Guidelines for Flying During Pregnancy in Alberta
Healthy pregnant women without complications can safely fly up to 36 weeks of gestation for domestic flights and 35 weeks for international flights. 1, 2
General Safety Considerations
- Air travel is generally considered safe during pregnancy for women without medical or obstetric complications 1
- The second trimester (weeks 14-28) is the safest time for traveling as the risk of spontaneous abortion and preterm labor is lowest during this period 3
- Women with high-risk pregnancies or medical conditions that may be exacerbated by a hypoxic environment should consult with their healthcare provider before flying 1
Specific Contraindications for Air Travel
- Pregnant women at significant risk for preterm labor should avoid air travel 1
- Women with placental abnormalities should not fly 1
- Those with severe anemia, cardiopulmonary disease, or history of recent miscarriage should consider avoiding air travel 4
Safety Precautions During Flight
- Continuously use seat belts while seated to minimize risk from unexpected air turbulence 1
- Stay hydrated and avoid excessive heat, especially with high humidity, to prevent maternal hyperthermia 5
- Move around the cabin periodically to reduce the risk of deep vein thrombosis (DVT), which is increased during pregnancy 2
- Consider wearing compression stockings for flights longer than 4 hours to reduce DVT risk 2
- Avoid the supine position if experiencing light-headedness, nausea, or feeling unwell 5
Pre-Travel Planning
- Consult with an obstetric care provider before traveling, especially if there are any pregnancy complications 2
- Become familiar with the healthcare system at your destination and develop an emergency plan 2
- Check airline policies - most airlines require a medical certificate after 28 weeks of pregnancy 2
- Consider purchasing travel insurance that covers pregnancy-related complications 6
- If traveling internationally, identify medical facilities at the destination that can provide obstetric care if needed 6
Special Considerations
- Women with gestational diabetes should ensure they have adequate supplies and a plan for monitoring blood glucose during travel 5
- Those categorized as overweight or obese should take extra precautions to prevent DVT, such as more frequent movement and proper hydration 5
- If flying to high altitudes (>2500m), pregnant women should avoid physical activity at these elevations 5
When to Avoid Flying
- After 36 weeks for domestic flights and 35 weeks for international flights 1, 2
- If experiencing pregnancy complications such as preeclampsia, gestational hypertension, or risk of preterm labor 1
- If there are signs of placental abnormalities 1
- If experiencing vaginal bleeding, regular and painful uterine contractions, or rupture of membranes 5
Flying during pregnancy is generally safe when appropriate precautions are taken and there are no contraindications. The key is proper preparation, consultation with healthcare providers when needed, and awareness of when to seek medical attention.