---
title: "MED.B.045 Obstetrics and Gynaecology — Part-MED · Avioverse"
description: "Applicants who have undergone a major gynaecological operation shall be assessed as unfit."
url: "https://avioverse.aero/regulations/easa/aircrew/part-med/subpart-b/med-b-045"
---

# MED.B.045 Obstetrics and Gynaecology

ANNEX IV (Part-MED) · Regulation (EU) No 1178/2011 · EAR revision 25 Nov 2025

IR Implementing rule

## MED.B.045 Obstetrics and Gynaecology

(a) Applicants who have undergone a major gynaecological operation shall be assessed as unfit. However, they may be assessed as fit after full recovery.

(b) Pregnancy

(1) In the event of pregnancy, an [applicant](https://avioverse.aero/glossary/easa/applicant) may continue to exercise her privileges until the end of the 26th week of gestation only if the AeMC or AME considers that she is fit to do so.

(2) For holders of a class 1 medical certificate who are pregnant, an OML shall apply. Notwithstanding point MED.B.001, in that case, the OML may be imposed and removed by the AeMC or AME.

(3) An applicant may resume exercising her privileges after recovery following the end of the pregnancy.

IR · MED.B.045 — Regulation (EU) No 1178/2011 · Regulation (EU) 2019/27 · Aircrew Easy Access Rules · EAR revision 25 Nov 2025

AMC Acceptable means of compliance

## AMC1 MED.B.045 Obstetrics and gynaecology

(a) Gynaecological surgery

Applicants who have undergone a major gynaecological operation should be assessed as unfit. A fit assessment may be considered if recovery is complete, the [applicant](https://avioverse.aero/glossary/easa/applicant) is asymptomatic, and the risk of secondary complication or recurrence is minimal.

(b) Pregnancy

(1) A pregnant licence holder may be assessed as fit with an OML during the first 26 weeks of gestation following review of the obstetric evaluation by the AeMC or AME who should inform the medical assessor of the [licensing authority](https://avioverse.aero/glossary/easa/licensing-authority).

(2) The AeMC or AME should provide written advice to the applicant and the supervising physician regarding potentially [significant](https://avioverse.aero/glossary/easa/significant) complications of pregnancy.

AMC · AMC1 MED.B.045 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 25 Nov 2025

AMC Acceptable means of compliance

## AMC2 MED.B.045 Obstetrics and gynaecology

(a) Gynaecological surgery

Applicants who have undergone a major gynaecological operation should be assessed as unfit until recovery is complete, the [applicant](https://avioverse.aero/glossary/easa/applicant) is asymptomatic, and the risk of secondary complication or recurrence is minimal.

(b) Pregnancy

(1) A pregnant licence holder may be assessed as fit during the first 26 weeks of gestation following satisfactory obstetric evaluation.

(2) Licence privileges may be resumed upon satisfactory confirmation of full recovery following confinement or termination of pregnancy.

AMC · AMC2 MED.B.045 — Regulation (EU) No 1178/2011 · ED Decision 2019/002/R · Aircrew Easy Access Rules · EAR revision 25 Nov 2025

[All rules in SUBPART B – REQUIREMENTS FOR PILOT MEDICAL CERTIFICATES](https://avioverse.aero/regulations/easa/aircrew/part-med/subpart-b)

Consolidated from the EASA Easy Access Rules (revision 25 Nov 2025, extracted 13 Oct 2026) for convenience. Not the official publication — verify against the Official Journal of the European Union and the EASA publications before operational use.