What to expect if you’re expecting to cruise

Bryan and Fola Nelson were excited about their upcoming five-night Bahamas cruise on the Carnival Fascination. It was to be their last vacation before the birth of their first child.

Then, not long before their scheduled departure, Carnival delivered some bad news: Not only would Fola Nelson be denied boarding, but the cruise line would also pocket her entire fare, minus port taxes.

Why? Because like many other cruise lines, Carnival bans passengers who are 25 weeks or more pregnant.

“My wife will be 10 days over that,” says Bryan Nelson, a teacher in Minneapolis. “And despite her doctor’s okay, the cruise line is sticking to its policy.”

Cruise lines’ rules on pregnancy are a common source of complaints from travelers. But like so many other cruise industry policies, this one wasn’t always a hard-and-fast rule. Had Nelson become pregnant a decade ago, the company probably would have let her reschedule her trip at a minimal cost.

Not today. And the change is something that her cruise line seems happy to let the world know about.

Carnival’s policy allows pregnant women to sail only through the 24th week of pregnancy. Every passenger who is expecting must show a physician’s letter verifying that mother and baby are in good health and fit to travel. The letter must also include the estimated date of delivery. “Carnival’s pregnancy guidelines are put in place as a precaution to protect the unborn baby and the mother,” says Aly Bello, a spokeswoman for the cruise line.

That makes sense. Cruise ships offer reasonable emergency medical facilities for guests and crew members. But prenatal and early infant care can require specialized diagnostic facilities or treatment that might not be available on a ship or in the closest port of call.

Even with the rules in place, complications can arise. This month, a 31-year-old passenger was airlifted from the Disney Magic, 180 miles off the Texas coast, because of medical problems related to her pregnancy.

Other companies have virtually identical policies. Norwegian Cruise Lines refuses to admit passengers past the 24-week mark. So does Royal Caribbean Cruise Lines. “This decision is made because of the unique nature of a cruise ship being at sea for extended periods of time and the possibility of a guest’s medical condition becoming critical during those times at sea,” says Royal Caribbean spokeswoman Cynthia Martinez.

But not every pregnancy is planned, and cruises are often booked months in advance. You’d expect cruise lines to help passengers who get pregnant in the months between the booking and sailing dates, particularly if the company can re-sell the cabin to another customer.

But Carnival turned down requests from both the Nelsons and their travel agent to waive its rules. Bello noted that the Nelsons should have bought the travel insurance that Carnival offered. If they had, they would have received a 75 percent future cruise credit.

That’s becoming an increasingly common response. Cruise lines appear eager to make a public example of customers who didn’t buy travel insurance. The reason? Travel protection now accounts for a significant portion of their profits, and bending a rule would effectively undermine the business model.

“I don’t think it’s unreasonable for the cruise lines to adopt pregnancy policies, particularly given the limited nature of the medical facilities on cruise ships and the absence of doctors who are experienced in obstetrics and gynecology,” says James Walker, a Fort Lauderdale, Fla., attorney specializing in maritime law. “The problem arises when there is a good-faith misunderstanding by the pregnant passenger, and the cruise line takes a rigid attitude and pockets the consumer’s money.”

The Nelsons say that they’re troubled by the way their situation was handled. Neither their travel agency nor Carnival bothered to disclose the pregnancy restrictions in a clear way before they booked, they say. “We reviewed cruise tickets from our travel agency and found nothing about pregnancy,” says Bryan Nelson.

I asked that agency, Orlando-based Cruise Vacation Outlet, what it tells its customers. Todd Elliott, the president, said that the agency directs all clients to complete an online check-in to review any terms and conditions. The agency’s welcome letter to new customers also directs them to the terms and conditions, which contain information about a cruise line’s pregnancy restrictions.

In an e-mail to the Nelsons, their travel agent, Jay Garcia, bottom-lined it: “We are not responsible for unforeseen circumstances that are beyond our control.”

Nelson is not entirely satisfied with that response. He says that the welcome letter refers only to visa and passport requirements and that he was never told to review the terms and conditions on the cruise line’s Web site. His wife’s pregnancy was flagged a few weeks before the cruise, when they tried to check in online.

Even if they’d booked their cruise using Carnival’s Web site, they would have had to wade through four screens of information before reaching the details about cruising and pregnancy. It’s something they could have easily missed.

