Brief Answer: NEED HER DOCTOR'S PERMISSION & ONE CHECK-UP. Detailed Answer: Hello, Thanks for writing to us on Healthcare Magic. Long time journey (14 hrs) with mostly smooth and good roads is quite safe in the first trimester pregnancy if she gets a comfortable seat. However, journey with bad roads and mostly uneven surface have some risks in early stage of pregnancy like vaginal bleeding or increased risk of miscarriage and others are vomiting, general sickness, dehydration etc. At this stage, she needs a complete check up with ultrasound scan to determine pregnancy status with fetal well being and exclude associated risk if any. Doctor's permission is mandatory in such case. You must contact with traveler company to book a comfortable seat for safe journey. Some Precautions are to be taken as follows: 1) Keep always emergency contact information of your health care provider or near by hospital. 2) Need a comfortable seat preferably in middle zone of bus with open window for fresh air. 3) Complete avoidance of long time standing position and never get off from moving bus. 4) Take some medication in travel kits for morning sickness/ nausea/ vomiting/ indigestion problem. 5) Avoid air pollution or smoking zone and herein air conditioner bus traveling is preferable. Use hand sanitizer and toilet papers to reduce chance of getting infection in outside environment. 6) Drink several times water/ fluids/ juice to stay hydrated all time and it helps in better feto-placental circulation. She will take only healthy diet. Hope, this information is very much sufficient and helpful to you. If you do not have any further clarification, you can close the discussion & rate the answer. Wish her good health & successful journey of pregnancy. Regards, Dr Soumen For future query, you can directly approach me through WWW.WWWW.WW

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for follow up query. 1) She can take DOXINATE PLUS (Doxylamine, Pyridoxine & Folic Acid) 2 tabs at night or before sleeping to reduce morning sickness or nausea/ vomiting. For indigestion problem, RANTAC (Ranitidine) 150 mg is preferred in early stage of pregnancy. Drink more water with easy digestible foods. 2) Seat position is quite good for smooth journey. However, she will stand up and walk shortly when bus will stop or she can adjust within the bus. Long time sitting or standing is not preferable. 3) Healthy diet includes easy digestible foods with more vegetables and protein (like chicken, pulses or paneer etc with rice or bread which she prefers). She will take total 6 meals daily instead of 3 large meals. Fluid intake should be 2.5 to 3 lit daily to stay hydrated. 4) Continuous sitting in one place should be avoided. When bus will stop or she gets enough time, she can walk shortly or stand up. It will be helpful for better systemic circulation. Hope, I have guided you properly. All the best and happy journey. Regards, Dr Soumen

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Brief Answer: DOXINATE PLUS IS QUITE SAFE DURING PREGNANCY. Detailed Answer: Hello, Thanks for additional query. DOXINATE PLUS or same group of medicine is the preferred one to cut off morning sickness or nausea. There is no harmful effect on baby or mother and it is quite safe during pregnancy. Hope, it helps for you. Good luck. Regards, Dr Soumen

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