It is very likely that many pregnant patients may find it necessary to take an extended trip at some point during their pregnancy.

The American College of Obstetricians and Gynecologists states in their patient information brochure that the safest point in pregnancy to travel is right in the middle. This would correspond to between 14 and 28 weeks of pregnancy.

The reason for this is that most of the morning sickness is hopefully over, and it is still relatively easy for the pregnant woman to move around. I usually discourage extended travel (more than 2 hours from the hospital) during the last month of pregnancy, since this is the most likely time to go into labor.

Many methods of travel are considered safe, including auto, train and bus. It is also safe to fly commercial jets with pressurized cabins. During any of these travel methods, if seat belts are available, they should be worn. Proper usage of seat belts includes placing the lap belt below the pregnant abdomen.

It is a good idea to get up and stretch your legs every 1 ½ to 2 hours. This will decrease discomfort as well as decrease the chance of developing blood clots.

I also recommend that women traveling after 28 weeks take along a copy of their pregnancy records, usually called "ACOG forms". If a problem is encountered on the trip, this will greatly help the treating physician take care of you.

I hope this information is helpful, and would remind you to discuss travel plans with your physician well before your trip, bon voyage!