Before You Go
Most cruise lines have restrictions for pregnant passengers, primarily for those in their third trimester (last three months) and some cruise lines may refuse to book you if you are beyond a certain week of your pregnancy. Some cruise lines require a medical certificate or a letter from your doctor stating your term of pregnancy or due date, pre-existing physical or medical conditions, your fitness to travel, and any medications you require while onboard. Pack these in an easy-to-find place, preferably with all your other tickets and documentation.
It is important to verify the issues in question with the cruise line at the time of booking to ensure you don’t face difficulties when you arrive at the port.
Make sure you book a cabin with a large enough bed for your needs, since some cabins may only come equipped with bunk beds or single beds. Be sure to request extra pillows and blankets from the cabin steward, and scout out exit routes and other walkways in the area around your cabin. You should also have a look at your bathroom facilities before you really need to use them, in order to spot any potential problems. You may also want to try on your personal flotation device (PFD) found in your cabin to ensure that it will fit you properly. If you find it is too small then ask the cabin steward for another.
Your main discomfort may be with nausea enhanced by the ship’s motion. To minimize problems associated with seasickness, try to book one of the larger ships (more than 1,000 passengers). These tend to be more stable and do better in rough weather. They will also tend to have the best range of health facilities and services. Ships with more than 100 passengers will normally be staffed with both a doctor and nurse, but some may only have a nurse. (Note that ships' medical personnel generally charge a fee for their services.)
Make sure to discuss your cruise and related travel plans with your doctor. Before you travel about various seasickness medications and remedies, and which are best to use during pregnancy.
If you take any kind of medication, be sure to have an ample supply for the duration of your cruise. Keep in mind that while most cruise ships carry a reasonable supply of the most widely used drugs, they may not have the particular items you need. Also, in many cases the cruise line policy may discourage dispensing medications to pregnant women.
To avoid border complications you may wish to have a note from your doctor describing your prescription (Generally this will not be an issue.). Passengers with special or exceptional medical needs should contact the cruise line well ahead of time to learn whether the necessary facilities exist on board.
You may also want to check your health insurance coverage and how it will cover you during and after the cruise. If you are uncertain of your coverage, consider purchasing additional travel medical insurance as well. Most cruise lines offer insurance packages that include medical coverage.