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Nosebleeds in Pregnancy

Vessels dilate as a result of hormonal changes in pregnant women. The volume of circulating blood increases. This puts a lot of pressure on the walls of blood vessels. They become thinner and more fragile. The result is nosebleeds. This is considered the norm in small volumes and with short-term symptoms during pregnancy.

Nosebleeds can occur due to increased pressure, a sudden change in position, after nervous excitement, or involuntarily. Approximately 20% of women in the situation note the manifestation of a similar symptom.

When Does Nosebleeds Start in Pregnancy?

Nosebleeds begin in the first trimester. They are timed to the period of the greatest filling of vessels with blood. Bleeding sometimes occurs at the beginning of the second trimester.

The symptom will be more pronounced if there is a problem with the fragility of the vessels, a deviated nasal septum, or there were persistent sinusitis. He can accompany a woman throughout her pregnancy.


Rupture of the vessels of the nose can occur in the 1st week. Often women complain of this symptom in the 4th week. Less common causes of nosebleeds in pregnant women at the 15th week.

Nosebleeds will appear more often if there are problems with blood pressure. Then this symptom will be combined with the manifestation of high pressure, which is characteristic mainly of the third trimester.

Nosebleeds pregnancy weeks

When will it end?

Episodic short-term hemorrhages from the nose normally end by the beginning of the second trimester. The symptom should stop bothering the pregnant woman after the 15th week. Her vascular system is fully adapted to the large volume of blood. The walls of blood vessels become more elastic and stop breaking. The symptom of nosebleeds is not a typical sign of pregnancy. He may not appear at all.

How Does it Feel?

A woman in the first trimester may wake up feeling a nosebleed. It often occurs immediately after waking up. Sometimes nosebleeds accompany morning vomiting. This combination is associated with strong tension and a low position of the head during vomiting. The symptoms may be acute or mild.


Such bleeding will be very frequent, profuse, and long-lasting. They occur with any increased physical activity. The blood flows in a strong stream. It gets into the throat and causes great inconvenience.


The symptom is mildly expressed by minor and short-term bleeding. They will occur arbitrarily or are associated with an accidental mechanical effect on the mucosa. The bleeding quickly stops and no longer flows that day.

It is better to call an ambulance if the bleeding does not stop for a long time.

Prevention methods

Preventive measures for the symptom of nosebleeds are associated with measures to improve the health of the nose, mucosa, and blood vessels. Fighting nosebleeds will be more difficult if there is a genetic predisposition to such a symptom. First, you need to find out the reason for this phenomenon. Let’s take a closer look at some preventive measures against nosebleeds:

Correction of the nasal septum

A deviated septum is very often a stimulant for nosebleeds. Vessels come into contact with cartilage and this causes frequent damage to the walls of blood vessels and bleeding. The operation to correct the septum should be done only before pregnancy. The appointment for such an operation should be justified by the symptoms: poor breathing, constant congestion, and frequent bleeding.

Humidification of the nose

With a tendency to dryness of the sinuses, it is necessary to moisten them periodically. This can be done by rinsing the nose with saline or using special ointments. Air dryness increases during the heating season. It is necessary to constantly ventilate the room and use a humidifier. Dryness of the nasal mucosa increases the risk of vascular rupture. You can minimize nosebleeds by getting rid of this problem.

Strengthening blood vessels

The walls of blood vessels can be thin and weak even before pregnancy. Special preparations, vitamins, and a healthy lifestyle are used to strengthen them. Regular hardening helps a lot. They train the vessels to expand and contract, making them more elastic and strong.

Why Nose Bleeds Occur in Pregnancy?

Nosebleeds have hormonal causes, as do most of the symptoms. The capillary network of vessels increases under the influence of increased estrogen production. The volume of blood becomes larger and the vessels thinner. A lot of pressure on their walls causes ruptures. Blood pours out.

Progesterone softens all tissues and this leads to an easier rupture of blood vessels, especially with mechanical action. Any rubbing of the nose can cause bleeding.

Other causes of this symptom: lack of vitamins (A, C, E), increased dryness of mucous membranes, and problems with blood pressure. All these are concomitant symptoms of pregnancy that entail bleeding from the nose. The causes of bleeding during the gestation period can be more serious: low platelet count, nasal trauma, deviated septum, calcium deficiency, and oncology.


It is necessary to act quickly and smoothly in a situation where a symptom is already manifesting itself. You need to know the basic rules for stopping bleeding. This will help reduce the amount of blood loss. Especially if it flows extremely abundantly and does not stop. This happens with a strong rupture of the vessel and poor clotting. The main means of protection against bleeding:

Hydrogen peroxide

This is the simplest remedy that helps to quickly stop the bleeding. Take a cotton swab and soak it in hydrogen peroxide. The swab is carefully inserted into the nostril from which blood flows. You need to sit down and better lie down on your side. The blood should stop in a couple of minutes with this help. The method is used if the bleeding is severe.


Cold slows down the flow of blood. Vessels constrict and blood coagulates faster forming a protective crust. For nosebleeds, ice can be wrapped in a cotton cloth and applied to the bridge of the nose. You can additionally apply cold to the back of the head and forehead to enhance the effect.

Cauterization of the vessel

This remedy will be used as a last resort when the pregnant woman is greatly tormented by constant bleeding from the same nostril. This is a sign that the vessel is severely destroyed and is no longer able to heal on its own. The otolaryngologist examines the patient and cauterizes the rupture site with a special device. The vessel is soldered and no longer bothers the pregnant woman.


You should seek help from a doctor if nosebleeds are persistent. When the blood is liquid, it does not stop for a long time and its flow is very strong. Sometimes an ambulance is needed. Immediate medical intervention is needed for severe blood loss. A doctor’s help is needed if nosebleeds are accompanied by a severe severe headache, high fever, and loss of consciousness.

What Not to Do

Do not panic, cry, or worry about bleeding from the nose. This intensifies the symptom and delays the clotting process. It is necessary to immediately take measures to prevent bleeding. Do not refuse the help of others. Shyness and awkwardness are inappropriate. Blood loss is fraught with serious consequences for the fetus. Prohibitions for the symptom of nosebleeds:

Don’t throw your head back

This will cause blood to enter the throat and gag reflexes. The blood will coagulate, forming clots that are then difficult to leave the nasopharynx.

Do not drink hot drinks

It is necessary to stop drinking hot water if bleeding occurs frequently, especially immediately after the symptom stops. Hot drinks greatly dilate blood vessels and blood flow increases.

Blow your nose

A feeling of nasal congestion is created after bleeding. Don’t blow your nose. This will mechanically build up pressure, break up the clot, and cause rebleeding.

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