If you are pregnant or your are breastfeeding your child, please read the following important information before you plan your trip!
Travel is not contraindicated for uncomplicated pregnancies, but choosing a destination should include a careful risk assessment. Second trimester travel is generally favorable as the risk of complications is low. A gynecologist should be consulted before travel. Adequate obstetric and neonatal care at destination must be ensured for emergencies. Check for sufficient insurance coverage for mother and baby.
Most airlines allow pregnant travellers to fly up to 36 weeks of gestation, and up to 32 weeks in the case of multiple pregnancy. Clarify with the airline in advance. From the 28th week of gestation, a letter from one’s gynecologist stating the fitness to fly, due date, and contact details is required. The risk of thromboembolic events (thrombosis) is increased during pregnancy. General measures such as calf exercises and compression stockings are recommended. For long-distance flights, a heparin injection is advised.
Inactivated vaccines should be delayed to the 2nd trimester if possible. Boosters against whooping cough (dTpa) and influenza are recommended during every pregnancy. Live vaccines are generally contraindicated, and conception should be delayed by 4 weeks. Pregnancy is considered a precaution for yellow fever vaccination and requires careful benefit-risk assessment by a specialist. Breastfeeding, especially in children under the age of 6 months, is a contraindication for yellow fever vaccination due to the risk of encephalitis of the infant.
Ensure optimal food, water, and hand hygiene and avoid raw fish, meat, and unpasteurized milk and dairy products. Certain diseases transmitted by contaminated food or water (e.g. listeriosis, hepatitis E, toxoplasmosis) can be particularly serious during pregnancy. Ensure prompt and adequate rehydration in case of gastroenteritis, as dehydration can place the fetus in danger.
Many medications are not allowed during pregnancy and breastfeeding. A doctor should be consulted about suitable drugs for common complaints during travel.
Stays at high altitudes/scuba diving
Pregnant women should avoid altitudes above 2500 m as they are at higher risk of high altitude sickness and complications. Scuba diving is not recommended as it could cause a potentially fatal gas embolism for the fetus.
Exclusive breastfeeding protects infants from contamination during food or milk formula handling. No water supplementation is required, even in hot environments. During air travel, breastfeeding helps to prevent infants from ear pain due to cabin pressure changes. Avoid mastitis by correct hygiene during breastfeeding and milk pumping.
Fortgeschrittenes Alter allein ist kein Grund, auf Reisen zu verzichten. Bedenken Sie aber, dass sich der Körper nicht mehr so schnell akklimatisieren kann und dass deshalb hektische Reiseprogramme für ältere Menschen nicht geeignet sind.
Vor der Reise
Während der Reise
Nach der Reise
Bei Fieber nach einer Reise in einem Malariagebiet: Sofort Arzt aufsuchen! Fieber jeder Art kann ein Zeichen für eine Malariaerkrankung sein. Besonders in fortgeschrittenem Alter kann sich diese Infektionskrankheit aber auch mit anderen Symptomen, wie z.B. Verwirrtheit usw. bemerkbar machen.
Weitere Informationen / Referenzen
Pilgrimages are a very important aspect of many people’s lives. However, as with all international mass gatherings, pilgrimages bear health risks and thus require preparation. The Hajj is physically exhausting, therefore a medical assessment is recommended for those suffering from chronic conditions. The Kingdom of Saudi Arabia advises elderly and seriously ill people, pregnant women, and children to postpone or retain from undertaking the Hajj and the Umrah.
Check for updated health, vaccination and entry requirements and general recommendations on:
Check for sufficient international insurance coverage.
As Muslim law prohibits menstruating women from performing tawaf, women might consider consulting their gynaecologist before the pilgrimage if they intend to postpone or avoid menstruation.
During the Hajj
After the Hajj
Seek medical care if suffering from fever, respiratory or gastrointestinal symptoms, or any other health complaints following the pilgrimage.