As someone who once had to postpone a family cruise because of the 24-week rule, I’m sympathetic to Nelson’s problem. I don’t think it’s right for him to lose his entire cruise. No one is arguing that the cruise line policy on pregnancy is wrong. But waiving a rule for a borderline case such as the Nelsons’ wouldn’t affect Carnival’s stock price, and it would go a long way toward creating loyal repeat customers.

At any rate, making an example of the Nelsons seems insensitive and opportunistic — even if Carnival’s contract allows it.

Should cruise lines waive their change rules for passengers who get pregnant?

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  • http://flyicarusfly.com/ Fly, Icarus, Fly

    I’m with you… to a point. It all depends on when they informed the cruise line. If it’s months in advance then no harm, no foul, refund / re-do. But if they inform them at the last minute (because the OP themselves didn’t know which is what the article suggests), then why should Carnival eat the booking? I re-read the article trying to figure out when the OP booked but that point’s not clear…

  • lost_in_travel

    Good for you and your wife! Life is to be lived, not overprotected.
    The restrictions all depend upon the whim of the person in power – pregnancy is perfectly normal when an entity wants to deny services and a medical condition requiring limitations when another entity wants to deny other services. My doctor allowed, and even encouraged, a lot of activities that could be considered strenuous but I was physically fit and accustomed to them. Too many pro-active risk management types have put a plastic bubble around everyone and increased the expectations and consequently the number of claims.

  • TonyA_says

    Also so many babies are delivered by midwives. I cannot believe a ship with thousands of passengers [including crews from the thirld world where there are not that many maternity hospitals] cannot find a person to assist in a childbirth. Have we all turned to iphone using idiots? Is there an app showing how to pull a baby out and cutting the chord?

  • http://twitter.com/johntbaker John Baker

    @f7bd347997271b4aedd961341ece7afc:disqus I was getting ready to say something almost identical.

  • TonyA_says

    That is a good question. Cruises, IMO, offers the WORST policy. You usually lose all your money paid or if you are lucky get a [partial] certificate for a retake.
    You can easily configure (IMO) a better and more flexible trip flying to a destination and getting cancellable hotels and local tours. I feel a lot safer being on land and away from a thousand or thousands of hungry cruisers salivating for the next glorified cafeteria meal.

  • http://twitter.com/johntbaker John Baker

    @TonyA_says:disqus The ship has limited medical facilities. Given the litigious nature of our society, if they allowed late-term pregnant women on board, how long before they get sued because “my baby died because you didn’t have a NICU” or “you left me and my new baby stranded in a third world country.” Beyond that based on past posts, how many people on this board would scream that people deserved a 100% refund because the ship had to steam in the wrong direction to meet up with a helicopter to take the woman off and therefore had to skip a port. There’s a reason why malpractice insurance is so high for OBs. I can understand why a cruiseline might not want that on their hands.
    Oh and I hate Carnival with a passion so it’s not fun defending their practices.

  • http://twitter.com/johntbaker John Baker

    Option #2. Purchase a policy from an independent source.

  • TonyA_says

    I do sell those. None will reimburse lost fares due to pregnancy.
    Having read the policies (word for word) and helping clients fill up the voluminous paperwork, I have second thoughts about which kind of insurance is best for cruising. Consider the case (published here) about folks who flew to Florida days earlier to catch a cruise that gotcancelled. I am not sure an independent policy would have been better especially if air is bought separately.

  • http://twitter.com/johntbaker John Baker

    I wouldn’t disagree with you but in the case of a cruise, pregnancy should be a non-event. Most cruise lines have liberal enough cancellation policies (like Carnival) to allow you to cancel if you are going to run into the pregnancy ban. Even the most restrictive I could find would mean that a woman would be 10 weeks pregnant when payments went completely non-refundable.

  • TonyA_says

    There is always Hawaii and Guam in the Pacific. Not that easy for a polar route unless you consider rural Russia and China as good. The later is always on my mind when I fly JKF-HKG nonstop.

  • TonyA_says

    John, the down and full payment schedules for a cruise do not apply for the discounted PREPAID fares. I believe the option is to prepay in full to get a good price. But that is not refundable.

  • emrya

    we had something similar happen with a happier result with Norwegian. Booked in Jan for Nov, found out I was pregnant in April. Would have thought nothing of it except the due date was… the same week we were to sail. Called Norwegian and were able to reschedule the cruise for a year after, no problems. Maybe because we hadn’t finished paying for it yet?

  • http://twitter.com/johntbaker John Baker

    @emrya:disqus You were more than 90 days out so you could have just taken a full refund under their Cancellation Policy.

