Knocked up abroad: pregnant travel in the first trimester

For more on pregnant travel, see parts 1 and 2 of Knocked up abroad: pregnancy in a foreign country here and here.

There’s no question that having a baby changes you: your body, your lifestyle, even your shoe size. One thing I hoped not to change altogether was traveling, as long as it was reasonably safe and comfortable for me and the baby. From the beginning of my pregnancy in Istanbul, my doctor has okayed travel, as long as I get up to stretch frequently on flights and try not to overdo it. Most doctors (and mothers) agree that the second trimester is the most comfortable time for pregnant travel but the first trimester can be a good time as well (while you can still squeeze into pre-maternity clothes and walk without waddling) with a little extra precaution and a little more babying (of the mother, of course).


The first trimester of pregnancy is a tricky time for many women: the risk of miscarriage is highest up to 10 weeks, morning sickness is common, and hormones are running wild. It’s too early to tell anyone outside family or close friends and without a visible belly, it’s impossible for strangers to tell as well. At later points in your pregnancy, a baby bump acts as the international symbol for pregnancy and can make it much easier to express your condition when traveling abroad. If you travel in the early months before showing, you may want to learn the local language words for “I’m pregnant” to avoid a Bridget Jones-esque “mit kinder” scene if you need extra help while traveling.


Over this past December, my husband and I were looking for a good trip to take over the holidays, when I was around 10 weeks pregnant. Our location in Istanbul changes the list of short-haul destinations considerably from what we would have considered from New York, and we debated between a warm-weather beach destination (husband) or a snowy and “Christmassy” European city (me). We ruled out Egypt (not warm enough and not Christmassy), New Zealand (even less convenient to get to than from New York), and Sri Lanka (not enough time to plan properly and some risks of disease I couldn’t be vaccinated against). In the end, we chose…Russia.
Going to Russia in winter while pregnant may seem crazy to some, but for me it made sense: Moscow and St. Petersburg are a few hours from Istanbul by direct flight, my husband speaks fluent Russian in case of any problems, and there was no risk of malaria or eating any food that had spoiled in the sun. While it was cold and snowing during our trip and I couldn’t take advantage of some of Russia’s cold-weather remedies like vodka and saunas, a week in Moscow and St. Petersburg was a perfect mix of exotic and comfortable.

Nearly every cafe had a variety of non-alcoholic and caffeine-free beverages for me to choose from, I even had non-alcoholic sangria, mojitos, and mulled wine in addition to fresh juices and herbal teas. Both cities are beautiful to explore in the snow, with plenty of museums and cafes to warm up in, and the New Year holiday displays made it festive.

If you are planning a trip to a foreign country while pregnant, it makes sense to keep in mind the following guidelines. Always discuss plans with your doctor before booking and err on the side of caution when choosing a destination.

Check airline restrictions – Most airlines allow pregnant women to fly internationally up to 28 weeks, after which you must provide a doctor’s note issued within a week or so of departure. 35 weeks (earlier for women carrying multiples) is the cutoff for nearly all airlines to prevent women from giving birth on board. Most US domestic carriers will allow pregnant women to fly up to the final month; hilariously, Continental will not let women board if “physical signs of labor are present” though they don’t specify what.

Consider travel insurance – If your medical insurance doesn’t cover you overseas, you may want to look into supplementary medical travel insurance, but be sure it covers pregnancy as many policies do not. Additionally, if you are traveling to a country where English is not spoken, you may want to research the name of a clinic or doctor in case of emergency as well.

Be prepared for jet lag – Before pregnancy, I had little issues with jet lag, trying to get on local time as soon as possible. I discovered when flying back from the US to Turkey that it hits you much harder as a pregnant traveler, especially as you can’t use sleeping pills or alcohol to help you sleep. Factor this into your schedule and give yourself plenty of time to acclimate and adjust to time changes.

