Is Nasal Stuffiness in Pregnancy Normal?

Frederick R. Jelovsek, MD

Over 30% of pregnant women report frequent or constant nasal problems. That makes stuffiness a problem so common it is called rhinitis of pregnancy. Is it always due to pregnancy -- no! There can be other causes and often preexisting problems get worse during pregnancy. ER Ransom and others pointed out the different problems that should be considered rather than just attributing nasal congestion to pregnancy -- Ransom ER, Senior B, Ransom SB. Rhinitis of pregnancy. The Female Patient 1998; 23:11- 20.

On physical exam, the doctor looks at the nasal septum for deviation and then uses a rhinoscope to look at the anterior nose. Clear mucous discharge is more associated with allergic rhinitis, yellowish green with infection. Pale or bluish nasal skin is consistent with allergy while reddness is more likely with other causes. If any polyps are seen or if there is poor visualization due to swollen lining, a formal ENT exam with a flexible endoscope. Full nasal obstruction can cause ear infections and should be treated.

Be sure to get checked out if the nasal breathing is a problem.