Air travel is safe for most pregnant women up to 36 weeks gestation, according to a new committee opinion issued by The American College of Obstetricians & Gynecologists (ACOG). In the absence of obstetric or medical complications, pregnant women can observe the same basic precautions for air travel as the general population does, notes ACOG.

Most US airlines allow pregnant women to fly up to 36 weeks gestation on domestic flights. For international flights, 35 weeks gestation is usually the limit.

While travel in an airplane is almost always safe during pregnancy, the document does address some instances in which air travel should be avoided.

Travel is not recommended at any time during pregnancy for women who have either medical or obstetric complications -- such as pregnancy-induced hypertension, poorly controlled diabetes, or sickle cell disease -- that could result in an unforeseen emergency.

ACOG also advises against air travel by pregnant women at significant risk for premature labor or with placental abnormalities.

According to ACOG, environmental conditions associated with flying, such as low cabin humidity and changes in cabin pressure, may result in an increased heart rate, increased blood pressure and a significant decrease in breathing capabilities in pregnant women with a weakened cardiovascular system.

One issue of concern for all air travelers is the formation of blood clots, especially during longer flights.

Pregnant women, as well as all air travelers, may take special precautions to minimize risks, such as wearing support stockings and periodically moving the lower legs to allow for proper blood circulation.

To ease in-flight discomfort, pregnant women should avoid gaseous foods and drinks before flying.

Because air turbulence cannot be predicted and the risk for trauma is significant, continuous use of seat belts while seated is highly recommended.

The American College of Obstetricians and Gynecologists is the national medical organization representing nearly 40,000 physicians who provide health care for women. 12/2001 press release

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Safe Air Travel for Pregnant Women