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Can You Go Gorilla Trekking While Pregnant?. Gorilla trekking during pregnancy is generally not recommended. The trek itself can be long and steep, on slippery forest trails hours from a well-equipped hospital, and Uganda adds two health problems that matter more in pregnancy: malaria, and the yellow fever vaccine required for entry, which is usually avoided by pregnant women. Most doctors advise postponing the trek. If you are already booked and find you are pregnant, talk to your doctor and your operator early about changing dates, and to your insurer about what is covered.
This page explains each risk so that you can have an informed conversation with your doctor. It is not medical advice.
Can You Go Gorilla Trekking While Pregnant? Safety, Risks, and Medical Advice
The trek: terrain, falls and altitude
Reaching a gorilla family can take anywhere from under an hour to five or six hours each way, often off-trail through thick vegetation, on steep slopes that become very muddy after rain. Bwindi lies at about 1,160–2,600 m, and Mgahinga higher. Slips and falls are common even among fit trekkers, and in pregnancy a fall carries more risk, while a changing centre of gravity and loosening joints make balance harder. You cannot choose a family that is close to the trailhead, though rangers try to match fitness to families at the briefing.
Altitude is modest compared with high mountains, and altitude sickness is rare at Bwindi’s elevations, but steep climbs at altitude still leave many visitors short of breath. Read more in our guide to altitude and gorilla trekking.
Malaria
Malaria is the biggest health concern. It is present across most of Uganda, including the areas you pass through to reach Bwindi, and malaria in pregnancy is more likely to be severe and can cause miscarriage, premature birth and stillbirth. Health authorities such as the US Centers for Disease Control and Prevention advise pregnant women to avoid travel to malaria areas if possible.
If travel cannot be avoided, the choice of tablets is limited: doxycycline should not be used in pregnancy, and atovaquone-proguanil is generally not recommended, so your doctor will advise on what is suitable. See our guide to malaria prevention for Uganda.
Yellow fever vaccination and Zika
Uganda requires a yellow fever vaccination certificate on entry. The vaccine is live and is usually avoided in pregnancy unless the risk of infection is high. A doctor can issue a medical exemption certificate instead, but check with the Ugandan embassy and your airline whether it will be accepted, and remember that without the vaccine you are not protected. If you were vaccinated before becoming pregnant, your certificate remains valid for life.
Zika virus was first identified in Uganda’s Zika Forest in 1947, and health authorities ask pregnant travellers and couples planning a pregnancy to discuss Zika risk with a doctor before visiting. See our guide to vaccinations for Uganda.
Distance from medical care
Bwindi Community Hospital in Buhoma provides good basic care, including maternity services for the local population, but specialist obstetric care and blood products are mostly in Kampala, 8–10 hours away by road or a charter flight away. A complication on the trek would mean being carried out of the forest first. Check that your travel insurance covers pregnancy, trekking and medical evacuation; many policies limit cover in later pregnancy, and airlines restrict flying in the final weeks.
If you decide to go
Some women in early pregnancy, with their doctor’s agreement, still choose to trek. If you do, tell the ranger at the briefing so they can try to assign a family that is usually closer, hire a porter to carry your bag and help you on steep sections, take a walking stick, drink plenty of water and turn back if you feel unwell. The second trimester is generally the most comfortable time for travel. Avoid the four-hour Gorilla Habituation Experience, which is usually tougher than a standard trek.
If you are booked and need to change plans, ask your operator how the UWA permit rules on rescheduling and refunds apply; the earlier you ask, the more options you have. Our guide to gorilla trekking safety covers the general risks of the trek.
Alternatives in Uganda
Many of Uganda’s best experiences need little physical effort. A boat trip on the Kazinga Channel in Queen Elizabeth National Park brings you close to hippos, buffalo, elephants and birds, and game drives there and at Lake Mburo are done from a vehicle. Lake Bunyonyi is a calm place to stay. Malaria risk still applies in most of these areas, so the same medical advice applies. Many couples simply come back after the baby is born, once the child is old enough to stay with family; the minimum age for gorilla trekking is 15.
Frequently asked questions
It is generally not recommended because of the demanding terrain, malaria, the yellow fever vaccine requirement and the distance from specialist medical care. Discuss it with your doctor.
It is usually avoided in pregnancy. A doctor may issue a medical exemption certificate, but check whether Uganda and your airline will accept it.
Options are limited: doxycycline should not be used and atovaquone-proguanil is generally not recommended. Ask a travel doctor.
Boat trips on the Kazinga Channel, game drives in Queen Elizabeth or Lake Mburo, and stays at Lake Bunyonyi need little physical effort.

















