When Can Infants Safely Fly on an Airplane? - Otolaryngology

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Flying on an airplane?


When can infants fly on an airplane?

A-Hsien, 40~49 year old female. Ask Date: 2006/08/09

Dr. Xu Jiazhen reply Otolaryngology


Hello: In response to your question, if there are no specific issues such as congenital conditions like cleft lip and palate, it can be done right after birth, as the development of the ear canal is complete at birth.

Reply Date: 2006/08/09

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When it comes to flying with infants, the general consensus among pediatricians is that babies can safely fly shortly after birth, typically around two to three weeks old, provided there are no underlying health issues. However, many airlines allow infants to fly from the moment they are born, as long as they are stable and healthy.
The primary concern for flying with infants is their ability to handle changes in cabin pressure during takeoff and landing. Infants have fully developed ear canals at birth, which helps them equalize pressure. However, their ability to communicate discomfort is limited, so parents should be attentive to signs of distress.
For long-haul flights, such as those from Canada to Australia, there are several considerations to keep in mind:
1. Health Status: Before flying, ensure that your infant is healthy. If there are any concerns, such as respiratory issues or congenital conditions, consult with a pediatrician. Conditions like cleft lip and palate may require special considerations.

2. Feeding: Infants may experience discomfort during flights due to changes in pressure. Feeding them during takeoff and landing can help alleviate this discomfort. The act of sucking can help equalize ear pressure. If breastfeeding or bottle-feeding, ensure that you have enough supplies for the duration of the flight.

3. Hydration: Airplane cabins tend to be dry, which can lead to dehydration. Make sure your infant stays hydrated, especially on long flights. Offer fluids regularly, whether through breast milk, formula, or water (if appropriate for their age).

4. Comfort: Dress your infant in layers, as cabin temperatures can fluctuate. Bring along familiar items, such as a favorite blanket or toy, to help them feel secure and comfortable during the flight.

5. Seating Arrangements: When booking your flight, check with the airline about their policies regarding infants. Some airlines offer bassinets for long-haul flights, which can provide a more comfortable sleeping arrangement for your baby.

6. Timing: If possible, try to schedule flights during your infant's regular sleep times. This can help them sleep through much of the journey, making the experience more pleasant for both the baby and the parents.

7. Health Precautions: In light of recent global health concerns, ensure that your infant is up-to-date on vaccinations and consider any travel advisories related to health risks in your destination country.

8. Post-Flight Considerations: After arriving at your destination, be mindful of your infant's adjustment to a new environment, especially if there is a significant time zone difference. Allow for extra time to acclimate and rest.

In conclusion, while infants can generally fly safely after a few weeks of age, it is essential to consider their health, comfort, and the logistics of long-distance travel. Always consult with your pediatrician if you have any concerns or questions about your infant's readiness to fly. Safe travels!

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