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.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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