Can you go on a cruise pregnant? Royal Caribbean has an important safety rule cruisers should always follow
In:If you’ve ever wondered whether can you go on a cruise pregnant, the answer is: it depends. While you might be dreaming of the perfect babymoon to celebrate your bundle of joy, you’ll want to make sure you meet Royal Caribbean’s boarding requirements before heading to the pier.

Cruising can be a wonderful and relaxing way to celebrate your pregnancy. However, you must meet the health requirements to cruise safely. In fact, all major cruise lines have the same policy when it comes to cruising while pregnant, including Royal Caribbean.
Pregnant women are not banned from cruising. Like every major cruise line, Royal Caribbean allows pregnant women to cruise as long as they are not more than 23 weeks pregnant. This means that pregnant women must be 23 weeks or less for the entire duration of their cruise. If you enter the 24th week of pregnancy at any point during your cruise, you will not be eligible to sail with Royal Caribbean.

But, just how strict is Royal Caribbean with this policy?
One concerned traveler recently posted in a Mariner of the Seas Facebook group asking, “How strict is Royal Caribbean about pregnancies? Heard you can’t be past 23 weeks pregnant and my daughter will be 25 weeks pregnant when we cruise.”
The post garnered nearly 200 responses, with many sharing their first-hand experiences of cruising while pregnant. Surprisingly, some admitted to sailing past the 23-week limit, though the majority strongly advised against it, especially for those nearing the gestation cutoff.
Let’s take a closer look at Royal Caribbean’s pregnancy policy, including how it’s enforced and what real cruisers have experienced firsthand.
Guests must attest to their pregnancy status before boarding.

All guests are required to answer a public health questionnaire prior to boarding their cruise, and must attest that they are not more than 23 weeks pregnant. When answering your pre-cruise health questionnaire, Royal Caribbean specifically asks: Will you be more than 23 weeks pregnant at any time during the cruise?
If you do not meet the criteria, you will be denied boarding your cruise. In this way, you may be wondering why cruise lines set the 24th week of pregnancy as the cutoff for sailing. This guideline is actually established due to the baby’s viability based on gestational age. In the United States, a fetus is considered viable between 23 weeks and 24 weeks.
For this reason, if the mother went into preterm labor during her cruise, the baby could reasonably survive with proper and timely medical intervention, which isn't available on a cruise ship. Before the 24-week mark, preterm labor is usually due to miscarriage rather than delivering a premature, viable newborn.
If you are planning to cruise while pregnant and meet the gestation criteria, it’s best for expecting mothers to consult with their doctor and receive prior approval to cruise. If you have a healthy pregnancy and receive the green light from your doctor, most pregnant women can successfully cruise.
Read more: How to protect yourself from getting sick on a cruise
Royal Caribbean’s medical facilities are well-equipped, but not to safely care for a premature baby.

All cruise ships have a robust medical facility with trained staff onboard to care for a wide range of medical issues and emergencies.
Cruise ships have at least one licensed doctor, along with a few nurses onboard, who are available 24 hours each day for medical assistance. This can vary depending on the size of the ship, as newer vessels with more passengers likely require more medical staff onboard. Some larger ships might have two doctors and up to four nurses.
Although medical professionals on a cruise ship are trained to perform life-saving measures to the best of their abilities, the medical facility is not a hospital. Any specialized care that is needed will require medical disembarkation or evacuation to the nearest hospital.
In particular, cruise ship medical facilities are not properly equipped to handle a premature baby being born. Without a NICU to care for an extremely premature baby, this would put the newborn's life at risk without proper medical intervention.
In this way, pregnancy policies are in place to protect the health and safety of both the pregnant mother and her baby. By requiring women to cruise only during the first 23 weeks of pregnancy, this minimizes the risk of pregnancy complications and premature labor. Without complex medical care, these situations can become dangerous for both the pregnant mother and the baby.
It’s important to understand the risks involved with cruising while pregnant.

