Pregnancy and travel

Most international airlines do not allow passengers to travel after the thirty-sixth week of pregnancy and may require a doctor's certificate after twenty-eight weeks. Air travel is contraindicated in the last month of pregnancy and until the seventh day after delivery. The past obstetric history should be taken into account. The same health risks apply except that most antimalarial tablets and vaccinations are not recommended. Only chloroquine is definitely safe. Live vaccinations (measles, rubella, influenza) are generally contraindicated 9 but the WHO considers it safe to have polio vaccine. Administration of killed or inactivated vaccines, toxoids and polysaccharides is permitted during pregnancy. Yellow fever vaccine is considered safe after the sixth month. As a general rule pregnancy and travel to Third World countries do not mix and pregnant women should be advised not to travel to these countries. Tetanus immunisation is important as protection is passed on to the child during early infancy. Immunoglobin can be safely given as prevention against hepatitis.

The antimalarial drugs chloroquine, quinine and proguanil may be given to pregnant women but all others mentioned in Table 12.2 are contraindicated.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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