Knocked up abroad: second trimester travel

Not far along enough for second trimester travel? Read more about pregnancy in a foreign country, Turkish prenatal care, travel in the first trimester,Turkish superstitions, and foreign baby names on Knocked up abroad.

A few years ago, before the word staycation foisted itself into the travel lexicon, babymoons were all the rage. A babymoon typically referred to the last getaway for expecting parents, often a deluxe resort vacation replete with couples’ massages, room service, and lots of pampering. I’ve spent my my pre-baby travel slightly differently, exploring post-Soviet museums before needing a stroller, eating at restaurants that have never heard of kids’ menus, and learning what non-alcoholic drinks are on offer in local dive bars. Living abroad in Istanbul has also changed my short-haul destinations considerably. In the first trimester, my husband and I traveled to Kiev and Warsaw, Russia in the dead of winter, and to Frankfurt for the Christmas markets, and I don’t regret having gone without the his-and-hers massages. For second trimester travel, I found Singapore to be nearly ideal: the food and shopping are epic, the street food is safe, and the people polite and helpful. Though the hotel prices and high temperatures can be hard to deal with, the Southeast Asian city-state is a nice balance of relaxation and city exploration.

Ask any new parent or doctor and they will tell you that the second trimester is the best time to travel, after the early days of morning sickness have passed and before you get so uncomfortable that a walk around the block feels like a marathon. Given the relative comfort level, the second trimester is also the best time for longer trips further from home. I flew 10 hours home to New York (my first trip back to the US in 10 months) in late February at 20 weeks, and just returned from a week in Malaysia and Singapore at 27 weeks. Today I hit the 28-week mark of pregnancy, a big milestone as it means the end of unrestricted air travel. For many international airlines, including Turkish Airlines, British Airways, and Qantas, you are required to bring a doctor’s note certifying you are fit to fly overseas. We all want to avoid childbirth on a plane, even if it could mean free flights for life.

Here are a few lessons I’ve learned from travel in the second trimester:

  • Travel when you are showing: Part of what makes first trimester travel tough is that no one knows you are pregnant other than you and your travel companions. Exhausted and need a seat? Tough luck, lady, we’re all tired. Need to make sure that foreign drink is non-alcoholic? Better stick to (bottled) water. While my friends cooed over my five-month baby bump, not a single person gave me a seat on the NYC subway in a week of rides, even when I unzipped my winter coat and looked longingly at strangers. Two months later in Singapore, I barely stepped onto a train before several people offered me a seat and every car has a few reserved seat for passengers in need.
  • Don’t skip the creature comforts: Even if you skip the traditional resort babymoon, you should still give yourself a break when traveling. When booking air travel, if you can find a way to upgrade yourself to business class, you’ll be glad to stretch out even if you can’t sip that free champagne. Coming from rainy and chilly Istanbul, a week in tropical Southeast Asia seemed heavenly, but walking around in humid 90-degree weather felt more like hell. I must agree with my food blogger friend Kate over at Savour Fare who said that “swimming pools are God’s gift to pregnant women.” Staying at a hotel with a pool gave me much-needed relief in between wandering the historic (but seriously hot) streets of Penang, Malaysia.
  • Bring documentation: As noted before, many airlines require a doctor’s note for women to fly between 28 and 35 weeks. But how do you prove how far along you are in the earlier weeks? At my last doctor’s appointment before flying to Asia, I asked for a note allowing me to travel just in case, having heard that Malaysia sometimes restricts entry to pregnant women in later months for fear that they will give birth in the country. Good thing I did as nearly every Turkish Airlines personnel asked me for my medical report: when checking in, at the gate, and on the plane. If you’re traveling internationally after 20 weeks, play it safe and bring a note.
  • Do half as much: For first trimester travel, I noted that you should realize your limits have changed. Though energy levels may increase in the second trimester, jet lag and extreme weather still take a major toll. I had a long to-do list in Singapore but could barely manage half the things. I scoffed at paying for the tram at the zoo, but in hindsight, it would have been much easier and more comfortable to get around Singapore’s massive animal park. Even if you normally avoid overpriced museum cafes, they might provide the break you need to stay a little longer. Taxis are another friend of pregnant women, especially when they are air-conditioned.
  • Buy local snacks: Pregnancy is a double-edged sword when it comes to eating: your hunger is greatly increased but you have to watch what you put into your body, whether you’re in a foreign country or not. Often flights arrive late at night or you mistime your lunch break when all the restaurants are closed, leaving you without many food options. Penang is known as Malaysia’s food capital but I had to make different choices for safety’s sake and avoid some of the famed street food, though Singapore’s hawker centers are quite hygienic even when you are eating for two. A visit to a supermarket can provide an expecting traveler with a range of unusual but safe food. Each night in Asia I tried different bottled drinks, from the tasty calamansi juice to the vile lemon-barley drink. Having a stash of local snacks made me feel better about staying safe with street food while still enjoying products only found in Malaysia. America needs to get with the Kit Kat drumstick ice cream cone, though I’m not so sure about the blueberry-and-hazelnut Pringles.
  • Dress for comfort: Nearly all pregnant women experience swelling in the hands and feet, particularly in the last few months. Air travel, salty foods, and humidity exacerbate this, so halfway through my vacation, I worried I’d burst out of my shoes like the Incredible Hulk. If you’re traveling to a hot place, pack shoes that give you a bit of room and remove your rings before flying (good opportunity to find a nice necklace to wear them on). Also be sure to dress in cool clothing that still provides coverage to avoid (or protect) sunburn.

With three months to go, there’s still more Knocked up abroad to come, stay tuned for more on pregnancy travel.

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]