While traveling is never without risk, there are added risks you take when choosing to cruise while pregnant. During a cruise, you will be sailing away from land to the open sea most evenings while traveling between ports of call.
While at sea, pregnant women would only have access to the medical care provided onboard. In the case of an emergency, a medical evacuation could be necessary. You should also consider the healthcare of the destinations you’d be visiting, as this is where you would receive medical care in an emergency.
Royal Caribbean states on its website, “There is no Obstetrician/Gynecologist available on the ship, and that pregnancies, when unstable and poorly controlled, are potentially life-threatening, especially without back up. A Guest may be at sea for several days without any immediate hospital and/or specialist back up, and that since the proposed itinerary is not within the U.S., and the availability of specialized shore side facilities can be problematic.”
For this reason, women should consider all of the risks of cruising while pregnant and discuss any concerns with their doctor before embarking. If you have a high-risk pregnancy or you’re at risk for preterm labor, cruising might not be the best choice for you.
Many cruisers said Royal Caribbean was very strict about enforcing its pregnancy policy.

In the comment section of the Facebook post, many mothers shared their personal stories about cruising while pregnant. Overall, most of the first-hand experiences stated that Royal Caribbean was very strict about its pregnancy policy and the rules were enforced.
One commenter answered, “Very strict and even if they weren’t, why would you want to put your daughter and future grandchild at risk like that?”
Another person replied similarly, “Pretty strict. We couldn’t go on a family cruise because my sister-in-law would have been just over their boundary. I think they make you prove it with a doctor’s note.”
“Extremely strict… why would someone risk a mom’s life and an unborn child…” questioned one commenter.
Read more: 8 things I wish I knew about taking a baby on a cruise ship

Although Royal Caribbean does not explicitly require a doctor’s note, some commenters shared that they did provide documentation to prove their pregnancy gestation.
“Very strict. I had to plan a whole new cruise and bring a note from my doctor,” stated another cruiser. Another comment echoed this sentiment: “Very strict. We had to have a Dr note when my daughter was pregnant.”
Likewise, one woman said, “They are really strict. I had to provide a note from my doctor stating my due date and how far along I was. They wanted this ahead of the cruise and looked at it during check in.”
Other commenters questioned the choice to cruise after the 23-week cutoff, especially given the risks.

Many commenters stressed the importance of following Royal Caribbean’s pregnancy policy to protect the health of both the mother and baby. Misrepresenting how far along you are isn’t just against cruise line rules, it also increases the risk of serious pregnancy complications.
“Why risk the life of your daughter and her unborn child? The ship is nowhere near equipped to deal with an emergency. No one ever thinks anything will happen to them—until it does,” responded one person.
Another replied, “Ok, so here’s the thing. Especially if you are traveling the Caribbean, Mexico, Central America or South America, think about healthcare. If you or the baby become endangered, who will take care of you or the baby’s healthcare? The ship has a hospital but it’s limited.”

“They have a policy. Would you gamble your daughter-in-law’s health and the baby’s health on trying to skirt around it? If something goes wrong, Royal [Caribbean] nor third-party insurance would cover the cost of care,” questioned one cruiser.
One nurse chimed in, “As a neonatal ICU nurse, I wouldn’t risk traveling in the middle of the ocean while pregnant. For the health and safety of your daughter, your grandchild, and the crew onboard the ship that would have to intervene in that emergency situation, she shouldn’t go.
Another pregnant woman shared that they cruised at 18 weeks and wouldn’t do it again. “I honestly had quite a bit of anxiety and I wouldn’t have gone any later. If something happens, there’s very limited medical care onboard.”
However, some commenters shared that they were able to cruise beyond the 23-week mark.

Despite Royal Caribbean’s clear pregnancy policy, some women shared that they cruised beyond 23 weeks without issue. While not recommended, a few offered first-hand accounts of sailing later in pregnancy.
“We went in Feb & I was going on 25 weeks, nobody ever asked me,” commented one pregnant cruiser. Another explained, “Was 26 weeks and they never asked anything.”
In addition, one commenter shared, “I know someone that went well into her third trimester. I imagine she didn’t tell them she was pregnant though, because she hid it fairly well. I personally wouldn’t risk it."
Another cruiser said, “I went at 24-25 weeks pregnant. Nobody asked for a note and I was very visibly pregnant as pictured. Definitely cruise at your own risk, but my baby is now a happy, heathy 8 month old.”
While a handful of cruisers shared they didn’t have an issue cruising beyond 23 weeks, these should be viewed as exceptions and not endorsements. Royal Caribbean’s pregnancy policy is in place to protect the health of its passengers, including pregnant moms.