re going on a trip to obtain fertility treatment 

• You’re travelling against doctor’s advice 

• You became pregnant through fertility treatment such as IVF treatment 

• You need to claim expenses related to childbirth or the healthcare of a newborn 

• You’re travelling to a destination the Australian government has listed as ‘do not travel’ or ‘reconsider your need to travel’ on Smartraveller

• Routine medical check-ups for your pregnancy

Therefore, it’s important to read the travel insurance policy and Product Disclosure Statement to understand the terms, conditions, limits and exclusions that apply so that you know what you will and will not be covered for, before purchasing.

Fast Cover’s pregnancy cover

At Fast Cover, pregnancy cover is available for unexpected serious complications of pregnancy and childbirth that occur: 

• Up to the end of the 23rd week of pregnancy if you are pregnant with a single child; or

• Up to the end of the 19th week of pregnancy if you are pregnant with twins or multiple children.

There are many other eligibility criteria, policy terms, conditions, exclusions and limits that apply, for example, no cover is provided for the health or care of a newborn child whatever the cause of the claim is, and no cover is available for antenatal care including medications and vitamins, so it is important to consider the PDS prior to deciding on which policy is right for you and your needs. 

Packing tips for travel during pregnancy

Packing appropriately for travel during pregnancy ensures you remain comfortable and prepared during your trip. Small, intentional choices can help you manage your health and enjoy the experience.

Medical records and documents

Carry physical and digital copies of prenatal records, ultrasound reports, and your blood type information. A doctor’s ‘fit-to-fly’ note approving travel may also prove useful for certain airlines or emergencies.

Medications

Pack prenatal vitamins, prescribed medications, and over-the-counter remedies approved by your doctor. Include motion sickness aids like ginger chews or acupressure bands, and snacks like crackers to manage nausea.

Comfort items

Pack loose, comfortable clothing, shoes with good support, and a supportive bra. A travel pillow can reduce strain on long trips, while snacks like granola bars or fruit help maintain stable blood sugar. 

Hygiene products

Pack essentials like hand sanitiser and wet wipes to ensure cleanliness, especially in situations where facilities may be limited. Pack maternity or pregnancy pads and extra underwear to maintain freshness and hygiene throughout your trip.

Transport health and safety tips for travelling while pregnant

Different types of transport and activities come with unique risks for travel during pregnancy. With proper preparation, travelling while pregnant can be safe and enjoyable. Below are tips for air travel and cruising while pregnant.

Tips to manage the risks of air travel and flying while pregnant

Flying is a common choice for travelling overseas while pregnant, but it comes with specific risks. Here’s some important tips on how to manage them but you should always consult with your healthcare professional to ensure you are adequately prepared:

Blood clots

Long-distance travel can increase the risk of blood clots, especially if the flight is over five hours. 

Tip: Prevent blood clots by wearing compression socks or stockings, drinking bottled water, and moving every 30 minutes. Request an aisle seat for easy restroom access and movement. 

High altitude

High altitudes can reduce oxygen levels, causing fatigue or dizziness, especially for those with pregnancy complications. 

Tip: Consult your doctor if you have pregnancy conditions like preeclampsia before you travel by air. 

Radiation limits

Radiation exposure from flights and scanners during border security procedures is minimal for occasional travellers. 

Tip: If concerned, request a pat-down instead of using scanners. 

Tips to manage the risks of cruising while pregnant

Cruising is a relaxing option for travelling when pregnant, but it’s important to plan for comfort and safety. There are a number of potential risks that come with cruising while pregnant including:

Illness

Sickness can spread easily in the confined quarters of a cruise ship. You can minimise risks by carefully maintaining your own hygiene, but there’s always the risk of becoming sick from someone else, like picking up a gastric virus from the buffet. 

Injuries

Slips and falls are common on a cruise, especially around pool areas and lower decks. Be aware that the salt and sea spray can make stairs extra slippery so always use handrails and watch your step.

Limited medical assistance

Your cruise ship might not have the provisions to properly deal with medical emergencies related to pregnancy. You can enquire before you travel about what medical services can be provided on board the ship.

How to stay comfortable and healthy on a cruise while pregnant

• Choose the right cabin: Choose a central cabin to reduce seasickness and noise. Booking a room with a window or balcony will also help you feel less confined and allow fresh air and natural light into your room to combat claustrophobia. 

• Plan for a comfortable sleep: If you’re further away from the kitchens and bars, you’re also more likely to have a better night’s sleep! Bring extra pillows too. 

• Avoid risky shore excursions: Some shore excursions may not be suitable for pregnant travellers such as scuba diving or hiking. 

How to deal with seasickness on a cruise while pregnant

• Book a cabin on a lower level: There is less motion near the ship’s centre. 

• Anti-nausea remedies: Bring or buy crackers on the ship. Pack ginger chews or anti nausea tablets to manage nausea and vomiting. 

• Eat light meals: Avoid overeating at the buffet. Opt for small frequent meals instead. 

Tips for travelling by car while pregnant

Travelling by car is often the easiest way to plan a trip during pregnancy. Here are some pregnancy travel tips for car journeys: 

• Wear your seat belt properly: Place the shoulder belt across your chest with the lap belt fastened as low as possible around your hips. This is the safest way to travel, and it’s also the law in all Australian states and territories.

• Get Comfortable: Sit in the front passenger seat with the windows slightly open, especially in your first trimester when you’re prone to morning sickness. Use a pillow for back support.

