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Pregnancy fit-to-fly certificate

Most airlines require a signed GP letter to fly after 28 weeks. Get yours without a clinic visit, most same day, all by 9AM next morning.

✔ Accepted by UK and international airlines.
✔ GMC and FCDO registered doctors.
✔ Most same day. All by 9AM next morning.
From £49.
✔ Full refund if the GP cannot issue.

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Please check your airline's specific pregnancy policy before applying, as gestational cut-offs and documentation requirements vary by carrier.

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Excellent service. Not long after filling in the entire form, I got connected to a Doctor and the process went very smoothly. Highly recommended.- Mary, London W7


Super quick response, highly recommended service. - Kurt, London SW6

GMC Registered Doctors
Information Commissioner's Office
In partnership with NHS Doctors


How It Works

01

Complete a short online questionnaire

No appointment required. Complete a short medical questionnaire and upload any supporting evidence.

02

Doctor reviews your evidence

A GMC-registered doctor reviews your submission individually. No automated approvals.
✔ Full refund if the GP cannot issue.

03

Receive your certificate

Certificates arrive most same day, all by 9AM next morning, delivered as a signed PDF direct to your inbox.

Pregnancy Fit to Fly Certificate

A pregnancy fit to fly certificate is a medical document issued by a GMC-registered doctor confirming your estimated due date, that your pregnancy is uncomplicated, and that air travel is clinically appropriate at the time of assessment. Most UK airlines require this documentation once you pass 28 weeks of gestation.

Without a certificate, airlines will refuse boarding from 28 weeks onwards — regardless of how well you feel. A MedicalCert pregnancy fit to fly certificate carries the same clinical weight as one from your NHS GP or midwife, is accepted by all major UK carriers, and can be issued the same day.

28weeks — when most airlines require a certificate
36weeks — typical cut-off, singleton pregnancy
32weeks — typical cut-off, multiple pregnancy
2 wkstypical certificate validity before departure

Gestation Thresholds — When Do You Need a Certificate?

The bands below reflect standard UK airline policy and UK Civil Aviation Authority guidance. You must specify your gestation at both outbound and return departure dates — if your return gestation exceeds the airline’s cut-off, travel cannot be permitted regardless of when the certificate was issued.

Under 28 wksNo certificate required for an uncomplicated singleton pregnancy
28–35 wksCertificate required — most airlines mandate documentation in this range
36+ wks (single) / 32+ wks (multiples)Travel not permitted on most airlines

Airline Pregnancy Policies — Major UK Carriers

Policies shown are general guidelines. Always confirm requirements directly with your airline before booking — some carriers require their own specific form rather than a general letter.

AirlineCertificate fromCut-off (singleton)Cut-off (multiples)
British Airways28 weeksEnd of week 36End of week 32
Ryanair28 weeksEnd of week 36End of week 32
easyJet28 weeksEnd of week 35End of week 32
Jet228 weeksEnd of week 35End of week 33
TUI28 weeksEnd of week 36End of week 32
Virgin Atlantic28 weeksEnd of week 36End of week 32

Ryanair requires the certificate to be dated within 2 weeks of the departure date. Check your specific carrier’s policy before ordering.


Who May Not Be Eligible

A certificate is issued only where clinically appropriate. If any of the following apply, the doctor may be unable to issue remotely — in-person assessment by your midwife or obstetric team is strongly advised:

Gestation at or beyond the airline cut-off
Complicated or high-risk pregnancy
Placenta praevia or placental abnormality
History of preterm labour or cervical incompetence
Pre-eclampsia or pregnancy-related hypertension
BMI 30 or above at start of pregnancy (elevated DVT risk)
Active blood clotting condition or anticoagulant treatment
Previous clinician advice not to fly during this pregnancy

If the doctor cannot issue a certificate, a full refund is provided.


DVT Risk During Pregnancy Flights

Pregnancy significantly increases the risk of deep vein thrombosis (DVT) during air travel due to reduced circulation and prolonged sitting. The risk is highest in the third trimester and on long-haul routes.

Standard DVT precautions for pregnant flyers

If you are cleared to fly: wear graduated compression stockings (class 1 or 2), stay mobile in the cabin on long-haul flights, stay well hydrated, and avoid alcohol. Your GP or midwife should advise whether additional thromboprophylaxis — such as low molecular weight heparin — is appropriate for your specific risk profile before travel.


What Your Certificate Includes

Every MedicalCert pregnancy fit to fly certificate contains the elements airlines require at check-in and the boarding gate:

Certificate contents

  • Your name, date of birth, and contact details
  • Estimated due date (EDD)
  • Gestation at outbound and return departure dates
  • Singleton or multiple pregnancy confirmed
  • Confirmation the pregnancy is uncomplicated and air travel is clinically appropriate
  • GMC registration number of the signing doctor
  • Unique QR code for airline verification

You must upload your most recent maternity notes or antenatal summary with your submission. If your airline has its own form, include it and the doctor will complete it alongside the standard certificate.


How to Get a Pregnancy Fit to Fly Certificate

1

Complete the online consultation form

Provide your gestation, estimated due date, travel dates, airline, and relevant medical history. Upload your most recent maternity notes or antenatal summary.

2

GMC-registered doctor reviews your case

Your submission is reviewed the same day. If further information is needed the doctor may contact you before issuing.

3

Certificate delivered to your inbox

If clinically appropriate, your signed PDF certificate arrives same day (submit before 9pm) or by 9am next morning. If the doctor cannot issue, you receive a full refund.

4

Present at check-in or the boarding gate

Carry the certificate in your hand luggage. Staff may request it at check-in, bag drop, or the gate — particularly on international routes.


Pregnancy Fit to Fly FAQs

Some NHS GPs and midwives will issue a fit to fly letter, but availability is inconsistent. Many practices do not provide this documentation due to appointment demand and insurance restrictions. A MedicalCert pregnancy fit to fly certificate is clinically equivalent — signed by a GMC-registered UK doctor and accepted by all major airlines.
Yes — one certificate covers both flights, provided both departure dates and your gestation at each are included. If your return date was not confirmed at the time of issue, you may need an updated certificate before the return flight.
Some airlines — particularly for longer international routes — require their own form completed by a doctor rather than accepting a general letter. Include your airline’s form with your submission and the doctor will complete it alongside the standard certificate.
Most airlines require the certificate to be dated within two weeks of your outbound departure. Some carriers specify tighter windows — always check your specific airline’s requirements before ordering.
Most airlines require newborns to be at least 48 hours old before flying and recommend waiting at least one week after a straightforward vaginal birth. After a caesarean section, most airlines advise a minimum of two weeks. Your own recovery must be assessed by your midwife or GP before booking. For infant flight clearance, see our fit to fly certificate for children and infants.
Yes — this certificate covers air travel only. Cruise operators have separate pregnancy clearance requirements. If your trip involves a cruise, you will need a separate fit to cruise certificate.

Clinically Reviewed By

Dr Maria Knobel

Medical Director, Nobel Medical LLC

Registered with the General Medical Council
Certificates issued following clinical review

GMC Registration

7495073 – View on GMC register