Chronic rhinitis in pregnancy treatment. Spray for a cold during pregnancy. Instillation in the nose

How to treat a runny nose during pregnancy? A similar question is often asked by future mothers. Most pharmaceutical preparations are contraindicated for women "in an interesting position", but letting the disease take its course is extremely dangerous. Difficulty nasal breathing not only causes discomfort to the expectant mother, but can also cause oxygen starvation in a child who has not yet been born. In addition, a stuffy nose is dangerous for the development of the following pathologies: bronchitis, tracheitis, or even pneumonia. What to do in such a situation? How to deal effectively with rhinitis?

A runny nose is a fairly common problem that occurs in pregnant women, especially if the gestation period is during the epidemic season. It occurs for a variety of reasons. But in any case, rhinitis during pregnancy should be treated under medical supervision.

Weakening of immunity

One of the first reasons for the appearance of nasal discharge is considered a weakened immune system, which during this period begins to malfunction. In such a difficult period for the female body, ordinary respiratory infections cause severe rhinitis. It is imperative to treat such a condition for colds, since any infection often leads to dangerous complications.

Hormonal adjustment

A runny nose during pregnancy sometimes develops against the background of hormonal changes in the body that occurs at this time. Doctors describe this pathology as. With pathology, abundant discharge is noted, accompanied by persistent congestion. A similar condition is usually diagnosed in 2-3 trimesters. Special treatment is usually not required, but your doctor will prescribe approved remedies to make breathing easier.

Allergy

Allergic rhinitis develops suddenly. There is lacrimation, abundant accumulation of mucus in the nasal passages. It can be of a periodic, seasonal nature, manifest itself during the flowering period of any plants. House dust, animal hairs, and various perfumery fragrances can also cause this unpleasant condition. An allergist is involved in the treatment of this type of rhinitis.

Rhinitis in pregnant women can develop for other reasons:

  • chronic sinusitis;
  • adenoids or polyps in the nasal passages;
  • curvature of the septum;
  • neoplasms (cysts, tumors).

With the development of a runny nose, a pregnant woman should contact a medical institution. Self-medication is strictly prohibited, since improper actions can bring serious complications or even harm the child.

Safe ways to treat a cold in pregnant women using pharmacy products

Therapy for rhinitis during pregnancy is associated with many difficulties. Most of the effective drugs are prohibited for use by women during this period. What to do in such a situation? How not to harm? To do this, together with the attending doctor, the safest options are selected.

Saline solutions

Natural remedies for the common cold during pregnancy are considered the safest. The most effective of them are drugs with sea water. It is purified by hardware, brought to the desired concentration, and then packaged in convenient bottles. Such preparations are used as irrigation. Doctors recommend rinsing your nose with salt water solutions after visiting public places.

Such products moisturize the nasal mucosa. As a result, the body's resistance increases, it fights more effectively against viruses and pathogenic agents. The nasal passages are cleaned, healing and tissue repair occurs. Sprays do not relieve congestion as such, but they help to improve the patient's condition and speed up recovery.

Among all the existing preparations with sea water, one can distinguish:

  • "Quicks";
  • Aquamaris;
  • "No-Salt".

The big plus of these drugs is their safety. They are not addictive and they can be used for any period of time.

Vasoconstrictor drops

Pregnancy and a runny nose are an unpleasant tandem. The therapy is sometimes delayed and you have to resort to drastic measures. Vasoconstrictor drops are rarely used for the common cold for pregnant women. Medicines with a similar effect can only be prescribed by the attending physician. In most cases, their components penetrate the bloodstream, causing narrowing not only of the vessels located in the nose, but also of those located in the placenta. As a result, the unborn baby may develop persistent hypoxia (lack of oxygen).

The doctor will calculate all the possible risks of drug exposure to the fetus and only then will he prescribe the appropriate drugs. Such drops are used in small doses, preferably only before bedtime, when the greatest need arises. The course of treatment should not exceed 3-4 days.

Modern drugs will help to eliminate a severe runny nose:

  • Galazolin;
  • "Tizine";
  • "Vibrocil".

It is best if drops are purchased in a children's dosage. They contain less active substance.

Homeopathic remedies

How to get rid of a cold during pregnancy without using potent drugs? Homeopathy can help here. Such preparations are made on a plant basis. The concentration of the active ingredient is very small, so they will not bring any harm to the expectant mother and the fetus. The only drawback of such funds is their long-term use. The most popular are "Euoforbium compositum" and "EDAS-131".

Procedures for treating a cold during pregnancy

It is very difficult to treat a runny nose in late pregnancy. Putting mustard plasters on your back or chest, floating your legs is strictly prohibited. But you can perform other thermal procedures that will help to liquefy mucous secretions, their speedy withdrawal.

Thermal treatments

To make breathing easier with a cold, instead of hot foot baths, you can put on warm woolen socks and walk in them for a couple of hours. Warming the sinuses with a bag of salt or warm boiled eggs helps well. You can also use a blue lamp. When performing these activities, after a few days you will notice that the rhinitis during pregnancy has disappeared.

Salt pouches for warming up

Inhalation

How to cure a runny nose during pregnancy at home? Simple inhalations can be carried out using natural products. Effectively cope with colds, as well as various viruses, onions and garlic.

Onion and garlic inhalation

  1. Both of these vegetables are chopped, placed in a teapot and poured over with boiling water.
  2. The spout of the teapot is brought to each nostril in turn and breathed in vapors.
  3. The procedure must be performed slowly and carefully so as not to harm the inflamed mucosa. The inhalation time should not exceed 5 minutes.

Garlic and onions from a cold during pregnancy help to quickly stop the disease. Their vapors destroy harmful microorganisms and have an antiseptic effect. You can also treat a runny nose for pregnant women with aromatic oils. A teapot is also used for these purposes. You can use menthol or eucalyptus oil. Various herbal infusions, for example, with chamomile or calendula, are also effective.

Massage

Massage will help to quickly cure a runny nose during pregnancy or relieve rhinitis. Gently massage the active points near the wings of the nose with your fingers. In this simple procedure, you can apply warming ointments or balms.

