Get a Pregnancy Fit-to-Fly certificate

A Pregnancy Fit-to-Fly certificate is a medical document confirming that, at the time of assessment, the pregnant person is medically fit to travel by air and has no contraindications to flying. It is commonly requested by airlines after a certain stage of pregnancy or when specific medical factors are present.

The certificate is based on a medical assessment and reflects the patient’s condition at that moment. It does not predict future changes in pregnancy status and does not override airline rules.

This document is administrative in nature. It is not a prenatal record, maternity report, or emergency medical document.

Airlines often request a Pregnancy Fit-to-Fly certificate when pregnancy reaches 28–32 weeks, depending on airline policy. Requirements may start earlier for multiple pregnancies or if complications are present.

The certificate may also be requested for long-haul flights, trips with multiple connections, or when the airline has formally requested confirmation of fitness to fly.

Each airline applies its own gestational limits and conditions, which is why written medical confirmation is frequently required.

A Pregnancy Fit-to-Fly certificate may include:

• gestational age and estimated due date




• whether the pregnancy is single or multiple




• overall health status at the time of assessment




• presence or absence of complications (e.g. bleeding, pre-eclampsia, thrombosis risk)




• whether there are medical contraindications to flying




• general recommendations for air travel

The content depends on the individual pregnancy and the airline’s request.

This certificate confirms that, based on medical evaluation, there are no current medical reasons that would normally prevent air travel. It supports the passenger’s ability to comply with airline requirements.

However, it does not guarantee boarding and does not replace airline forms, emergency care, or obstetric follow-up. Airlines always retain final authority.

Understanding this distinction helps avoid confusion at check-in or boarding.

If symptoms suggesting increased risk appear during pregnancy, air travel should not be considered without urgent medical evaluation. Warning signs may include severe or persistent abdominal pain, vaginal bleeding, leakage of fluid, intense or unusual headaches, sudden swelling of the face or limbs, visual disturbances, or a noticeable reduction in fetal movement. These symptoms can indicate conditions that require immediate assessment and should never be ignored.

In these situations, online medical certificates are not appropriate. The priority is timely, in-person medical care to assess both maternal and fetal well-being. Delaying evaluation in order to obtain documentation for travel can increase health risks and may lead to serious complications.

If such symptoms occur, emergency services should be contacted immediately by calling 112, or the patient should attend the nearest emergency department or maternity unit. Medical professionals on site can perform the necessary examinations, monitoring, and interventions that cannot be carried out remotely.

For this reason, a Pregnancy Fit-to-Fly certificate is not issued as an emergency service and is only provided when there are no acute warning signs. The certificate reflects medical fitness to fly at the time of assessment and is intended for administrative airline requirements, not for managing urgent or high-risk medical situations.