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Advice on travelling during complicated pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   My wife is 23 week pregnant. She is having low lying placenta. Is it safe for my wife and baby to travel by train for a journey of 30 hrs in ac coach
Doctor :   Hi
User :   hello sir can u please guide me sir
Doctor :   I help you
Doctor :   plz wait
User :   thanks
Doctor :   I am here
Doctor :   There is a risk of bleeding at any time
Doctor :   We advise bed rest
Doctor :   We anticipate the placenta moves high as the pregnancy progresses
Doctor :   But 30 hr journey will put more pressure on uterus and risk of causing bleeding
Doctor :   I do not recommend it
User :   so what to do sir should i wait for one more months or so, bringing her to my place is very urgent as she is not residing in a town ,the facilities there is not satisfactory ,i want to deliver at this place because the facilities here is good
Doctor :   repeat the scan at 32-34 weeks
Doctor :   Check whether it moves up
User :   Is there any chance of normal delivery because the cervix is not blocked at present
Doctor :   Here we have to think of benefits and risks
User :   can she travel in the eigth month of pregnancy with this type of problem
Doctor :   Benefits are -transferring to a place where she get good medical care
Doctor :   As long as she can takes rest while travelling and she can be managed
User :   second ultrasound report shows improvement as said by the radiologist
Doctor :   Delivery by CSection or vaginal delivery depends on the status when she has reached term , 38 weeks
User :   so sir its better not to travel at this point of time
Doctor :   I and you and no one can answer it now
Doctor :   in view of benefits, if can make her sleep while travelling, you can transport
User :   sir last query , what can be done if she starts bleeding in the train ...thinking of the worst situation
Doctor :   in view of benefits, if u can make her sleep while traveling, she can travel
Doctor :   Good Q
Doctor :   This is general Q
Doctor :   she needs immediate Gynecologist
Doctor :   Immediate Intravenous fluids
Doctor :   She needs a ospital
Doctor :   That u can not provide
Doctor :   How about flight jouney
Doctor :   cut the journey time
Doctor :   I gave you facts
User :   it will need almost 14 hrs of train journey anyhow
Doctor :   14 hrs still better than 30 hours
User :   ok in the worst situation of bleeding how much time will be the safe limit
Doctor :   halt some where
Doctor :   thinking she is bleeding severely, u need to be in hospital with in few min
User :   so can i bring her by air
Doctor :   y
User :   here also chances of bleeding may be there in 14 hrs train journe (air travel)
Doctor :   risk will be there.
Doctor :   but if you book ac seat
Doctor :   and comfort her she will be ok
Doctor :   do one thing while on jouney, get a IV line in place
User :   presently all other reports r ok no bleeding
Doctor :   I know
Doctor :   You told me that
User :   who will feed the IV to her
Doctor :   chances of bleeding are higher when the baby comes down
Doctor :   otherwise no issues
Doctor :   get intravenous acccess
Doctor :   carry normal saline
User :   sorry i didn't get u
Doctor :   it is easy to run normal saline
Doctor :   get intravenous acccess
Doctor :   Intravebopus line
Doctor :   Intravenous line
User :   for how long this can help
Doctor :   3 days
Doctor :   it is precaution so that you can give fluids
User :   that means to say if some lady is bleeding the saline can save till 3 days
Doctor :   no
Doctor :   u can put the line in vein for 3-5 days
User :   i need atleast 30 mins time to arrange doctor on the journey route ,will it be ok
Doctor :   it will save life by giving fluids in emergency scenes
User :   the doctor i consulted here says to bring her after one month what do you suggest sir
User :   i need your opinion about travelling after one month by air or train, no issue
User :   ya
Doctor :   My opinion repeat the scans
Doctor :   when it is better take her
User :   means the ultrasound report u r talking about
Doctor :   y
User :   ok thanks sir , I was really helped by you. may god bless you. bye
Doctor :   Good bless you and her and baby
Doctor :   Bye
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