Folk remedies for the treatment of the common cold

What other recipes can be used for the common cold? Among the alternative treatments, you can choose the safest one. Granny's recipes are just as effective when applied to cure rhinitis during pregnancy. But before using the methods of alternative medicine, you should definitely consult a doctor, since not all medicinal plants are suitable for women "in position".

Method number 1

When a runny nose has developed, it is useful to take warm herbal decoctions, jams and fruit drinks from berries, as well as milk with the addition of honey. Rosehip compote and lemon tea will help to strengthen the body and raise immunity.

Method number 2

Beet juice copes well with the problem. It is added to the saline solution. With this tool, you need to rinse the nose, pouring a few drops into each nasal passage.

Beetroot juice and saline

Method number 3

How else to treat a cold during pregnancy? Among other popular recipes, you can use onion juice for the common cold.

Onion juice drops
  1. To prepare drops, take 1 onion, 2 tablespoons of vegetable oil.
  2. The oil is heated over a fire to a high temperature, after which a vegetable is poured over it.
  3. The resulting product is placed in a dark place for a week.
  4. After the oil is infused, 2 drops are injected into each nostril.

What should not be used to treat rhinitis during pregnancy?

You can treat a runny nose for a pregnant woman on your own after consulting your doctor. However, the following rules must be followed unquestioningly:

  1. Uncontrolled use of drugs that constrict blood vessels can lead to health problems for women.
  2. Antibiotic therapy is indicated only in severe conditions. Such treatment will be prescribed by the doctor only taking into account the existing health risks.
  3. It is also prohibited to use alcohol-containing preparations, as well as products containing extracts of unstudied plants, untested aromatic oils.
  4. Treatment of the common cold with folk remedies in pregnant women is possible only after permission from the doctor. Since many herbal remedies, as well as medicines, can have side effects, the risk of using these therapies on a case-by-case basis can be great.
  5. As already mentioned earlier, all kinds of warming up, such as: mustard plasters, hot foot baths for pregnant women are contraindicated.

Runny nose prevention

Now you know how to cure a runny nose in a pregnant woman. However, prevention is the best therapy. In order not to get sick in such a responsible period for a woman, it is necessary to avoid hypothermia, to refuse to visit places with a large crowd of people. If it is impossible to avoid public spaces, you should put on a gauze bandage, and upon arrival home, rinse your nose with sodium chloride solution (saline).

It is good for pregnant women to be outdoors. Small walks help to increase general and local immunity. It is necessary to use special vitamins for pregnant women every day, and also make sure that the rooms where the woman is located are regularly ventilated.

Changes in the activity of the endocrine glands during pregnancy are accompanied by disruption of the cardiovascular and nervous systems, which leads to uncomfortable congestion in the vessels of the nose. By the end of pregnancy, these symptoms worsen.

On the one hand, a runny nose and congestion reduce the quality of life of a pregnant woman: a woman suffers from disturbed sleep, her blood pressure may rise, preeclampsia may appear, and on the other hand, it causes fetal hypoxia.

With oxygen starvation, the process of fetal formation becomes more difficult, developmental delay is diagnosed, in rare cases, pregnancy can be interrupted. Therefore, the only conclusion suggests itself: it is necessary to treat a runny nose during pregnancy, and not to treat it is dangerous.

Causes

The most common conditions with a runny nose are:

  • Rhinitis of pregnant women;
  • Simple vasomotor rhinitis;
  • Vasomotor rhinitis caused by eating hot food;
  • Cold;
  • Exacerbation of sinusitis;
  • Allergic rhinitis.

Treatment

A woman needs to restore nasal breathing, get rid of a runny nose, and prevent the development of infectious complications. At the same time, fetal hypoxia and side negative effects of the drug on the unborn baby should not be allowed. Obviously, the treatment of pregnant women is a big problem. So how to cure a runny nose during pregnancy?

With ARVI, you need to follow a general sparing regimen, eat vitamin products (cabbage, onions and garlic), rinse your nose. Allergic rhinitis is best avoided, and rhinitis of pregnant women goes away on its own a week after childbirth, when the woman's hormonal background is restored.

Worst of all, many women during pregnancy intensively use vasoconstrictor drugs, as a result of which rhinitis medication develops, which must be treated after childbirth. Therefore, the main problem lies not in the runny nose itself, but in the fact that mothers do not attach importance to it and begin to heal on their own, without seeking help from a doctor.

Vasoconstrictor

In view of all the above reasons for the common cold for pregnant women, it is not recommended to use vasoconstrictor sprays - Naphtizin, Sanorin, Galazolin, Dlinos, Nazivin, etc. These drugs really allow you to quickly get rid of congestion and runny nose, but at the same time present two dangers: the development of drug-induced rhinitis and the risk of uterine - placental circulation, which impairs the health of the fetus.

Many doctors allow the use of children's vasoconstrictor drops with a low dosage of the main active ingredient. Sometimes, as a rule, with a severe cold, they are allowed to be prescribed at night so that the woman can fall asleep. In such cases, the use of Naphthyzin and Indazolin is allowed, but only from the second trimester of pregnancy.

Saline solutions

Today, according to European standards for the treatment of sinusitis and rhinitis, it has been unanimously decided that rinsing the nose with saline solutions (irrigation treatment) is a necessary treatment for any rhinitis, especially in pregnant women and children.

Benefits of Irrigation Treatment:

  • Reducing mucosal edema;
  • Reducing inflammation;
  • Mechanical removal of thick and liquid snot;
  • Restoring normal mucus production and normalizing its release from the nose.

We recommend using modern spray solutions based on ocean water - Quicks, Aquamaris, Dolphin and others. You can irrigate your nose an unlimited number of times for a long time. Rinsing your nose will cure a runny nose and prevent another cold.

Antihistamines

In case of allergic rhinitis, first of all, contact with the allergen must be excluded. Intranasal use of antihistamine sprays will help get rid of local manifestations of allergies. Combined sprays Sanorin-Anallergin and Vibrocil are able to facilitate nasal breathing and eliminate nasal congestion.

