Special Assistance

Flying while pregnant

We want to make sure you and your baby aren’t put at any risk whilst flying with us.  To help we’ve put together the following guidelines.  This information is based on flights operated by Thomas Cook Airlines, other airlines policies may vary, please ask for details.

Travelling during a pregnancy

In case of an uncomplicated and single pregnancy (carrying only one foetus) the following regulations apply: 

  • Expectant mothers will be accepted without a medical certificate up to the end of the 27th week of pregnancy.
  • If you are travelling up to 27 weeks into your pregnancy (at time of return flight) no additional documentation is required to travel unless you’ve experienced any complications.
  • Between 28 and 36 weeks of pregnancy a medical certificate* will be required. This must confirm the expected date of delivery and confirm fitness to fly (doctors letter must have been written no earlier than 10 days before the outbound date of travel).
  • Expectant mothers won’t be accepted under any circumstance from 36th week or in the case of multiple pregnancies (twins etc.) you will be unable to travel beyond the 32nd week of your pregnancy (at the time of your return inbound flight).
  • In case of an uncomplicated, multiple pregnancy, a medical approval is required from the 28th to the 32nd week of pregnancy and we are not able to transport expectant mothers anymore from the 32nd gestation week. 

* In all cases a 'fit to fly' letter from the pregnant customer’s GP, Midwife or Obstetrician should be obtained and this should confirm the expected date of delivery and confirm that there are no complications of the pregnancy. Customers who are at or past the 36th week of pregnancy should not fly unless their journey is essential and these customers should receive medical clearance by the company doctor who will discuss the case on an individual basis with the customer’s doctor Customers are reminded that many holiday insurance policies do not cover complications of pregnancy. Customers who have had a recent miscarriage may fly provided that they have fully recovered and a fit to fly letter should be obtained. Please note: Pregnant customers are unable to sit in exit row seats on board Thomas Cook Airlines (TCX) aircraft.


Customers who have had a recent miscarriage may fly provided that they have had no bleeding or pain for at least 24 hours prior to the date of travel. A letter should be obtained from the customer’s doctor confirming this.