Realize your limits have changed – On a usual trip, I’d be up early to walk around a city all day, have a late lunch (or maybe just a big afternoon beer) followed by more museums and exploration, and still be up for checking out the local nightlife. Once pregnant, I required more sleep and three solid meals a day (plus maybe some snacks, I am eating for two!), tired after walking short distances, and was ready to call it a night long before last call. If you have an itinerary, pare it down to the must-sees and double the time to see everything; better to take it easy and enjoy your trip than feel exhausted and sick.

Look for destinations that don’t require vaccinations – One of the first tests your doctor will give you after confirming pregnancy will be for immunizations to hepatitis and rubella. If you haven’t had the vaccines, they will have to wait until after the baby is born as they are not safe for pregnant women. I have not had the hepatitis vaccine yet, and thus have a greater risk of contracting it, which rules out much of Africa and southeast Asia for travel, but also means I must avoid raw vegetables including salad in Istanbul. Most other medications and vaccines commonly given to travelers before going to an area prone to Malaria, Typhoid or Yellow Fever are not advised for pregnant women. But there’s still a big world out there, check the CDC for destination-specific information.

Be extra aware of food and water safety – Pregnant women are more susceptible to food poisoning the average person, as the immune system is suppressed so it doesn’t reject the fetus. This is the reason most pregnant women are told to avoid sushi and food that is not prepared in sanitized conditions. Even adventurous eaters should play it safe while pregnant and drink bottled water when in doubt. I recently had an opportunity to visit Mumbai, India but after consulting with a few friends who had lived there, I worried I’d spend the trip inside my hotel room eating pre-packaged food. Again,

check the CDC and use the same common sense you’d use anytime while traveling: stick with food that is freshly prepared in restaurants full of people.


Stay tuned for more on pregnancy travel, including Turkish superstitions and customs, travelling in the second trimester, where to do pre-baby shopping, and more on having a baby in a foreign country. Check here for further updates.

[Photo courtesy Mike Barish from the Istanbul tram]

London Q & A: Photographer Philippe Sibelly

Marseille-born, London-based photographer Philippe Sibelly has an inspiring and very international mindset. Two of his projects, both detailed in the interview below, provide exciting and remarkable interventions in the ways that we understand contemporary cities, cultures, and even economics.

Sibelly’s The World in One City depicts London as a vibrant, multicultural city by including photographs of London residents from over 200 countries and territories. His Irish subject can be seen at right. Sibelly’s ongoing project, The Other Africa, overturns notions of Africa as essentially destitute and impoverished by showcasing the lives of middle-class Africans.

These projects provide deep commentaries on globalization and culture. They also provide a delicious kind of social candy for travelers and cosmopolitans.

Q: Sum up your profession.

A: In a perfect world I could give you a straight answer: if only I knew where my camera was, I could say I am a photographer. I am a qualified teacher of art, but teaching is such a demanding profession I had to stop as it was taking over my entire life. My last teaching spell is probably the reason I can’t find my camera any more. I am a househusband right now and I use any opportunity the kids give me to promote my photographic projects: The World in One City and The Other Africa.

Q: The World in One City is a fascinating look at London’s intense diversity. Describe the project briefly for our readers. What prompted the project? How do you feel about it now, a few years on?

A: When I arrived in London, in 2004, I was amazed by this diversity, especially after two six-year spells in Sydney and Dublin. Both are great cities but not the most diverse in terms of cultures. In London a lot was made about multiculturalism in the media before the 2012 Olympic Games announcement. I thought it would be a great challenge to search for Londoners from every Olympic nation. There were 202 at the time. It was also a great opportunity to meet people from every country of the world. After London got the Games, multiculturalism came off the front pages for a while.

As the 2012 Games are now fast approaching, the subject of London’s diversity is back at the top of the agenda. Prime Minister David Cameron’s recent speech on multiculturalism has also reignited the debate. I don’t think you can say it has failed, but asking if it works is a valid question.

The work has spent the last few months exhibited. It is currently at the Irish Cultural Centre in Hammersmith, West London.