They can be used for a long time - up to 14 days. It is prohibited to use antihistamine sprays Azelastine (Allergodil) and Levocabastine (Histimet) during pregnancy.

Many women note an improvement in their well-being with vasomotor rhinitis of pregnant women after using the Vibrocil spray, which is due to the anti-edema effect of the drug.

Glucocorticoids

When used intranasally, they have a strong local anti-inflammatory and anti-allergic effect. Prescribed with unsuccessful treatment with antihistamines of allergic and vasomotor rhinitis.

How to treat a runny nose during pregnancy:

  • Nasobek;
  • Nazonex for children;
  • Beconase;
  • Tafen nasal;
  • Sintaris, etc.

Glucocorticoids are completely contraindicated in the first trimester of pregnancy, in the second and third trimester of pregnancy, their use is undesirable, but allowed in severe allergic rhinitis, with hay fever. They do not help quickly - not earlier than on the second day. In vasomotor rhinitis, glucocorticoids form the basis of therapy.

Astringents

Pregnant women with a bacterial rhinitis (thick green or yellow snot, sinusitis) are allowed to use 1–2% Protargol and Collargol. Astringents are not entirely safe, because silver tends to accumulate in the body, but they are more harmless than vasoconstrictor and antibacterial drops.

Therefore, if long-term treatment is required, decogestants and antibiotics can be replaced with astringent nasal drops.

Antiseptics

With a bacterial rhinitis, which appeared at the end of a cold, with sinusitis, rinsing the nose with antiseptic solutions plays a huge role. For this purpose, you can use a solution of furacillin, chlorhexidine or soda with iodine.

Homeopathic preparations are made from natural raw materials and contain scanty dosages of active substances. They can be used at any stage of pregnancy and are safe for both the baby and the woman. Only a homeopath can correctly prescribe the drug, given the gestational age, the main symptoms that create more concern for the woman, the stage and cause of the disease.

Preparations: Influenza-hel, Antigrippin, Evamenol, Euphorbium Compositum. If homeopathic medicines have not shown a positive effect after 2 weeks of use, then their further use is meaningless.

Physical procedures

Physically, treatments help warm tissues, increase blood circulation, thin mucus and improve mucus drainage. The following procedures help to cure a runny nose during pregnancy:

  • Acupuncture;
  • Electroacupuncture;
  • Magnetotherapy;
  • Ultrasound;
  • Electrophoresis;
  • Inhalation through a nebulizer. You can use pharmaceutical solutions, mineral water or decoctions of medicinal plants.

Physical treatments can be done as long as the pregnant woman has a normal body temperature.

Acupressure

Acupressure massage has no contraindications, it can be performed for all pregnant women at any time of the day. Massage increases the flow of blood to the nose, which means it can relieve the symptoms of a common cold.

You need to massage with strong pressing movements paired points on both sides of the nostrils, on the inner corners of the eyebrows, on both sides of the bridge of the nose. It is also recommended to massage the unpaired point between the eyebrows, the same point only 1.5–2 cm higher.

You can massage all points or choose one more effective one. Each point should have at least 10 pressing movements.

Traditional methods

Traditional methods, proven by time and generations, are often included in complex therapy.

Safe folk remedies for a common cold during pregnancy:

  1. During pregnancy, you can drip beet, carrot and birch juices into your nose, which are diluted with half boiled warm water before use. You can drip for a long time 2-4 times a day.
  2. For additional moisturizing of the nose, you can lubricate the mucous membrane with menthol and eucalyptus oil.
  3. Cold inhalation over chopped onions and garlic has a strong anti-inflammatory and bactericidal effect. These same foods can and can be eaten as long as they do not cause heartburn. To avoid heartburn, do not eat spicy food after 17:00 and take a lying position immediately after eating.
  4. To avoid getting an infection in the throat, you can rinse it with a decoction of chamomile, sage or eucalyptus leaves. It is undesirable to use absorbable tablets, they contain additives prohibited for pregnant women.
  5. You can do inhalation with saline through a nebulizer.

To reduce a runny nose and nasal swelling in pregnant women, due attention is paid to commonplace procedures: raising the head during sleep, exercise, walking in the fresh air, as well as massage of the wings of the nose and the bridge of the nose.

During pregnancy, before using any medication, you must always consult with your doctor.


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Do not underestimate the danger of a cold to a pregnant woman and her unborn child. Rhinitis of viral origin often causes diseases such as pharyngitis, tonsillitis, sinusitis, otitis media, sinusitis. Drying of the nasal mucosa, a decrease in local and general immunity are additional risk factors for the development of complications.

The penetration of bacteria and viruses into the body, starting with the appearance of a cold, can lead to the development of fetal malformations, "fading" of pregnancy, infection of the unborn child in the last weeks of its development.

Impaired breathing of a pregnant woman negatively affects the supply of oxygen to the fetus. - the cause of premature birth and the birth of children with malnutrition, pathologies of the respiratory, nervous and circulatory systems.

Any condition affecting the health of a pregnant woman should be assessed by the attending physician in order to prescribe adequate and safe treatment.


Pregnancy in women is accompanied by serious hormonal changes due to an increase in the level of estrogen and progesterone, which are necessary for carrying a child and its normal intrauterine development. In parallel, the volume of circulating blood in the woman's body increases. This affects the condition and functions of many organs and systems. The result of an increase in blood volume and an increase in the level of female sex hormones is swelling and thinning of the mucous membrane of the sinuses, which leads to the formation of congestion.

In this case, the nasal mucosa becomes dry, irritated. Negative factors - dust, dry air, chemicals contained, for example, in air fresheners, only increase the swelling of the sinuses and cause a runny nose, which can accompany a woman throughout pregnancy. Nasal congestion and nasal flow significantly impede breathing, reduce the supply of oxygen, the lack of which causes headaches and, moreover, negatively affects the development of the fetus. All this, combined with a weakened immune system, explains the cause of frequent rhinitis and colds in pregnant women.

