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Colds during pregnancy

Getting a common cold during pregnancy is generally not harmful to your baby, but symptoms may feel more intense. Changes in your immune system during pregnancy can make you more susceptible to infections.

Can I use nasal spray?

Yes, short-term use of decongestant nasal sprays containing oxymetazoline (e.g., Afrin®) is generally considered safe during pregnancy.However:

  • use only as directed
  • avoid using for more than 3–5 days to prevent rebound congestion

Always check with your healthcare provider if you’re unsure.

What helps with a cold?

The main treatments are:

  • rest
  • fluids
  • regular nutrition

Warm fluids may help relieve congestion and throat irritation. Some over-the-counter medications can be used, but it’s best to check with your healthcare provider before taking them.

What should I do if I have a fever?

Fever during pregnancy should be treated. High fever, especially in early pregnancy, has been associated with increased risks, so it’s important to lower it. Acetaminophen (Tylenol®) is generally considered safe during pregnancy when used as directed

Avoid:

  • ibuprofen (NSAIDs)
  • aspirin, unless prescribed

Contact your healthcare provider if:

  • your fever is high
  • symptoms persist
  • or you feel unwell

Can I use cough medicine?

Evidence for over-the-counter cough medicines is limited. Many people find relief from:

  • warm fluids
  • humidified air

If you want to use a cough medicine, ask your healthcare provider or pharmacist which options are considered safe during pregnancy.

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