For the occasional traveler with an uncomplicated pregnancy, flying
is not known to be associated with any significant risks. After the 36th
week of pregnancy, many obstetricians restrict flying because the
patient may not be able to get immediate care if she should go into
labor.
Flying as a professional occupation while pregnant is a more complex issue, involving fetal
risks, maternal risks and aircrew performance.
The maternal risks include decreased balance, decreased motion
tolerance, decreased g-tolerance, gas compression/recompression effects.
During the second and third trimester, placental abruption caused by the
shearing force of inadvertently falling or striking the abdomen
violently is a relatively common occurrence.
Fetal risks include exposure to noise, heat, chemicals, organic
solvents, and low-frequency, whole-body vibration.
For these reasons, there is general agreement to
restrict pregnant aircrewman from participating in high-performance
aircraft flights. There is less agreement in the area of helicopters and
multiengine, fixed-wing aircraft.
Whether to allow a pregnant aircrewmember to continue her flight
duties should be individualized, after considering the stage of
pregnancy, the presence or absence of risk factors for her pregnancy or
her flight crew performance, her company's rules, and the degree
of exposure to potentially harmful stressors in the aviation
environment.
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