Travelling While Pregnant This Christmas? Your Summer Holiday Guide

Dr Stephen Cole | Obstetrician & Maternal-Fetal Medicine Specialist, Melbourne

Christmas in Australia means summer holidays, family gatherings, beach trips, long drives and, for many of us, a much-needed break.

But if you're pregnant this Christmas, you might be wondering whether those holiday plans need to change.

Can you fly while pregnant? Is a long road trip safe? What about travelling overseas, particularly if you're further along in your pregnancy?

The good news is that most women with uncomplicated pregnancies can continue to enjoy travelling during pregnancy. The important thing is understanding what is safe for you, your baby and your particular stage of pregnancy.

Here are some things to consider before heading away over the Christmas and summer school holidays.

Is It Safe to Travel While Pregnant?

For most women experiencing a healthy, uncomplicated pregnancy, travelling is generally safe.

The second trimester is often the most comfortable time to travel. Morning sickness may have settled, energy levels often improve and the physical discomforts of later pregnancy may not yet have developed.

However, there is no single rule that applies to every pregnancy.

Before making holiday plans, consider:

• How many weeks pregnant will you be when you leave and return?

• Are you travelling by car, plane or cruise ship?

• How far away will you be from a hospital with maternity services?

• Have you experienced any pregnancy complications?

• Will your trip interfere with scheduled antenatal appointments or scans?

If you're planning an interstate or overseas holiday, discussing your plans with your obstetrician beforehand is always sensible.

Flying While Pregnant: What You Need to Know

One of the most common questions we hear is, "Can I fly while pregnant?"

For women with uncomplicated pregnancies, occasional air travel is generally considered safe and does not itself increase the risk of miscarriage or premature labour.

However, airlines have different restrictions depending on how far along you are, whether you're carrying one baby or multiples, and the length of the flight.

Some airlines require a medical certificate from 28 weeks, while restrictions on flying later in pregnancy vary. Always check the airline's requirements for both your departure and return flights.

Long flights also deserve additional consideration because pregnancy increases the risk of developing a blood clot, known as deep vein thrombosis (DVT).

During your flight, try to move regularly, stretch your legs and ankles, drink plenty of water and avoid sitting in the same position for extended periods. Your obstetrician may also recommend properly fitted compression stockings, depending on your individual risk.

And remember, even if an airline permits you to fly, that doesn't necessarily mean travelling is the right decision for your pregnancy.

Planning a Christmas Road Trip?

Perhaps you're heading down the Great Ocean Road, spending Christmas on the Mornington Peninsula or driving interstate to visit family.

Long car journeys are generally possible during an uncomplicated pregnancy, but a few adjustments can make the trip more comfortable.

Plan regular stops, ideally at least every two hours, so you can get out, walk around and stretch your legs.

Always wear your seatbelt correctly. The lap section should sit low across your hips, underneath your pregnancy bump, while the shoulder strap should run between your breasts and to the side of your abdomen.

If you're feeling tired, uncomfortable or unwell, take a break rather than pushing through to reach your destination.

If you're involved in a car accident, even a minor one, seek medical assessment promptly.

Travelling Overseas While Pregnant

An overseas Christmas holiday can still be an option during pregnancy, but your destination becomes particularly important.

Some popular summer holiday destinations have additional health considerations, including mosquito-borne illnesses such as dengue, malaria and Zika virus.

These infections can pose particular risks during pregnancy, and travel to some affected destinations may be best postponed.

Before booking an overseas holiday, consider the quality and accessibility of local maternity services, recommended vaccinations, food and water safety, and whether your planned activities are appropriate during pregnancy.

You should also check the latest Australian Government travel advice through Smartraveller.

If your destination requires vaccinations or preventative medications, discuss these well before departure. Not every medication or vaccination is suitable during pregnancy.

Don't Forget Travel Insurance

Travel insurance is particularly important when you're pregnant, and not every policy provides the same level of cover.

Some policies have gestational limits or exclusions for pregnancy complications, multiple pregnancies or births overseas.

It's also worth checking whether unexpected premature birth and medical care for a newborn are covered.

The cost of unexpected maternity or neonatal care overseas can be substantial, so don't assume you're covered simply because you've purchased travel insurance.

Pregnant During an Australian Summer? Take Extra Care in the Heat

December and January can bring very hot weather across Melbourne and much of Australia.

