- Medical certificate required if traveling within four weeks of due date (American Airlines further specifies that this rule applies for a normal, uncomplicated pregnancy).
- Travel is not allowed within seven days before/after delivery for flights that are less than five hours in duration within the United States. Exceptions may be made if the passenger obtains a medical certificate and is cleared by American Airlines' Special Assistance Coordinator.
- For international travel (or over major bodies of water, as in travel to Hawaii), American Airlines advises against travel within a month of the due date unless she is examined and obtains a medical certificate within 48 hours of departure stating that she is fit to travel. Approval from American Airlines' Special Assistance Coordinator is required within ten days of the due date and seven days after delivery.
