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During an otherwise normal low-risk pregnancy, travel can be planned most safely between the eighteenth and thirty-second weeks, but check with your physician first before you plan your trip.

Commercial flying in pressurized cabins does not pose a threat to the fetus. An aisle seat in the nonsmoking section will allow frequent walks. Adequate fluids should be taken during the flight. Most flights will give special attention to pregnant mothers, so if you have a need, don’t be hesitant to let the flight attendant know. It would be wise to go on your trip with a travel partner but if that is not possible, make your decision to fly alone on a personal level.

It is not advisable to travel to endemic areas of yellow fever in Africa or Latin America or to areas of Africa or Asia where clorioquine-resistant falciparum malaria is a hazard, since complications of malaria are more common in pregnancy.

Ideally, all immunizations should precede pregnancy. Live virus products are contraindicated (measles, rubella, yellow fever). Inactivated polio-vaccine (Salk) can be used instead of the oral vaccine. Vaccines against pneumococcal pneumia and meningococal meningites can be used, but their safety during pregnancy has not been conclusively proven. Pooled gamma globulin to prevent hepatitis A is safe and does not carry a risk of HIV transmission. Choroquine can be used for malaria prophylaxis in pregnancy, and proguanil is also safe.

Water should be purified by boiling since iodine purification may provide more iodine than is safe during pregnancy. Do not use prophylactic antibiotics or bismuth subsalicylate during pregnancy to prevent diarrhea. Use oral rehydration fluids, and treat bacterial diarrhea with erythromycin or ampicillin if necessary.

Eat a well balanced diet daily and make sure you get enough rest. As soon as you get to your travel location, be sure to investigate where the local hospital is and a local doctor as well. Check in with your doctor if you experience any complications or if you are concerned with any abnormalities. Do not extend your trip or make it longer than necessary.