Viral diseases are very dangerous for a pregnant woman and a fetus. In the first trimester of pregnancy, miscarriages often occur precisely because of infectious diseases. Therefore, if a runny nose appears during pregnancy in the early stages, especially accompanied by an increase in body temperature, cough, sore throat, sore throat - integral companions of colds and SARS - you should immediately contact your doctor. In no case should you self-medicate, since most drugs are contraindicated to be taken in the 1st trimester of pregnancy. Self-medication can cause irreparable harm to the developing fetus, negatively affect its health.

Another cause of a runny nose during pregnancy in the 1st trimester is allergies. During pregnancy, the body's sensitivity increases significantly, so an allergic rhinitis in this position is not uncommon. It manifests itself especially strongly during the period of spring flowering of plants. In addition to pollen, allergies can be caused by air pollution, animal dander, cosmetics and other factors. Treatment of an allergic rhinitis also should not be postponed, otherwise it will become chronic, and this is unsafe for the baby, the disease can be transmitted to him.

Tumors, anatomical features of the nasopharynx, adenoids, polyps, nasal injuries, stress and depression, diseases of the cardiovascular system, prolonged treatment with certain medications, chronic diseases of the nasopharynx (tonsillitis, pharyngitis, sinusitis) can also lead to the appearance of a runny nose.

Since it is in the first trimester that the main organs and systems of the fetus are laid, taking any medications is carried out only in extremely severe cases. Therefore, it is recommended to start the treatment of the common cold with folk remedies that have practically no contraindications and do not pose a threat to the baby and his mother.

Runny nose during pregnancy in the 2nd trimester

The second trimester is considered the quietest period of pregnancy, when the child is already sufficiently formed, his body has grown a little stronger and has adapted. A runny nose in the 2nd trimester of pregnancy no longer poses a threat of miscarriage, since the formed placenta can protect the baby from adverse factors, but nevertheless, rhinitis is no less a threat to the fetus. And this is due primarily to edema of the mucous membrane against the background of hormonal changes, which causes congestion, shortness of breath and oxygen starvation.

Oxygen deficiency can cause a number of different pathologies in the fetus:

    Lack of oxygen (hypoxia) has a negative effect on the brain and nervous system, which is actively developing in the second trimester. As a result of hypoxia, a child may be born with pathologies associated with nervous and brain activity;

    Fetoplacental insufficiency develops - a violation of the functions of the placenta, in which there is no sufficient supply of oxygen and nutrients to the fetus;

    As a result of oxygen and placental insufficiency, the child may not gain weight well;

    The endocrine system of the child suffers, the development of which occurs in the second trimester.

A big mistake many women make is that they start treating the common cold on their own. Although in the second trimester some drugs are allowed for use (and even then in children's form and a minimum dosage), their intake should be carried out under the strict supervision of a gynecologist and only after tests are carried out to find out the causes of the disease. As in the first trimester, vasoconstrictor drugs should not be taken. And some medications for the common cold and colds, which most often cause it, can lead to a weakening of the tone of the uterus and a miscarriage.

Also, the danger for the child is the risk of contracting an infection through the placenta if the baby's mother has to breathe through her mouth due to nasal congestion. Viruses enter the bronchi and lungs, are absorbed into the bloodstream, causing infectious intoxication, which cannot but affect the development of the child.


A runny nose can accompany a woman both in the early and late stages of pregnancy. One of the side effects of rhinitis is a lack of oxygen due to swelling and nasal congestion. As in the previous two trimesters, in the last weeks of pregnancy with a cold, there is also a danger of oxygen deficiency and its consequences for the fetus.

In addition, in the 3rd trimester of pregnancy, the development of a cold caused by viruses is fraught with:

    An infection in the amniotic fluid, infection of the child before childbirth, this can lead to the fact that the child is born infected;

    Aging of the placenta, which leads to a weakening of its protective functions and more free entry of harmful substances, for example, drug components, to the fetus;

    Premature birth;

    Adverse effects on milk production after childbirth.

Thus, a runny nose in late pregnancy and the colds that caused it do not directly affect the development and formation of the fetus, since it is already formed, but can lead to infection and the birth of an unhealthy child.

Therefore, it is important to consult a doctor for any change in the body, even with a slight runny nose, to observe preventive measures for diseases throughout the entire period of gestation, as well as regularly undergo a routine examination, take the necessary tests, which will allow to detect the onset of the inflammatory process in time and prevent the development of the disease. Fresh indoor air, regular wet cleaning, frequent walks, absence of stress, balanced nutrition and a healthy lifestyle will help keep the future baby and his mother healthy.

Is a runny nose dangerous for the fetus during pregnancy?

To answer the question of how a runny nose affects an unborn child, you need to understand that the greatest danger is a runny nose during pregnancy, caused by colds and viral diseases, since there is a risk of infection of the fetus with infections and the development of pathologies. To prevent these consequences, it is necessary to eliminate the infection. For this, it is necessary to take antibacterial drugs, which are undesirable during pregnancy, especially in the first and second trimester, when important organs in the child are being formed and developed.

Infectious diseases threaten not only swelling of the nasal mucosa, as mentioned above, but can also provoke a thickening of the walls of the placenta, as a result of which the child will receive an insufficient amount of nutrients and oxygen. Such a negative effect on the fetus leads to a lag in its development and growth, and in the first trimester of pregnancy can lead to miscarriage. In addition, viral diseases are often accompanied by an increase in body temperature, which disrupts metabolism and blood circulation. A woman at a temperature loses her appetite, eats less food, therefore, the child receives fewer nutrients, which will certainly affect his growth. In addition, viruses infect not only the nasopharynx and respiratory tract, but also the bronchi and lungs, causing their inflammation. In response to this, a cough appears, exhausting an already weakened woman's body.

So, a runny nose, first of all, is dangerous because a woman has difficulty breathing, and this limits the supply of oxygen and leads to fetal hypoxia. A runny nose makes breathing difficult, interferes with the flow of oxygen, which causes dizziness, increased pressure, due to which a pregnant woman may experience weakness, constant fatigue, and loss of strength. This is due to a decrease in working capacity, drowsiness, bad mood, nervousness.

How to treat a runny nose during pregnancy?

