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Medical recommendations

 

Pregnant passengers

If the passenger is pregnant, it is essential to obtain prior approval from the attending physician before traveling. Airline-specific policies must also be reviewed, as operational restrictions may apply regardless of the passenger’s health condition.
 
Pregnancy stages and air travel
 
Up to week 12: from a medical standpoint, there is no general prohibition against flying. However, symptoms such as nausea, vomiting, dizziness, and fatigue are common during the first trimester, which may make travel uncomfortable. Consulting a physician before flying is recommended.
 
Between weeks 13 and 27: this period is generally considered the safest and most comfortable time to travel, provided the pregnancy is low-risk. Most airlines allow travel during this stage without additional requirements.
 
Between weeks 28 and 35: many airlines require a recent medical certificate stating the gestational age, pregnancy status, and fitness to fly. The risk of preterm labor increases progressively, making medical consultation essential.
 
From week 36 onward: most airlines do not allow air travel, mainly for operational and safety reasons related to the possibility of labor during the flight.
 
It is strongly recommended to purchase travel insurance with comprehensive medical coverage, ensuring that pregnancy-related care is included and verifying the gestational limits of coverage.
 
For comfort and safety during the flight, choosing an aisle seat is advisable. Passengers should walk periodically to promote circulation and reduce the risk of deep vein thrombosis. Wearing comfortable footwear and compression stockings may be recommended by a physician in some cases.
 
Maintaining proper hydration during the flight is essential. In certain destinations, it is recommended to drink bottled water only, avoid ice or untreated water, and follow medical and health guidelines regarding food consumption.
 
If the seat belt feels uncomfortable, a seat belt extender may be requested from the cabin crew. The belt should always be fastened low across the hips, below the abdomen.
 

Other medical conditions

Passengers with pre-existing medical conditions or special health situations should consult their physician before flying. This is particularly important following recent surgeries, especially abdominal, thoracic, neurological, or ocular procedures.
 
Special caution is advised for passengers with a history of: heart disease, heart attack, arrhythmias, circulatory disorders, deep vein thrombosis, or immobilization of limbs (casts or splints).
 
Passengers with chronic respiratory diseases, uncontrolled asthma, respiratory insufficiency, middle ear infections, acute sinusitis, or otitis, should seek medical advice before flying, as cabin pressure changes may worsen symptoms.
 
In the case of recreational or professional scuba diving, passengers are advised not to fly within 24 hours after the last dive, due to the risk of decompression sickness associated with cabin pressure changes.
 
During medium- and long-haul flights, passengers are advised to: stay well hydrated, avoid excessive alcohol and caffeine consumption, move feet and legs frequently, and walk periodically along the aircraft aisle. These measures help reduce the risks associated with prolonged immobility.
 
Passengers who take medication regularly should always carry it in their hand luggage, along with the medical prescription when applicable, especially on international flights.
 
In general, it is recommended to purchase international travel insurance with medical coverage, including medical assistance, hospitalization, repatriation, and coverage for unexpected health-related incidents, particularly when traveling abroad.
 
 

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