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]

Dreaming of Bali – In search of paradise

What is paradise? Is it a place we can visit? Somewhere with palm tree-lined beaches, frosty cocktails and simmering volcanoes? Or is it an idea? A vision in dreams that never quite materializes when we wake up? Bali, an intriguingly exotic island tucked into the Indonesian Archipelago in Southeast Asia, is just such a paradise. This elusive island is everything you’ve ever dreamed – a land of otherworldly temples, postcard-worthy sand and exotic colorful wildlife. But just when you start easing into the charms of this idyll, Bali shocks you back to life with its increasing modernity and ever-evolving culture. Dreams take unexpected turns, don’t they?

Everyone in Bali, it seems, is looking for their slice of paradise. The island last year welcomed a record 2.3 Million visitors and it shows. In Bali’s tourist capital of Kuta the signs are everywhere, manifesting themselves as gaudy Bubba Gump Shrimp restaurants and mushrooming surf shops on every corner. But that doesn’t mean this paradise is lost. Simply drift your way towards the island’s serene interior, a place dotted with terraced rice paddies and gently humming frogs. Or find yourself lost inside a labyrinth of street food vendors in the city of Denpasar, your nose perfumed with scents of spice, and smoke, and kerosene heat.

Paradise isn’t just a place. It’s a way of seeing the world, particularly when you’re dreaming of Bali. Keep reading below to learn how to begin your Bali exploration.Getting There
Getting to paradise isn’t supposed to be easy, is it? This is particularly true for Bali, an island that’s hidden itself way down “in the corner” of Southeast Asia. While there are no direct flights from the United States, airlines like Cathay Pacific (via Hong Kong), Korean Air (via Seoul), China Airlines (via Taipei) and Singapore Air all fly via connections to Denpasar (DPS), Bali’s main airport. Typical prices as of February 2011 start at about $1300 from the East Coast. It might be a long journey to get to Bali, but trust us, it’s well worth it!

Orientation
The vast majority of Bali’s tourism (and visitors) end up in the island’s South, centered around the coastal city of Kuta. While not all of Kuta is bad, most of the city is a mass of schlocky souvenir stands, gaudy restaurants and package tourists. Avoid it if you can. North of Kuta is its swanky cousin Seminyak, home to many of the island’s expats, upscale eateries and shopping.

Beyond Kuta and Seminyak is Ubud, a loose collection of villages, rice paddies and greenery centered on the oddly named Monkey Forest Road. Even further north the island is dominated by the massive Gunung Agung volcano, the geographical and spiritual heart of Balinese life. Beyond that is Bali’s largely undiscovered interior, full of interesting spots like Munduk and of course, Bali’s infinite stretches of coastline, populated by towns like Lovina. In the far Northwest is the wilderness of West Bali National Park.

Where to Stay
Accommodations in Bali range from the insanely luxurious (picture that last Travel + Leisure photo shoot) to modest surf shacks. Most visitors find themselves staying in the island’s south, simply because it has the biggest selection of high-quality accommodations.

The best option for those not rolling in dough but still looking to enjoy some of Bali’s legendary retreats is one the fantastic, plentiful and reasonably priced private villa options on sites like VRBO or Homeaway. For less than you think, you’ll be living it up in your own beautifully manicured tropical estate (here’s where we stayed) or condo.

Beyond the villa scene, there’s a huge range of accomodations on offer in Bali. In Ubud in the island’s relaxed interior, try the Alam Indah. Travelers near Kuta swear by the All Seasons Legian. Jimbaran tends to be the island’s most luxurious (and expensive) area, hosting upscale properties like the Four Seasons and Puri Bali.

What to Do
Whether you’re looking for an off-the-beaten-path adventure or a nice beach where you can eat Lotus Blossoms, Bali has an activity for you. In addition to our tips below, check out these 10 suggestions for your Bali visit.

  • See the Kecak at Ulu WatuKecak, a form of Balinese musical theater retelling the myths of the Hindu religion, is re-enacted at sunset at the island’s Pura Luhur temple, perched dramatically on towering cliffs above the ocean. A truly awesome and interesting spectacle to see.
  • Learn to surf – Due to favorable ocean currents and a uniquely suitable coastline, Bali has emerged as one of the world’s great surfing meccas. Try a class at the surfing mecca of Kuta beach, or head to points further South for some legendary “breaks” at spots like Ulu Watu.
  • Head to the spa – tired and sore from that surfing lesson? Why not hit the spa? Bali is increasingly known as one of the world’s “spa capitals,” whether you’re looking for an insanely luxurious spa treatment or simple inexpensive massage on the beach, Bali has it all.
  • Inland adventures – Bali isn’t just about great beaches and spas. Travelers who venture into the island’s interior will find a wealth of challenging activities and beautiful views ranging from laid-back bike rides among the rice paddies in Ubud, to hikes up volcanoes at Gunung Agung to whitewater rafting.

