What are the risks of traveling to the tropics during pregnancy?
January 8, 2024 | 40,00 EUR | answered by Konrad Zellmann
Dear Tropical Medicine Doctor,
My name is Greta Bergner and I am currently in the 24th week of my pregnancy. In two months, I have a trip planned to the tropics that has been long planned and cannot be canceled. However, I am very concerned about the potential risks that this trip could pose for me and my unborn child.
I have heard that pregnant women have a higher risk of contracting certain infectious diseases such as Zika, malaria, or dengue fever. Additionally, I am worried about the quality of the medical care system in tropical regions in case complications arise during my trip.
My local doctor has advised me to cancel the trip, as he is concerned that the hardships and risks could be too great for my health and that of my child. However, it is very important for me to participate in this trip as it is an important work-related event.
Could you please explain in detail the risks associated with traveling to the tropics during pregnancy? Are there specific precautions I can take to minimize the risk? And what should I do in case of illness or complications during my trip?
I would greatly appreciate your expert advice and recommendations to make an informed decision about my planned trip. Thank you in advance for your help.
Sincerely,
Greta Bergner
Dear Mrs. Bergner,
Thank you for your message and your trust in my expertise as a doctor specializing in tropical medicine. It is understandable that you are concerned about the potential risks that a trip to the tropics during your pregnancy could pose. Indeed, there are some important aspects to consider in order to protect your health and that of your unborn child.
First and foremost, it is important to know that pregnant women do have a higher risk of contracting certain infectious diseases such as Zika, malaria, or dengue fever. Zika virus infections can lead to severe congenital malformations in the unborn child, while malaria and dengue fever during pregnancy can lead to complications such as miscarriages, preterm births, or low birth weight.
Therefore, it is advisable to inform yourself about the specific risks and protective measures in the region you plan to visit before your trip. This includes primarily protecting yourself from mosquito bites, as these diseases are transmitted by mosquitoes. Therefore, wear long clothing, use insect repellent, and sleep under a mosquito net. Additionally, you should inquire about the recommended vaccinations and ensure that you are adequately vaccinated against infectious diseases such as hepatitis A and B, typhoid, or yellow fever.
Regarding the quality of the medical care system in tropical regions, it is advisable to research hospitals and doctors in advance. Make sure you can quickly access medical help in case of emergency and that the facilities have the necessary equipment to properly assist you and your child in case of complications.
If you do become ill during your trip or experience complications, it is important to seek medical help immediately. Familiarize yourself with the nearest healthcare facilities and keep important contact information handy to act quickly in case of emergency.
Lastly, I want to emphasize the importance of discussing your individual situation with your local attending physician. They can advise you comprehensively on potential risks and help you make an informed decision about your planned trip.
I hope that my information is helpful to you and wish you all the best for your pregnancy and your trip to the tropics.
Sincerely,
Konrad Zellmann, Doctor of Tropical Medicine
