Certificates

Pregnancy fit to fly certificate

A signed letter confirming your due date, that your pregnancy is uncomplicated and that you are fit to fly — in the format your airline asks for. Same day, from £67.

The short answer. Most UK airlines require a fit to fly letter once you reach week 28 of pregnancy, and most stop carrying you between week 34 and week 37. The letter must give your due date, confirm a single or multiple pregnancy with no complications, and state that you are fit to fly. easyJet is the notable exception — it asks for no certificate at all.

What we issue

A GMC-registered UK doctor reviews your pregnancy details and issues a signed letter on headed paper containing everything airlines ask for: your name and date of birth, how many weeks pregnant you are on the date of examination, your estimated date of delivery, confirmation of a single or multiple pregnancy, confirmation that there are no complications, and a clear statement that you are fit to fly for the whole journey including the return.

Several airlines publish their own pregnancy form and would rather have that completed than a free-text letter — Ryanair, British Airways, Jet2 and Qatar Airways all do. Tell us who you are flying with and we will complete their form instead.

Pregnancy cut-offs and letter requirements by airline

Checked against each airline’s own published policy on 24 August 2026. Weeks are the last week the airline will carry you.

AirlineSingle pregnancyMultipleLetter needed from
easyJetEnd of week 35End of week 32Not required
RyanairEnd of week 36End of week 32Week 28
Jet2End of week 35End of week 33Week 28
TUIEnd of week 36End of week 32Week 29
British AirwaysEnd of week 36End of week 32Week 28
Wizz Air3432Week 28
Virgin AtlanticEnd of week 36End of week 32Week 28
EmiratesEnd of week 36End of week 32Week 29
Qatar Airways36 weeks32 weeksWeek 29
Air India32, extended to the 35 with documentation32Week 32

Flying easyJet? easyJet is the odd one out and it saves a lot of people money. Its published policy says plainly: “you don’t need to bring a medical certificate.” If easyJet is your only carrier and your pregnancy is uncomplicated, you may not need this certificate at all. Check the easyJet page before you buy.

When 28 weeks is not the number that matters

Two dates decide whether you fly: the week you need a letter from, and the week the airline stops carrying you. People plan around the first and get caught by the second.

The cut-off applies on the day you travel — including the day you travel home. If you are 35 weeks on the outbound flight with a carrier that stops at the end of week 36, a fortnight away puts you over the limit on the return leg, and the letter will not help you. Work backwards from the return date first.

A complicated pregnancy is treated differently again. Airlines that are relaxed about an uncomplicated pregnancy often require full medical clearance — a MEDIF form signed off by the airline’s own medical department — where there have been complications. Qatar Airways states this explicitly. If you have had bleeding, a short cervix, pre-eclampsia, a previous premature birth or you are being monitored for anything, say so when you book: the letter needs to reflect it, and the airline may need more notice. How MEDIF clearance works.

Worth being clear about: A letter is not permission to fly beyond the airline’s week limit. No doctor can authorise travel the carrier does not allow. If you are past the cut-off, the letter you need is a not fit to fly certificate for your insurer.

Common questions

From what week do I need a fit to fly letter when pregnant?

Most airlines set it at week 28 — Ryanair, Jet2, British Airways, Wizz Air and Virgin Atlantic all do. TUI, Emirates and Qatar Airways start at week 29. Air India starts at week 32. easyJet does not require one at all for an uncomplicated pregnancy. Always check your own airline, because these genuinely differ.

What has to be in a pregnancy fit to fly letter?

Airlines converge on five things: your name and date of birth, how many weeks pregnant you are on the date of examination, your estimated due date, confirmation that it is a single or multiple pregnancy with no complications, and a clear statement that you are fit to fly for the whole journey including the return. It must be signed and dated by the clinician, usually on headed paper or stamped.

Can my midwife sign it instead of a doctor?

Most airlines accept a midwife’s letter — Ryanair, British Airways, Virgin Atlantic, TUI and Jet2 all name midwives explicitly. In practice many NHS midwives decline, because it is not part of their NHS role and their trust may not permit it. If yours says no, a private GP letter is accepted everywhere a midwife letter would be.

How close to the flight does the letter need to be dated?

This trips people up more than anything else. Air India wants it within 72 hours of departure, Wizz Air within six days, Jet2 within seven days of the outbound leg, Qatar Airways within ten days, Virgin Atlantic within ten days of the outbound date, and Ryanair within two weeks. British Airways, TUI and Emirates say simply “as close to travel as possible”. Get the letter too early and it can be refused.

Does one letter cover the flight home?

Usually yes, provided the airline’s dating window still covers the return and you will still be inside its week limit on the day you fly back. British Airways and Qatar Airways both say explicitly that the letter should cover the entire journey. The trap is the week limit, not the letter: you must be home before you pass the cut-off. TUI puts it plainly — you must have flown home before the start of your 37th week.

I am expecting twins. What changes?

The cut-off comes forward, typically by four weeks. Most airlines stop at the end of week 32 for a multiple pregnancy against week 36 for a single one. Jet2 is the most generous at the end of week 33. Air India will not carry a multiple pregnancy beyond week 32 at all. The letter must state that it is a multiple pregnancy.

Get your pregnancy fit to fly letter

Tell us your due date, how many weeks you are on the day you fly and which airline you are travelling with. A GMC-registered GP issues the letter in the format that airline asks for.

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Reviewed by a GMC-registered GP. Full refund if a certificate cannot be issued on clinical grounds.