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    Air Travel in Pregnancy

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    Diana Halim
    The document discusses airline guidelines for air travel during pregnancy, including restrictions after certain weeks of gestation. It also covers potential problems with flying while pregnant like radiation exposure, low cabin pressure, and deep vein thrombosis, as well as conditions that make flying inadvisable. Local airline policies are presented for Malaysia Airlines and AirAsia.

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    Air Travel in Pregnancy

    Uploaded by

    Diana Halim
    124 views2 pages
    The document discusses airline guidelines for air travel during pregnancy, including restrictions after certain weeks of gestation. It also covers potential problems with flying while pregnant like radiation exposure, low cabin pressure, and deep vein thrombosis, as well as conditions that make flying inadvisable. Local airline policies are presented for Malaysia Airlines and AirAsia.

    Original Description:

    Air Travel in Pregnancy - SGH

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    The document discusses airline guidelines for air travel during pregnancy, including restrictions after certain weeks of gestation. It also covers potential problems with flying while pregnant like radiation exposure, low cabin pressure, and deep vein thrombosis, as well as conditions that make flying inadvisable. Local airline policies are presented for Malaysia Airlines and AirAsia.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    124 views2 pages

    Air Travel in Pregnancy

    Uploaded by

    Diana Halim
    The document discusses airline guidelines for air travel during pregnancy, including restrictions after certain weeks of gestation. It also covers potential problems with flying while pregnant like radiation exposure, low cabin pressure, and deep vein thrombosis, as well as conditions that make flying inadvisable. Local airline policies are presented for Malaysia Airlines and AirAsia.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Doctor, am I fit to fly?

    (Air Travel in Pregnancy)

    Air travel is no longer a luxury but a necessity for many. One of the frequent concerns of our
    pregnant mothers is whether they are permitted to fly.
    This document will encompass:
    A) Local airline guidelines on gestation during travel
    B) Problems with flying for the mother
    C) Patients not suitable to fly
    A) Local airline guidelines on gestation during travel
    Malaysia Airlines
    The following groups of patients may be refused carriage:
    1) Multiple pregnancies after 32 weeks
    2) Singleton pregnancies after 35 weeks for international flights
    3) Singleton pregnancies after 36 weeks for domestic sectors
    4) Until 7 days after delivery
    Airasia
    1) Up to 27 weeks (inclusive)
    -Doctors certification not required. Guest must sign Limited Liability Statement
    2) 28-34weeks (inclusive)
    - Submission of an approved doctor's medical certificate required.
    - Doctor's medical certificate confirming the number of weeks of pregnancy and the certificate shall
    be dated not more than thirty (30) days from either the scheduled outbound or the scheduled
    inbound flight departure date as the case may be.
    -Guest must sign Limited Liability Statement at the time of check-in
    3) 35 weeks and above-Airasia will refuse carriage
    B) Problems with flying to the mother
    1) Radiation
    -This may be increased due to cosmic radiation during flight or ionizing radiation from body scanners
    -Both are considered to have insignificant doses absorbed by the mother and fetus

    2) Lower cabin pressure and lower humidity


    - Decrease in partial pressure of oxygen and saturation. Healthy pregnant women should not be
    affected.
    -Increased insensible losses may be secondary to a lower humidity. However, there is no evidence
    that dehydration occurs
    3) DVT
    -3 fold increase in risk of DVT BUT the absolute risk is still low
    -Flights longer than 4 hours places the patient at increased risk
    -Patients should be advised to choose an aisle seat, adequate fluid intake, avoidance of
    caffeine/alcohol to prevent dehydration, regular ambulation at 30 min intervals
    - If additional risk factors are present, LMWH and TED stockings should be considered

    C) Patients not suitable to fly


    1) Severe anaemia Hb< 7.5 g/dl or recent sickling crisis
    2) Unstable fracture, where significant leg swelling can occur in flight, particularly if a cast is in place
    3) Recent haemorrhage
    4) Otitis media and sinusitis
    5) Serious respiratory disease, particularly with marked breathlessness
    6) Recent gastrointestinal surgery where suture lines on the intestine could come under stress due
    to the reduction in pressure and gaseous expansion
    When dispensing advice with regards to air travel, special consideration must be given for the reason
    of travel.
    Source:
    1) Respective airlines website
    2) RCOG Information for you: Air travel and Pregnancy. Jan 2011
    3) Scientific Impact Paper No.1 ( Draft) July 2012

    Edited 16/10/12 LucasLuk;Voon HY

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