Congested Nose In Pregnancy Official

A narrative review of peer-reviewed literature from PubMed, Cochrane Library, and clinical practice guidelines (2010–2025) was conducted.

Hormonal changes—specifically elevated estrogen, progesterone, and placental growth hormone—drive increased nasal blood flow, glandular hypersecretion, and mucosal edema. While benign for most, severe congestion can impair sleep, cause snoring, and exacerbate obstructive sleep apnea (OSA), which is linked to gestational hypertension and fetal growth restriction. First-line management includes non-pharmacological measures (humidifiers, nasal saline irrigation, sleep position elevation). Intranasal corticosteroids (e.g., budesonide, fluticasone) are considered safe and effective for moderate-to-severe symptoms. Decongestants, particularly oral pseudoephedrine, are relatively contraindicated in the first trimester due to a possible association with gastroschisis, and intranasal oxymetazoline should be limited to short-term use (≤3 days) due to rhinitis medicamentosa. congested nose in pregnancy

Pregnancy rhinitis significantly impacts quality of life and sleep. A stepwise, evidence-based approach prioritizing non-pharmacological and topical therapies is recommended. Further prospective research on long-term maternal-fetal outcomes is warranted. A narrative review of peer-reviewed literature from PubMed,