Dreaming of your own visit to Bali? Read more about Gadling’s “visit to paradise” HERE.

Siem Reap – 3 days in Cambodia

Siem Reap is an ancient place. It is well-worn with character written like wise creases on an old face. At its apogee, the Khmer empire built some of the most extraordinary temples in the world, ruling a kingdom covering parts of current day Cambodia, Laos, Thailand, Malaysia, Vietnam, and Myanmar. This was the Rome of Southeast Asia. Angkor Wat, the crown jewel in the Cambodian crown, is laid out to mirror the universe – this ambition rivaled only by its beauty. When I stood before the pyramids of Giza, I was impressed. When I came upon Angkor Wat, I was in love.

Flying to Cambodia is easy, as routes fly nonstop from many Southeast Asian hubs. The cheapest flight into Siem Reap is on Air Asia from Kuala Lumpur for roughly $120 round-trip. Flights from Bangkok and Ho Chi Minh are closer to $300 round-trip. If you are just aching to part with your dough, Silk Air offers a flight from Singapore that hovers around a grand. You can also take a bus into Siem Reap from Bangkok or Phnom Penh. Cambodia issues a visa on arrival so there is no need to obtain one beforehand. The process is quick and easy.

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Day 1 – ATVs and Ta Prohm
Start the day with a tour of rural Cambodia on an all-terrain vehicle. Quad Adventures Cambodia provides an exhilarating trip through rice paddies and simple villages on red dirt roads. The expedition affords a glimpse into rural Cambodian life and stops by Chres Village School and Orphanage. The school is filled with Cambodian orphans, and they will give you a heartwarming tour of the premises. If you plan on being in Siem Reap for two weeks or longer, then you can volunteer at the school as a teacher.

After your cruise through the countryside of Siem Reap, head to the Angkor complex to buy a 3 day temple pass. The pass is required for visiting the ancient temples and costs $40. Check out the jungle temple of Ta Prohm in the late afternoon. Ta Prohm has a “taken back by nature” aesthetic with gnarly tree roots covering the temple walls like silly string. Visiting this temple is a fantastic way to get in the Angkor spirit. Follow it with sunset at Phnom Bakheng – a high temple on a hill overlooking the Angkor complex and dense jungle.

For the evening, head over to pub street. Pub Street has many bars and restaurants with food offerings ranging from local food such as Amok (fish wrapped in banana leaf) to pizza. The restaurant Le Tigre de Papier is a great spot and has a local cooking class. After dinner, check out the Angkor night market and “splurge” for a $3 foot massage.

For accommodation, a wide range of options exist. Le Meridien Angkor possesses an unbelievable pool and looks like a Bondian bad guy lair, but it is slightly on the expensive side. Kool Hotel is a great hotel at a great price. They provide complimentary breakfast, wifi, and have a pleasant pool.

Day 2 – Angkor Wat Sunrise and Tone Sap

Awake at 4:30am and begin your journey to the temple of Angkor Wat. Stumbling into the temple complex under moonlight and watching the sun slowly light up this otherworldly place is one of the world’s most memorable travel experiences.

After sunrise, tour the storied halls inside massive Angkor Wat and visit nearby Angkor Thom. Angkor Thom houses the photogenic Bayon temple, famous for its bas reliefs and gigantic stone faces. In the late morning, arrange a car or tuk tuk to Tonle Sap Lake – the largest lake in Southeast Asia. Many Cambodians call this lake home. They live in simple stilt houses, and it is not uncommon to see a child paddle by in what appears to be a salad bowl, perhaps on his way to a floating market. The most authentic lake experience is at the village of Kompong Phluk, but visiting the more touristy location near Siem Reap is still mind-blowing.

After your day at the lake, treat yourself to a fantastic Khmer-French fusion dinner at either Meric, Abacus, or AHA Wine Bar.

Day 3 – Banteay Srei, Land Mine Museum, and a Cambodian Carnival

Start your day with some fresh fruit juice and breakfast at your guesthouse and head out by tuk tuk through the countryside to Banteay Srei. The red sandstone carvings at Banteay Srei are the most meticulously detailed in Cambodia. Built in the 10th century, Banteay Srei served as an elaborate temple and library. Due to its slight remoteness, many visitors pass on this temple, but those that visit are rewarded with one of Angkor’s top sights.


