What should you know about epistaxis during pregnancy?

Pregnancy can increase blood flow and make the delicate lining inside the nose more swollen and prone to bleeding. Dry air, frequent nose blowing, allergies, a cold, sinus irritation, or picking can add friction. A nosebleed is not usually harmful to the pregnancy when it is brief and settles with first aid. However, recurrent bleeding can also reflect another nasal problem or high blood pressure, particularly when accompanied by severe headache, visual changes, or sudden swelling. Related causes include [Allergic Rhinitis](/conditions/allergic-rhinitis/), [Common Cold](/conditions/common-cold/), and [Sinusitis](/conditions/sinusitis/).

Sit upright and lean slightly forward. Pinch the soft part of the nose continuously and breathe through your mouth. Do not tilt your head back or lie flat. Once the bleeding has stopped, avoid forceful blowing, nose picking, strenuous activity, and very hot drinks for a while. A saline spray or humidified air may reduce dryness; ask your maternity clinician or pharmacist which products are suitable in pregnancy. Do not start decongestants, herbal products, or other medicines without checking first. Mention repeated episodes at your antenatal appointment.

Seek urgent care if bleeding is heavy, you feel faint, you have trouble breathing, it follows an injury, or it continues despite sustained pressure. Contact your maternity team promptly for repeated nosebleeds with severe headache, visual disturbance, pain under the ribs, or sudden swelling, because these symptoms need a blood-pressure assessment. Emergency help is appropriate if you feel seriously unwell.

Is my blood pressure within the expected range? Which saline or moisturising nasal products are suitable for me? Could my allergy, cold, or sinus symptoms need pregnancy-safe treatment?