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Pregnancy rhinitis

6-minute read

If you have unexplained breathing problems, see your doctor as soon as possible. If your breathing problems are very bad and come on quickly, call triple zero (000) for an ambulance.

Key facts

  • Pregnancy rhinitis is an inflammation of the nose that affects 1 in 5 pregnant people.
  • If you have pregnancy rhinitis you will have allergy symptoms, like a runny nose.
  • Your doctor or pharmacist can tell you which medicines are safe during pregnancy.
  • Pregnancy rhinitis usually improves about 2 weeks after giving birth.

What is pregnancy rhinitis?

Rhinitis is an inflammation of the lining of your nose. People who are affected by allergies experience rhinitis. During pregnancy, your allergy symptoms can worsen.

Pregnancy rhinitis affects about 1 in 5 pregnant people.

While it's not a life-threatening medical condition, pregnancy rhinitis can be bothersome. Pregnancy rhinitis can impact your:

  • sleep
  • daily functioning
  • concentration

There are things you can do to find some relief.

What are the symptoms pregnancy rhinitis?

Symptoms of pregnancy rhinitis are like those of allergic rhinitis (hay fever). You may experience:

  • a runny or congested nose
  • sneezing
  • itchy eyes
  • watery eyes
  • mucus in your throat

How long will my symptoms last?

While pregnancy rhinitis can occur at any time during your pregnancy, it’s most common during the second trimester.

Your symptoms may last for at least 6 weeks. The good news is they usually disappear within 2 weeks of your baby's birth.

CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help.

What causes pregnancy rhinitis?

While it might feel like you are getting a cold, pregnancy rhinitis is not caused by bacterial or viral infection. This means it’s not contagious.

Allergies

Rhinitis is triggered by allergens, such as moulds. Allergens may be seasonal, such as:

  • pollens
  • fungi

They may also be perennial (year-round) such as:

  • dust mites
  • pets
  • cockroaches

Other causes of pregnancy rhinitis

Rhinitis in pregnancy may also have a non-allergic origin. It's not known exactly why rhinitis occurs more frequently in pregnancy, but your hormones may play a role.

Smoking is also associated with pregnancy rhinitis. It's never too late for future parents to quit smoking.

How is pregnancy rhinitis diagnosed?

Pregnancy rhinitis should be distinguished from other conditions such as upper respiratory tract infections. Your doctor can do this during a routine visit.

When should I see my doctor?

You should visit your doctor if your rhinitis symptoms are bothering you. They can:

  • help diagnose the cause of your symptoms
  • give you advice on treatments that are safe during pregnancy

You should also see your doctor if:

  • you feel you are breathless
  • your chest feels very tight
  • you are needing more of your usual asthma or lung medications

If you have unexplained breathing problems, see your doctor as soon as possible. If your breathing problems are very bad and come on quickly, call triple zero (000) for an ambulance.

FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services.

How is pregnancy rhinitis treated?

If your pregnancy rhinitis is triggered by a known allergen, you can try and reduce your exposure to the allergen.

You can also try nasal irrigation. This is a drug-free way to clear out air-borne allergens and mucus from blocked nostrils. Salt water (saline) nasal sprays can provide relief and are safe to use during pregnancy.

Medicines for pregnancy rhinitis

Specific medicated nasal sprays and oral antihistamines can be used during pregnancy.

Similarly, if you have itchy-watery eyes, there are also eye drops approved for use during pregnancy.

Persistent symptoms are managed individually.

However, always check with your doctor or pharmacist before taking any medicine while pregnant.

Will pregnancy rhinitis affect my unborn baby?

Pregnancy rhinitis is not life threatening for your baby.

However, any condition that reduces your quality of life has the potential to affect your baby. This includes the quality of your sleep during pregnancy.

If you are concerned about your sleep or breathing during pregnancy, speak to your doctor.

Speak to a maternal child health nurse

Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: May 2024


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Need more information?

Allergic Rhinitis (Hay Fever ) - Australasian Society of Clinical Immunology and Allergy (ASCIA)

Allergic Rhinitis (Hay Fever)

Read more on ASCIA – Australasian Society of Clinical Immunology and Allergy website

Allergic rhinitis (hay fever) - Australasian Society of Clinical Immunology and Allergy (ASCIA)

Allergic Rhinitis (Hay Fever)

Read more on ASCIA – Australasian Society of Clinical Immunology and Allergy website

Allergic rhinitis - symptoms, causes and treatment - myDr.com.au

An in-depth look at allergic rhinitis, including possible causes, symptoms, diagnosis, and treatments available

Read more on MyDoctor website

Allergic rhinitis (hay fever) - Allergy & Anaphylaxis Australia

The body’s immune system reacts to these common allergens which for most people are harmless. The immune system's response causes symptoms. Common symptoms include Runny nose Itchy nose Sneezing Itchy and watery eyes Blocked nose and snoring Some people need to clear their throat often because mucus can run from their sinuses to the back

Read more on Allergy and Anaphylaxis Australia website

Thunderstorm asthma - Australasian Society of Clinical Immunology and Allergy (ASCIA)

Around one in four people with allergic rhinitis (hay fever) also have asthma. Rain from thunderstorms can make some allergic rhinitis and asthma symptoms worse

Read more on ASCIA – Australasian Society of Clinical Immunology and Allergy website

Animal dander - Allergy & Anaphylaxis Australia

Animal dander can cause allergic rhinitis and allergic conjunctivitis for people who are allergic to the dander.

Read more on Allergy and Anaphylaxis Australia website

Pollen - Allergy & Anaphylaxis Australia

Allergic rhinitis is caused by the nose and/or eyes coming into contact with allergens in the environment, including pollens (grasses, weeds or trees).

Read more on Allergy and Anaphylaxis Australia website

Pollen - a trigger for hay fever - National Asthma Council Australia

Plant pollen is well known as a trigger for seasonal allergic rhinitis (hay fever) and seasonal allergic conjunctivitis.

Read more on National Asthma Council Australia website

Diagnosis of allergy and allergy tests - Allergy & Anaphylaxis Australia

Allergy testing can help find out which allergens cause your allergic asthma, allergic rhinitis or allergic reactions to insects, foods, medications or other.

Read more on Allergy and Anaphylaxis Australia website

Allergen Immunotherapy (AIT) - Allergy & Anaphylaxis Australia

AIT, also known as desensitisation, is available to treat allergic rhinitis (hay fever) that has not responded well to intranasal corticosteroid nasal spray (INCS) treatment. AIT has been used for more than 100 years and is a proven treatment...

Read more on Allergy and Anaphylaxis Australia website

Call us and speak to a Maternal Child Health Nurse for personal advice and guidance.

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