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For a passenger traveling past 36 weeks of a single uncomplicated pregnancy, a fit to fly letter is required. This document is typically issued by a healthcare provider and confirms that the passenger is medically fit to travel by air. Airlines seek this letter to ensure the safety and well-being of both the mother and the unborn child during the flight, as travel can pose certain risks at this stage of pregnancy.

Pregnant passengers who are in their later weeks may experience a higher risk of complications, and airlines have guidelines in place to mitigate these risks. The fit to fly letter serves as an essential reassurance that the passenger is capable of undertaking the journey without significant health concerns.

While the other options may relate to aspects of health and travel, they are not specifically mandated by airlines for this situation. A medical examination might be useful in general health assessments, but it does not replace the need for a fit to fly letter. A pre-boarding assessment could be performed by airlines, but it is not a formal requirement like the fit to fly letter. Travel insurance is also important for overall travel protection, but it doesn’t specifically address the health status needed to ensure safe travel at that advanced stage of pregnancy.