  • JenniferFinger

    Well, how can the OP inform the cruise of what they don’t know themselves? That just isn’t logical. By keeping the money, they made a profit at the expense of good customer relations.

  • MarkKelling

    So she was denied boarding due to a medical condition. According to your statement it would seem she would receive a refund because she was denied boarding due to a medical condition. That didn’t happen.

  • MarkKelling

    True, but most cruise ships have a doctor on board with limited medical facilities that should be able to handle a baby being born.

  • http://twitter.com/johntbaker John Baker

    So… if you aren’t willing to take the risk on losing your fare… wait until 5 months out to book that way you won’t hit the 24 week ban prior to sailing.

  • Andrew F

    It would’ve been a lot cheaper for the Nelsons to change the OB/GYN and get a new estimate of the delivery date.

  • Linda Bator

    Actually, I blame the agent here – she could have cancelled up to 90 days prior if the case was getting pregnant AFTER booking the deposit. So no surprise by that time. It was just that she did not have the information (or didn’t bother to read the letter she got from the agent). But if she had a problem at sea, it could be calamitous – you have no idea JUST how bad medical services are either at sea or on a small island. Can’t actually blame Carnival here, as the terms are well laid out online.

  • lost_in_travel

    There are several very detailed medical apps that are intended for physicians (costing $200 or more each) so I bet there is an app – or soon will be. My neighbor’s kids were all born in July, the rotation time in a teaching hospital. A new resident came into the room with a copy of Obstetrics under his arm and she yelled at him to get out if he was still reading the book. He left very quickly!!

  • TonyA_says

    In poor or developing countries that have high population growth rates, there are (free) Maternity Hospitals that specialize purely in childbirth. I remember hearing that for non-complicated childbirth, the mother is expected to leave and return home the same day.

    Aren’t these ships registered in those countries (i.e. Panama or Bahamas maybe)?

  • http://www.facebook.com/linda.bator Linda Bator

    Still get a refund up until final payment date – have used that before myself!

  • http://www.facebook.com/linda.bator Linda Bator

    its only a non refundable DEPOSIT – so they could get the balance back in that case.

  • TonyA_says

    So why are these folks complaining is they can REFUND their PREPAID money? I don’t get it.

  • http://www.facebook.com/linda.bator Linda Bator

    but you can still cancel up till 90 days prior, and then the penalties kick in depending on cancellation dates. SAME is true with escorted tours or travel packages. NOT just cruises!

  • http://www.facebook.com/linda.bator Linda Bator

    they aren’t evil, just cautious. And since by 90 days PRIOR to departure (time of final payment) you SHOULD be aware you are pregnant that far along, this is a moot point, as you get a full refund. Again – this onus falls squarely on the agent for not informing them properly.

  • http://www.facebook.com/linda.bator Linda Bator

    true – but in a cruise line’s case – they know that IF there is a problem your chances of getting adequate care is slight to nill if out to sea or on a small island with few options.

  • http://www.facebook.com/linda.bator Linda Bator

    So good customer service is to let her sail, have a problem and lose the baby? They were being cautious, and err on the side of common sense. The agent should have been clear about the terms, and the clients needed to read up on their responsibilities here.

  • http://www.facebook.com/linda.bator Linda Bator

    Same thing would have applied for them – if you cancel or switch BEFORE the penalties kick in (final payment date), you are just fine. These guys waited too long to do so.

  • emanon256

    Good customer service woudl have been to refund them.

  • bodega3

    The rules of the cruise fare was ignored by the OP and his wife. Why should they be refunded? Do rules not apply to them?

  • emanon256

    Rules do apply to them, but if they became pregnant after booking, then got denied transportation, they should be refunded. It’s not a case where they forgot paperwork, or they didn’t do something.

  • http://www.facebook.com/linda.bator Linda Bator

    Incorrect – ONLY the deposit is nonrefundable and the balance of the T&C remain the same as in any regular booking. (This was just to prevent folks from grabbing the best discount, and moving it forward to another cruise).

  • emanon256

    Ive been impimenting a system for a medical school and teaching hospital for the past year asked a few questions after reading this article, and a few more after reading this response. Here is what I found out:

    The chance of spontaneous labor prior to 35 weeks and 0 days is 0.02%. Of those who do have spontaneous labor, 80% or more have complications and would never be medially cleared to travel.

    That means one out of 5,000 pregnant women could go into labor before 35 weeks, and only 1 out of 25,000 pregnant women who are cleared to travel would go into labor before 35 weeks. 34 weeks and earlier and the chances are even lower.

