womenscure in all means

PREGNANCY!!! Worried of travelling ?

To travel in pregnancy for long distance is a dilemma to the women . To clear the confusion ,here are some facts about …..

When the  pregnant women wants to travel , think of risks and purpose of travel . Few do’ s and  don’t s regarding travelling will discuss here.

WHEN TO TRAVEL ?
  • Usually in simple uncomplicated pregnancy, women can travel up to 37 weeks based on RCOG guidelines .
  • But practically speaking , in first trimester (1-12 wks ) morning sickness makes the travelling worse . Little miscarriage risk added to it .
  • In third trimester (28-36 wks) growing abdomen and altered physiology of pregnancy poses adverse effects to the women . It may induce premature uterine contractions,separation of placenta ,leaking membranes etc .
  • So the safer period to travel is second trimester of pregnancy (13-27 wks ).
  • Duration of 4-6 hrs travelling is usually safe .More than 6 hrs , adds risk depending on hours  and mode of  journey.Precautions and care can decrease the risk .
  • Usual mode of transport : Air ,by road ( mortar cycle,car ,bus etc) ,train ,sea travelling
AIR TRAVELLING – WHO SHOULD NOT  :
Women with pregnancy complications like :
  • Placenta Previa
  • Severe morning sickness ( Nausea and Vomiting)
  • Pregnancy  induced hypertension
  • Recent history of vaginal bleeding
  • Twin pregnancy to some extent ( up to 32 wks they can travel ,if pregnancy is uncomplicated by other means )
  • Women suffering from chronic diseases like :
  • Severe anemia
  • Cardiac disease
  • Renal problems
  • Sickle cell disease
  • Middle ear sinus infections
Miscellaneous:

Recent bone fracture

Recent major  surgery ( abdominal surgeries etc)

THE PROBLEMS FACED DURING AIR TRAVEL : 
  • Nose blockade
  • Ear ache
  • Fluid retention ,  edema
  • Motion sickness
  • Deep vein thrombosis ( risk increases in obese women and women with DVT history )
  • Placental separation in risk women
  • Premature uterine contractions
SAFETY  MEASURES DURING AIR TRAVEL
  • Inform to your healthcare provider and take her /his advice before your travel .As the individual effects vary depending on her pregnancy stage
  • Carry antenatal records with you including your healthcare provider number
  • Carry medicines with you
  • Dont try to lift the weights like suitcases ( cabin luggage )
  • U should avoid travelling one month before your expected date
  • Wear comfortable clothing , loose fitting ,cotton preferably
  • Wear comfortable shoes
  • Leg stockings ,improves the blood circulation prevents clot formation
  • Seat belt tied on upper thighs , not over the abdomen
  • Regular small walk( 5-10 min) with in the air craft for every one hour .
  • On seat, calf and ankle stretching movements improves the circulation
  • Prefferably choose seat in front , just behind the business class  where front leg space is more or in buiseness class . Seat on wing also comfortable to the pregnant women
  • Take sips of water or juices . Dehydration is not advisable as these  induces premature contractions .Avoid aerated drinks,alcohol ,caffeine etc
  • Empty the bladder every 2 hrs . Don’t put your bladder under pressure
  • Take snacks in between to maintain glucose levels in blood .Preffer healthy cooked food .Avoid raw vegetables and undercooked eggs r meet etc
  • In DVT risk individuals do take heparin injections as advised by  the physician before and 4 days after journey
  • Travel insurance is helpful
  • Pregnant women can pass through security scanner without any harm to baby
  • Few small domestic flights have pressure changes in cabins , do aware of that and avoid travelling for longer hours in those flights
  • Radiation effects are small and not observed any harmful effects on mother or baby during air travel

 

INTERNATIONAL TRAVELLING IS NOT PREFERABLE –

If situation demands for international travel then u have to look in to other things like :

  • Talk to your health care provider regarding your health issues and handover of medical records to consultant in new place ,where ur going to travel .
  • Inform in embassy and follow the regulations
  • Consult CDC and get approval from them regarding communicable diseases .
  • Take vaccinations depending on which country your travelling , for more prevalent diseases and immunological status of yours
MOTOR BIKE TRAVELLING IS NOT RECOMMENDED DURING PREGNANCY

TRAVELLING IN CAR :

  • Travelling in car is safe
  • Inform and take advice of your healthcare provider and carry medical reports .
  • Wear seat belt-upper belt between two breast ,lower belt on upper thigh
  • Maintain distance of 25 cm from airbag .
  • Every  2 hours , get down from the car and walk for 10-15 min .
  • Streching of ankle and calf muscles is advisable during journey period
  • To Avoid dehydration take sips of water ,juices etc .Avoid aerated drinks ,coffee,alcohol ,smoking .
  • Take small feeds ,biscuits etc
  • Empty the bladder every 2 hours
  • carry medicines
  • pillow or cushion can be put for support of back
  • Car driving can be done in second trimester .Problem of nausea & vomiting can cause discomfort in first trimester .And growing abdomen in third trimester makes the women uncomfortable to drive and interfere with the front view

Train travelling : Motion of a train ride will not cause any problems with the pregnancy such as premature contractions ,separation of placenta or leaking membranes

10-15 min of walk in the train is prefferable to improve the circulation

Sea travelling: Motion sickness problem more aggravated in sea travelling .Take anti emetics which are prescribed in pregnancy.

  • Diarrhea commonly associated with this type of journey.Take precautions in drinking water and food consumables.
  • Know about geography of travelling path ,where u can land ( near by port or island ) in an emergency and know the health care facilities their .
  • As in other modes of transport,insurance,medical records ,advice and  consent of your health care provider is mandatory.

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