Traveling While Pregnant or Breastfeeding by anamaulida

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        <h3>Special considerations for traveling while pregnant:</h3>
<p>Although traveling during pregnancy is normal and occurs rather
frequently, it is important for pregnant women to consider potential
problems that could arise when considering international travel. Pregnant
women should also weigh the availability of quality medical care in the
countries they are visiting, before traveling abroad. Preconceptual
immunizations are preferred over vaccination during pregnancy.</p>
<p>According to the American College of Obstetricians and Gynecologists,
the safest time for a woman to travel is in the second trimester of her
pregnancy - from 14 to 28 weeks. This is the time when women feel the
best and are at the least risk for spontaneous abortion or premature
labor. During the third trimester (25 to 36 weeks), many physicians
advise staying within a 300 mile radius of home because of problems such
as hypertension, phlebitis, and/or false or premature labor. Generally,
women are not allowed to travel by air after 36 weeks for domestic
travel, and after 32 to 35 weeks for international travel. The decision
on whether to travel and how far to travel at any time during pregnancy
should be a joint decision between the woman and her physician.</p>
<p>According to the Centers for Disease Control and Prevention (CDC),
women with the following conditions may be advised against traveling
during pregnancy. As the list below may be incomplete, it is important to
discuss your individual medical history with your physician before
planning travel.</p>
<ul>
<li>history of miscarriage</li>
<li>incompetent cervix</li>
<li>history of ectopic pregnancy</li>
<li>history of premature labor or premature rupture of membranes</li>
<li>history of or present placental abnormalities</li>
<li>threatened abortion or vaginal bleeding during present pregnancy</li>
<li>multiple gestation (more than one fetus) in present pregnancy</li>
<li>history of toxemia, hypertension, or diabetes with any pregnancy</li>
<li>history of infertility or difficulty becoming pregnant</li>
<li>pregnancy for the first time over the age of 35 years</li>
<li>valvular heart disease or congestive heart failure</li>
<li>history of thromboembolic disease</li>
<li>severe anemia</li>
<li>chronic organ system dysfunction requiring frequent medical
interventions</li>
</ul>
<p>Pregnant women may also be advised against traveling to the following
destinations which present additional hazards. As the list below may be
incomplete, it is important to discuss your travel plans with your
physician before planning a trip.</p>
<ul>
<li>areas with high altitudes</li>
<li>areas endemic for or with ongoing outbreaks of life-threatening food-
or insect-borne infections</li>
<li>areas where chloroquine-resistant Plasmodium falciparum is endemic
(constantly present)</li>
<li>areas where live-virus vaccines are required or recommended</li>
<li>Anticipate any complications or emergencies that could arise before
you travel. Check to make sure your health insurance is valid while you
are abroad, and check to see whether the policy will cover a newborn,
should you deliver while away. You may want to consider obtaining a
supplemental travel insurance policy and/or medical evacuation insurance
policy.</li>
<li>Research medical facilities in your destination. Women in the last
trimester of pregnancy should look for facilities that can manage
complications of pregnancy, toxemia, and cesarean sections.</li>
<li>If you will need prenatal care while you are abroad, arrange for this
before you leave. Consult with your physician to determine the best way
to handle this.</li>
<li>Know your blood type and check to make sure that blood is screened
for HIV and hepatitis B in the areas you will be visiting.</li>
<li>Check on the availability of safe food and beverages, including
bottled water and pasteurized milk, in your destinations.</li>
<li>If traveling by air, request an aisle seat at the bulkhead, which
provides the most space and comfort. If morning sickness is a problem,
try to arrange travel during a time of day when you generally feel well.
Seats over the wing in the midplane region will provide the smoothest
ride.</li>
<li>Try to walk every half-hour during a smooth flight, and flex and
extend your ankles frequently to prevent phlebitis.</li>
<li>Fasten your seat belt at the pelvis level.</li>
<li>Drink plenty of fluids to counteract the dehydrating effect of the
low humidity in aircraft cabins.</li>
<li>Try to rest as much as possible while away. Exercise and activity
during pregnancy are important, but try not to overdo it.</li>
</ul>
<h3>Healthy tips for traveling while pregnant:</h3>
<h3>Special considerations for traveling while breastfeeding:</h3>
<p>Breastfeeding gives babies the most nutritional start in life, as well
as provides them with important protection against certain infections.
However, traveling internationally while nursing can present challenges.
Outlined below is information breastfeeding moms should consider when
traveling.</p>
<p>For women who are breastfeeding only, there is no concern about
sterilizing bottles or the availability of clean water. Nursing women may
be immunized for protection against disease, depending on their
itinerary. However, there may be certain diseases, such as yellow fever,
measles, and meningococcal meningitis, which may be a threat to infants
who cannot be immunized at birth, as an infant would not gain protection
against these infections through breastfeeding. It is important to
discuss this with both your physician and your infant's physician before
you travel.</p>
<p>For women who are supplementing breastfeeding with formula, powdered
formula prepared with boiled water is the best solution. You may also
want to carry a supply of prepared infant formula in cans or ready-to-
feed bottles for emergencies.</p>
<p>Breastfeeding helps lower the incidence of traveler's diarrhea in
infants. However, if you should develop traveler's diarrhea, increase
your fluid intake, and continue to nurse your infant.</p>
<p>It is important for nursing mothers to watch their eating and sleeping
patterns, as well as their stress levels which will affect their milk
output. Be sure to increase your fluid intake, avoid alcohol and
caffeine, as well as exposure to smoke.</p>
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