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Pregnancy rhinitis

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.
  • On this page

    • What is pregnancy rhinitis?
    • What are the symptoms pregnancy rhinitis?
    • What causes pregnancy rhinitis?
    • How is pregnancy rhinitis diagnosed?
    • When should I see my doctor?
    • How is pregnancy rhinitis treated?
    • Will pregnancy rhinitis affect my unborn baby?

    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.

    • The Royal Hospital for Women — Hay Fever in Pregnancy and Breastfeeding
    • Australasian Society for Clinical Immunology (ASCIA) — Allergic Rhinitis Clinical Update
    • Asthma Pregnancy Toolkit — Rhinitis medications
    • Auris Nasus Larynx — Medical Management of rhinitis in pregnancy

    Find out how we develop and review our content.


    Last reviewed: May 2024


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