So, how to treat a runny nose during pregnancy, and, most importantly, how? Choosing among the many means intended for the treatment of a cold during pregnancy, one should give preference to the safest, for example, folk methods. In any case, taking medications should be carried out on the recommendation of a doctor and under his supervision. If it is not possible to visit a doctor now, you can use the recommendations below for emergency relief of the condition.


Drops and sprays from the common cold during pregnancy

Care should be taken when choosing such drugs, since the action of almost all drugs is based on a vasoconstrictor effect. The wrong choice or overdose of medication can negatively affect the health of a woman and her unborn child.

During pregnancy, Pinosol drops and spray are recommended for no more than 7 days in any trimester.

Composition: Pinosol contains fir, menthol and eucalyptus essential oils, vitamin E, thymol.

Pharmacological properties: the preparation, created on the basis of natural substances of plant origin, has a local anti-inflammatory and antiseptic effect. Drops and spray relieve swelling of the mucous membrane and reduce the viscosity of the secreted secretion.

Indications: Pinosol is used in the treatment of acute and chronic rhinitis, inflammation of the nasopharynx with increased dryness of the mucous membrane.

, individual intolerance to the components of the drug.

Side effects: burning and hyperemia of the nasopharyngeal mucosa, edema and itching.

During pregnancy, use of Nazivin is allowed only in the dose recommended by the manufacturer. The drug in the form of drops or spray is used in cases where the benefit to the mother outweighs the possible risk to the fetus.

Composition: oxymetazoline hydrochloride (main active ingredient), water, citric acid, sodium citrate, glycerol 85%.

Pharmacological properties: nasal drops and spray Nazivin Sensitiv belong to the group of vasoconstrictor drugs.

Indications: runny nose in case of viral or colds, rhinitis of any origin, otitis media, middle ear, eustachitis.

Contraindications for use: hypersensitivity to drug components, atrophic rhinitis, glaucoma.

Side effects: burning, sneezing, dry mucous membranes, rhinitis medication with prolonged use. Possibly tachycardia, headache.

Nasic nasal spray has not been tested for reproductive toxicity and is therefore not recommended for use during pregnancy.

Composition: xylometazoline hydrochloride, dexapanthenol, water, excipients.

Pharmacological properties: in 2-3 minutes after use it constricts blood vessels, normalizes nasal breathing, stimulates the regeneration of the nasal mucosa.

Indications: rhinitis with acute respiratory infections, vasomotor and allergic rhinitis, sinusitis, otitis media.

Contraindications for use: lactation, arterial hypertension, atherosclerosis.

Side effects appear extremely rarely.

It should be borne in mind that the drug has a systemic vasoconstrictor effect, therefore it is taken only according to the testimony of a doctor.

Composition: Vibrocil drops and spray contain phenylephrine, dimethindene maleate, water, lavender oil, excipients.

Pharmacological properties: eliminates mucosal edema, has a local vasoconstrictor effect, exhibits an antihistamine effect.

Indications: all types of rhinitis except fetid atrophic, sinusitis, acute otitis media of the middle ear.

Contraindications for use: high sensitivity to drug components, atrophic rhinitis.

Side effects: mild burning and dryness of the nose.

Ointments for a cold during pregnancy

The use of ointments allows you to act pointwise on the foci of the mucous membrane of the nasopharynx.

During pregnancy, Evamenol ointment is used in the dosage prescribed by the manufacturer. Its components do not penetrate the placental barrier, do not have teratogenic effects.

Composition: eucalyptus oil, levomenthol, petroleum jelly.

Pharmacological properties: the components of the ointment stimulate the receptors of the nasal mucosa, have anti-inflammatory and antiseptic effects

Indications: acute and chronic rhinitis.

Contraindications for use: children under 2 years of age, hypersensitivity to eucalyptus oil, menthol.

Side effects: an allergic reaction is possible.

During pregnancy, a doctor's consultation is needed to clarify the correct therapeutic regimen, the use of an ointment does not harm the process of carrying a child.

The drug belongs to homeopathic remedies.

Composition: calendula, witch hazel, esculus, menthol, zinc oxide, petroleum jelly.

Pharmacological properties: has anesthetic, anti-inflammatory, bactericidal and drying effect. The ointment improves tissue microcirculation, accelerates tissue regeneration.

Indications: vasomotor rhinitis.

Contraindications for use: hypersensitivity to the components of the ointment.

Side effects: allergic reactions are extremely rare.

Washing the nose during pregnancy

The lavage procedure has a positive effect on the condition of the nasopharynx. As a result of irrigation of the nose, germs, mucus, dust are removed from it. The mucous membrane is moistened when the ambient air is dry, the crusts in the nose soften.

Dolphin is offered to the consumer in the form of a set of sachets with a mineral-herbal remedy and an inhaler. It is an antiviral and antimicrobial agent.

Composition: sea ​​salt, rosehip extract, sodium bicarbonate, licorice extract. Patients with a history of allergies are offered a slightly modified composition of Dolphin, which does not contain herbs.

Pharmacological properties: relieves swelling of the inflamed mucous membrane by removing viruses and microbes from the nasopharynx, eliminates mucus, restores airway patency, regenerates tissues, accelerates the outflow of mucus from the sinuses.

Indications: runny nose, otitis media, sinusitis, inflammatory diseases of the pharynx, sinusitis, rhinosinusitis.

Contraindications for use: complete nasal congestion, tumors of any etiology, predisposition to nosebleeds, children under 4 years of age.

Side effects: bleeding from the nose, eustachitis.

Pregnancy is not a contraindication to the use of Aquamaris.

Composition: sterilized water of the Adriatic Sea, rich in salts and microelements, ordinary sea water.

Pharmacological properties: relief of inflammation, stimulation of local immunity, softening of crusts and elimination of waste products of bacteria, regeneration of tissues of the nasopharynx.

Indications: allergic rhinitis in pregnant and lactating women, diseases of the nasopharynx, prevention and treatment of viral infections.

Contraindications for use: obstruction of the nasal passages, allergy to the components of the drug, predisposition to nosebleeds, neoplasms in the nasal cavity.

Side effects: local allergic reactions.

Composition: sterile isotonic sea water.