Q: You’re from Marseille, which I believe is France’s most ethnically diverse city. Do you return often? Do you miss it? Did growing up there shape the way you interpret the world?

A: I go back to Marseille as often as possible, but it is getting much more difficult with the kids. So many logistical issues! After living for nearly seven years in London I find Marseille quite frustrating now. If you think public transport and traffic are bad in London, check out Marseille!

Growing up in such a working class melting pot definitely has an impact on the way you interpret the world. I remember being shocked when I first arrived in Sydney, in 1991. It was such a contrast from Marseille. Very “Anglo-Saxon middle class.” Interestingly enough I find Marseille (and France in general) very conservative now. London is so dynamic, a place where pretty much anything goes. In spite of being so diverse Marseille remains very much “old France.”Q: Talk about your current project, The Other Africa.

A: If The World in One City was my way of meeting people from every country in the world, The Other Africa is my excuse to go to Africa any chance I get. I grew up discovering Africa through depressing news headlines, like pretty much everybody else in the West. I was about 15 when Live Aid happened. I glimpsed the Africa that Bob Geldof was going to save, images of dying kids covered in flies.

There is no doubting this Africa exists but it contrasted greatly with the image I discovered traveling to West Africa. My friends in Dakar surely don’t suffer from malnutrition, more the opposite. Very rarely is it reported that millions of Africans go to work everyday, produce and consume, just like “us” in the West. It is all the more regrettable because changes for the better in Africa should and will come from this African middle class and not via foreign aid.

In 2005 I decided to start documenting this emerging middle class through a simple series of portraits of professionals and images of cities at night. I do not seek to say that everything is fine in Africa. My goal is to try to correct the perceptions we have of the continent.

Q: Where do you like to travel?

A: I just love getting out of the house. Discovering a new part of London can be just as rewarding as going to a new country a 12-hour flight away. It is also quite difficult to travel with the kids, which makes London explorations particularly appealing. I love Surrey and the South East of England as well.

I traveled a lot in Asia and the Pacific when I lived in Sydney. They are great places for independent travel but Africa has got the edge. I am always looking for opportunities to go and live there. Dakar, Libreville or Accra would be great places for the kids to live in while they grow up.

Q: What’s the most amazing thing that’s ever happened to you on the road?

A: Without the shadow of a doubt meeting my partner. I was traveling overland from Sydney to Europe. I bumped into Loretta in a cafe in Xi’an, China. A week later we ran into each other again, in Beijing. A few days after that we met by chance for a third time, on a train platform, in Irkutsk, Siberia! She gave me her Irish phone number from the step of her train carriage as it was leaving for Moscow. I decided to go to Ireland. 14 years later we have two kids together, two little Londoners.

Q: That is an amazing story. Do you have any travel secrets you’d like to share, either secret destinations or tips for other travelers?

A: I have perfected the art of traveling light. Unless I go to Africa to photograph for The Other Africa, I don’t even bring a camera! Too often you spend so much time taking souvenir photographs that you only see the things you were photographing when you look at the photos once you’re back home. I have cut down on everything. I have a special traveling wallet, which is in fact just a small purse, as you rarely need any of what’s in your wallet when you travel. Most of the time I don’t even need what’s in my wallet when I’m at home!

I have come to realize that if I really need something on my journey I can always buy it there. Unless I’m traveling in Norway it’ll be cheaper than it would be in London anyway, and going to a shop to buy something other than a souvenir is actually a great way to discover a place. Buying a toothbrush in a supermarket in Jakarta tells you an awful lot more about life in Indonesia today than does climbing Borobudur.

Apart from the importance of traveling light the best tip I can give to any traveler is to always try to look as smart as possible when crossing borders.

Q: You have a month to travel anywhere and your expenses will be paid by a mystery benefactor. Where do you decide to go?

