The nursery is ready, you're stocked up on onesies, and you've got the
market cornered on diapers. You are ready for baby to come -- well, almost.
Before you pack your bag and get ready for your highly anticipated trip to the
hospital, pack it for a babymoon, instead.
The babymoon is the new way to describe the pre-baby vacation, before you
can use the word parent to describe yourself. It's your curtain call, your last
hoorah, your encore. But whether it's to Hawaii, Timbuktu, or a B&B around
the corner, vacationing while with child calls for some extra consideration.
Experts give WebMD traveling dos and don'ts for expectant moms.
Before You Go
Before you call the travel agent and book your trip, the first thing you
should do is talk to your doctor, especially if you are in the third
trimester.
"Be absolutely certain that there are no risk factors for premature
pregnancy," says Thomas Ivester, MD, from the division of maternal fetal
medicine at the University of North Carolina in Chapel Hill. "I think the
biggest risk is that you are far from home when you deliver."
With timing in mind, the safest window of opportunity for a pregnant woman
to travel is during the second trimester, or 18-24 weeks, according to the
American College of Obstetrics and Gynecology (ACOG).
"While weeks 18-24 may be the safest time to travel, that doesn't
exclude the rest of your pregnancy. There are just more safety issues in the
first and third trimesters to consider," says Sandra Cesario, MD, from the
College of Nursing at Texas Woman's University in Houston.
"Those first few weeks, you may be nauseated and tired, and it's not a
good time to travel."
Also, schedule your vacation around your prenatal visits. While this trip is
important, so are your trips to the doctor.
Where to Babymoon
While dashing off to an exotic location sounds nice, it's not necessarily
practical. So what do you need to consider before you book a trip to the
jungles of Belize while pregnant?
First, if you decide to travel internationally, you should consult with your
obstetrician to evaluate both the quality of care that will be available at
your exotic location of choice and what preventive measures, like vaccinations,
should be taken before you go.
"If you are traveling to another country, you should check if that
country requires immunizations," says Khalil Tabsh, MD, chief of obstetrics
at UCLA. "If it's not a live vaccine, it is OK. If it is live, then you
should check with your obstetrician." Live virus vaccines include measles,
mumps, rubella, varicella, and yellow fever.
You should also consider altitude when picking your vacation spot. The CDC
recommends that all pregnant women avoid altitudes higher than 12,000 feet, and
in high-risk or late-stage pregnancies, avoid destinations higher than 8,200
feet -- so save the trip to Mt. Everest for another day.
Finally, do you fly or drive? The ACOG states that women can fly safely up
to 36 weeks into their pregnancies.
"If you are flying, check to see if there are any restrictions with the
airline you've chosen," says Cesario. "There are certain airline
policies that do require a letter from your doctor that it's safe for you to
travel while pregnant -- you'd hate to plan a trip and find the airline won't
let you get on."
Packing Your Bag
Your doctor has given you the green light, and you are ready for the
babymoon to begin. What should you do next, other than pack a pair of flip
flops and a sarong?
- Check that you will have access to quality medical facilities at your
travel destination, in case you need them. "I would take a complete list of
contact information for your doctors," says Ivester. "I would also
carry along contact information for qualified or highly-rated health-care
facilities in the area where you are traveling, in case you need
them."
- Ensure your health insurance is valid while abroad, and to be on the safe
side, the CDC suggests getting a supplemental travel insurance policy and a
prepaid medical evaluation insurance policy.
- Know your blood type, and find out if the blood supply where you are going
is screened for HIV and hepatitis B.
Babymoon Dos and Don'ts
You're booked, packed, and ready to go. Here are some tips to keep in mind
while traveling while expecting.
Flying the friendly skies.
When flying, the ACOG recommends that pregnant women get up and walk every
half hour if possible and flex and extend their ankles frequently to prevent
blood clots. Also, wear your seat belt under your belly, and drink plenty of
fluids to stay hydrated.
Road trips.
"Appropriate seat belt use is very important -- buckle it below the
bulge of the belly," says Cesario. "It's a big deal because there is a
myth that seat belts will hurt the baby, when they really save lives and it's
always safer to wear it."
Always travel with a companion.
Remember that while you may be on vacation, your heartburn, leg cramps, and
frequent bathroom trips are not, so a travel partner at the very least will
give you sympathy. More practically, your companion can search for a bathroom
for you when you're in the middle of nowhere and need to go.
Know when to seek medical attention.
"If a pregnant woman has bleeding, cramping, fever, pain, or
contractions, she should seek medical care immediately, wherever she is,"
says Tabsh.
Don't drink the water.
If you're in California, don't worry about it. But if you're in the rain
forest in South America, don't drink the water. According to the CDC, hepatitis
E, which can be contracted through water, is not vaccine preventable and can be
especially dangerous for pregnant women.
"Pregnant women should drink bottled water when traveling in developing
areas," says Tabsh. "Also make sure that the meat you eat is thoroughly
cooked when traveling, and avoid salads, which might have been washed with tap
water that isn't clean."
Avoid mosquitoes more so than usual.
Diseases like malaria can be more severe in pregnant women and harmful to a
fetus, according to the CDC. So avoid insects by wearing proper clothing,
remaining indoors during dusk and dawn when mosquitoes are most active, using
bed nets, and applying DEET-containing repellents. Also, talk to your doctor
about preventive medicine.
"If you are traveling to endemic areas of malaria, you should be on
anti-malarial medication," says Tabsh.
Avoid scuba diving and anything with impact.
"Anything that might have a high impact or high risk of falling, like
bicycling or skiing, should be avoided," says Ivester. "Also avoid
anything with extreme pressure changes, like scuba diving."
Relax while you still can.
"Make it a relaxing vacation," says Cesario. "Enjoy yourself and
try not to do too much."