Pharmacological properties: the drug has a local cleansing and moisturizing effect, relieves irritation of the nasal mucosa, and facilitates breathing.

Indications: prevention and treatment of diseases of the nasopharynx, sinuses, allergic rhinitis.

Contraindications for use: hypersensitivity to the components of the drug.

Side effects: in rare cases, allergic reactions, hyperemia of the mucous membrane.

During pregnancy, Salin is used in any trimester after consulting a doctor.

Composition: isotonic 0.65% sodium chloride solution, additional substances, purified water.

Pharmacological properties: It is used to eliminate swelling of the nasal mucosa, has an anti-inflammatory effect, softens dry crusts and liquefies mucus, facilitates nasal breathing. Salin nasal spray allows you to reduce the dosage of vasoconstrictor drugs, acts as an antiviral and antifungal agent, and improves the sense of smell.

Indications: infectious, allergic and atrophic rhinitis, increased dryness of the nasal mucosa.

Contraindications for use:: pulmonary or cerebral edema, hyperkalemia, hyperchloremia, hyperhydration, cardiac or.

Side effects absent


Miramistin does not enter the systemic circulation, therefore it is not dangerous for a pregnant woman and her unborn child, does not have a toxic effect.

The drug belongs to the pharmacological group of antiseptics.

Composition: Miramistin, purified water.

Pharmacological properties: Miramistin solution has a bactericidal effect on bacteria, pathogenic fungi, viruses. The drug accelerates tissue regeneration, stimulates local immunity, prevents mucosal infection, and suppresses inflammatory processes.

Indications: treatment of inflammatory diseases of the nasopharynx.

Contraindications for use: hypersensitivity to the main active ingredient.

Side effects: extremely rare allergic reactions, burning sensation at the site of application.


There are several drugs called "Asterisk". This is a spray, nasal drops based on Xylometazoline and Vietnamese balm, created on the basis of a composition of essential oils. Spray and nasal drops belong to the group of vasoconstrictor drugs.

Indications for use of "Zvezdochka": rhinitis of an allergic and viral nature, sinusitis, inflammatory diseases of the pharynx. Contraindications: allergy to drug components, arterial hypertension, thyrotoxicosis, atrophic rhinitis,.

During pregnancy it is not recommended to use the balm, spray and nasal drops "Zvezdochka". These restrictions are caused by the vasoconstrictor properties of Xylometazoline, as well as the high likelihood of an allergy to the essential oils of the balm.


It is not easy to find folk recipes that are safe for the health of a pregnant woman and her unborn child.

However, you can still resort to some techniques:

    Inhalation of chopped onion and garlic vapors;

    Instillation in the nasal passages of onion or garlic juice, diluted with boiled water in a 1: 1 ratio, should be carried out 3 times a day;

    Instillation of beet or carrot juice, diluted in water 1: 1, 5-6 times a day, 7-8 drops;

    Instilling into the nose a solution from the black tea infusion evaporated for 15 minutes (1 tsp per glass of boiling water) and 1 tsp. baking soda. The agent is dripped 3 times a day, 2-3 drops;

    Taking a vitamin mixture of grated horseradish root and apple in a 1: 2 ratio with the addition of a teaspoon of sugar. The mixture is taken 2 times a day for 1 teaspoon.

Self-massage of the bridge of the nose, the reflex zone under the nose, above the eyebrows and points on the posterolateral surface of the neck will help reduce discomfort and nasal congestion.

Aloe during pregnancy from the common cold. Aloe cannot be used to treat a cold in women who are expecting a baby, since the active ingredients of the juice of this plant increase the tone of the uterus. This circumstance can lead to premature birth, spontaneous abortion in early pregnancy.

Kalanchoe juice is considered a very effective remedy for the common cold. However, during pregnancy, such recipes should be treated very selectively. First, an allergy to Kalanchoe juice may appear. Secondly, the action of drops from the juice of this plant causes intense sneezing, which does not always have a positive effect on the well-being of a woman and her child.

If the pregnant woman is not afraid of such side effects, she can prepare Kalanchoe drops.

Cooking sequence:

    Rinse and dry the leaf of the plant, place it in the refrigerator for 5 days.

    Grind the leaf into gruel, send it to the refrigerator for another 2 days.

    Squeeze the juice through sterile gauze.

    Instill a drop in each nostril 3 times a day. The course of treatment is up to 10 days.

The occurrence of a cold in pregnant women is not necessarily due to a viral infection, although among the more than 200 types of rhinoviruses there are those that cause acute respiratory infections without fever. In addition, allergies or elevated estrogen levels can be the cause of a cold without fever. This phenomenon is called vasomotor rhinitis of pregnancy.

A runny nose without temperature can be caused by excessive dryness in the room, when the secretion of mucus in an increased amount is a protective reaction of the body to an unfavorable microclimate. In addition, the causes of a runny nose during pregnancy can be stress, tumors of the upper respiratory tract and disorders of their structure.


As preventive measures, you need:

    Walk in the fresh air as often as possible, ventilate the room several times a day, and wet the house every day;

    To prevent colds, you should take vitamins throughout pregnancy and monitor your diet;

    Hypothermia should not be allowed;

    In the cold season, when an epidemic of respiratory diseases occurs, you should use oxolinic ointment before leaving the house, and it is better to refrain from visiting public places.

And remember, if signs of a runny nose and other symptoms of infectious diseases appear during pregnancy, you should immediately consult a doctor.


Education: In 2009 he received a diploma in the specialty "General Medicine" at Petrozavodsk State University. After completing an internship at the Murmansk Regional Clinical Hospital, he received a diploma in Otorhinolaryngology (2010)

Causes of runny nose in pregnant women

Pregnant women are not at all insured against the occurrence of a cold. There are many reasons for this. And you should not assume that all this is due to the fact that a woman's immunity is weakening at this time, and therefore you can catch a cold or acute respiratory infections very quickly. There are other factors that affect the appearance of nasal congestion in a pregnant woman. True, despite any reasons for the occurrence, a runny nose brings with it discomfort not only for the expectant mother, but also for the developing baby.

