Pregnant women should consult with their obstetrician before travel. If available, a consultation with a travel-medicine specialist is also recommended. Live vaccines are usually avoided in pregnancy. Some medications must also be avoided. This may put pregnant women at higher risk for getting sick in a foreign country.

Pregnant women should also be aware that the quality of obstetrical care in foreign countries varies considerably. It is best to have the name of a reputable clinic or hospital on hand. Women in the third trimester should consider delaying travel until after delivery. Check with your health-insurance provider in advance to determine what is covered in the destination country.

Diarrhea, some types of hepatitis, and malaria can be especially severe in pregnant women. Follow food, water, and insect precautions. Avoid areas with malaria if at all possible, and take medications as directed.