Nosebleeds and a blocked nose in pregnancy

A stuffy nose and nosebleeds catch many people by surprise in pregnancy. They’re usually harmless, and here’s what to do about them.

Why does it happen?

The NHS says nosebleeds happen in pregnancy because of hormonal changes and because there’s more blood moving through your body. It also says your nose can feel more blocked than usual. NCT says nosebleeds are common in pregnancy.

How to stop a nosebleed

A nosebleed can last from a few seconds to over 10 minutes, and blood can run down the back of your throat.

The NHS suggests:

sitting down and pinching the soft part of your nose, just above your nostrils, for 10 to 15 minutes without letting go
leaning forward and breathing through your mouth, so the blood drains out of your nose rather than down your throat
sitting or standing upright instead of lying down
for at least 24 hours afterwards, avoiding blowing your nose, bending down and strenuous activity

A covered ice pack or wrapped frozen peas on the top of your nose may help, though the NHS says the evidence for this is weak.

When to get help

If the bleeding won’t stop, call your midwife or GP urgently. Talk to them too if you’re worried about your nosebleeds or they keep coming back.

A blocked nose

The NHS says your nose can feel more blocked than usual. Ask a pharmacist before using a nasal spray or decongestant, and tell them you’re pregnant. If a blocked nose comes with a high temperature, a cough or other signs of illness, speak to your GP or NHS 111. A high temperature, including a reading of 38C or above, is on the NHS list of pregnancy symptoms to get checked.

Questions people ask

Are nosebleeds a sign of high blood pressure?

Nosebleeds are usually put down to hormonal changes and extra blood flow. Your blood pressure is checked at antenatal appointments. See urine tests and blood pressure checks.

Is it safe to use nasal sprays?

Ask a pharmacist, and tell them you’re pregnant, before using any spray or decongestant.