In general, a normal pregnancy does not prevent women from traveling to reasonable destinations. The possibility of travel-related diseases or the development of complications while in remote areas is an issue that should be addressed before travel is begun. High-altitude stays of a few days' duration have not been associated with risk to the fetus, but exposure for longer duration increases the chance of fetal growth retardation, maternal high blood pressure, and premature delivery. Travel in pressurized aircraft has not been associated with adverse outcome in an otherwise uncomplicated pregnancy. Some commercial airlines, however, enforce restrictions limiting travel during the third trimester. Frequent ambulation is important during travel of long duration regardless of the period of gestation. Protective restraint devices should be used at all times in automobiles and airplanes. Lap belts should have a snug, comfortable fit under the abdomen and across the upper thighs.24
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