The land-mining of Cambodia was a great tragedy. Many Cambodians have been disfigured and even killed in mining accidents. A stop by the Landmine Museum is necessary to put the damage into perspective. Learning about the founder’s life story is especially interesting. Museum founder Aki Ra fought as a child soldier, and some of his childhood narratives will leave a deep impression. Today he defuses land-mines and educates the public about their destructiveness. A movie was made about his life titled A Perfect Soldier, and he was named a CNN hero of 2010.

Late in the afternoon, visit the local carnival grounds on the outskirts of Siem Reap. Many games and local foods are there to sample. If you are feeling adventurous, try the delectable fried cricket. Several of the games, like “pop a balloon with a dart,” have prizes. You can win ice-cold Coca Cola and other beverages. The sodas are a welcome respite from the Cambodian heat.

The more local you get, the less people harass you. Walking through this foreign fairground, I felt like an American ghost. Watching Cambodian society undisturbed was an extraordinary experience.

Spend your last night at a traditional Cambodian barbecue spot. Touich Restaurant provides a tasty tour of this fiery cuisine style known as phnom pleung or “hill of fire.” Be sure to arrange reservations to guarantee a seat.

Extras – Bang Melea is a temple that has been left to the elements and is about an hour or two from Siem Reap. Roughly the size of Angkor Wat, you will feel like Indiana Jones exploring the unkempt ruins. On my visit, it was completely devoid of tourists. Some local kids gave me an impromptu tour of the dilapidated temple, and we climbed trees and explored dark hallways.

All photography by Justin Delaney

GadlingTV’s Travel Talk – Thailand Part 6: Swordfights and Elephants

Gadling TV’s Travel Talk, episode 36 – Click above to watch video after the jump

Travel Talk is back! After our fall hiatus we are excited to bring you our greatest adventure yet: Thailand.

From the vibrant heart of Bangkok to the remote countryside, we traveled by foot, car, boat, motorbike, ox cart and elephant to savor the the splendor of ancient temples, the energy of the muay thai ring, the serenity of rural life, and every single spicy bite of Thai cuisine. We’ll be bringing it all to you in the coming weeks as part of our special 12-part feature: Travel Talk Thailand.

As we venture further from the bustle of Bangkok, we get a chance to be the first westerners to visit a Thai martial art and dance school, taking swordfighting lessons from the Thai National Champion. Then we learn how to tame, wash and ride giants.

If you have any questions or comments about Travel Talk, you can email us at talk AT gadling DOT com.


Subscribe via iTunes:
[iTunes] Subscribe to the Show directly in iTunes (M4V).
[RSS M4V] Add the Travel Talk feed (M4V) to your RSS aggregator and have it delivered automatically.

Hosts: Stephen Greenwood & Aaron Murphy-Crews
Special guest: Joom!
Produced, Edited, and Directed by: Stephen Greenwood & Aaron Murphy-Crews
Special thanks: Tourism Authority of Thailand, Trikaya Tours

Travel Talk took Thailand by storm on invitation from the Tourism Authority of Thailand. No editorial content was guaranteed and Aaron & Stephen were free to openly share all adventures that they embarked upon.

GadlingTV’s Travel Talk – Thailand Part 5: Morning Shopping

Gadling TV’s Travel Talk, episode 35 – Click above to watch video after the jump

Travel Talk is back! After our fall hiatus we are excited to bring you our greatest adventure yet: Thailand.

From the vibrant heart of Bangkok to the remote countryside, we traveled by foot, car, boat, motorbike, ox cart and elephant to savor the the splendor of ancient temples, the energy of the muay thai ring, the serenity of rural life, and every single spicy bite of Thai cuisine. We’ll be bringing it all to you in the coming weeks as part of our special 12-part feature: Travel Talk Thailand.

In part five of our adventure, we finally make our escape from Bangkok and head out into the country, stopping on the way to do a little morning shopping- Thai style. Join us as we explore exotic markets, meet Thailand’s most reckless boat driver and see goods delivered to (or should we say “through”?) market in a whole new way.

If you have any questions or comments about Travel Talk, you can email us at talk AT gadling DOT com.


Subscribe via iTunes:
[iTunes] Subscribe to the Show directly in iTunes (M4V).
[RSS M4V] Add the Travel Talk feed (M4V) to your RSS aggregator and have it delivered automatically.

Hosts: Stephen Greenwood & Aaron Murphy-Crews
Produced, Edited, and Directed by: Stephen Greenwood & Aaron Murphy-Crews
Special thanks: Tourism Authority of Thailand, Trikaya Tours

Travel Talk took Thailand by storm on invitation from the Tourism Authority of Thailand. No editorial content was guaranteed and Aaron & Stephen were free to openly share all adventures that they embarked upon.