Brief Answer: keep well hydrated. continue Thyroid tablets Detailed Answer: Dear XXXXX, Thanks for writing to healthcare magic. Its good that all your wife's tests are normal. During long travel there is risk of Urine infection if Care is not taken regarding hygiene. Besides pregnancy is associated with risk of thrombosis in leg vein due to prolonged sitting position. She should sip on plenty of fluids to keep hydrated. Also passing urine often to keep bladder empty will decrease infection. Leg exercises in sitting position like flexing and extending the ankle, walking often will decrease the risk of deep vein thrombosis. If she has a history of similar complaints in past then she should discuss with her doctor regarding stocking for feet and aspirin medications. There is not Any significant risk to fetus now as its very early pregnancy. She can continue with her prenatal vitamins and thyroid medicine. Please write back if you have any queries. I will be glad to answer. Thanks Dr Bhagyashree

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Brief Answer: travel with caution recommended. Detailed Answer: Dear XXXXXXX Thanks for writing back. As per the details you have provided, there is no reason why your wife should not travel by air and I would like to agree with your doctor who gave you the go ahead. I can understand your concern of travelling in a foreign country. Pregnancy is not a disease and most pregnant women like your wife are young and healthy. Like you said if you take the necessary precautions during flying the prolonged flight should not affect her or the baby in any manner. Regarding the holiday in USA and the legal issue. If your stay duration if prolonged say more than 4-6 weeks then she will need a checkup. It's mandatory in early pregnancy to get a checkup once in 4 or 6 weeks. Pregnancy will have minor problems like gastritis, pain abdomen, backache or fever. For these you can take pills from here with your doctor's prescription after due discussion with your doctor so that you don't have to run around at the last moment. All pregnant women need a level 2 anomaly scan or ultrasound around 18-20 weeks. It can be delayed to 22 weeks but not beyond that. If you wife is not back by then which will be 4&1/2 To 5 months of pregnancy then you may have to do the scan there which may be difficult considering the fact that these are scheduled quite in advance. Also you may need to discuss with your overseas health insurance provider about the same. This is the best information I can provide you. Best of luck and have a great holiday. Thanks. Dr Bhagyashree

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