A: Can the mystery benefactor also mind the kids? If my expenses were paid I would be tempted to go back to Japan as it is not the cheapest place to travel but it is such an interesting one. Iran is another place I would absolutely love to go back to and discover more. It wouldn’t cost my benefactor much either as it is such an inexpensive place to visit. Iranians are simply the most welcoming and friendly people I have ever met. Of course I would be tempted to go somewhere in Africa but I’ll go there whether or not I have a benefactor’s help.

You may find it surprising but if I had to choose one place to relax for a month, enjoy culture, great food, people with lots of character, sceneries second to none and a whole range of activities, I would go to Corsica.

Like this Q&A? Check out previous Gadling Q&As with inspiring travelers like Benji Lanyado, Zora O’Neill, and Jodi Ettenberg.

Human-powered circumnavigator climbs Mt. Kilimanjaro to raise money for Tanzanian school

Seattle-based adventurer Erden Eruç has launched the next phase in his quest to circumnavigate the world under human power, for his charitable organization, Around-n-Over (AnO). The mission of the 501(c)(3) non-profit is to assist poor communities by providing basic educational aid, resources, and facilities as a means of guiding them into self-sufficiency.

Eruç will continue his Six Summits Expedition, to climb the highest summits on the six continents he reaches after approaching each by bicycle, on foot, and by rowing across three oceans. His goal in raising awareness about his journey is to instill in young people the values of selflessness, sacrifice, and perseverance in the tradition of historical adventurers and expeditions. In November, 2010, Eruç became the first person in history to have crossed three oceans (Indian, Atlantic, and Pacific) via rowing. He is also the most experienced ocean rower alive.

The next leg of AnO’s Six Summits Expedition takes Eruç to Tanzania, and the continent’s highest peak, Mt. Kilimanjaro, to raise awareness for the Mateves Secondary School in Arusha. For this journey, AnO has collaborated with Mountain Madness, a Seattle adventure travel company who will provide guides and support for the climb. The goal is for AnO and participants to raise money to use toward the building of new classrooms and educational support. Mountain Madness will also donate a portion of the fees they receive from participants toward the school. To donate, click here.

The Arab revolution: the reaction of one Muslim community

For the past few weeks, headlines all over the world have been dominated by the so-called Arab Revolution, a wave of anti-government protests across the Middle East. I’m living in the Ethiopian Muslim community of Harar and locals here are absorbed in the events. Sitting in living rooms or cafes to escape the heat of the day, all eyes are glued to the satellite channels and conversation revolves around the rapidly changing events.

The response has been overwhelmingly positive tempered by caution. They’re happy to see a strong pro-democracy movement in Egypt but say that since the army is the real power, democracy is still in danger. While the West worries about the Muslim Brotherhood taking over, one recent university graduate told me, “They only use Islam for political gain. Deal with them in economic terms and there will be no problem.”

The main talk right now, of course, is about Libya. Descriptions of Gaddafi range from “crazy” to “stupid” to “evil”. Some Hararis even say Gaddafi is a heroin addict. “He has an injured back and started taking it for the pain. He has a Russian nurse who follows him everywhere and gives him injections,” one friend told me. I’ve never heard that before, but it would explain the bizarre interviews and why he wears sunglasses indoors. Everyone thinks he’ll go down fighting rather than give up control.

Most people here watch Al-Jazeera. That station has taken definite sides in the Libyan revolution. When Gaddafi’s government blocked the Internet, Al Jazeera started running the addresses for proxy sites to access Gmail and Twitter.

Mazzika 1, an Egyptian music video station, is now running a video about the uprising, showing the protests in Tahrir Square, the faces of some of the dead, and the final joyous victory, all set to inspiring music. It makes an interesting contrast to their usual fare of Arab starlets gyrating in front of the camera.Ethiopians have no love of dictators. When the Derg regime under Colonel Mengistu Haile Miriam assassinated Haile Selassie in 1974, it started a brutal repression across the country that killed 500,000 people in its first year. Nobody knows the total number of victims. A bloody civil war finally toppled the regime and Mengistu fled to Zimbabwe, where he still lives in comfort. Ethiopia now enjoys a democracy. It isn’t perfect, but mechanisms are in place to perfect it. Ethiopians want to see the same for the Arab world. “They need it,” one Harari said, “or they’ll never be free.”