There are situations when a woman does not even know that she is pregnant, but she has already had a nasal congestion. Moreover, until the end of pregnancy, her runny nose does not go away. This condition is called by specialists a runny nose of pregnant women or vasomotor rhinitis. The reason for its appearance lies in hormonal changes in the whole body, which provokes edema of the nasopharynx. As a rule, a similar runny nose appears in a woman in the second trimester. And almost always completely disappears only after childbirth. It should be noted that it is not necessary to treat such a cold in a special way. But helping to breathe freely is necessary. Various methods are described below to reduce mucosal edema. But it must be emphasized that a pregnant woman should start only with the safest method for her.

It should not be ruled out that a runny nose and endless sneezing are the result of allergies. It manifests itself especially vividly at the height of the spring flowering of plants. If this is the case, then you need to urgently consult a specialist. And in the event that, in addition to a runny nose, a pregnant woman has a headache, a sore throat and a high temperature, then we can say with confidence that this is a viral disease. And it is necessary to start treatment urgently. After all, any infection can be very dangerous for both the expectant mother and her baby, especially if it develops in the early stages of pregnancy.

That is why you should not wait until the nose starts pouring continuously. You should begin to eliminate the cause as quickly as possible. Of course, the most ideal option would be if the doctor tells the reason. It is the doctor who must correctly explain how to properly be treated in such a state. And what can and should be done, and what is strictly prohibited for pregnant women. But in the event that it is not possible to get an appointment with a specialist, then you can use the recommendations and tips below.

Methods for treating a common cold during pregnancy

Today, there are quite a few different ways to cure a cold.

1 Pregnant women can be great help from ordinary vasoconstrictor drops, which are sold for the treatment of common rhinitis. This is really the most effective option. But at the same time, he is very dangerous. Many people know very well that the human body gets used to such drops rather quickly and therefore it is recommended to change them often. But since such drops really act almost instantly, so many mothers completely forget about the harm they can bring. And in vain, because now a woman should think not only about herself alone, but also about her future child. And such drops can harm him. After all, it is known that even the most common drops such as Naphtizin or Galazolin affect not only the woman's body, but also the arteries that are present in the formed placenta. And some part of the drug can enter the woman's esophagus, and from there into the mother's blood, and then into the blood of the placenta. And this means that there may be some kind of circulatory disorder in the placenta, and, as a result, in the fetus. Moreover, pregnant women get used to such drops much faster than non-pregnant women. The reason for this is again hormonal changes in the female body.

But you can also find alternative treatment for the common cold. These are the so-called "People's" drops. But it should be noted right away that almost any treatment (including folk remedies) has certain contraindications. It follows that before using folk remedies, you should still consult with your doctor. Some doctors give very good advice on the use of certain herbs during pregnancy.

2 The simplest and most proven method of dealing with a common cold is either onion juice diluted with water, or aloe juice (which must also be diluted). You can use this remedy quite often - 2 or even 3 times a day, 2 drops in each nostril. You can significantly alleviate the condition of a pregnant woman suffering from a cold with simple tea and soda drops. You can even use a rinse. To prepare such a medicine, add one teaspoon of baking soda to a glass of warm black tea. You can bury this remedy, two drops in each nostril, no more than three times a day.

3 Folk remedies involve use as medicines freshly squeezed juices... For a cold, for example, apple, carrot, beetroot or any citrus juice is very effective. But before using this remedy, it must be emphasized that freshly squeezed juices can cause an allergic reaction in a woman. And juices purchased in stores should not be instilled into the nose, as they have various additives that will not be useful in treatment. But in the event that the juice is prepared at home, then it is able to bring real relief to a pregnant woman. Juice should also not be dripped frequently. Traditional medicine recommends doing this three to four times a day, two to three drops in each nostril.

4 Can be used as nasal drops special oils... Sea buckthorn, peach and rosehip oils bring a noticeable effect. These oils have an excellent emollient effect. It is impossible to bury them in their pure form: before use, such oils should be diluted, for example, with vegetable oil. The most effective base oil is olive oil. It is diluted in the following proportion: 1 part of the medicinal oil accounts for 20 parts of the base oil. Moreover, at home, you can prepare such oil yourself. To do this, it is necessary to grind as much as possible the herb, on which the medicinal oil will be prepared, and mix it with olive oil in the proportion of two tablespoons of the crushed herb to one glass of oil. Previously, the oil is boiled over very low heat for 10 minutes. After that, the oil is filtered. You can instill such a medicinal oil from three to five drops in each nostril.

5 With a runny nose, you can use a simple warming up... But you need to know that such warming up procedures can be taken only if the woman does not have a fever. Indeed, in the process of warming up, blood flows to the currently inflamed mucous membrane. And as a result of such an influx, the temperature can rise. In this case, the mucus that is in the nose becomes noticeably thinner and, thanks to this, it is quickly removed from the nasal passages. As a result, nasal congestion is reduced. This is the simplest and most popular traditional medicine recipe to combat nasal congestion. The nose can be warmed up with a hard-boiled egg. Or you can warm up either salt or cereal, then pour them into a canvas bag and apply it to your nose. It is necessary to warm both nostrils. It is necessary to continue the procedure until the cereal or salt has cooled down.

6 Very effective in treating the common cold inhalation... They are recommended to be carried out using a special device called a nebulizer. But, nevertheless, many people use the old proven method, which consists in covering the patient with a thick towel over a bowl or saucepan with a hot warming agent. And they breathe hot steam there. Pregnant women can breathe it for no more than five minutes. Immediately after the end of such a procedure, you cannot get into drafts or go outside for one hour.

What infusions for inhalation can be used by pregnant women? Traditional medicine offers a huge selection for these purposes. Still, pregnant women should still focus on calendula and chamomile flowers. You can also use the leaves of plantain, eucalyptus, as well as herbs of sage, St. John's wort or thyme. To prepare a medicinal tincture for inhalation, take one or two tablespoons of the desired herb and pour a glass of freshly boiled water. After that, you need to bend over the container with the resulting infusion and begin to inhale the steam. You should breathe through your nose, because the treatment is carried out in order to reduce the congestion of the nome. Such inhalations can be performed up to six times a day.