Pregnancy can make you feel warmer than usual, and spending extended periods outdoors can increase the risk of dehydration and heat-related illness.

Whether you're spending Christmas at the beach, enjoying a barbecue or exploring somewhere new, make sure you're drinking water regularly, taking breaks in the shade and avoiding strenuous activities during the hottest part of the day.

Sun protection is also important, particularly because pregnancy can make some women more susceptible to skin pigmentation changes.

And while enjoying Christmas lunches and holiday meals, remember the usual pregnancy food-safety precautions still apply. Be mindful of refrigerated foods left out in hot weather, unpasteurised products and undercooked meat or seafood.

You don't need to miss out on Christmas celebrations. A little planning can help you enjoy them comfortably.

What If You're Expecting Twins or Have a High-Risk Pregnancy?

If you're expecting twins, triplets or have a pregnancy complication, travel plans may require a little more consideration.

Multiple pregnancies have a higher risk of premature birth, and some complications require closer monitoring or more frequent appointments.

Conditions such as pre-eclampsia, vaginal bleeding, concerns about fetal growth or a history of preterm labour can also affect whether travel is advisable.

This doesn't automatically mean every holiday needs to be cancelled, but it does mean that travel decisions should be made with your obstetrician rather than relying on general advice.

Sometimes a shorter trip closer to Melbourne, with access to appropriate maternity care, may be a better option than travelling long distances.

Know When to Seek Medical Attention While Away

Although most women travel without experiencing pregnancy complications, it's important to recognise symptoms that shouldn't wait until you return home.

Seek prompt medical assessment if you experience vaginal bleeding, leaking fluid, persistent or severe abdominal pain, severe headaches, changes in vision, or a change in your baby's usual movements once movements are established.

Painful swelling in one leg also requires urgent assessment, while chest pain or difficulty breathing should be treated as an emergency.

Before leaving, identify the nearest hospital with appropriate maternity services and keep your pregnancy records and important contact details accessible.

If something doesn't feel right, don't wait until your holiday is over to seek advice.

Frequently Asked Questions About Travelling During Pregnancy

Can I fly at 30 weeks pregnant?

It may be possible to fly at 30 weeks if your pregnancy is uncomplicated and your airline permits it. However, restrictions vary, and some airlines require medical documentation. Your obstetrician should also assess whether travelling is appropriate for your pregnancy.

Is travelling during the third trimester safe?

Some women can travel safely during the third trimester, but the risk of going into labour increases as pregnancy progresses. The distance from appropriate maternity care, your pregnancy history and any complications are important considerations.

Can I go on a cruise while pregnant?

Cruise companies often have stricter pregnancy restrictions than airlines, so check the cruise operator's policy before booking. Access to appropriate medical care while at sea is another important consideration.

Should I see my obstetrician before going on holiday?

Yes, particularly if you're travelling interstate, overseas, later in pregnancy or have a high-risk pregnancy. A pre-travel discussion can help you make informed decisions and prepare for any additional health considerations.

Enjoy Your Christmas Holidays With Confidence

Being pregnant doesn't mean putting your life or holiday plans on hold.

For many women, a Christmas getaway or summer holiday can be a wonderful opportunity to relax, spend time with loved ones and enjoy some time away before welcoming their baby.

The key is understanding your individual pregnancy, planning ahead and knowing when a change of plans might be the safest choice.

Dr Stephen Cole is a Melbourne obstetrician with additional qualifications and experience in Maternal-Fetal Medicine and high-risk pregnancy care. He has also co-authored published medical research specifically examining travel advice, vaccinations and preventable infections during pregnancy.

At our East Melbourne practice, Dr Cole and Team Cole provide personalised pregnancy care for women with both uncomplicated and high-risk pregnancies, including twins and multiple pregnancies.

Planning a holiday during pregnancy?

If you're currently under our care, mention your travel plans at your next appointment so we can discuss any precautions specific to your pregnancy.

If you're looking for a private obstetrician in Melbourne, our team would be happy to discuss your pregnancy care.

Contact Team Cole

Phone: (03) 9416 2802

Email: admin@drstephencole.com.au

Contact Dr Stephen Cole

This article provides general pregnancy information and does not replace individual medical advice. Travel recommendations should always be considered in the context of your own pregnancy and medical history.