One friend put it in Marxist terms. “The French had the first bourgeois revolution in 1780. We had ours starting in 1966 and now finally the Arabs are having theirs.” He feels it’s the next step to creating an egalitarian state.

The Hararis I spoke with are surprised and cautiously optimistic by the protests in Saudi Arabia. That nation has a huge influence in Ethiopia because of its sponsorship of Wahhabi mosques and madrasas. Wahhabism is a strict form of Islam that in strong contrast to the tolerant, easygoing Islam practiced by most Ethiopians. It encourages Ethiopian women to wear the niqab and denouces the Harari reverence for Muslim saints as unislamic. The face veil is alien to Ethiopian culture, and Harar’s many Islamic saints are a cornerstone of their religious practice. One Harari friend called the Wahhabis “poisonous snakes.”

I won’t be like many journalists and pretend the dozen or so people I spoke to are representative of the feelings of the entire population, only a huge opinion poll could claim that, but the daily conversations I’ve been having about the Arab Revolution provide a viewpoint I couldn’t get anywhere else.

And that’s one of the best things travel can give us.

Don’t miss the rest of my Ethiopia travel series: Harar, Ethiopia: Two months in Africa’s City of Saints.

Coming up next: Homestays in Harar!

So You Want To Be A Safari Guide?

Wanted: Able bodied men and women who have a passion for the outdoors and a thirst for adventure. Must be well organized, have an attention for detail, and enjoy working with animals. Positive attitude, a flair for the dramatic, and good people skills a big plus. Plenty of positions available, no experience necessary. Will train for the job.

If the above job description sounds like something you’d be interested in, than perhaps you’re a candidate to become a safari guide in Africa. But be warned, it is a job with long hours, little pay, and plenty of demands. It is also an occupation that offers a fantastic job site, daily surprises, and plenty of adventure.

The demand for experienced and well trained safari guides continues to grow as more and more African nations build an infrastructure to support tourism. Countries like Kenya, Tanzania, and South Africa are well known, and popular, safari destinations. But other nations, such as Botswana, Namibia, and Zimbabwe are quickly becoming popular alternatives to those classic places.

Of course, not just anyone can be a safari guide. It requires a unique set of skills that is not always obvious to the outside observer. Building those skills is no easy task either, and it can take years in the field to develop them fully. But, for those hoping to join the ranks of the African bush guides, there is an option for job training that is as unique and adventurous as the work itself.
A South African company by the name of EcoTraining has established itself as the top provider of quality safari guides on the entire African continent. EcoTraining offers a number of training course that are designed to give potential guides the skills they need to lead their guests into the field in search of Africa’s amazing wild game.

I recently had the opportunity to visit EcoTraining’s Makuleke Camp, located inside the Makuleke Concession of Kruger National Park in South Africa. There I had the unique opportunity to witness first hand the training process and watch as students worked hard on a daily basis to hone the skills necessary in the profession they all hoped to enter. Those students came from all over Africa, Europe, and even the United States, and ranged in age from 19 to late-50’s.

In the week that I was in the camp, I watched the prospective guides practice some of the more obvious skills that they would need on the job. For instance, there were daily game drives, both on foot and in vehicles, with students taking turns playing the role of the lead guide, while another served as the all-important back-up. Their remaining classmates played the part of the clients, eagerly asking questions and putting the guides to the test.