7 In the fight against a runny nose, it is necessary rinse the nose and often moisturize the nasal mucosa. This method is also suitable for pregnant women. For moisturizing, you can use an ordinary baby cream. If not, then petroleum jelly or any vegetable oil may also work. Today in pharmacies you can find moisturizing sprays that contain sterile sea water. These are Aqualor, Aquamaris and other sprays. These drugs are really completely safe for a pregnant woman. And at the same time they very well moisturize the mucous membrane of the nose and even the nasopharynx. Puffiness from this is noticeably reduced. Moreover, such sprays are not addictive and do not cause any allergic reactions. After all, by and large, it's just sea water.

8 In the event that there is a severe runny nose, then you can use herbal infusions and even medications. There are such recipes: licorice, mountaineer rhizomes, plantain leaves, clover flowers, calendula, and sage herb are taken. The herbs are taken in equal parts. Pour them into a container and pour a glass of boiling water. After that, bring the herbal infusion to a boil, cover and leave for two hours. After that, the infusion should be filtered and used warm for rinsing. Moreover, such a procedure can be performed no more than five times a day. And to rinse your nose more conveniently, you should use an ordinary syringe for this. If it is not possible to prepare an infusion of their herbs, then you can rinse your nose with a simple saline solution, to which a drop of iodine has been added.

9 It is necessary not to forget about the maximum humidifying the air in the room where the pregnant woman is with a runny nose. After all, it is too dry air in the room that can provoke not only nasal congestion, but even the runny nose itself. To make the air more humid, you can use special air humidifiers. If they are not there, then you can simply place containers with clean water around the room. And do not forget that indoor plants perfectly humidify the air in the room.

10 There is another way to effectively deal with the common cold. This is about acupressure... It should be carried out on the outer sides of each of the nostrils. And in order to enhance the obtained effect, it is necessary to anoint the bridge of the nose with a well-known to every modern person means before the massage - "Asterisk". But it is necessary to smear with a very thin layer.

11 Sometimes doctors in the fight against a cold recommend pregnant women to warm baths for hands or feet... But it is necessary to use this method very careful... Indeed, as practice has shown, very hot baths are harmful to a pregnant woman, especially in the first trimester. It is they who provoke abortion, that is, miscarriages. And in the event that a pregnant woman has varicose veins, then taking baths will be categorically contraindicated. And in order for the bath to bring a certain effect, it is necessary that the water in it does not exceed 40 degrees. Some pregnant women have a reasonable question: can such baths really help with a severe cold? Even if the runny nose does not completely go away, fatigue and heaviness in the legs will definitely go away. And so that the effect is still noticeable, you should immediately put on warm woolen socks on your feet after taking such a bath.

Prevention measures against a common cold during pregnancy

In order not to get into an unpleasant situation during pregnancy with a runny nose, you should adhere to the following recommendations:

  • Do not overcool.
  • During a trip to any public place (office, pharmacy, store), you should thoroughly lubricate the nostrils with oxolinic ointment (it is necessary to smear it from the inside). This is especially important during a seasonal flu epidemic, for example.
  • In the event that a sick person appears in the family, a pregnant woman should try to limit communication with him as much as possible until the person recovers. A mask should be worn at all times in the house.
  • In the same case, if a cold does appear, it is necessary to start treating it as early as possible.
  • It is necessary to constantly take care of strengthening the immunity of the pregnant woman. In the event that the defenses of the female body are normal, he will not be afraid of any colds. It is necessary to seriously reconsider nutrition and lifestyle. Fresh fruits and vegetables should be on the table every day. You should forget about bad habits altogether.

But the most important advice is that you cannot self-medicate. In the event that a pregnant woman has a runny nose after 3-4 days, you should definitely contact a specialist - an ENT doctor.

Rhinitis is manifested by constant puffing, which intensifies in the supine position or with the slightest physical exertion. Most often, this condition occurs in the second half of pregnancy, but sometimes it occurs during the entire gestation period.

Violation of nasal breathing significantly worsens mood, may be the reason for a lack of appetite, sleep disturbances.

A distinctive feature of infectious rhinitis is the absence of symptoms of an inflammatory reaction and intoxication - there is no increase in body temperature, aches in the extremities, headache or other manifestations of a viral or bacterial disease. There is also no abundant discharge from the nose - they will already be a sign of an allergic or infectious variant.

Prolonged nasal congestion when an infection joins can lead to sinusitis. There is a feeling of fullness in the sinuses - pregnant women say that the nose is "completely clogged."

Rhinitis of pregnant women. Treatment.

As a rule, rhinitis resolves on its own within a week after childbirth, when the balance of estrogen and progesterone is normalized in the body. But this will already be after all the experiences, when the happiness of motherhood will be the main positive emotion and push away all other memories and worries. How can you help a woman now?

The fact is that they can lead to a violation of the uteroplacental blood flow and worsen the condition of the child. If the child becomes worse, then this will not bring any relief to the expectant mother, even if at the same time her nose will breathe perfectly. The grown-up kid inside will begin to shove, kick and “swear” so that the mother will stop this disgrace. This is nature's intention - mom needs to be controlled!

In the medical literature, you can find recommendations on the possibility of using children's vasoconstrictor drops, with a small dosage of the drug. They are usually prescribed for severe rhinitis at night so that you can fall asleep, but only when prescribed by an obstetrician-gynecologist, when the potential benefit to the mother outweighs the possible risk to the child. There should not be any amateur performance in this situation!

What then can help? How is rhinitis treated?

I. Saline solutions have proven to be very effective and safe in reducing mucosal edema. Examples include common table or sea salt, pharmaceutical preparations Aquamaris, Merimer, nasal showers with sea water (Dolphin, Humer). The saline solution can be prepared at home and on your own - you need to take one teaspoon of sea or table salt and dilute it in 0.5 liters of water.

Rinsing the nose with saline solutions also helps well with sinusitis, the swelling of the nasal passages is relieved and the secretion from the sinuses is gradually emptied. If you have a fever or severe bursting pain in the maxillary or frontal sinuses, consult a doctor immediately!