Thursday, June 30, 2016

Is it Safe to Travel at 34 Weeks Pregnant?

At some point, every pregnant woman wonders if it is safe to travel. The American College of Obstetrics and Gynecology (ACOG) suggests that the best time to travel is between the 14th and 28th weeks of pregnancy, or the second trimester. The mother-to-be is usually over her morning sickness and tiredness by then. It is also the time during the pregnancy when complications are least likely to occur. However, it is possible to be safe while traveling during the 34th week of pregnancy.

Significance

Traveling at week 34 and beyond is especially risky because it is very close to the mother’s due date--only six weeks away. Complications like preterm labor are likely to occur at this time. In addition, labor and delivery can occur while on the road, over the water or in the air. Without the proper professionals and facilities nearby, the infant and mother can suffer serious complications.

Complications

On trips of more than four hours, a pregnant woman can suffer a condition called deep vein thrombosis from being seated too long, according to the ACOG. In this condition, a blood clot forms in the veins of the body, most commonly in the legs. The clot can quickly move to the lungs in a potentially fatal condition known as pulmonary embolism. A preterm labor can result in a delivery in unsanitary, ill-equipped conditions. In addition, the delivery could come with complications like breach or another abnormal positioning of the baby, fetal distress (lack of oxygen to the baby), prolapsed cord (umbilical cord is delivered before the baby), hemorrhaging and infection. All of these require medical intervention, which might not be readily available when traveling.

Misconceptions

There are a few myths about traveling during the third trimester. It has been said that the cabin pressure and/or radiation emitted by a plane can harm the mother and fetus. This is not true: A healthy mother in a healthy pregnancy is unaffected by both. Another flying myth is that it is against the law to fly in the third trimester. While some airlines have enacted policies prohibiting pregnant women from boarding in their last month of pregnancy, these rules are voluntary. There also is no law requiring a woman in her last trimester to have a note from her doctor while traveling by any mode of transportation.

Warning

Women with gestational diabetes, high blood pressure, a tendency toward blood clots, or those carrying multiple fetuses should not travel in their 34th week of pregnancy unless their obstetrician allows it. Such pregnancies are considered high risk. The obstetrician might suspend travel for these women for the entire third trimester.

Prevention/Solution

To prevent complications that can arise while traveling during your 34th week of pregnancy, plan your trip with the help of your obstetrician. Know where the nearest medical facilities are located all along your route. Use a seat and follow all other safety rules of flying, driving, boating and train travel. Pack ob/gyn-approved remedies for what the Center for Disease Control and Prevention calls common pregnancy discomforts, including constipation, hemorrhoids, indigestion and heartburn. The CDC also suggests that a pregnant woman travel with at least one adult companion to help in case of an emergency.

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