Stuffiness And Pregnancy Better Page
Inferior turbinate reduction (radiofrequency or microdebrider) is postponed until postpartum unless there is severe obstruction with OSA refractory to all medical therapy. General anesthesia and bleeding risks (hypervascular nasal mucosa) make surgery during pregnancy a last resort.
Azelastine (Astelin, Astepro) is pregnancy category C. It is not first-line because ROP is not histamine-mediated. However, if a pregnant patient has coexisting allergic rhinitis, azelastine may be added. Oral antihistamines (loratadine, cetirizine) are safe for allergy but do relieve pregnancy-induced congestion because the mechanism is non-allergic. stuffiness and pregnancy
While not all cases of nasal congestion can be prevented, there are steps you can take to reduce the risk: stuffiness and pregnancy