Learning to lead a game drive was just the beginning however, as the students also practiced operating a 4×4 safari vehicle, while spotting wild animals on the move, and entertaining their clients with all sorts of fun facts, at the same time. They also learned how to identify, and track, the wide variety of creatures that inhabit Kruger National Park, while polishing their first aid skills, and learning to handle a rifle as well. The students are taught basic bush survival techniques, how to handle encounters with dangerous game while on foot, and how to navigate in the bush too. Nightly post-dinner briefings give them the opportunity to hone their public speaking abilities as they outlined the itinerary for the following morning’s game drive much same way as they will when they go to work as a guide.

The standard Eco-Training course is 28 days in length at the end of which, students who pass their evaluations will be given a rank of a level 1 Field Guide. That will mean that they have demonstrated the basic skills necessary to serve as a safari guide, although they will still lack experience that only comes from working in the field. From there, they’ll receive placements in a variety of lodges and camps throughout Africa, where they can begin to acquire that necessary experience. A few of the more promising students will even be allowed to stay on in the Eco-Training camps to help instruct the next crop of recruits.

The training doesn’t end after the 28-day course comes to an end however, as there are a number of short courses that the Field Guides can take to boost their skills. For instance, there is a weeklong birding course that helps identify the hundreds of avian species in Kruger. Similarly, there is a four-day course on identifying trees and other plant life and another that focuses on spider and scorpions, both of which are common throughout Africa.

The most comprehensive course however is Eco-Training’s yearlong program that not only prepares students for all of their official Field Guide accreditation tests, but also offers advanced bushcraft skills, while also training them in wilderness medicine, and high level tracking . They’ll also receive further instruction on navigation and orientation, handling of firearms, and much more. The yearlong course is designed to turn out the very best guides possible, who can immediately go to work in the field.

True to their name, Eco-Training also instills a healthy respect for the environment in their students as well. They are taught to protect the wilderness that they will be working in and to understand how each of the creatures, from the smallest insects to the largest herbivores, plays a vital role in keeping it healthy. In fact, that respect runs so deep, that on one walk into the bush we were advised to not step in the elephant dung that was common throughout the Makuleke Concession. Normally, this would seem like good common sense, as none of us likes to carry that scent around on our boots all day. But in this case, we were told to avoid the smelly landmines because each of them is a self-contained ecosystem, with all manner of insects taking up residence. By walking around them, those ecosystems were allowed to flourish and continue playing their role in the much larger environment of the bush.

This eco-conscious approach extends to the Makuleke Camp, where the students, guides, and visitors, such as myself, stay as well. Occupants of the camp sleep in large, comfortable tents that are elevated above the ground to allow for the passing of animals through the area, something that is not at all uncommon. One evening I was awoken from sleep by the distinctive sounds of a warthog passing beneath me, and on several occasions the sunrise was greeted by the not-so-distant roar of a lion.

Our tents had running water, but no electricity, and in the evening the paths, as well as the common dining area, were lit with lanterns. There were no fans, no air conditioning, and certainly no televisions. It is a five-mile drive just to get cell service. The evening ends early, with occupants of the camp crawling into their cots not long after nightfall. The morning is announced with the beating of a drum, which signals the start of a new day and calls students to their daily meals.

For adventurous travelers, the camp no doubt sounds like a fantastic escape, and a wonderful place to experience Africa’s bush in all of its glory. But it is also a classroom without equal for the potential safari guides, who need only walk a dozen yards in any direction to enhance their instruction. EcoTraining operates two other training camps, one in South Africa’s Selati Game Reserve, not far from Kruger, and another at the Karongwe Reserve in Botswana. Both of those camps offer similar training to those that I observed on my visit to the Makuleke Concession.

The company has gotten so good at training field guides that their students are now in demand across all of Africa. Eco-Training students serve in a variety of capacities in Kenya, Tanzania, Botswana, Zimbabwe, and of course South Africa. Tour operators know that when they hire a graduate of the EcoTraining courses, they get someone who is well trained, highly knowledgeable, and prepared to inform and entertain their guests.

For us, as travelers, that means that we are able to visit the wondrous landscapes of Africa in a manner that is both more rewarding and safe. Something that makes an already great travel experience even more satisfying.