Nose Bleed During Pregnancy: Is It Normal? Causes and Managing It

Nose bleeds during pregnancy

Nose bleeds are a common pregnancy symptom throughout pregnancy but are particularly prevalent in the third trimester. However, they can start as early as the first trimester and continue until birth due to increased blood supply and hormonal changes that affect blood vessels and mucous membranes in the nose.

Although they can be alarming, they are usually harmless and caused by normal changes in the body. Most of the time, they stop on their own and do not affect the health of the mother or baby.

Why do pregnant women get nose bleeds?

Hormonal changes like the rise in estrogen and progesterone increase blood flow and cause the tiny blood vessels within the nasal passages to become more sensitive and prone to breaking. At the same time, pregnancy can make the nasal passages feel drier, especially in hot weather, air-conditioned rooms, or during a cold or sinus infection. The combination of fragile blood vessels and dryness makes nose bleeds more likely.

How common are nose bleeds during pregnancy?

Nose bleeds occur in about 1 in 5 pregnant women. By comparison, only about 6% of women who are not pregnant experience them. Nose bleeds can happen at any time during pregnancy, but they are more common in the second and third trimesters, when blood volume and circulation are at their highest.

How long will my nose bleed last?

Most pregnancy-related nose bleeds are short-lived and stop within a few minutes if the right steps are taken. Occasionally, they may last longer, but it is unusual for them to continue for more than 20 minutes. If bleeding does not stop after this time, medical attention is needed.

How to stop and treat nose bleeds during pregnancy

If a nose bleed occurs, sit upright and lean forward slightly to avoid swallowing blood. Pinch the soft part of your nose just below the bony bridge and hold it firmly for 10 to 15 minutes without letting go. Breathing through the mouth can help during this time. Placing a cold compress or ice pack on the bridge of the nose may also help slow the bleeding. Once the bleeding has stopped, avoid blowing or picking the nose, as this can restart the bleeding.

Can you prevent nose bleeds during pregnancy?

Yes, there are steps that may reduce the risk of nose bleeds. Keeping the inside of the nose moist is important. This can be done with nasal sprays like saline drops or sprays, switching on a humidifier, or applying a thin layer of petroleum jelly inside the nostrils. Staying well hydrated and avoiding overly dry environments can also help. It is best to avoid forceful nose blowing or inserting objects into the nose, as this might irritate the mucous membranes.

Are nose bleeds during pregnancy a cause for concern?

In most cases, nose bleeds are harmless and simply a result of normal pregnancy changes. However, frequent or very heavy nose bleeds can sometimes be linked to underlying conditions such as high blood pressure, clotting disorders, or nasal problems that require attention.

When to see your healthcare provider

You should seek medical advice if a nose bleed does not stop after 20 minutes of firm pressure, if bleeding is very heavy, or if you are also experiencing symptoms such as dizziness, headaches, vision changes, or high blood pressure. It is also important to contact a doctor if nose bleeds are happening very often or are accompanied by other unusual bleeding.

FAQ

What causes nose bleeding during pregnancy?

Nosebleeds during pregnancy are usually due to normal hormonal and circulatory changes. As blood volume increases to support both mother and baby, rising levels of estrogen and progesterone cause blood vessels to expand and become more fragile. The tiny vessels in the nose (capillaries) are especially sensitive, making them more likely to break and bleed.

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The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice based on your unique situations, please consult a specialist at Thomson Medical. Request an appointment with Thomson Medical today.