• Bring your anti-nausea aids: Bring a cloth and ice pack to put on your forehead to keep you cool.

• Plan to take frequent breaks: Aside from pit-stops to go to the bathroom, stop often to stretch out your muscles to help your circulation and prevent blood clots.

• Map your route: Plan your route ahead and locate medical facilities in case of an emergency.

General health tips for travelling during pregnancy

Follow our general tips to take steps to stay healthy when travelling while pregnant.

Eating during pregnancy

It’s important to pay extra attention to food while travelling when pregnant. Seek the advice of your doctor or midwife if you have particular concerns and follow these tips: 

• Opt for well-cooked meats, hard cheeses, and fruits you can peel yourself. 

• Avoid raw or undercooked foods, soft cheeses, and street food. 

• Stick to reputable restaurants to reduce the risk of foodborne illnesses. 

• Avoid street markets and street vendors. 

• Avoid allergies and use translation apps to check ingredients you are unsure of. 

• Drink only bottled water or use purification tablets. 

• Avoid ice cubes unless made from purified water. 

Food generally safe for pregnancy

There are plenty of foods that are generally safe to eat while pregnant including: 

• Nuts, dried fruits, whole grain crackers or granola bars as snacks while in transit 

• Juice and other drinks that have been safely prepared and stored 

• Hard cheeses 

• Well-cooked meat 

• Pasta 

• Fruits you can peel yourself 

• Vegetables 

• Cereals 

Foods to avoid during pregnancy

It’s recommended that you avoid some types of food while you’re pregnant, overseas or at home, including: 

• Soft cheeses 

• Pates 

• Undercooked meat 

• Seafood 

• Leafy greens or fruits that may have been washed in contaminated water 

• Rich or greasy foods 

Sun protection

• Use sunscreen with high SPF and reapply regularly. 

• Wear hats and sunglasses to protect against UV rays. 

• Avoid prolonged sun exposure, especially during peak hours. 

Insect repellent

• Use insect repellents safe for pregnant women to avoid bites. 

• Avoid areas with high mosquito activity, especially those with Zika Virus risks. 

• Wear long-sleeved clothing and sleep under mosquito nets if necessary.

Managing pregnancy symptoms while travelling

Travelling can worsen common pregnancy symptoms. Here are some helpful tips on how to manage them.

Morning sickness

• Carry anti-nausea aids like ginger, peppermint tea, or crackers. 

• Avoid strong smells and eat small, frequent meals. 

Swelling and cramps

• Elevate your feet when resting and wear compression stockings. 

• Stay active by walking or stretching during long trips and massage cramped muscles. 

Heartburn

• Avoid spicy or greasy foods and eat smaller meals. 

• Sleep propped up with pillows to reduce discomfort.

Frequent urination

• Plan for frequent bathroom stops. 

• Stay hydrated but reduce fluid intake before bedtime. 

Monitoring your pregnancy health

Monitoring your health while travelling during pregnancy is essential to ensure both your safety and your baby’s. Be aware of warning signs that may indicate complications including: 

• Vaginal bleeding 

• Preterm labour 

• Decreased foetal movement 

• Fluid leaking from the vagina 

• Dizziness 

• Headache 

• Shortness of breath 

• Chest pain 

• Calf pain or swelling 

If you develop any of these symptoms, stop your activity immediately and seek medical attention. Always consult your doctor if you notice anything unusual during your trip. Note that the list above are examples only and aren't meant to be a complete list of the symptoms you may experience.

What activities can I do while travelling pregnant?

It’s important to choose safe and enjoyable activities and consult your doctor to confirm whether your planned activities are safe. Dialling down the thrill level of your holiday lowers your risk of experiencing an emergency.

Activities to consider

Instead, consider less strenuous activities that promote relaxation and circulation such as:    

• Walking tours and sightseeing 

• Swimming 

• Light yoga or Pilates 

• Relaxing activities like spa treatments (avoid hot tubs or saunas) 

Fast Cover offers cover for a range of activities under our listed Covered Sports and Leisure Activities. Eligibility criteria, policy terms, conditions, exclusions, and limits apply. Consider the PDS prior to deciding on which policy is right for you and your needs.

Activities to avoid

Avoid activities that could risk trauma to your abdomen, falling over or otherwise harming you or your baby, including but not limited to: 

• Amusement park rides  

• Water activities like scuba diving, surfing, water-skiing 

• Contact sports, gymnastics  

• Snow sports like downhill skiing and snowboarding 

• Horseback riding, motorcycle riding  

• Hot tubs, spas and saunas 

Post-travel pregnancy check up

After your trip, it’s vital to continue monitoring your health. Schedule a follow-up appointment with your doctor or midwife to ensure everything is on track. Be alert for symptoms like nausea and vomiting, fever, or unusual pain, as these could indicate post-travel illnesses. Early reporting of concerns can prevent complications.

Helpful resources and important contact information

Pregnant travellers should have access to reliable resources and emergency contacts. Here are some helpful options.

Fast Cover’s 24/7 emergency medical assistance team

Fast Cover’s 24/7 Emergency Medical Assistance Team is available to help if something happens while you're travelling.

Travel alerts

Stay up to date with travel advisories for your destination on Smartraveller and check Fast Cover Travel Alerts 

Government contacts

The Australian Embassy or High Commission or Consulate may be able to provide 24/7 Emergency Consular Support.

Vaccinations

Information on vaccinations can be found on Vaccinehub or consult your doctor for more info.