    I personally think the cruise lines are being way to over cautions. Stick with 34 weeks like the airlines, and require a doctors note saying they are fit to travel.

  • TonyA_says

    She said they “cancelled” a few weeks prior.

    Well according to Carnival, you lose 100% of the fare is you cancel 14 days or less.

    So 14 days is a few weeks – 2 to be exact.
    Therefore, she lost everything.

    I am not sure what percentage of the total fare is deposit for Carnival’s Early Saver Fares.

  • bodega3

    It isn’t clear on how the OP booked this. Did they book it online, then call or did they do it all by phone? The T & C’s are usually linked to the confirmation by email…or at least that is how I do it.

  • emanon256

    Its Reuben Svirsky. Not sure why the down votes. I can still read a bit if its in block Hebrew.

  • TonyA_says

    Thanks for the translate. I thought using Android with built in Chrome will auto translate different characters. But it does not.

  • emanon256

    It was written without vowels, as is most Israeli Hebrew, so I think that must make it harder for auto translate programs. It sure makes it hard for me.

  • SFTraveler

    I cruise often, at least a couple times a year. Although I obviously enjoy cruising, there are a number of things about the way cruise lines do business that I don’t care for but in this instance I have to agree with them. A few years ago on an 11-night cruise, on the second sea day, a young woman was less than 25 weeks pregnant and suddenly and apparently unexpectedly had complications. We were two days out at sea and had to turn the ship around to get back to a place where a helicopter could evacuate her. That extra time turning the ship around could have been time used to save her baby, instead we heard (and have no way of knowing for sure) that she lost her baby. The ship had no other choice but to turn around and spend the time getting back to a place where a helicopter could reach us. The heartbreak of such a loss for parent is indescribable. No vacation is worth it. I’m sorry this couple loss their money and hope they have a healthy, happy baby. Carnival could have and probably should have done more but nothing surpasses one’s own research which this couple did not do as soon as they found she was pregnant.

  • ChBot

    Since when ????
    Pregnancy is a natural condition, not a medical one, and most pregnant persons can live a perfectly normal life. Of course there are a few things they should not do, but stepping on a cruise ship doesn’t necessarily qualify as a dangerous or strenuous activity.
    Air travel usually boast a 9th month prohibition, therefore, i can certainly understand why someone who is close to the 6 month mark would not even check with the cruise line !

  • ChBot

    Try using your iphone for instructions on delivering and saving the life of mother and child in the case of a 7th month birth !!!…

  • TonyA_says

    Linda, I checked CCL’s Pack N Go deals. Payment is NOT refundable.

  • ChBot

    No, it would have been to reschedule and offer to put a cot in the room !…

  • TonyA_says

    I don’t own an Iphone but I can use my Leatherman to cut the cord :-)

  • Alia Naffouj

    My understanding of cruise line profits though is that it comes from all
    the on-board spending. So, Carnival decided to pocket the money and get
    nothing more which probably wasn’t that much since it seems it was
    booked way in advance instead of a)making the couple happy b)letting
    them rebook C)and getting all the money they would spend on-board. I
    know the very few times I cruised, I spent more on-board than the ticket
    to get on the cruise.

  • http://twitter.com/LaurenKolligs Lauren Kolligs

    Carnival is wrong, because the guests gave ample notice. The travel agent is wrong, for not giving ample and basic T & C spiel when purchasing the tickets.
    Pregnancy IS a medical condition. It effects the homeostasis of a person, (i.e. blood pressure, digestion, hormonal, musclular etc). Every pregancy is different. After the Concordia tragedy and countless bacterial infection outbreaks on cruises, why anyone would want to take any person, with any serious medical condition is beyond me. This industry is not regulated enough in safety and service.
    However, to each his/her own. If it is such an issue with any travel provider, then have people with medical conditions, sign a disclosure statement, explaining how limited medical treatment/personel is available, and the risks/expenses you take are your own. Let them travel.
    Just explain the risks, and let the consumer make up their mind.

  • andrelot

    A preterm baby born earlier than 28 wks in the pregnancy is unlikely to survive without extensive medical facilities on site.

  • Jessica Smith

    If they booked, knowing that she was pregnant, they should have taken the responsibility of asking specifically about any restrictions from the cruise line regarding this, to cover their own bases. But, crusie lines should be more flexible in at least giving a full credit for the amount paid, with a longer expiration date than a year, to passengers who become pregnant and can show that they either were not, or did not know about the pregnancy at the time of booking.