Fit To Fly Certificate

Yes, flying during pregnancy is generally considered safe for most women, particularly during the second trimester when symptoms such as nausea and fatigue have usually improved. Airlines and healthcare professionals agree that flying is usually low-risk if you have an uncomplicated pregnancy, although you should always check with your midwife or doctor before travelling. Staying hydrated, walking around the cabin when possible, and wearing compression stockings can help reduce the risk of swelling or deep-vein thrombosis (DVT) during flights.

Most airlines allow pregnant passengers to fly up to 36 weeks with a single pregnancy and up to 32 weeks with twins or multiples, although exact cut-offs can vary between airlines. After 28 weeks, many airlines require a ‘fit to fly’ letter confirming your due date and that you are medically safe to travel. Always check your specific airline’s pregnancy policy before booking, as rules differ and documentation may be required at the airport.

A doctor’s note or fit-to-fly letter is often required once you are past 24 weeks gestation, and it must confirm your expected due date and that you are fit for air travel. Some airlines have their own medical forms that must be completed by a GP or midwife, while others accept a simple written statement on official letterhead. Carry the letter in your hand luggage, as airline staff may request to see it at check-in or the boarding gate.

For healthy pregnancies, the risks of flying are generally low, but there are still considerations to keep in mind. Long periods of sitting can increase the risk of deep-vein thrombosis (DVT), so wearing compression stockings and staying mobile is recommended. Dehydration, swelling, and discomfort may be more noticeable during pregnancy, and women with complications—such as high blood pressure, placenta praevia, or a history of preterm labour—should seek medical advice before flying. Airlines may restrict travel if there are known medical risks.

Flying after giving birth is possible, but guidance varies depending on whether you had a vaginal birth or caesarean section. Most airlines recommend waiting at least one week after a straightforward vaginal birth and two weeks after a caesarean, although your recovery, mobility, and any complications should be considered. New mothers are also advised to stay hydrated, move regularly, and ensure the baby is fit to travel, as newborns may have additional restrictions depending on the airline.