Knocked up abroad: getting pregnant in a foreign country

My first clue that something was different came when I woke up one night on vacation in Kiev at 3am, proceeded to eat 3 slices of toast with caviar spread, went back to bed and woke up a few hours later wondering if they made blueberry muffins in Ukraine (tragicially, they do not). That “time of the month” hadn’t happened but flying tends to always mess with your body, so I didn’t give it much of a thought. Since moving to Istanbul from New York in May 2010 for a work project, my husband and I take frequent trips around Eastern Europe (see my Weekending posts) and that week we spent exploring Kiev and Warsaw while Turkey celebrated Kurban Bayramı (the Muslim festival of sacrifice).

When we arrived back home in Istanbul a few days later, I dug out the Turkish pregnancy test I had purchased a few months earlier after a previous false alarm. Though the instructions were in Turkish, peeing on a stick is fairly universal, and the “POZITIF” results were hard to misinterpret. Excited and nervous to be pregnant in a foreign country, my husband and I wondered what a mountain of paperwork we’d have to provide U.S. Customs in 9 months, what the medical system in Istanbul would be like, and if we could get away with having a baby in Turkey not named in some way for Mustafa Kemal Ataturk, father of modern Turkey and namesake for millions of Turks. Being pregnant in a foreign country is the ultimate way of “going native,” the most “authentic” travel experience you can have. It’s also challenging, sometimes scary, and limits where you can travel, but can be a great way to discover a culture, their hospitality, and traditions.Once I confirmed that I was in fact hamile with bebek, I noticed how child-friendly Turkey is, though not without challenges for the expecting expat. I could only find one English-language pregnancy book (co-written by Oprah’s fave, Dr. Oz, who is of Turkish descent), I’ve heard C-sections are pushed on many women as the only option for childbirth, and I’ve found maternity clothes are mostly limited to childish t-shirts and denim overalls. Turkey’s also a dream for the pregnant traveler: fresh fruit juice is cheap and easy to find at most cafes, vaccinations aren’t needed to visit, and Turks treat pregnant women with the utmost respect and care.

Having a baby, especially a first, in a foreign country isn’t for everyone. My family and support system is far away and I don’t know where to go for things I can find easily in my hometown. My doctor speaks excellent English but many of the nurses and hospital staff do not, and my Turkish is hardly fluent enough to cover every situation. Though the cost of domestic help is low, I’m not sure I want a lady with whom I can’t fully communicate telling me how to raise a baby.

Pregnancy also changes how you look at travel, both where you go and how you do it. I’ve been fortunate not to have morning sickness, but I’m just as at risk for disease as other pregnant women and have to weigh the risks of visiting countries with suggested vaccinations or food- and water-borne illnesses. Growing a baby is tiring work, and it’s hard to reconcile my usual travel self (lots of walking, few breaks) with my pregnant self (tired and hungry almost all the time). The best part about pregnancy travel is learning how each culture values pregnant women and mothers, hearing childbirth experiences from locals and foreigners, and seeing how kind strangers really can be. And all the food cravings help you discover the local cuisine, too.

Stay tuned for more on pregnancy travel, including Turkish superstitions and customs, the lowdown on prenatal medical care in Istanbul, where to travel in each trimester, what to eat when pregnant abroad, and more on having a baby in a foreign country. Check here for further updates.