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The birth of a baby last week on an Air France flight — and in first class, no less! — reminds us that it may be a rare event, but it does happen: every year, a handful of babies are born mid-air. And even those who aren’t born at the front of the plane can get lucky. Some have been gifted free flights for life or a million airline miles just for having been born in flight.

While flight attendants and crew are trained and prepared for the rare event when a woman gives birth mid-flight, most airlines try to avoid the situation as much as possible. However, with no official guidelines governing travel during pregnancy, every airline has different restrictions, timelines, and requirements.

The vast majority of airlines require a medical certificate from a primary attending doctor or midwife, certifying that the passenger is healthy and fit for travel during the final months of pregnancy.

What information should be included in the medical certificate?

Airlines differ, but it never hurts to include enough detail to satisfy the most stringent airline requirements.

A thorough medical certificate or waiver should state:

  • The number of weeks of pregnancy
  • The estimated delivery date
  • Whether the pregnancy is single or multiple
  • Whether there are any complications
  • That you are in good health and fit to travel through the date of your final flight

Additionally, the certificate should be:

  • Written on official clinic or hospital letterhead if possible
  • Signed by the doctor or attending midwife
  • Be dated no later than 72 hours of departure date
  • Be written in clear, simple English
Airline Before 28 weeks   Between 29-36 weeks  After 37 weeks (33 weeks if pregnant with multiples)
Air Canada  No restrictions  No restrictions  Travel not permitted
Air France  No restrictions No restrictions  No restrictions
Alaska Airlines  No restrictions  No restrictions  No restrictions
Alitalia  No restrictions  No restrictions; travel companion advised  Requires medical certificate dated within 7 days of departure date
American Airlines  No restrictions  Travel permitted; requires medical certificate  For international travel, or travel over water, clearance from a special assistance coordinator is required, as well as a medical certificate dated within 48 hours of departure date.

For domestic flights under 5 hours, travel within 7 days of due date or 7 days after birth requires special permission from an American Airlines special assistance coordinator

British Airways  No restrictions  Travel permitted; requires medical certificate dated within 7 days of departure date  Travel not permitted
Cathay Pacific  Travel permitted; for pregnancies with known complications, passengers must complete a Cathay medical form no less than 48 hours before travel and receive clearance from the airline to travel.  Travel permitted; requires medical certificate dated within 10 days of departure date Travel not permitted.

Medical clearance required for mothers traveling within 7 days after birth.

Infants are not permitted to travel within 48 hours after birth, and require medical clearance between 3-7 days after birth.

Delta Airlines  No restrictions; does not waive pregnancy-related change fees and penalties.  No restrictions; does not waive pregnancy-related change fees and penalties.  No restrictions; does not waive pregnancy-related change fees and penalties.
Emirates No restrictions  Travel permitted; requires medical certificate  Requires prior clearance from Emirates Medical Services.

Infants are not permitted to travel within 7 days of birth without necessity, and only with prior medical clearance.

Etihad  No restrictions  Travel permitted; requires medical certificate  Travel not permitted
JetBlue No restrictions  No restrictions  Travel permitted; travel within 7 days of due date requires medical certificate dated within 72 hours of departure time.
KLM Royal Dutch No restrictions; note recommended for pregnancies with complications  No restrictions; note recommended for pregnancies with complications  No restrictions; note recommended for pregnancies with complications
Lufthansa  No restrictions  No restrictions; medical certificate recommended  Travel permitted; requires medical certificate
 Singapore Airlines  No restrictions  Travel permitted; requires medical certificate dated within 10 days of departure date.  Travel not permitted
Southwest Airlines  No restrictions  No restrictions  Travel permitted but not recommended after 38 weeks; pregnant women may be asked to not sit in emergency rows.
 United Airlines  No restrictions  No restrictions  Medical certificate required, dated no later than 72 hours before departure; 24 hours is preferred.

Original certificate must be presented to airline at check-in; the other two copies must be kept on hand during travel.

Virgin America  No restrictions  No restrictions  Travel permitted; medical certificate dated within 72 hours of departure date required for travel within 7 days of due date.
Virgin Atlantic  No restrictions  Travel permitted; medical certificate required  Travel not permitted unless necessary for urgent medical or compassionate reasons. Travel under these conditions requires approval from Virgin Atlantic’s medical team (contact the airline directly for details), and a companion is strongly recommended.
Virgin Australia  No restrictions  Travel permitted; requires a medical certificate dated within 10 days of departure date.  For flights longer than four hours, travel is not permitted after 36 weeks of pregnancy (32 weeks if pregnant with multiples), or within 48 hours of normal vaginal delivery.

For flights shorter than four hours, travel is not permitted after 40 weeks of pregnancy (36 weeks if pregnant with multiples), or within 48 hours of normal vaginal delivery.


Feature photo by Nadezhda1906/Getty Images

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