Abstract
Abstract Assessment of the pregnant traveler includes a detailed obstetric history, contraindications to travel, access to medical care abroad, and possible risk activities such as travel modalities, physical recreation, and travel at altitude. With few exceptions, live vaccines are contraindicated during pregnancy. Yellow fever vaccine should be avoided in pregnant and breastfeeding women, but can be given if travel to a high-risk area is unavoidable. Because malaria poses a considerable hazard to mother and child, prevention measures, including chemoprophylaxis, are paramount. If at all possible, pregnant women should avoid travel to areas of Zika, yellow fever, or malaria transmission. If travel is unavoidable, strict preventive measures should be undertaken and are outlined in the chapter. Food and water precautions are essential in the prevention of pathogens that are of particularly high risk during pregnancy (e.g., hepatitis E, listeriosis, and toxoplasmosis). As a general rule, the advantages of breastfeeding outweigh the low risks to the infant that maternal drug therapy might entail.
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